MSK MRI

Rotator Cuff Insertion: What You Thought You Knew Might Be Wrong!

https://youtu.be/O6UFu8agrkgNormal Supraspinatus and Infraspinatus Insertions1. Overlapping AnatomyThe anterior infraspinatus partially covers the posterolateral supraspinatus.This overlap suggests biomechanical significance in shoulder abduction, especially in cases of isolated supraspinatus tears. 2. Supraspinatus and Infraspinatus FootprintsSupraspinatus: Inserts into the anteromedial area of..

Understanding Infraspinatus Tendon Anatomy_ Key Insights for MRI

https://youtu.be/U2tK1jS6vII Infraspinatus Muscle Anatomy and Tendinous Structure1. Overview of Muscle ArchitectureThe infraspinatus muscle consists of two distinct portions:These portions are connected at the superior muscular area but clearly separate in the distal tendinous region.2. Tendinous CharacteristicsThe tendinous portion is primarily derived from the oblique part:3. Distinctive Attac..

Five Histologic Layers of the Supraspinatus and Infraspinatus Tendons1. Layer 1: Superficial LayerThickness: ~1 mmComposed of fibers from the coracohumeral ligament.2. Dense Parallel Tendon FibersThickness: 3–5 mmDensely packed parallel collagen fibers.Stronger than layer 3 by twofold.Prone to intrasubstance tears between this layer and layer 3.3. Deep Layer with Non-Uniform Collagen Orientation..

https://youtu.be/pcUqlQzM1LY Summary: Footprint of the Subscapularis1. General Anatomy of the Subscapularis FootprintThe superior footprint of the subscapularis (SSC) tendon is broad and tapered inferiorly.A thin muscular insertion is located below the lesser tuberosity (LT) in the surgical neck of the humerus.The upper two-thirds are subjected to greater tension and mechanical stress.The lower ..

https://youtu.be/5GVpAklu8UE MRI Review: Identifying Subscapularis Tears✅ Understanding Rotator Cuff AnatomySubscapularis Tendon: Attaches to the lesser tuberosity, just anterior to the long head of the biceps tendon (LHB).Greater Tuberosity: Divided into three facets—superior, middle, and inferior. Supraspinatus has a smaller footprint than previously believed; much of this area is occupied by ..

https://youtu.be/Ilza4mNbkxgSubscapularis Muscle Anatomy and FunctionThe subscapularis is innervated by both the upper and lower subscapular nerves.Primary actions: internal rotation and adduction of the shoulder.Fatty Infiltration as an IndicatorFatty infiltration of the subscapularis muscle is a specific but insensitive marker for subscapularis tendon tears.The variability of this finding rela..

https://youtu.be/aUJeM0sB8aU✅ Indirect Imaging Findings of Subscapularis Tendon Tear1️⃣ Medial Displacement of Long Head Biceps TendonMedial dislocations or subluxations of the long head biceps brachii tendon are commonly associated with subscapularis tendon tears.Intraarticular dislocation of the long head biceps tendon suggests a full-thickness tear of the tendinous attachment to the lesser tu..

https://youtu.be/ZKoJzYiAHBwSubscapularis AnatomyOrigin and Structure: Multipennate muscle arising from the subscapular fossa, consisting of 4 to 6 tendon slips.Insertion: Primarily on the inferior facet of the lesser tuberosity, with variable attachment to the bicipital groove and greater tuberosity. The inferior third has a muscular attachment to the anterior humeral metaphysis via a thin memb..

https://youtu.be/jo_6SkaWMIYClueless About Rotator Cuff Anatomy? Here’s the Basics! Summary of Rotator Cuff Anatomy 1. Overview The rotator cuff is a group of four muscles (supraspinatus, infraspinatus, teres minor, subscapularis) and their tendons, crucial for stabilizing the glenohumeral joint. 2. Posterosuperior CuffSupraspinatus: Key for shoulder abduction; most frequently injured tendon.Inf..

Articular-surface partial-thickness tear with intratendinous horizontal splitting tear of the infraspinatus tendon Intact supraspinatus tendon The footprint of the supraspinatus on the greater tuberosity is much smaller than previously believed, and this area of the greater tuberosity is actually occupied by a substantial amount of the infraspinatus. The anterior part of the infraspinatus partia..