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Yubran AP, Pesquera LC, Juan ELS, Saralegui FI, Canga AC, Camara AC, Valdivieso GM. Presurgical perspective and postsurgical evaluation of acromioclavicular joint instability. Skeletal Radiol 2024; 53:847-861. [PMID: 38008754 DOI: 10.1007/s00256-023-04526-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 11/20/2023] [Accepted: 11/21/2023] [Indexed: 11/28/2023]
Abstract
Acromioclavicular joint (ACJ) dislocations are a common cause of pain in patients of any age. Athletes who participate in contact sports, such as hockey, football, rugby, and soccer, are particularly susceptible to such injuries. The ACJ has an important role in the function of the upper limb, and its complexity of movement makes it susceptible to acute injuries and chronic dysfunction with debilitating effects that must be treated appropriately and promptly to preserve function. Recently, ACJ has received increasing attention due to the development of new surgical techniques for the restoration of normal function and stability. There is some agreement about the treatment of ACJ dislocations, but controversy remains about the treatment of Rockwood grade III dislocations, and a new approach to these injuries is suggested by ISAKOS. Overall, the paper summarizes new concepts in the anatomy of the ACJ and reviews the utility of imaging methods in ACJ dislocations as well as their treatment and complications.
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Affiliation(s)
- Alexeys Perez Yubran
- Department of Radiology, IBERORAD, 1893, Carrer Valencia 226, Principal, Primera, 08007, Barcelona, Spain.
| | | | | | | | - Alvaro Cerezal Canga
- Department of Orthopaedic Surgery and Traumatology, Hospital Universitario La Paz, Madrid, Spain
| | - Antonio Cruz Camara
- Department of Arthroscopic Surgery, Hospital Santa Clotilde, Santander, Spain
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Yubran AP, Pesquera LC, Juan ELS, Saralegui FI, Canga AC, Camara AC, Valdivieso GM, Pisanti Lopez C. Rotator cuff tear patterns: MRI appearance and its surgical relevance. Insights Imaging 2024; 15:61. [PMID: 38411840 PMCID: PMC10899560 DOI: 10.1186/s13244-024-01607-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Accepted: 12/17/2023] [Indexed: 02/28/2024] Open
Abstract
A new perspective on rotator cuff anatomy has allowed a better understanding of the patterns of the different rotator cuff tears. It is essential for radiologists to be aware of these different patterns of tears and to understand how they might influence treatment and surgical approach. Our objective is to review the arthroscopy correlated magnetic resonance imaging appearance of the different types of rotator cuff tears based on current anatomical concepts.Critical relevance statement Knowledge of the characteristics of rotator cuff tears improves our communication with the surgeon and can also make it easier for the radiologist to prepare a report that guides therapeutic conduct and serves as a prognosis for the patient.Key points• There is no universally accepted classification for RC tears.• New patterns such as delamination or myotendinous junction tears have been defined.• The most difficult feature to assess in full thickness tears on MRI is the pattern.• Fatty infiltration of the RC tendons is crucial in the prognosis and outcome.• The radiological report is an effective way of communication with the surgeon.
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Affiliation(s)
- Alexeys Perez Yubran
- Department of Radiology, IBERORAD, Carrer Valencia 226, Principal, primera, Barcelona, 08007, Spain.
