SLAP tear Radiology Assistant

The Radiology Assistant : Shoulder instability - MR

Superior labral anterior posterior tear Radiology

Horizontal tears divide the meniscus in a top and bottom part (pita bread). If horizontal tears go all the way from the apex to the outer margin of the meniscus, they may result in the formation of a meniscal cyst. The synovial fluid runs peripherally through the horizontal tear and accumulates within the meniscus and finally result in a cyst Adjunct Assistant Professor, Department of Radiology, Uniformed Services University of Health Sciences Adjunct Assistant Professor, Department of Radiology, Texas A&M School of Medicine symptomatic type II SLAP tear in an older patient (>50 years) are additional relative indications for surgical intervention. The Radiology Assistant : Home. Welcome to the Radiology Assistant. Educational site of the Radiological Society. of the Netherlands. by Robin Smithuis MD

The glenohumearal joint has a greater range of motion than any other joint in the body. The small size of the glenoid fossa and the relative laxity of the joint capsule renders the joint relatively unstable and prone to subluxation and dislocation. MR is the best imaging modality to examen patients with shoulder pain and instability In type I SLAP lesions, the abnormality is confined to the superior labrum, which may demonstrate a small tear or irregularity (, 10). This type of lesion is quite common in elderly persons and may represent a degenerative tear of the labrum (, Figs 29, , 30). In younger, more athletic individuals, it may represent a traumatic injury 5). SLAP lesions with a posterior component may lead to posterior-superior instability that over time may result in articular surface partial thickness tears of the posterior rotator cuff tear (5). Fig. 3. SLAP classification scheme. See figure 4 for detailed drawings of each type. Military Medicine, Vol. 171, October, 200

The glenoid labrum, an important static stabilizer of the shoulder joint, has several normal labral variants that can be difficult to discriminate from labral tears and is subject to specific pathologic lesions (anteroinferior, posteroinferior, and superior labral anteroposterior lesions) with characteristic imaging features SLAP tear is seen from approx. 9 o'clock position, extending to anteroinferior quadrant up to approx. 5 o'clock position. The tear is also seen extending into the labroligamentous complex. An interstitial tear is seen in the intracapsular segment of biceps tendon involving a length of approx. 10 mm. Partial tear of coracohumeral ligament.

Case Discussion. The sublabral foramen is located between the one o'clock and three o'clock position and provides a communication between the glenohumeral joint and the subscapularis recess.. It should not be confused with a sublabral recess or SLAP tear, which are also located in this region The case demonstrates the superiority of the MR arthrography in detection of SLAP lesions. Bucket-handle tear of the anterior superior glenoid labrum associated with bicipital tendinosis. Associated tear of the anterior inferior labrum (Bankart lesion) with superior extension of the tear is seen and considered as SLAP V lesion without pain. A cuff tear can be found in almost 30% of people over 60 years of age that don't have pain. In people between 40 and 60 years old, 4% will have a full tear and 24% a partial tear. Full thickness tears in people younger than 40 are very rare without an external cause and only 4% will have partial tears. Previous Cuff Repai Scapholunate advanced collapse (SLAC), commonly known as SLAC wrist, refers to a pattern of wrist malalignment that has been attributed to post-traumatic or spontaneous osteoarthritis of the wrist. It is a complication that can occur with undiagnosed or untreated scapholunate dissociation.. It is essentially the same sequela of wrist injury causing scaphoid nonunion as seen in scaphoid. There are two types of labral tears: SLAP tears and Bankart lesions. SLAP is an acronym that stands for 'Superior Labral tear from Anterior to Posterior'. SLAP tears start at the 12 o'clock position where the biceps anchor is located, which tears the labrum off the glenoid. SLAP tears typically extend from the 10 to the

