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Shoulder • • • • Osteology X-ray Muscles CT/MRI Shoulder • • • • Osteology X-ray Muscles CT/MRI Shoulder X-ray, AP projection 1, Clavicle. 2, Acromion. 3, Greater tubercle. 4, Lesser tubercle. 5, Neck of Humerus. 6, Humerus. 7, Coracoid Process. 8, Axillary border of scapula. 9, Rib. Shoulder X-ray: lateral view 1, Coracoid Process. 2, Clavicle. 3, Acromion. 4, Head of Humerus. 5, Humerus. 6, Axillary border of scapula. Shoulder • • • • Osteology X-ray Muscles CT/MRI Serratus anterior Short muscles Rotator Cuff Muscles of arm • Antererior group – Biceps brachii – Coracobrachialis Posterior group – triceps brachii Shoulder • • • • Osteology X-ray Muscles CT/ MRI 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. coracoid subclavius pectoralis major clavicle Subscapularis Serratus anterior spine Deltoid muscle. Humeral head. CT 1. 2. 3. 4. 5. 6. 7. 8. 9. humerus corachobrachialis Pectoralis minor Pectoralis major Serratus anterior trapezious infraspinatus Teres major triceps CT Anatomical planes Anatomical Planes • Saggital – divides the body into right and left parts • Coronal or frontal– divides the body into anterior and posterior parts • Horizontal or transverse (cross section) – divides the body into superior and inferior parts Saggital plane Coronal Plane Horizontal Plane Body Planes 1 2 3 Slides: • http://www.info-radiologie.ch/indexenglish.php • http://www.meddean.luc.edu/lumen/meded/ grossanatomy/x_sec/mainx_sec.htm Coronal/Frontal T1 MRI of the shoulder. Coronal T1-weighted view. Image 2 1, Trapezius muscle. 2, Acromion. 3, Deltoid muscle. 4, Humeral head. 5, Infraspinatus muscle. 6, Teres minor muscle. 7, Teres major muscle. 8, Tricipital muscle. Arrow, Posterior humeral circumflex artery and axillary nerve. Arrow: Posterior humeral circumflex artery and axillary nerve. MRI of the shoulder. Coronal T1-weighted view. Image 6 1, Trapezius muscle. 2, Acromioclavicular joint. 3, Acromion. 4, Deltoid muscle. 5, Humeral head. 6, Supraspinatus muscle. 7, Spine of the scapula. 8, Infraspinatus muscle. 9, Scapula. 10, Subscapularis muscle. 11, Teres major muscle. . MRI of the shoulder. Coronal T1-weighted view. Image 11 1, Trapezius muscle. 2, Clavicle. 3, Supraspinatus tendon. 4, Deltoid muscle. 5, Humeral head. 6, Glenoid. 7, Supraspinatus muscle. 8, Biceps tendon (long head). 9, Biceps and coracobrachialis muscle. Axial / Transverse / Horizontal T1 MRI of the shoulder. Axial T1-weighted view. Image 3 1, Pectoralis major muscle. 2, Axillary vein and artery. 3, Coracoid process. 4, Deltoid muscle. 5, Supraspinatus muscle. 6, Acromion. 7, Scapula. 8, Subscapularis muscle. MRI of the shoulder. Axial T1-weighted view. Image 5 1, Pectoralis major muscle. 2, Deltoid muscle (anterior). 3, Coracoid process. 4, Humeral head. 5, Glenoid. 6, Supraspinatus muscle. 7, Scapula. 8, Deltoid muscle. 9, Infraspinatus muscle. 10, Subscapularis muscle. 11, Axillary vein and artery. 12, Pectoralis minor MRI of the shoulder. Axial T1-weighted view. Image 7 1, Pectoralis major muscle. 2, Deltoid muscle. 3, Humeral head. 4, Deltoid muscle. 5, Glenoid. 6, Infraspinatus muscle. 7, Subscapularis muscle. 8, Axillary vein and artery. 9, Pectoralis minor muscle. MRI of the shoulder. Axial T1-weighted view. Image 19 1, Pectoralis major muscle. 2, Biceps muscle (short head). 3, Humerus. 4, Deltoid muscle. 5, Tricipital muscle. 6, Scapula. 7, Subscapularis muscle. 8, Coracobrachialis muscle. 9, Pectoralis minor muscle. Sagittal T2 MRI of the shoulder. Sagittal T2 FATSAT. Image 9 1, Coracobrachialis. 2, Subscapularis tendon. 3, Humeral head. 4, Coracoid process. 5, Deltoid muscle. 6, Biceps tendon (long head). 7, Clavicle. 8, Acromioclavicular joint. 9, Supraspinatus muscle. 10, Acromion. 11, Infraspinatus muscle. 12, Deltoid muscle. 13, Teres minor muscle MRI of the shoulder. Sagittal T2 FATSAT. Image 11 1, Teres minor muscle and tendon. 2, Infraspinatus tendon. 3, Acromion. 4,Supraspinatus tendon. 5, Biceps tendon (long head). 6, Subscapularis tendon. Rotator Cuff Muscles