Contents I
MEDICAL RADIOLOGY
Diagnostic Imaging
Softcover Edition
Editors:
A. L. Baert, Leuven K. Sartor, Heidelberg
Contents III
A. M. Davies · J. Hodler (Eds.)
Imaging
of the Shoulder
Techniques and Applications
With Contributions by
V. Baudrez · P. W. P. Bearcroft · T. H. Berquist · S. Bianchi · A. Blum · Y. Carrillon V. N. Cassar-Pullicino · C. B. Chung · A. M. Davies · L. E. Derchi · J. Fasel
M. A. M. Feldberg · J. F. Garcia · J. Hodler · K. Johnson · A. Keller · P. Lang · N. Lektrakul C. Martinoli · L. Neumann · W. Peh · N. Prato · B. J. Preston · S.-T. Quek · J.-J. Railhac D. Resnick · B. Roger · A. Stäbler · T. Tavernier · N. Teodorovic · B. Tins · B. C. Vande Berg D. Vanel · H. Wouter van Es · D. Weishaupt · S. Wildermuth · T. D. Witkamp · B. Wollman H. Yoshioka · M. Zanetti · M. B. Zlatkin
Foreword by
A. L. Baert
With 299 Figures in 596 Separate Illustrations, 27 in Color and 11 Tables
123
IV Contents
A. Mark Davies, MD Consultant Radiologist The MRI Centre
Royal Orthopaedic Hospital Birmingham B31 2AP UK
Jürg Hodler, MD, MBA Department of Radiolgy
Orthopedic University Hosptal Balgrist Forchstrasse 340
8008 Zurich Switzerland
Medical Radiology · Diagnostic Imaging and Radiation Oncology Series Editors: A. L. Baert · L. W. Brady · H.-P. Heilmann · M. Molls · K. Sartor Continuation of
Handbuch der medizinischen Radiologie Encyclopedia of Medical Radiology
ISBN 3-540-26248-2 Springer-Verlag Berlin Heidelberg New York ISBN 978 3-540-26248-0 Springer-Verlag Berlin Heidelberg New York
Library of Congress Cataloging-in-Publication Data
Imaging of the shoulder : techniques and applications / A. M. Davies, J. Hodler (eds) ; with contributions by V. Baudrez ... [et al.] ; foreword by A. L. Baert.
p. ; cm. -- (Medical radiology)
Includes bibliographical references and index
ISBN 3540672931 (hardcover; alk. paper) ISBN 3540262482 (softcover; alk. paper) 1. Shoulder--Imaging. 2. Shoulder--Radiography. I. Davies, A. M. (Arthur Mark), 1954- II. Hodler, Jürg. III. Series.
[DNLM: 1. Shoulder--radiography. 2. Radiography--methods. WE 810 I31 2004]
RC939.I435 2004
617.5’720754--dc21 2003041570
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Contents V
It is my great pleasure and privilege to introduce another volume on modern musculo- skeletal imaging edited by A. M. Davies and J. Hodler following two already published, superb and highly successful volumes on imaging of the knee, edited by A.M. Davies and V. N. Cassar-Pullicino, and imaging of the foot and ankle, edited by A. M. Davies, R. W. Whitehouse and J.P.R. Jenkins.
The concept of these volumes is based on comprehensive coverage both of the ima- ging modalities and of the applications of all these techniques to a specifi c anatomical area and all the pathological conditions related to it.
The short “gestational” period of this volume – less than 18 months between the be- ginning of the project and fi nal manuscript delivery to the publisher – ensures, as in the two foregoing volumes, that the most recent advances in shoulder imaging and radiolo- gical management are covered.
I am greatly indebted to Dr. Davies and Dr. Hodler for their brilliant editorial work and personal contributions. I congratulate them on their judicious choice of contribu- ting authors, all well-known experts in the fi eld.
