Magnetic Resonance Imaging of the Elbow. Part I: Normal Anatomy, Imaging Technique, and Osseous Abnormalities

Overview

Journal Skeletal Radiol

Specialties Orthopedics
Radiology

Date 2004 Oct 14

PMID 15480641

Citations 11

Authors

Richard Kijowski

Michael Tuite

Matthew Sanford

Affiliations

Soon will be listed here.

Abstract

Part I of this comprehensive review on magnetic resonance imaging of the elbow discusses normal elbow anatomy and the technical factors involved in obtaining high-quality magnetic resonance images of the elbow. Part I also discusses the role of magnetic resonance imaging in evaluating patients with osseous abnormalities of the elbow. With proper patient positioning and imaging technique, magnetic resonance imaging can yield high-quality multiplanar images which are useful in evaluating the osseous structures of the elbow. Magnetic resonance imaging can detect early osteochondritis dissecans of the capitellum and can be used to evaluate the size, location, stability, and viability of the osteochondritis dissecans fragment. Magnetic resonance imaging can detect early stress injury to the proximal ulna in athletes. Magnetic resonance imaging can detect radiographically occult fractures of the elbow in both children and adults. Magnetic resonance imaging is also useful in children to further evaluate elbow fractures which are detected on plain-film radiographs.

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References

Takahara M, Shundo M, Kondo M, Suzuki K, Nambu T, Ogino T . Early detection of osteochondritis dissecans of the capitellum in young baseball players. Report of three cases. J Bone Joint Surg Am. 1998; 80(6):892-7. DOI: 10.2106/00004623-199806000-00014. View

Cotten A, Jacobson J, Brossmann J, Pedowitz R, Haghighi P, Trudell D . Collateral ligaments of the elbow: conventional MR imaging and MR arthrography with coronal oblique plane and elbow flexion. Radiology. 1997; 204(3):806-12. DOI: 10.1148/radiology.204.3.9280264. View

Bowen R, Otsuka N, Yoon S, Lang P . Osteochondral lesions of the capitellum in pediatric patients: role of magnetic resonance imaging. J Pediatr Orthop. 2001; 21(3):298-301. View

Regan W, Korinek S, Morrey B, An K . Biomechanical study of ligaments around the elbow joint. Clin Orthop Relat Res. 1991; (271):170-9. View

Vanthournout I, Rudelli A, Valenti P, Montagne J . Osteochondritis dissecans of the trochlea of the humerus. Pediatr Radiol. 1991; 21(8):600-1. DOI: 10.1007/BF02012612. View

Kramer J, STIGLBAUER R, Engel A, Prayer L, Imhof H . MR contrast arthrography (MRA) in osteochondrosis dissecans. J Comput Assist Tomogr. 1992; 16(2):254-60. DOI: 10.1097/00004728-199203000-00014. View

Cugat R, Garcia M, Cusco X, Monllau J, Vilaro J, Juan X . Osteochondritis dissecans: a historical review and its treatment with cannulated screws. Arthroscopy. 1993; 9(6):675-84. DOI: 10.1016/s0749-8063(05)80506-7. View

Olsen B, Vaesel M, Sojbjerg J, Helmig P, Sneppen O . Lateral collateral ligament of the elbow joint: anatomy and kinematics. J Shoulder Elbow Surg. 1996; 5(2 Pt 1):103-12. DOI: 10.1016/s1058-2746(96)80004-8. View

Takahara M, Ogino T, Takagi M, Tsuchida H, Orui H, Nambu T . Natural progression of osteochondritis dissecans of the humeral capitellum: initial observations. Radiology. 2000; 216(1):207-12. DOI: 10.1148/radiology.216.1.r00jl29207. View

10.

de Smet A, Ilahi O, Graf B . Reassessment of the MR criteria for stability of osteochondritis dissecans in the knee and ankle. Skeletal Radiol. 1996; 25(2):159-63. DOI: 10.1007/s002560050054. View

11.

Imatani J, Ogura T, Morito Y, Hashizume H, Inoue H . Anatomic and histologic studies of lateral collateral ligament complex of the elbow joint. J Shoulder Elbow Surg. 2000; 8(6):625-7. DOI: 10.1016/s1058-2746(99)90102-7. View

12.

Spinner M . The arcade of Frohse and its relationship to posterior interosseous nerve paralysis. J Bone Joint Surg Br. 1968; 50(4):809-12. View

13.

GARDINER T . Osteochondritis dissecans in three members of one family. J Bone Joint Surg Br. 1955; 37-B(1):139-41. DOI: 10.1302/0301-620X.37B1.139. View

14.

Donnelly L . Traumatic elbow effusions in children are not synonymous with occult fracture-even with evaluation by MR imaging. AJR Am J Roentgenol. 2002; 179(2):531-2; author reply 532. DOI: 10.2214/ajr.179.2.1790531. View

15.

McManama Jr G, Micheli L, Berry M, Sohn R . The surgical treatment of osteochondritis of the capitellum. Am J Sports Med. 1985; 13(1):11-21. DOI: 10.1177/036354658501300103. View

16.

Callaway G, Field L, Deng X, Torzilli P, OBrien S, Altchek D . Biomechanical evaluation of the medial collateral ligament of the elbow. J Bone Joint Surg Am. 1997; 79(8):1223-31. DOI: 10.2106/00004623-199708000-00015. View

17.

Sojbjerg J, Ovesen J, Nielsen S . Experimental elbow instability after transection of the medial collateral ligament. Clin Orthop Relat Res. 1987; (218):186-90. View

18.

Mitsunaga M, Adishian D, BIANCO Jr A . Osteochondritis dissecans of the capitellum. J Trauma. 1982; 22(1):53-5. DOI: 10.1097/00005373-198201000-00010. View

19.

Ho C . MR imaging of tendon injuries in the elbow. Magn Reson Imaging Clin N Am. 1997; 5(3):529-43. View

20.

Woodward A, BIANCO Jr A . Osteochondritis dissecans of the elbow. Clin Orthop Relat Res. 1975; (110):35-41. DOI: 10.1097/00003086-197507000-00007. View