MRI morphological evaluation of humeral head bone profile inside region of the biceps pulley reflection

Objective Evaluating humeral head bone profile inside biceps reflection pulley area in order to identify possible anatomical variants and any causes predisposing to tendon’s instability of the long head of the biceps. Materials and methods This retrospective study analyzed 326 patients, 183 males an...

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Published in:Skeletal radiology 2022-10, Vol.51 (10), p.2017-2025
Main Authors: Fischetti, Michele, Stoppino, Luca Pio, Petrera, Miriana Rosaria, Francavilla, Alessia, Vinci, Roberta, Zappia, Marcello, Macarini, Luca
Format: Article
Language:English
Subjects:
Evaluation
Humerus
Imaging
Magnetic resonance imaging
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Morphology
Nuclear Medicine
Orthopedics
Pathology
Radiology
Scientific
Scientific Article
Shoulder
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Summary:Objective Evaluating humeral head bone profile inside biceps reflection pulley area in order to identify possible anatomical variants and any causes predisposing to tendon’s instability of the long head of the biceps. Materials and methods This retrospective study analyzed 326 patients, 183 males and 143 females (age 15–88 years; average 51.5 years), who underwent MRI examination between 2013 and 2019. Biceps pulley reflection area morphology of 192 right shoulders and 134 left shoulders was assessed analyzing 309 MRI and 17 MR arthrography (MRA) shoulder exams. We investigated age and gender and the frequency of morphological variants among the patient groups. Results Four possible morphological variants were identified: 95 with convex shape; 127 with flat shape; 77 with spiculated shape; and 12 with mixed morphology. Fifteen humeral bone profiles were not classifiable. Conclusions MRI was effective in defining humeral head anatomic variants inside the biceps pulley reflection area. The most frequent variants were flat or convex types.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-022-04056-y