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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
MRI Mastery Series: Shoulder - Pre-course Activities
1 topic, 5 min.
Lesson
Sample Lesson - 53 Year Old Female, Injured While Playing Softball
1 topic, 4 min.
Lesson
Shoulder MRI: Assessing Instability - Anatomy
10 topics, 50 min.
Introduction to Shoulder Instability
6 m.Axial Anatomy on MRI
5 m.Axial Anatomy: The Biceps Pulley
5 m.Axial Instability Search Pattern
9 m.Axial Shoulder: The Structures that Give Radiologists Fits
6 m.Introduction to the Buford Complex
3 m.The Glenoid Cup
6 m.Dynamic and Passive Stabilizers in the Sagittal Projection
6 m.Dynamic and Passive Stabilizers in the Coronal Projection
7 m.Return of the Buford Complex
3 m.Lesson
Shoulder MRI: Assessing Instability - Protocols
7 topics, 53 min.
Key Pulsing Sequences for the Shoulder
6 m.Utilizing the ABER view in the Coronal Projection
9 m.The Value of the T2 Sequence in Shoulder Imaging
7 m.Arthrographic Analysis of the Axial Projection
11 m.Arthrographic Analysis in the Coronal Projection
9 m.Arthrographic Analysis in the Sagittal Projection
6 m.Shoulder Projections Summary
8 m.Lesson
Shoulder MRI: Assessing Instability - Pathology
11 topics, 50 min.
On-Track/Off-Track: ABER Summary
6 m.On-Track/Off-Track: Mid-Range Summary
3 m.On-Track/Off-Track: Assessing Glenoid Bone Loss
8 m.On-Track/Off-Track: The Nofsinger Technique
3 m.On-Track/Off-Track: Stable Hill-Sachs Lesions
3 m.On-Track/Off-Track: The Hill-Sachs Concept
4 m.On-Track/Off-Track: Dislocation Mechanics
4 m.On-Track/Off-Track: Dynamic Examination after Bankart Repair
6 m.On-Track/Off-Track: Using Measuring Tools on MRI
6 m.Posterior Macro & Micro Instability
7 m.Posterior Labral Pathology
6 m.Lesson
Shoulder MRI: Assessing Instability - Case Review
23 topics, 2 hr. 31 min.
17 Year Old Male – Known Dislocation
15 m.21 Year Old Male Pitcher; Decreased Range of Motion
9 m.21 Year Old Involved in a Collision Accident
9 m.54 Year Old Female with Complex Multidirectional Microinstability
7 m.49 Year Old Male, Weightlifter, Experiencing Instability
6 m.68 Year Old Male Golfer with Pain for a Month
6 m.15 Year Old Male – Fell On Outstretched Hand
8 m.55 Year Old Female, Pain in Shoulder Extending to Elbow After Arm Was Jerked
9 m.25 Year Old Male, Pain When Swinging Arm
8 m.53 Year Old Male, Motor Vehicle Accident 6 Weeks Ago, Now Experiencing Pain and Spasms
8 m.17 Year Old Male with a History of Dislocation
6 m.51 Year Old Female: Rule Out Rotator Cuff Tear
5 m.The GLOM Lesion
3 m.56 Year Old Patient with Axillary Nerve Dysfunction Post Dislocation
2 m.69 Year Old Male, Fell and Dislocated Shoulder
10 m.69 Year Old Male with Complex Pattern of Injury
9 m.38 Year Old Male with a Dislocation/Relocation Event
6 m.20 Year Old Male, Recurrent Dislocations and Instability
12 m.20 Year Old Male Pitcher with Recent Dislocation
4 m.17 Year Old Wrestler with Discomfort in the Shoulder
5 m.42 Year Old Male with a Violent Posterior Dislocation
6 m.40 Year Old Male in Motor Vehicle Accident, Irreducible Dislocation
5 m.40 Year Old Male, Post Motor Vehicle Accident
4 m.Lesson
Shoulder "Shark" Week -- Review of Rotator Cuff Anatomy
6 topics, 50 min.
Lesson
The Six Components of the Rotator Cuff
4 topics, 14 min.