I am convinced that this excellent volume will be of great interest for both radiolo- gists in training and certifi ed radiologists, and also for orthopaedic surgeons and rheu- matologists. It is my sincere wish that this work meet with the same success as so many previous volumes in the series Medical Radiology – Diagnostic Imaging.
Leuven Albert L. Baert
Foreword
Contents VII
Preface
As our understanding of the disease processes and the biomechanics of shoulder disor- ders improves, there is a need to continuously update radiologists, orthopaedic surgeons and other professionals working in this fi eld. Several recent texts on the shoulder have concentrated on a single imaging technique such as MR imaging. This book, in common with several others published in this series, takes a dual approach to the subject.
The fi rst section acquaints the reader with the full range of techniques available for imaging shoulder pathology, emphasising the indications and contraindications. The six chapters include contributions on radiography, computed tomography and CT arthrog- raphy, magnetic resonance imaging and MR arthrography, ultrasound and interven- tional techniques. The remaining 13 chapters discuss the optimal application of these techniques to specifi c pathologies, highlighting practical solutions to both common and uncommon clinical problems.
The discerning reader may note a few minor contradications in the text (recom- mended gauge of needle, volume of contrast medium, use or not of local anaesthetics for arthrography, etc.), refl ecting the different practises of the authors. The editors have deliberately not edited out these inconsistencies, thereby allowing the reader to appreci- ate that, even between centres of excellence, practises can and will vary.
The editors are grateful to the international panel of authors for their contributions to this book, which aims to provide a comprehensive overview of current imaging of the shoulder.
Birmingham A. Mark Davies
Zurich Jürg Hodler
Contents IX
Imaging Techniques . . . 1 1 Shoulder Radiography
Stefano Bianchi, Nicolo Prato, Carlo Martinoli, and Lorenzo E. Derchi . . 3 2 Arthrography and Bursography
Bernhard Tins and Victor Cassar-Pullicino. . . 15 3 CT and CT Arthrography
Stefano Bianchi, Alain Keller, Jean Fasel, and Jean F. Garcia. . . 25 4 MR and MR Arthrography
Jürg Hodler. . . 35 5 Ultrasound
Marco Zanetti. . . 57 6 Interventional Procedures
H. Yoshioka, B. Wollman, and Philip Lang . . . 77
Clinical Problems . . . 87 7 Congenital and Developmental Disorders
Karl Johnson and A. Mark Davies . . . 89 8 Bony Trauma
Bryan J. Preston and Lars Neumann . . . 101 9 Impingement and Rotator Cuff Disease
Axel Stäbler . . . 121 10 Instability
Alain Blum, Yannick Carrillon, Jean-Jacques Railhac, Bernard Roger, and Thierry Tavernier. . . 161 11 The Postoperative Shoulder 1: Soft Tissues
Michael B. Zlatkin . . . 191 12 The Postoperative Shoulder 2: Arthroplasty, Arthrodesis and Osteotomy
Thomas H. Berquist. . . 213
Contents
X Contents
13 Arthritis
Nittaya Lektrakul, Christine B. Chung, and Donald Resnick . . . 223 14 Infection
Swee-Tian Quek, Wilfred C. G. Peh, and Victor Cassar-Pullicino . . . 235 15 Osteonecrosis and Marrow Disorders
Bruno C. Vande Berg and Vincent Baudrez . . . 251 16 Tumours and Tumour-like Lesions
A. Mark Davies and Daniel Vanel . . . 259 17 Brachial Plexus
H.W. Van Es, T. D. Witkamp, and M.A.M. Feldberg . . . 287 18 Assessing the Impact of Shoulder Imaging
Philip W. P. Bearcroft. . . 297 19 Future Developments in Shoulder Imaging
Dominik Weishaupt, Simon Wildermuth, and Ninoslav Teodorovic . . . 311 Subject Index . . . 319 List of Contributors. . . 329
Shoulder Radiography 1
Imaging Techniques