Musculotendinous Disorders in the Upper Extremity: Part 2. MRI of the Elbow, Forearm, Wrist, and Hand

2017 ◽  
Vol 21 (04) ◽  
pp. 376-391 ◽  
Author(s):  
Robert Boutin ◽  
Russell Fritz

AbstractMuscle and tendon injuries about the elbow and more distal aspect of the upper arm are commonly evaluated and characterized with magnetic resonance imaging. This article reviews our experience with muscle and tendon injury as well as denervation of muscles. We focus on abnormalities of the biceps and the triceps tendons about the elbow as well as abnormalities of the flexor and extensor tendons about the elbow, forearm, wrist, and hand. We also discuss and illustrate our experience with lacerations, crush injuries, and muscle hernias in the forearm.

2017 ◽  
Vol 21 (04) ◽  
pp. 359-375
Author(s):  
Robert Boutin ◽  
Russell Fritz

AbstractMuscle and tendon injuries about the shoulder and upper arm are commonly evaluated and characterized with magnetic resonance imaging. This article reviews our experience with abnormalities of the rotator cuff tendons and muscles as well as the deltoid muscle in the shoulder. We discuss and illustrate abnormalities of the upper arm such as strain injuries of the pectoralis major, strain injuries of the teres major and latissimus dorsi, and contusion and crush injuries of the biceps and brachialis muscles in the upper arm.


2018 ◽  
Vol 6 (2) ◽  
pp. 232596711875599 ◽  
Author(s):  
Lasse Lempainen ◽  
Jussi Kosola ◽  
Ricard Pruna ◽  
Jordi Puigdellivol ◽  
Janne Sarimo ◽  
...  

Background: As compared with injuries involving muscle only, those involving the central hamstring tendon have a worse prognosis. Limited information is available regarding the surgical treatment of central tendon injuries of the hamstrings. Purpose: To describe the operative treatment and outcomes of central tendon injuries of the hamstrings among athletes. Study Design: Case series; Level of evidence, 4. Methods: Eight athletes (6 top level, 2 recreational) with central hamstring tendon injuries underwent magnetic resonance imaging and surgical treatment. The indication for surgery was recurrent (n = 6) or acute (n = 2) central hamstring tendon injury. All patients followed the same postoperative rehabilitation protocol, and return to play was monitored. Results: Magnetic resonance imaging found a central tendon injury in all 3 hamstring muscles (long head of the biceps femoris, semimembranosus, and semitendinosus) with disrupted tendon ends. In acute and recurrent central tendon injuries, full return to play was achieved at 2.5 to 4 months. There were no adverse events during follow-up. Conclusion: Central tendon injuries of the hamstrings can be successfully repaired surgically after acute and recurrent ruptures.


2012 ◽  
Vol 2 (4) ◽  
pp. 227-230
Author(s):  
Keith Jackson ◽  
Uma Ramadorai ◽  
Brian Abell ◽  
John DeVine

Background Charcot arthropathy is a cascade of destructive changes that can effect joints of both the axial and appendicular skeleton. The pathogenesis of this condition centers around the accumulation of minor traumatic events after the loss of normal joint sensation. The most frequently cited cause of Charcot arthropathy of the upper extremity is syringomyelia, and magnetic resonance imaging of the cervical spine should be obtained at presentation. Case Report A 72-year-old woman presented with a painless right wrist deformity. Radiographs demonstrated advanced destructive changes of the radiocarpal joint. Magnetic resonance imaging of the cervical spine revealed multilevel cervical spondylotic stenosis with cord deformation, but no evidence of syringomyelia. Neurological examination confirmed the presence of myelopathy. Literature Review The most frequently cited cause of Charcot arthropathy of the upper extremity is syringomyelia, although pathologies such as diabetes mellitus, tabes dorsalis, leprosy, and other disorders affecting the nervous system have been reported to lead to this condition. Neuropathic arthropathy involving the wrist is a rare phenomenon with fewer than 20 published reports in modern literature. Clinical Relevance Charcot arthropathy of the wrist is a rare but potentially disabling condition. The diagnosis of spondylotic myelopathy should be considered when evaluating a patient with this presentation. Evaluation consisting of a detailed neurological examination and advanced imaging of the cervical spine is warranted to identify the etiology.


1992 ◽  
Vol 148 (4) ◽  
pp. 1162-1165 ◽  
Author(s):  
Christopher M. Dixon ◽  
Hedvig Hricak ◽  
Jack W. McAninch

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