(Courtesy www.radiology Assistant.nl) SLAP tear Fracture Humerus School of Radiology Boston MSK MRI Review. 194 Lessons £399.00. EXCELLENCE PROGRAM, School of Radiology Bone and Joint Imaging: Case Review Series . 125 Lessons £399.00. Free Resources; All Courses; Disclaimer; PRIVACY POLICY. The type 4 SLAP is a bucket handle labral tear that extends into the biceps tendon, resulting in a split in the tendon attachment ( Fig. 18-5 ). FIGURE 18-4 A, A type 3 SLAP lesion is a bucket handle tear of the superior labrum. B, It usually extends from anterior to posterior at the biceps insertion; right shoulder, posterior portal, lateral. es for the pathogenesis of SLAP tears in throwing athletes and the effect of these injuries on normal shoulder kinematics. Advances in softtissue imaging techniques have resulted in improved accuracy in diagnosing SLAP tears. However, the diagnosis of clinically relevant SLAP tears remains challenging because of the lack of specific examination findings and the frequency of concomitant. Shoulder MR - AnatomyNormal anatomy, Variants and ChecklistRobin Smithuis and Henk Jan van der Woude Radiology department of the Rijnland hospital, Leiderdorp and the Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands. The glenohumearal joint has a greater range of motion than any other joint in the body. The small size of the glenoid fossa and the relative laxity of the joint capsule.

The Radiology Assistant : Shoulder Anatomy - MR

In our observation, Rotator cuff tears accounted maximum in causing shoulder pain i.e. in 85% (n=69) cases, out of which the most common lesion was full-thickness supraspinatus tear, noted in 29.6% (n=24) cases (Fig 1A & 1B) followed by partial-thickness supraspinatus tear in 23.5% (n=19) & partial-thickness subscapularis tear i an sublabral recess and a SLAP-tear. A recess more than 3-5 mm is always abnormal and should be regarded as a SLAP-tear. Sublabral recess There are 3 types of attachment of the superior labrum at the 12 o'clock position where the bi-ceps tendon inserts. In type I there is no recess between the glenoid cartilage and the labrum The majority of false negatives were for SLAP tears. Tom Magee, MD, a radiologist at NSI and an assistant professor of radiology at the University of Central Florida School of Medicine in Orlando, wrote that another advantage of MR arthrography compared to conventional MR was in the assessment of the post-operative labrum

SLAP lesions. traction on arm, due to sudden pull or repetitive overhead use, as in baseball pitchers, swimmers, tennis and volleyball players. FS coronal oblique T1-weighted sequence provides highest sensitivity. Axials and sagittal help. SLAP I: degenerative fraying of free edge of superior glenoid labrum an sublabral recess and a SLAP-tear. A recess more than 3-5 mm is always abnormal and should be regarded as a SLAP-tear. Sublabral recess There are 3 types of attachment of the superior labrum at the 12 o'clock position where the bi-ceps tendon inserts. In type I there is no recess between the glenoid cartilage and the labrum MD, Assistant Professor of Radiology, Duke University, Durham, NC, USA. Because this variant appears similar to a SLAP tear and we did not attempt to make that differential diagnosis, further studies are needed in order to validate the MRI criteria for meniscoid superior labra and to broaden the distinction between these two entities

However, SLAP type II tears are of particular note given the association with Bankart lesions in patients younger than 40 years and with supraspinatus tears in patients older than 40 years . Identification is paramount considering that 87%-97% of patients report a good or excellent outcome with modern arthroscopic repair techniques ( 72 , 73 ) Abnormal signal is noted along the inferior margin of the superior labrum ( arrow ), indicating a degenerative pattern tear with no displaced or unstable fragment noted. B, Type II SLAP tear. An abnormal collection of contrast material ( arrow ) extends into the substance of the superior labrum, indicating a partial avulsion. C, Type III SLAP tear Sublabral foramen Radiology Reference Article . surgical treatment of SLAP-usually consists of a combination of ___ of the tear site and surgical reattachment. Sublabral foramen is located at __and __ 1 + 3. Sublabral recess is located at ___ and __ 11 + 1. Buford complex is located at __ and _ Sublabral Foramen Partial- thickness rotator cuff tears most commonly appear as interruption of the normal cuff contour, resulting in a cuff defect filled with fluid signal. The multiplanar capability afforded by MRI allows assessment of the articular, bursal, and intratendinous components of the tear SLAP tears (Figure 12-20) are common injuries in athletes. They are staged into several types according to morphology (fraying, avulsion, bucket handle tear) and the extent of the involvement of the labrum, biceps anchor, or capsule. Labral tears may be associated with paralabral cysts

