Transcription of Rotator cuff shoulder - bonepit.com
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Rotator cuff shoulder - bonepit.com
1Dr. Mini N. Pathria , FRCP(C)Department of RadiologyUniversity of California School of MedicineSan Diego, CaliforniaMR Imaging of the shoulder : Rotator CuffRotator cuff Acute Trauma calcific tendinitis Degenerative Tendinosis Impingement syndrome TearTraumaWB< 10% of Rotator cuff tearsTraumaSlipped on bathroom mat, MRTraumaJOTendon calcificationSilent phaseActive phase2 Tendon calcificationLTCalcium Hydroxyapatite Deposition Disease (HADD)Ca10(PO4)6(OH2) calcific tendinitisCalcific tendinitisMJCalcific tendinitisKGRotator cuff degeneration Impingement Aging and degeneration of the cuff Ischemia of critical zone Glenohumeral instability Repetitive traumaSBRotator cuff degenerationCritical zone3 Impingement syndromeNeer Entrapment of soft tissues between humeral head, acromion and coracoacromial arch Leads to subacromial bursitis, Rotator cuff edema and hemorrhage, and ultimately Rotator cuff tearBursal thickeningRMSubacromial bursitisSubacromial bursitis Impingement calcific tendinitis Infection Inflammatory synovitisRA, BBImpingement syndromeAcromioclavicular joint osteoarthritsAcromial morphologyType 1 "Flat"Type 2 "Curved"Type 3 "Hooked"High rate of RCTs Shape of undersurface of acromion in sagittal plane one or two slices lateral to AC joint Association of acromial morphology with risk of impingement and Rotator cuff tearBigliani et al, Orthop Trans 10.
2 Tendon calcification LT Calcium Hydroxyapatite Deposition Disease (HADD) Ca10(PO4)6(OH2) Calcific tendinitis Calcific tendinitis MJ Calcific tendinitis
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