| | | | | | | | - Alvaro Cerezal Canga
- Department of Orthopaedic Surgery and Traumatology, Hospital Universitario La Paz, Madrid, Spain
| | - Antonio Cruz Camara
- Department of Arthroscopic Surgery, Hospital Santa Clotilde, Santander, Spain
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Snoj Ž, Hebar T, Sconfienza LM, Vanhoenacker FMH, Shahabpour M, Salapura V, Isaac A, Drakonaki E, Vasilev Y, Drape JL, Adriaensen M, Friedrich K, Guglielmi G, Vieira A, Sanal HT, Kerttula L, Hellund JC, Nagy J, Heuck A, Rutten M, Tzalonikou M, Hansen U, Niemunis-Sawicka J, Becce F, Silvestri E, Juan ELS, Wörtler K. Erratum: Present Status of Musculoskeletal Radiology in Europe: International Survey by the European Society of Musculoskeletal Radiology (ESSR). Semin Musculoskelet Radiol 2020; 24:e1. [DOI: 10.1055/s-0040-1722564] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Žiga Snoj
- Radiology Institute, University Medical Centre Ljubljana, Ljubljana, Slovenia
- Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - Timea Hebar
- Radiology Institute, University Medical Centre Maribor, Slovenia
| | - Luca Maria Sconfienza
- IRCCS IstitutoOrtopedico Galeazzi, Milan, Italy
- Dipartimento di Scienze Biomediche per la Salute, Universität degli studi di Milano, Italy
| | - Filip Maria H.M. Vanhoenacker
- Department of Radiology, Antwerp University Hospital and Antwerp University, Antwerp, Belgium
- University of Ghent, Ghent, Belgium
| | - Maryam Shahabpour
- Department of Radiology, UniversitairZiekenhuis Brussel, Brussels, Belgium
| | - Vladka Salapura
- Radiology Institute, University Medical Centre Ljubljana, Ljubljana, Slovenia
- Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - Amanda Isaac
- Guy's and St. Thomas' Hospitals NHS Foundation Trust, London, United Kingdom
- Kings College London (KCL), London, United Kingdom
| | - Eleni Drakonaki
- Private Institution of Ultrasonography and MSK Radiology, Heraklion, Greece
- Department of Anatomy, Medical School of the European University of Cyprus, Nicosia, Cyprus
| | - Yurii Vasilev
- Moscow State University of Medicine and Dentistry, Moscow, Russia
| | | | - Miraude Adriaensen
- Department of Medical Imaging, Zuyderland Medical Center, Sittard-Geleen, Heerlen, Brunssum, Kerkrade, The Netherlands
| | - Klaus Friedrich
- Department of Radiology, Division of Neuroradiology and Musculoskeletal Radiology, Medical University of Vienna, Wien, Austria
| | - Giuseppe Guglielmi
- Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Foggia, Italy
| | - Alberto Vieira
- São João University Hospital, Porto Medical School - FMUP, Porto, Portugal
| | - Hatice Tuba Sanal
- Department of Radiology, Health Sciences University, Gülhane Medical School, Ankara, Turkey
| | | | | | - Judit Nagy
- Innomed Medical, Inc., Budapest, Hungary
| | - Andreas Heuck
- Radiologisches Zentrum München Pasing RZM, Munich, Germany
| | - Matthieu Rutten
- Department of Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen
| | | | - Ulrich Hansen
- Copenhagen University Hospital Bispebjerg-Frederiksberg, Frederiksberg
| | | | - Fabio Becce
- Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Enzo Silvestri
- Department of Radiology, OspedaleEvangelicoInternazionale, Genoa, Italy
| | | | - Klaus Wörtler
- Department of Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany
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Snoj Ž, Hebar T, Sconfienza LM, Vanhoenacker FMHM, Shahabpour M, Salapura V, Isaac A, Drakonaki E, Vasilev Y, Drape JL, Adriaensen M, Friedrich K, Guglielmi G, Vieira A, Sanal HT, Kerttula L, Hellund JC, Nagy J, Heuck A, Rutten M, Tzalonikou M, Hansen U, Niemunis-Sawicka J, Becce F, Silvestri E, Juan ELS, Wörtler K. Present Status of Musculoskeletal Radiology in Europe: International Survey by the European Society of Musculoskeletal Radiology. Semin Musculoskelet Radiol 2020; 24:323-330. [PMID: 32987429 DOI: 10.1055/s-0040-1713119] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
