Shoulder

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Shoulder

Shoulder IMAGING ANATOMY Overview • Rotator cuff  Consists of supraspinatus, infraspinatus, teres minor, subscapularis muscles, and tendons  Cuff tendons blend with shoulder joint capsule  Supraspinatus and infraspinatus tendons are inseparable at…

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Postoperative Infection

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Postoperative Infection

Postoperative Infection KEY FACTS Terminology • Infection at surgical site within 1 month of surgery or within 1 year of prosthetic implantation Imaging • Mild soft tissue edema, fluid, & hyperemia are…

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Bone Surface Lesion

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Bone Surface Lesion

Bone Surface Lesion DIFFERENTIAL DIAGNOSIS Common • Osteochondroma • Other Benign Bone Tumor • Malignant Bone Tumor Less Common • Metastases • Bone Tumor Recurrence • Acute Osteomyelitis • Chronic Osteomyelitis • Fracture • Orthopedic Implant • Cortical Tug Lesion…

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Fascial Lesion

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Fascial Lesion

Fascial Lesion DIFFERENTIAL DIAGNOSIS Common • Plantar Fasciitis • Plantar Fibromatosis Less Common • Plantar Fascial Tear • Enthesopathic Fasciitis • Investing Fascial Tear • Nodular Fasciitis • Infective Fasciitis • Necrotizing Fasciitis • Eosinophilic Fasciitis • Dupuytren Disease • Tumors…

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Hematoma/Seroma

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Hematoma/Seroma

Hematoma/Seroma KEY FACTS Imaging • Hematoma: Acute  Quite well-defined heterogeneous mass ± echogenic pseudosolid appearance  Multilaminated whorled appearance  Anechoic cystic areas  Echogenic foci due to gas locules  Surrounding soft tissue edema…

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Foot Ultrasound

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Foot Ultrasound

Foot Ultrasound KEY FACTS GENERAL CONSIDERATIONS • Common specific indications: Suspected plantar fasciitis and fibroma, Morton neuroma, ganglia, osteoarthritis, gout, and other joint disorders • Less common specific indications: Suspected ligament injury,…

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Hyperechoic Muscle Mass

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Hyperechoic Muscle Mass

Hyperechoic Muscle Mass DIFFERENTIAL DIAGNOSIS Common • Intermuscular Lipoma • Intramuscular Lipoma • Muscle Edema • Vascular Malformation • Hematoma Less Common • Foreign Body • Soft Tissue Sarcoma • Muscle Metastases • Local Recurrence • Fibromatosis • Peripheral Nerve Sheath…

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Soft Tissue Sarcoma

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Soft Tissue Sarcoma

Soft Tissue Sarcoma KEY FACTS Terminology • Malignant tumor arising from connective (mesenchymal) tissue other than bone Imaging • Large, heterogeneous, hypoechoic mass  Vast majority are located in deep (subfascial) tissues • Most…

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Cystic Soft Tissue Mass

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Cystic Soft Tissue Mass

Cystic Soft Tissue Mass DIFFERENTIAL DIAGNOSIS Common • Ganglion Cyst • Bursal Distension Less Common • Abscess • Hematoma • Seroma • Baker Cyst • Dermoid/Implantation Dermoid • Parameniscal Cyst • Metastasis • Vascular Anomaly • Lymphatic Malformation • Fat Necrosis • Schwannoma…

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Parameniscal Cyst

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Parameniscal Cyst

Parameniscal Cyst KEY FACTS Imaging • Cystic mass in continuity with horizontal meniscal tear  Medial parameniscal cyst slightly more common than lateral parameniscal cyst • Meniscal tear forces synovial fluid or mucoid…

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