Os-acromiale

This is a 26-year-old female with no history of trauma, who presents with left shoulder pain. [...]

Buford Complex

This is a 47-year-old male who has a chronic history of shoulder pain. [...]

Biceps tendon rupture

This is a 56-year-old female with a several month history of right shoulder pain. The pain started after exercise classes which involve lifting weights. The patient had no reported history of trauma. [...]

Fracture of the Scapula

This 56 year old came to emergency room after a motorcycle crash. He had a dislocated wrist and was treated for a distal radius and ulnar styloid fracture. No other fractures were detected on plain radiographs. The patient continued to have shoulder pain three weeks after discharge, for which MRI of the shoulder was performed. [...]

Perthes Lesion – Anterior Labral Separation

26 year old man who presents clinically following an anterior inferior dislocation of the left shoulder, with subsequent ventral instability [...]

Enchondroma

This 33-year-old man presented to clinic with left shoulder pain of two months duration, radiating to his fingertips. Plain film radiographs and a MR examination revealed a focal lesion in his left humeral metaphysis which was found to represent an enchondroma. [...]

Synovial Sarcoma (monophasic fibrous type)

This 20-year-old man presented with increasing pain and swelling in his left shoulder—an ongoing problem for the prior three months. Physical exam revealed a slightly tender, indurated mass with normal overlying skin. [...]

Osseous Lymphoma

This 92-year-old female presented to clinic with chronic right shoulder swelling and pain of several months duration which had become more severe in last 10 days. Her past history includes a diagnosis of lymphoma in the early 1980’s—a non-Hodgkin stage IIE variety with favorable histologic status. She underwent 4 cycles of CHOP therapy followed by radiation treatment. Lymphomatous involvement was initially found in her right salivary gland, right submandibular gland, and left inner cheek. Plain film radiographs and the illustrated MR examination of the patient’s right arm revealed an ill-defined mass involving right humeral metaphysis. [...]

Osteosarcoma

This 28-year-old man presented with increasing pain and swelling in his right shoulder for more than four months. Physical exam revealed an obvious swelling, with overlying normal skin, involving the right shoulder. Because of the swelling and pain, movement of the joint was restricted. [...]

Tips for T2-weighted TSE Shoulder Imaging with Spectral Fat Saturation

Robust fat saturation can be achieved by different approaches including the application of inversion recovery sequences or advanced fat suppression pulses such as SPAIR. However, in some cases, such as the musculoskeletal imaging of the shoulder, the combination of a T2- weighted turbo spin echo (TSE) sequence with a conventional spectral fat saturation pulse is needed. When imaging obese or very tall patients, the shoulder has to be positioned off-center in many MR exams and therefore several factors will affect image quality with spectral fat saturation. This article provides tips on patient positioning and sequence set-up that will help you to achieve high quality spectral fat saturation. [...]