No official data exist on the status of musculoskeletal (MSK) radiology in Europe. The Committee for National Societies conducted an international survey to understand the status of training, subspecialization, and local practice among the European Society of Musculoskeletal Radiology (ESSR) partner societies. This article reports the results of that survey. An online questionnaire was distributed to all 26 European national associations that act as official partner societies of the ESSR. The 24 questions were subdivided into six sections: society structure, relationship with the national radiological society, subspecialization, present radiology practice, MSK interventional procedures, and MSK ultrasound. The findings of our study show a lack of standardized training and/or accreditation methods in the field of MSK radiology at a national level. The European diploma in musculoskeletal radiology is directed to partly overcome this problem; however, this certification is still underrecognized. Using certification methods, a more homogeneous European landscape could be created in the future with a view to subspecialist training. MSK ultrasound and MSK interventional procedures should be performed by a health professional with a solid knowledge of the relevant imaging modalities and sufficient training in MSK radiology. Recognition of MSK radiology as an official subspecialty would make the field more attractive for younger colleagues as well as attracting the brightest and best, an important key to further development of both clinical and academic radiology. KEY POINTS: · Standardized training and/or accreditation methods in the field of MSK radiology is lacking at a national level.. · With certification methods, such as the European diploma in musculoskeletal radiology, a more homogeneous European landscape could be created in the future with a view to subspecialist training.. · Recognition of MSK radiology as an official subspecialty would make the field more attractive for younger colleagues as well as attracting the brightest and best, an important key to further development of both clinical and academic radiology..
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Affiliation(s)
- Žiga Snoj
- Radiology Institute, University Medical Centre Ljubljana, Ljubljana, Slovenia.,Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - Timea Hebar
- Radiology Institute, University Medical Centre Maribor, Slovenia
| | - Luca Maria Sconfienza
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.,Dipartimento di Scienze Biomediche per la Salute, Universität degli studi di Milano, Italy
| | - Filip Maria H M Vanhoenacker
- Department of Radiology, Antwerp University Hospital and Antwerp University, Antwerp, Belgium.,University of Ghent, Ghent, Belgium
| | - Maryam Shahabpour
- Department of Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium
| | - Vladka Salapura
- Radiology Institute, University Medical Centre Ljubljana, Ljubljana, Slovenia.,Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - Amanda Isaac
- Guy's and St. Thomas' Hospitals NHS Foundation Trust, London, United Kingdom.,Kings College London (KCL), London, United Kingdom
| | - Eleni Drakonaki
- Private Institution of Ultrasonography and MSK Radiology, Heraklion, Greece.,Department of Anatomy, Medical School of the European University of Cyprus, Nicosia, Cyprus
| | - Yurii Vasilev
- Moscow State University of Medicine and Dentistry, Moscow, Russia
| | | | - Miraude Adriaensen
- Department of Medical Imaging, Zuyderland Medical Center, Sittard-Geleen, Heerlen, Brunssum, Kerkrade, The Netherlands
| | - Klaus Friedrich
- Department of Radiology, Division of Neuroradiology and Musculoskeletal Radiology, Medical University of Vienna, Wien, Austria
| | - Giuseppe Guglielmi
- Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Foggia, Italy
| | - Alberto Vieira
- São João University Hospital, Porto Medical School - FMUP, Porto, Portugal
| | - Hatice Tuba Sanal
- Department of Radiology, Health Sciences University, Gülhane Medical School, Ankara, Turkey
| | | | | | - Judit Nagy
- Innomed Medical, Inc., Budapest, Hungary
| | - Andreas Heuck
- Radiologisches Zentrum München Pasing RZM, Munich, Germany
| | - Matthieu Rutten
- Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
| | | | - Ulrich Hansen
- Copenhagen University Hospital Bispebjerg-Frederiksberg, Frederiksberg, Denmark
| | | | - Fabio Becce
- Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Enzo Silvestri
- Department of Radiology, Ospedale Evangelico Internazionale, Genoa, Italy
| | | | - Klaus Wörtler
- Department of Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany
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