Lesson
Identifying The Six Components of Rotator Cuff Tears in Practice
6 topics, 25 min.
0:00
Now in a related vignette, I've given you two
0:02
techniques to measure the degree of glenoid bone loss.
0:06
I've given you the radius technique, and I've given you
0:09
the diameter technique, which is 0.83D -d.
0:14
If that confuses you, go back to that vignette.
0:17
Which is titled, Radius and Diameter
0:21
Measurement of Glenoid Bone Loss.
0:24
But let's go back to the radius measurement technique.
0:27
I'm gonna make myself a best fit circle of the glenoid cup.
0:32
Seen on FOSS in the sagittal oblique projection.
0:37
I am then going to measure the radius of the glenoid.
0:44
And I'll do it anteriorly.
0:46
And posteriorly, they're equal.
0:50
However, if I have lost anterior glenoid bone tissue,
0:57
so let's say I've lost this much, why I won't draw
1:00
here, here we go, I've lost this much right here.
1:05
Now, this radius is a lot smaller than that radius.
1:11
So if I take R1, we'll call this R1, minus, and R2
1:23
over R1, I'm going to get a percent radius loss.
1:30
And that's what this column represents.
1:34
Now, that then gets translated into a loss of glenoid area.
1:41
And when you get a loss in glenoid area of, say, 20 to
1:45
25 percent, Or more, those are the individuals that are
1:52
going to have difficulty keeping the humeral head in place.
1:57
Now go back to the, to the glenoid radius technique.
2:02
Look at where that begins.
2:04
That begins when half the radius in the front,
2:09
50 percent of the radius in the front is gone.
2:13
That's what takes you to 20 percent.
2:15
So if you've lost half of that pink line, so if you've lost
2:22
half of this pink line, You are now at an area loss of 20 percent.
2:28
If you've lost 60 percent of it,
2:31
you are really up against it.
2:33
Now you're at 25 percent loss of the glenoid
2:36
area, and these individuals are at very high
2:39
risk for repetitive dislocation and engagement.
On-Track/Off-Track: The Nofsinger Technique
HIDEInteractive Transcript
0:00
Now in a related vignette, I've given you two
0:02
techniques to measure the degree of glenoid bone loss.
0:06
I've given you the radius technique, and I've given you
0:09
the diameter technique, which is 0.83D -d.
0:14
If that confuses you, go back to that vignette.
0:17
Which is titled, Radius and Diameter
0:21
Measurement of Glenoid Bone Loss.
0:24
But let's go back to the radius measurement technique.
0:27
I'm gonna make myself a best fit circle of the glenoid cup.
0:32
Seen on FOSS in the sagittal oblique projection.
0:37
I am then going to measure the radius of the glenoid.
0:44
And I'll do it anteriorly.
0:46
And posteriorly, they're equal.
0:50
However, if I have lost anterior glenoid bone tissue,
0:57
so let's say I've lost this much, why I won't draw
1:00
here, here we go, I've lost this much right here.
1:05
Now, this radius is a lot smaller than that radius.
1:11
So if I take R1, we'll call this R1, minus, and R2
1:23
over R1, I'm going to get a percent radius loss.
1:30
And that's what this column represents.
1:34
Now, that then gets translated into a loss of glenoid area.
1:41
And when you get a loss in glenoid area of, say, 20 to
1:45
25 percent, Or more, those are the individuals that are
1:52
going to have difficulty keeping the humeral head in place.
1:57
Now go back to the, to the glenoid radius technique.
2:02
Look at where that begins.
2:04
That begins when half the radius in the front,
2:09
50 percent of the radius in the front is gone.
2:13
That's what takes you to 20 percent.
2:15
So if you've lost half of that pink line, so if you've lost
2:22
half of this pink line, You are now at an area loss of 20 percent.
2:28
If you've lost 60 percent of it,
2:31
you are really up against it.
2:33
Now you're at 25 percent loss of the glenoid
2:36
area, and these individuals are at very high
2:39
risk for repetitive dislocation and engagement.
Report
Description
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Tags
Trauma
Shoulder
Musculoskeletal (MSK)
MRI
Bone & Soft Tissues
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