1. MRI SHOULDER WHAT TO SEE DR SHEKHAR SRIVASTAV Sr. Consultant- Knee & Shoulder Arthroscopy Sant Parmanand Hospital delhiarthroscopy.com

2. Normal Anatomy delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

3. Normal Shoulder MRI Coronal Oblique Sagital Oblique Axial Cuts delhiarthroscopy.com

4. Normal Coronal Oblique Parallel to plane of Supraspinatus Supraspinatus A-C Joint Sub-acromial & Sub-Deltoid bursa delhiarthroscopy.com Labrum- Sup & Inf Biceps Tendon delhiarthroscopy.com

5. Normal Coronal Oblique d delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

6. Normal Coronal Oblique Parallels the central tendon of supraspinatus delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

7. Normal Sagittal Oblique Perpendicular to the plane of Supraspinatus Medial to Lateral Coraco-acromial arch Rotator cuff Shape of Acromion delhiarthroscopy.com delhiarthroscopy.com

8. Normal Sagittal Oblique a delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

9. Normal Axial Cuts delhiarthroscopy.com delhiarthroscopy.com

10. Normal Axial Cuts Labrum- Ant & Post Gleno-humeral ligament Gleno-humeral cartilage Biceps Tendon Subscapularis & Teres delhiarthroscopy.com Minor delhiarthroscopy.com

11. Arthrogram Sequence Distension of joints, crowded structures seen delhiarthroscopy.com separately Labrum, G-H ligaments, biceps anchors Partial articular surface RC tears delhiarthroscopy.com SLAP tears delhiarthroscopy.com

12. Pathological process Shoulder Impingement Rotator cuff pathology Instability Miscellaneous- Biceps, Infection, Adhesive Capulitis delhiarthroscopy.com

13. Osseous Acromial Outlet A-C joint Acromion Humeral Head delhiarthroscopy.com delhiarthroscopy.com

14. Extrinsic Impingement A-C osteophytes Sub-acromial delhiarthroscopy.com Enthesophytes Acromion Shape delhiarthroscopy.com delhiarthroscopy.com

15. Acromion Shape 3 types delhiarthroscopy.com Type1 delhiarthroscopy.com Type 2 delhiarthroscopy.com delhiarthroscopy.com Type 3

16. Rotator Cuff Pathology Tendinosis Partial thickness Cuff Tears Full thickness Cuff Tears delhiarthroscopy.com

17. Tendinosis Thickened tendon with degeneration delhiarthroscopy.com Intrasubstance degeneration Normal to intermediate SI changes delhiarthroscopy.com delhiarthroscopy.com

18. Partial Cuff Tears Three types Articular side- FP, CZ delhiarthroscopy.com Interstitial Bursal side delhiarthroscopy.com delhiarthroscopy.com

19. Partial RC Tear Intrasubstance tear Bursal sided RC Tear delhiarthroscopy.com Bursal Tear delhiarthroscopy.com Intra-Substance Tear delhiarthroscopy.com

20. Full thickness RC tears Tear extending from bursal to articular surface Fluid in SA-SD bursa Retraction of tendon Muscle undergoes Atrophy Degeneration Fatty Infiltration delhiarthroscopy.com delhiarthroscopy.com

21. Full Thickness RC Tears Tendons involved Size of the tear- AP & ML plain delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

22. Full Thickness RC Tears Muscle Atrophy delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

23. Instability Spectrum ranging from subtle instability to frank dislocation Anterior Instability Posterior Instability SLAP tear delhiarthroscopy.com

24. Anterior Instability Bankart Lesion Bony Bankart delhiarthroscopy.com Glenoid Erosion Hill Sach s lesion delhiarthroscopy.com delhiarthroscopy.com

25. Anterior Instability Bankart Lesion delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

26. Anterior Instability Bony Bankart delhiarthroscopy.com Bony Bankart Glenoid Erosion delhiarthroscopy.com Glenoid Erosion delhiarthroscopy.com

27. Anterior Instability Hill Sach s LesionPostero-Sup aspect of Humeral Head delhiarthroscopy.com delhiarthroscopy.com

28. Anterior Instability Hill Sach s Lesion delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

29. Posterior Instability Posterior Labral Lesion Reverse Hill Sach s delhiarthroscopy.com delhiarthroscopy.com

30. SLAP Tear Superior Labrum Antero-Posterior Tear Avulsion Biceps Anchor delhiarthroscopy.com delhiarthroscopy.com

31. SLAP Tear Normal Biceps Anchor delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

32. SLAP Tear Torn labral delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

33. Biceps Pathology Tendinosis Rupture Dislocation delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

34. Miscellaneous Osteonecrosis delhiarthroscopy.com Fractures Osteonecrosis delhiarthroscopy.com Infection Occult Fractures delhiarthroscopy.com delhiarthroscopy.com

35. Shoulder is a complex joint with many normal variants Proper clinical examination and probable clinical diagnosis MRI very sensitive test for diagnosing shoulder problems MRI findings should corroborate clinical findings delhiarthroscopy.com

36. j Thank Y ou delhiarthroscopy.com

37. Various lesions seen in Dislocation Shoulder ALSPA Perthes Lesion Chondral Defect Reverse Hillsachs & Post Labral tear delhiarthroscopy.com

38. Rotator Cuff Supraspinatus Infraspinatus Teres minor Subscapularis delhiarthroscopy.com

39. Partial Cuff Tears Articular sided cuff tear delhiarthroscopy.com delhiarthroscopy.com delhiarthroscopy.com

40. Miscellaneous delhiarthroscopy.com Infection delhiarthroscopy.com Adhesive Capsulitis delhiarthroscopy.com