6.75 CME
69 Videos
17 Clinical Cases
6.75 CME
Course Description
Shoulder MRI — Course Overview
Don’t let MRI of the shoulder SLAP you around! There is a range of normal variant presentation in this joint capsule, but with some guidance in detecting indirect signs and corollary findings, you can make a lot of headway toward eliminating needless uncertainty in your reporting and confidently giving a well-reasoned differential. Of course, you’ll still face the challenge of describing the findings in the nomenclature preferred by your referring clinicians (but it’s not like you don’t face that every day anyway). Evaluating ligamentous connections to the rotator cuff and on and off track morphology, connecting the mechanism of injury to the appearance on MR and sorting out acute versus chronic gets easier the more shoulder MR (and shoulder MR arthrography) you see. And what’s up with these interesting but often urgent cases where the patient exhibits inflammation throughout the capsule and a painful “buffet” of apparent (and maybe some not so apparent) pathology?
That’s where we come in. Our Shoulder MRI Mastery series can help you navigate the thought process for efficiently reviewing the available images and constructing your report. The HAGLs and Bufords and ALPSAs and Mumfords, not to mention the dreaded and expanding categories of SLAP lesions, begin to make a lot more sense when you break your read down into a method that can become your go-to routine for evaluation. Our legacy series (Case Review, Professional and Advanced Orthopaedic and Joint) as well as “Power Packs” provide both the basics and complex findings in variety of formats, each of which contributes to cross-training with enough cases to get you to the next level as a formidable shoulder MR reader.
Shoulder MRI Anatomy & Diagnosis Covered in this Course
- Adhesive capsulitis
- Anterior labral periosteal sleeve avulsion (ALPSA)
- Bankart lesion and bony bankart
- Biceps ‘reflection’ pulley
- Biceps tendon
- Bony humeral avulsion of the glenohumeral ligament (BHAGL)
- Buford complex (Variant)
- Complex multi directional microinstability
- Coracoacromial ligament
- Dislocation
- Glenohumeral ligaments
- Glenoid cartilaginous defect
- Glenoid cavity
- Glenoid labrum
- Glenoid labrum ovoid mass (GLOM) lesion
- Hill-Sachs lesion
- Humeral avulsion glenohumeral ligament (HAGL)
- Humeral head
- Impingement
- Inferior glenohumeral ligament (IGHL)
- Ligamentous injuries
- Middle glenohumeral ligament (MGHL)
- Posterior labrum periosteal sleeve avulsion (POLPSA)
- Reverse humeral avulsion of the glenohumeral ligament (RHAGL)
- Rotator cuff interval
- Rotator cuff tear
- SLAP (superior labrum anterior and posterior) lesions
- Superior glenohumeral ligament (SGHL)
- Superior labral tear from anterior to posterior (SLAP) lesion
- Supraspinatus muscle
- Supraspinatus tendon tear
- Triceps muscle tear
- And much more…
Don’t let MRI of the shoulder SLAP you around! There is a range of normal variant presentation in this joint capsule, but with some guidance in detecting indirect signs and corollary findings, you can make a lot of headway toward eliminating needless uncertainty in your reporting and confidently giving a well-reasoned differential.
Learning Outcomes & CME Information
Instructors
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Lesson
MRI Mastery Series: Shoulder - Pre-course Activities
1 Clinical Cases
5 min.
Lesson
Sample Lesson - 53 Year Old Female, Injured While Playing Softball
4 min.
Lesson
Shoulder MRI: Assessing Instability - Anatomy
1 Clinical Cases
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
1 Clinical Cases
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
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
15 Clinical Cases
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
50 min.
Lesson
The Six Components of the Rotator Cuff
14 min.
Lesson
Identifying The Six Components of Rotator Cuff Tears in Practice
25 min.
Course Evaluation
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