The Radiology Assistant : Shoulder MR - Instabilit

I would like to get some clarification on tear codes. I code a lot of ortho charts with rotator cuff tears, SLAP tears, meniscus tears etc. To avoid second guessing myself most of the time I am coding diagnosis codes on them, I would like to know how you would code them when they are not traumatic tears which go to sprain Effectively diagnose SLAP tears, posterior impingement, scapula dyskinesis and shoulder mico-instability using screening and clinical tests. Cite common pitching pathomechanics and describe their association with specific elbow injuries. Paraphrase the peel back model for SLAP tears

Mileski and Snyder 19 reported that 29% of their patients with SLAP lesions exhibited partial-thickness rotator cuff tears, 11% complete rotator cuff tears, and 22% Bankart lesions of the anterior glenoid. They also demonstrated that type I SLAP lesions are typically associated with rotator cuff pathology, while types III and IV are associated. 3. Name at lease three types of common injuries of a medial meniscal tear. 4. List the main components of the hamstring muscle complex. 5. List the Palmer classification of Class 1 Traumatic injury. 6. List four common causes of anterior knee pain. 7. Describe a Type IV classification of a Superior Labral anterior to Posterior (SLAP) tear. 8 Covid CT Summary; ILD Classification Cheat Sheet; ILD Entire paper; HRCT - Radiology Assistant; Fleischner Lung Nodules; Lung Segment Anatomy; List Item; Incidental Thyroid Nodule Assistant Professor of Radiology SUNY Stony Brook School of Medicine. Outline • Football Injuries • Baseball Injuries • Running Injuries • Martial Arts Injuries. • SLAP tear • Little league elbow • Mallet Finger • Supraspinatus tendon tear. SLAP Tear SLAP = -Superior -Labrum -Anterior -Posterior Ax Labral Windo

The Radiology Assistant : Shoulder MR - Anatomy

The Radiology Assistant : Shoulder MR - Instabilit . SLAP Tears: A Superior Labrum from Anterior to Posterior (SLAP) tear is most The MR arthrogram is a little different than a typical MRI because dye is injected into the affected.. A SLAP tear or SLAP lesion is an injury to the glenoid labrum (fibrocartilaginous rim attached around the. Radiologists interpreted the MRIs as consistent with superior labral tears in 55% and 72% of the cohort. Comparison of the radiological evaluations of the superior labra were moderate (κ = 0.410, P = .033). There were no differences in readings for superior labral tear regarding age (P = .87), sex (P = .41), whether the dominant shoulder underwent MRI (P = .99), whether the subject worked a. Superior labral anterior posterior (SLAP) lesions were not realized until the advent of shoulder arthroscopy. Andrews, Carson, and McLeod 1 were the first to describe labral tears of the biceps anchor, but it was Synder 2 who was the first to classify them, outline their treatment, and describe four basic types of lesions: I to IV ( Fig. 6-1 ) Pre-existing high-grade chondropathy in the medial femoro-tibial joint compartment and in the patello-femoral joint. 5 (3): 233-41. Knee 2 - Meniscal pathology - the Radiology Assistant Inferiorly Displaced Flap Tears of the Medial Meniscus The posterior horn flippes 174 (1): 161-4

Similarly SLAP tears were reported on MRI in 41 (22.5%) patients out of which arthroscopy failed to visualize it in 03 patients. 44 (24.1%) patients were detected with SLAP tear on arthroscopy which were not detected on MRI in 06 patients (Fig 03). The sensitivity, specificity, positiv A systematic approach to diagnosis is essential to exclude life-threatening presentations of shoulder pain such as myocardial infarction or aortic dissection. Tears of the glenoid labrum fibrocartilage, also known as superior labral anterior to posterior (SLAP) lesions, are suspected clinically or noted on magnetic resonance (MRI) imaging Dr. Chang is a Radiology Resident and Dr. Huang is an Assistant Radiologist in the Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, Boston, MA. In addition, Dr. Huang is an Instructor of Radiology at Harvard Medical School, Boston, MA. This article is based on MR of articular cartilage lesions, presented at Sports Medicine. A 50 year old lady with hip pain. There is an anterior labral tear with a tiny associated paralabral cyst. Note filling of the iliopsoas bursa on the arthrogram

