Biomedical subjects

Zehava Sadka Rosenberg

Publications and source records attributed to Zehava Sadka Rosenberg.

13 recordsLinked to original sources

PubMed2006

Sports-related injuries of the wrist: an approach to MRI interpretation.

Sports-related injuries to the wrist range from minor sprains to severe soft tissue disruption that can pose a risk to the normal function of the upper extremity. It is important to identify the specific nature of such injuries so as to establish an accurate diagnosis and deliver appropriate treatment. MRI of the wrist has greatly benefited from the use of dedicated surface coils, which allow fine depiction of soft tissue and cartilaginous structures. A review of the normal anatomy, MR interpretation pitfalls, and most common abnormalities of the tendons, ligaments, triangular fibrocartilage complex, and nerves of the wrist are presented.

Athletic Injuries↗

PubMed2006

Entrapment neuropathies of the shoulder and elbow in the athlete.

MRI is a useful diagnostic method for evaluating nerve disease at the shoulder and elbow. MRI can depict the normal anatomy of the nerves, confirm and identify the cause of the neuropathy, identify the site of entrapment based on muscle denervation patterns, and detect unsuspected space-occupying lesions. MRI can also narrow down the differential diagnosis of nerve disease, such as in the case of suprascapular nerve syndrome versus Parsonage-Turner syndrome, or radial tunnel syndrome versus lateral epicondylitis. Large prospective studies with surgical correlation, however, are still necessary to better elucidate MRI's exact role in the assessment of entrapment neuropathies of the upper extremity.

Athletic Injuries↗

PubMed2006

MR imaging features of radial tunnel syndrome: initial experience.

PURPOSE: To retrospectively assess magnetic resonance (MR) imaging features of radial tunnel syndrome. MATERIALS AND METHODS: Institutional review board approval was obtained, and informed consent was waived for the retrospective HIPAA-compliant study. MR images of 10 asymptomatic volunteers (six men, four women; mean age, 30 years) and 25 patients (11 men, 14 women; mean age, 49 years) clinically suspected of having radial tunnel syndrome were reviewed for morphologic and signal intensity alterations of the posterior interosseous nerve and adjacent soft-tissue structures. MR images of the asymptomatic volunteers were reviewed to establish the normal appearance of the radial tunnel. MR images of the symptomatic patients were evaluated for the following: signal intensity alteration and morphologic alteration of the posterior interosseous nerve; the presence of mass effect on the posterior interosseous nerve such as the presence of bursae, a thickened leading edge of the extensor carpi radialis brevis, or prominent radial recurrent vessels; signal intensity alteration within the depicted forearm musculature such as edema or atrophy; and signal intensity changes at the origin of the common extensor and common flexor tendons, which would suggest a diagnosis of epicondylitis. RESULTS: All images of volunteers demonstrated normal morphology and signal intensity within the posterior interosseous nerve and adjacent soft tissues. Two volunteers had borderline thickening of the leading edge of the extensor carpi radialis brevis. Thirteen patients (52%) had denervation edema or atrophy within muscles (supinator and extensors) innervated by the posterior interosseous nerve. One patient had isolated pronator teres edema. Seven (28%) patients had the following mass effects along the posterior interosseous nerve: thickened leading edge of the extensor carpi radialis brevis (n = 4), prominent radial recurrent vessels (n = 1), schwannoma (n = 1), or bicipitoradial bursa (n = 1). The rest of the patients had either normal MR imaging findings (n = 4) or lateral epicondylitis (n = 2). CONCLUSION: Muscle denervation edema or atrophy along the distribution of the posterior interosseous nerve is the most common MR finding in radial tunnel syndrome.

Adult↗

PubMed2005

MR imaging of the proximal rectus femoris musculotendinous unit.

MR imaging is a useful modality for diagnosing and grading proximal rectus femoris injuries.MR imaging is also valuable in predicting the length of recovery and rehabilitation time of musculotendinous strains and in presurgical planning when resection of a chronic hematoma, deep scar tissue, or a pseudocyst is contemplated.

Athletic Injuries↗

PubMed2005

MR imaging of iliopsoas musculotendinous injuries.

The literature describing iliopsoas compartment injuries is based on case reports and small patient series, mostly in the orthopedic literature.Nevertheless, in recent years, there has been a growing recognition of these injuries. Because many intra-articular and extra-articular bony and soft tissue injuries in the groin may clinically mimic each other, because two or more pathologic entities may coexist, and because athletes are highly motivated to continue with their physical activity, diagnosis of iliopsoas injury is often delayed. Thus, cross-sectional imaging is highly important. MR imaging is most accurate for diagnosing nondynamic diseases of the iliopsoas compartment as well as for ruling out other abnormalities of the hip joint and surrounding structures. When a snapping hip is being investigated or corticosteroid injection is warranted, US can be of help in providing a dynamic study and by guiding the injection.

Athletic Injuries↗

PubMed2005

MRI of medial malleolar bursa.

OBJECTIVE: This study was designed to assess the MR appearance of the medial perimalleolar fat in an asymptomatic population and describe the MRI appearance of the medial malleolar bursa. CONCLUSION: The MRI findings of medial perimalleolar fat in asymptomatic individuals and in patients with suspected medial malleolar bursa include normal fat, minimal or extensive subcutaneous edema, and a fluid-filled sac. The latter pattern is consistent with the MR appearance of the medial malleolar bursa.

Adipose Tissue↗

PubMed2004

MR imaging of entrapment neuropathies at the elbow.

