This is a case report of a 15-year-old boy with chronic intermittent left shoulder pain due to an undiagnosed lesser tuberosity avulsion fracture, an associated biceps pulley injury and intra-articular dislocation of the long head of the biceps tendon. Also presented is a companion case of a 13-year-old boy with an acute lesser tuberosity avulsion with an intact biceps pulley. Avulsion fractures of the lesser tuberosity are rare injuries which can be difficult to diagnose clinically and on radiographs. Even more rare are reported cases of biceps pulley injuries in children and adolescents with lesser tuberosity avulsions. Utilizing the imaging from these two cases we review lesser tuberosity avulsions in children and also review the complex anatomy of the biceps pulley, which due to its close association with the lesser tuberosity, may be involved in these injuries. These cases emphasize the importance of MR in the diagnosis and treatment planning of lesser tuberosity avulsions. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Mizrahi Daniel, Averill Lauren, Blumer Steven, Meyers Arthur

Keywords: Lesser tuberosity avulsion, biceps tendon dislocation, biceps pulley injury

This education exhibit will provide a general review of radiographic techniques of the foot followed by a section identifying clinical and radiographic findings for specific foot deformities. Learning objectives for this exhibit include: (a) recognize the imaging needed for specific foot deformities, (b) measure critical angles from different radiographic views and interpret their meanings, (c) recognize radiographic identifying features for specific foot deformities, (d) identify what views are necessary when trying to differentiate between similar deformities, and (e) interpret post-operative/post-procedural imaging and recognize possible complications. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Wellings Elizabeth, Epelman Monica, Chandra Tushar, Malone Jason, Lovejoy John, Meyers Arthur

Keywords: Congenital, Foot Deformities

Whole body (WB) MRI is a valuable method for surveying the overall burden of systemic diseases such as juvenile idiopathic arthritis (JIA), directing further diagnostic and treatment approaches. Consensus-driven development and validation of a standardized WB-MRI scoring system for JIA has important clinical utility in timely detection and monitoring of disease activity, and serves as an outcome measure in research. We describe our experience utilizing a formal consensus approach amongst imaging and/or clinical JIA experts towards developing a novel WB MRI scoring system to assess disease activity in JIA. Read More

Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018

Authors: Panwar Jyoti, Kirkhus Eva, Meyers Arthur, Patel Hiten, Van Rossum Marion, Stimec Jennifer, Tse Shirley, Twilt Marinka, Tzaribachev Nikolay, Doria Andrea, Tolend Mirkamal, Akikusa Jonathan, Herregods Nele, Highmore Kerri, Inarejos Clemente Emilio, Jans Lennart, Jaremko Jacob Lester, Von Kalle Thekla

Keywords: Consensus, WB-MRI scoring system, Juvenile idiopathic arthritis

Clinical assessment of the Sacroiliac Joint (SIJ) is limited due to the location and anatomy of the joint.<b> </b>Magnetic Resonance Imaging is a sensitive, non- invasive tool in detecting early SIJ inflammatory changes and structural damage in Juvenile Idiopathic Arthritis (JIA). The quantification of interval change of pediatric SIJs using MRI based scoring methods will serve as an important objective outcome measure for the assessment of disease severity and treatment effectiveness in JIA. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Otobo Tarimobo, Rumsy Dax, Inarejos Emilio, Kirkhus Eva, Stimec Jennifer, Panwar Jyoti, Thorpe Kevin, Jans Lennart, Van Rossum Marion, Tolend Mirkamal, Perez Manuela, Conaghan Philip, Tzaribachev Nikolay, Sandhya Pulukool, Tse Shirley, Simone Appenzeller, Swami Vimarsha, Touma Zahi, Lambert Robert, Doria Andrea, Maksymowych Walter, Van Der Heijde Desiree, Weiss Pamela, Sudol-szopinska Iwona, Herregods Nele, Jaremko Jacob, Meyers Arthur

Keywords: Juvenile idiopathic arthritis, OMERACT, outcome measure