Radiology. 2001 Jan. 218 (1):127-32. . Holzapfel K, Waldt S, Bruegel M, et al. Inter- and intraobserver variability of MR arthrography in the detection and classification of superior labral anterior posterior (SLAP) lesions: evaluation in 78 cases with arthroscopic correlation. Eur Radiol. 2010 Mar. 20(3):666-73. Jee WH, McCauley TR, Katz LD, Matheny JM, Ruwe PA, Daigneault JP. Superior labral anterior posterior (SLAP) lesions of the glenoid labrum: reliability and accuracy of MR arthrography for diagnosis. Radiology. 2001 Jan. 218 (1):127-32. Posterior capsular tears; Little Leaguer's Elbow; Gerbilisation (in radiology) SLAP Tears and Glenohumeral Instability; Bankart and Bankart variant lesion; Ankle MRI Approach; Shoulder MRI Approach 2011 (45) December (1) November (1) October (1) September (1) August (4

Imaging the Glenoid Labrum and Labral Tears RadioGraphic

  1. tear extending from 12 to 6'O clock position and one had SLAP tear. Out of four SLAP tears detected on MRI, arthroscopy showed SLAP tear in three patients. One patient with no labral tear on MRI, but arthroscopy showed SLAP tear. MRI diagnostic accuracy in diagnosing rotator cuff and labral tear as compare to arthroscopy is > 92%
  2. Interesting Radiology Cases from Daily Practice and a Personal Reference. Thursday, June 9, 2011. Peripheral Vertical Longitudinal Tear Posterior Labru
  3. Isolated SLAP repair was an independent risk factor for unplanned reoperation; smoking and use of knotless sutures were independent predictors of SLAP repair failure. After isolated SLAP repair, the reoperation rate was 16%; obesity and smoking significantly increased the risk of reoperation. Orthopedic surgeons don't agree about the causes of.
  4. Tears can occur in all regions of the labrum. The most studied injury to the labrum is the superior labral anterior-posterior (SLAP) tear. Anterior dislocations of the shoulder can be associated with a disruption of the anteroinferior labrum and anterior band of the inferior glenohumeral ligament, also known as a Bankart lesion
  5. Synopsis. Superior labral tears (SLAP lesions) can pose a significant challenge to orthopaedic surgeons and rehabilitation specialists alike. Although advancement in arthroscopic techniques has enhanced arthroscopic repair of SLAP lesions, the clinical diagnosis of SLAP lesions can still be difficult
  6. For type III SLAP injuries with bucket-handle tears, debride the bucket handle and then repair the unstable labrum as if it were a type II injury. For type IV SLAP injuries in which the SLAP tears extend up into the biceps, we debride the biceps tendon and then repair the SLAP injury and repair the biceps anchor back
  7. The Radiology Assistant Shoulder Instability Mri . For more information and source, see on this link : https: Bankart Lesion With Grade V Slap Tear In Shoulder Mr Arthrogram Radiology Case Radiopaedia Org . For more information and source, see on this link : https:.

SLAP Tear Symptoms. Typical symptoms of a SLAP tear include a catching sensation and pain with shoulder movements, most often overhead activities such as throwing. 1  Patients usually complain of pain deep within the shoulder or in the back of the shoulder joint on the propagation of SLAP tears using the finite element model. With loading of the biceps, the model predicted high strains at the edges of the tear suggesting a high risk for progression of the tear. For larger tears, the effect of the biceps was more pronounced. Based on this work, tear siz Before the use of shoulder arthroscopy and magnetic resonance imaging (MRI) in the diagnosis and management of shoulder problems, glenoid labrum lesions were underappreciated. More specifically, superior labrum lesions about the insertion of the long biceps tendon were typically noted or managed using standard open surgical techniques The most common indications for MR imaging are for the assessment of the rotator cuff injury, joint instability, and persistent pain despite physical therapy. In this section, we highlight how to diagnose and dictate many of these conditions with focus on injuries to the rotator cuff tear, labrum and other intra-articular structures Numerous other problems that can affect the shoulder are somewhat less common, such as biceps and labral pathology (e.g., SLAP tear—superior labrum anterior to posterior tear—an avulsion.