MR imaging has a valuable role in the evaluation of compressive neuropathies at the elbow. Specific MR signs in association with clinical findings can supply an accurate diagnosis. A review of normal anatomy, clinical features, and MR assessment of nerve entrapment syndromes at the elbow is presented.

Cubital Tunnel Syndrome↗

PubMed2004

MR imaging of common entrapment neuropathies at the wrist.

MR imaging is a useful technique in the work-up of compressive neuropathies at the wrist, providing fine anatomical detail and excellent diagnostic accuracy. MR imaging, however, should be reserved for those cases in which the clinical and electrodiagnostic findings are inconclusive, the symptoms are unusually severe, or when a tumor is suspected. This article reviews the normal anatomy and the MR imaging features of the most common compressive neuropathies at the wrist: carpal and ulnar tunnel syndromes.

Carpal Tunnel Syndrome↗

PubMed2003

MRI features of chronic injuries of the superior peroneal retinaculum.

OBJECTIVE: The aims of this study were to assess, grade, and surgically correlate previously unreported MRI features of superior peroneal retinacular injuries in nine surgically proven cases and to record all soft-tissue and bony abnormalities associated with these injuries. CONCLUSION: MRI was found to be a useful tool for detecting and grading superior peroneal retinacular injuries and providing information, important for presurgical planning, regarding common concomitant soft-tissue and osseous abnormalities of the lateral collateral ligaments, peroneal tendons, and fibular groove. Superior peroneal retinacular injuries are frequently associated with MRI evidence of peroneal tendon dislocations and tears. Conversely, routine MRI studies may not depict dislocated peroneal tendon injuries, despite clinical history to that effect.

Adult↗

PubMed2002

Malalignment at the Lisfranc joint: MR features in asymptomatic patients and cadaveric specimens.

OBJECTIVE: To assess the frequency of malalignment in the 1st, 2nd and 3rd tarso-metatarsal joints (Lisfranc joint) in cadaveric specimen and asymptomatic individuals utilizing oblique axial MR images. DESIGN AND PATIENTS: Four fresh frozen cadaveric feet were dissected in the oblique axial plane at 5 mm slice thickness. Thirty MR studies in 29 patients who had no history of pain, trauma or surgery at the tarso-metatarsal area were included in our study. The 1st to 3rd tarso-metatarsal joints were evaluated on the MR studies and cadaveric slices by two musculoskeletal radiologists for (1) the presence of a medial and/or lateral step-off and (2) articular surface divergence. RESULTS: In the cadaveric dissections there were lateral step-offs in the 1st ( n=3) and in the 2nd ray ( n=3) respectively. No joint incongruity was evidenced. The MR studies in the patients population depicted 28 step-offs (9 medial, 19 lateral) in the 1st ray, 16 (2 medial, 14 lateral) in the 2nd ray and two in the 3rd ray. Joint incongruity was present in the 2nd ray ( n=6) and in the 3rd ray ( n=12). All the above findings were limited to a few images. CONCLUSIONS: Isolated joint malalignment with otherwise normal findings (no ligamentous injury, no fracture and no bone marrow edema) might reflect normal anatomic features at the tarso-metatarsal joints and must be interpreted carefully.

Adult↗

PubMed1998

MRI of Normal Variants and Interpretation Pitfalls of the Elbow.

One of the fundamental principles of MR imaging interpretation is the ability to distinguish normal anatomical landmarks from true disease. The radiologist is thus compelled to accumulate a comprehensive knowledge of normal structures, variants, and potential MRI diagnostic pitfalls.1-5 In this article we will focus on a number of normal bony, ligamentous, and tendinous structures that can simulate disease at the elbow. We discuss the particular anatomy responsible for the appearance of each of these interpretation pitfalls as well as the distinguishing features between these normal variants and true disease.

Journal Article↗

PubMed1998

Nerve Entrapment.

Entrapment and compressive neuropathies are frequent clinical conditions occurring about the elbow. In most instances clinical and electromyograhic evaluation are adequate for patient management, but in some cases further evaluation with imaging techniques is required. Magnetic resonance imaging (MRI) has been shown to be useful in the evaluation of these conditions, especially to detect space occupying lesions. In this article, compressive neuropathies involving the ulnar, median, and radial nerves are discussed, with emphasis on the normal anatomy and the MRI depiction of pathologic findings.

Journal Article↗

PubMedDate not supplied

Normal variants and diseases of the peroneal tendons and superior peroneal retinaculum: MR imaging features.

Diseases of the peroneal tendons and superior peroneal retinaculum (SPR) are frequently underdiagnosed causes of lateral ankle pain and instability. Common diseases include tenosynovitis, rupture, and dislocation of the peroneal tendons as well as injuries to the SPR. Many anatomic variants, such as a flat or convex retromalleolar fibular groove, hypertrophy of the peroneal tubercle, an accessory peroneus quartus muscle, a low-lying peroneus brevis muscle belly, or an os peroneum, may be associated with or predispose to lateral ankle disease. Magnetic resonance (MR) imaging is excellent for detecting soft-tissue and bone variants and abnormalities related to the lateral ankle. Knowledge of the MR imaging appearances of these entities aids radiologists in making the precise diagnosis of disorders of the peroneal tendons and SPR. Pitfalls and normal variants of the peroneal tendons, including magic angle phenomenon, pseudosubluxation of the peroneus brevis tendon, a bifurcated or mildly crescentic peroneus brevis tendon, insertion of the peroneus quartus tendon into the peroneus brevis tendon, and the presence of an os peroneum are important to recognize. It is also useful to be familiar with the MR imaging appearances of SPR injuries, which can be an overlooked but treatable cause of lateral ankle pain and instability.

Humans↗