Superior Labral Anteroposterior Tear: Classification and

  1. Shoulder labrum tear is also called superior labral anterior to posterior slap lesions constitute a recognized clinical subset of complex shoulder pain pathologies. The labrum is the attachment site for the ligaments and supports the ball and socket joint along with the rotator cuff tendons and muscles
  2. Superior Labrum Anterior Posterior (SLAP) Repair and Subacromial Decompression. Which body system in ICD-10-PCS is a glenoid labrum repair or suturing assigned? Should this be assigned to the Bursae, Tendons and Ligaments body system, or Upper Joints body system? Should the root operation be coded to Repair or to Reattachment
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  4. Superior labral anterior posterior tear Radiology . The best tests available to make the diagnosis of a labral tear are magnetic resonance imaging (MRI) scans or a test called a CT-arthrogram (the latter is a CAT scan preceded by an arthrogram where dye is injected into the shoulder) MRI On conventional MR labral tears are best seen on fat.
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  6. Feb 8, 2016 - SLAP Lesions or Superior Labral Anterior-Posterior lesions are tears of the labrum adjoining the top portion of the glenoid socket. The labrum is also known as the meniscus of the shoulder
  7. Sep 11, 2019 - Axial images of Bankart lesions and variants are injuries to the anteroinferior labrum. These injuries are always located in the 3-6 o'clock position because they are caused by an anterior-inferior dislocation. The only exception to this rule is the reverse Bankart, which is the result of a posterior dislocation and injury to the inferoposterior labrum

None of the tests identify a SLAP tear specifically.23, 24 and an assistant professor of orthopedic surgery at the University of California, Radiology. 1991; 179(1):241-246.. 1 Department of Radiology, New York University Langone Medical Center, RRH 2nd 229, 400 E 34th St., New York, NY 10016. Tears of the rotator interval capsule may manifest as thinning, Correlation of the SLAP lesion with lesions of the medial sheath of the biceps tendon and intra-articular subscapularis tendon. Indian J Orthop 2009; 43.

The foregoing guidelines are in accordance with the American College of Radiology appropriateness criteria, which give a rating of 9 for the use of MR arthrography in the evaluation of individuals with chronic hip pain with suspected labral tear with or without findings suggestive of FAI . This compares to a rating of 6 for unenhanced MRI and a. Labral Tears (SLAP lesions) Shoulder Exam. The glenoid labrum is a ring of cartilage that surrounds the margins of the glenoid fossa. It stabilizes the shoulder joint by giving attachment to the ligaments. It is most commonly damaged in its superior portion, that also includes part of the biceps tendon (SLAP lesions) Additionally, the MGHL may be duplicated. In such cases, such variation should be distinguished from a SLAP tear (3 3 Fitzpatrick D, Walz DM. Shoulder MR imaging normal variants and imaging artifacts. Magn Reson Imaging Clin N Am. 2010;18: 615-32. No to be mistaken for abnormal high signal on FLAIR and DWI in midbrain. Posted by Radiologist at 5:19 PM. Email ThisBlogThis!Share to TwitterShare to FacebookShare to Pinterest. Labels: Brain , CNS , Decussation Superior Cerebellar Peduncle , MRI , Normal Variant

Numerous imaging pitfalls of normal variants due to imaging technique and artifacts can be seen on routine magnetic resonance imaging of the shoulder. Familiarity with these pitfalls is crucial to avoiding diagnostic errors. Understanding of the common causes of shoulder imaging artifacts will enable the radiologist to make rational changes in. David L. Glaser, MD is Chief, Shoulder and Elbow Division and Associate Professor of Orthopaedic Surgery at the Hospital of the University of Pennsylvania. Dr. Glaser is board certified in Orthopaedic Surgery and sees patients at Penn Orthopaedics Radnor, Penn Orthopaedics Valley Forge and Penn Musculoskeletal Center - University City, 8th Floor Radiography exposes the patient and radiology professional to variable radiation (depending on the study). The Physician Assistant should consider the relative value of exposure versus potential diagnostic value toward treatment. Place the following 4 radiographic procedures in order of radiation exposure to the patient (low to high)

Glenohumeral Instability - Radsourc

A possible rotator cuff tear can be evaluated with the drop-arm test. This test is performed by passively abducting the patient's shoulder, then observing as the patient slowly lowers the arm to. Interesting Radiology Cases from Daily Practice and a Personal Reference. Thursday, March 26, 2009. HAGL Lesion, Greater Tuberosity Fracture and SS Tear

A fitness assistant at your gym can instruct you on how to use the machines safely. Step-by-step directions • Make a 3-foot-long loop with the elastic band and tie the ends together. Attach the loop to a doorknob or other stable object Dr. Snyder is a 2009 Touro University of Nevada Osteopathic Medical School graduate and a current assistant adjunct professor of Radiology and Neuroradiology at Touro. He completed his Radiology residency at McLaren Macomb (Michigan State) in Michigan and his Neuroradiology fellowship at the University of Miami and returned to Las Vegas to. Peripheral nerve injury of the upper extremity commonly occurs in patients who participate in recreational (e.g., sports) and occupational activities. Nerve injury should be considered when a. The literature has shown that MRI is not as accurate for diagnosing SLAP tears as MRA with reported sensitivities for MRI ranging from 43% - 75% and specificities between 58% - 70%

The Radiology Assistant : Meniscal patholog

  1. istrator - Caleb oversees the day-to-day operations of Texas Sports Rehab. Caleb aids in the assessment and prevention of athletic injuries and serves as a liaison between the patient, the medical doctors, support staff, and the medical assistants. Ashley - Ashley will assist you in scheduling.
  2. tears: Thirteen common pitfalls Prageeth Dissanayake, Peninsula Radiology Academy, Plymouth NHS Hospital Trust P-008 A pictorial review of SLAP tears using MRI with surgical correlation Prageeth Dissanayake, Peninsula Radiology Academy, Plymouth NHS Hospital Trust P-009 Femoro-acetabular Impingement: Radiological and arthroscopic correlatio
  3. All of our Physician Assistants are fully credentialed. Get to know the team helping support our doctors. Matt Crook, PA-C. Rachel Keiper, PA-C. Omid Midanaky, PA-C. Ashlei Alig, PA-C. . Prior blood clot or pulmonary embolus. the #1 predictor of having another clot
  4. Improve diagnostic accuracy with cases from leading international musculoskeletal radiologists Over 70 international experts have submitted an excellent range of cases encompassing both essential concepts and encountered diagnoses. 3 Stars.--Doody's Review Service Musculoskeletal Imaging Cases offers an efficient and systematic approach to interpreting imaging of the musculoskeletal system
  5. Not the SLAP tear. 2 surgeons have recommended I repair the SLAP tear, and both indicated the biceps tenodesis was a possibility (but unlikely). However, their opinions differ regarding the AC joint. The first surgeon recommended an acromioplasty, but the second said there is a risk for increased stiffness, and that at my age and level of.
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The Radiology Assistant : Shoulder MR - Anatom

Shoulder impingement syndrome is a painful condition of the upper extremity resulting from a structural narrowing of the subacromial space. It is primarily diagnosed by history and physical examination. The mainstay of treatment involves identification early before the onset of degenerative changes, physical therapy exercises to strengthen the. Aug 27, 2015 - Shoulder injuries are frequently caused by athletic activities that involve excessive, repetitive, overhead motion, such as swimming, tennis, pitching, and weightlifting. . See more ideas about shoulder injuries, shoulder pain, rotator cuff SLAP Repair in Young Athletes Courtesy: Dr Lucca Lacheta, Assistant Professor, Center for Musculoskeletal Surgery, Charite University Hospital of Berlin, Berlin, Germany Rotator Cuff Tears of Shoulde

CT and MR Arthrography of the Normal and Pathologic

The rotator cuff is a group of tendons and muscles that surround the shoulder joint. There are four muscles of the rotator cuff that are important in the function and movement of the shoulder joint. These muscles attach to the bone via a tendon. It is the tendon part of the rotator cuff that can become damaged when you have a rotator cuff tear John Macy, MD, MHCDS is Chief of Orthopedics at Copley Hospital. Dr. Macy specializes in treating disorders and injuries of the shoulder, including arthritis, instability, rotator cuff tears, and total shoulder replacement An Orthopaedics Textbook presented by Duke University Medical Center's Division of Orthopaedic Surgery, in conjunction with Data Trace Internet Publishing, LLC, is a true head to toe, comprehensive discussion of orthopaedic topics. Content Rich with thousands of pages in an easy-to-read outline format, accompanied by countless explanatory.

Video: SLAP tear Radiology Case Radiopaedia

Sublabral foramen Radiology Case Radiopaedia