MSK MRI Checklists

Do you know what is happy eyes syndrome? Some call it satisfaction search. It happens when radiologist or physicians identifies a significant pathology and it is so exciting that he/she forgets to keep looking for other pathology.
A great way to deal with this problem is use of checklists. It is a systematic and pragmatic way of ensuring that all areas are reviewed and analysed. All abnormalities are reported.
We are glad to share a list of commonly used checklists in MSK MRI. We would love if you can add on to the list...

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Section 1: Shoulder MRI

Younger Patients

Trauma, Dislocations, Athletes

Older Patients

Degenerative disease, Rotator cuff disease

·    Dislocation.

·    AC joint disruption.

·    Hill Sachs lesion.

·    Bankart lesion.

·    SLAP tear

·    Fracture Humerus

·    Fracture Acromion

·    Fracture Clavicle

·    HAGL

·    Paralabral Cyst

 

·    Biceps tendon tear

·       NEER type 3 acromion

·       Os-Acromial

·       Acromial Spur

·       AC joint OA

·       Coracoacromial lig. thickening

·       SASD bursitis

·       Rotator cuff tendinopathy

·       Rotator cuff tear

·       Rotator cuff retraction/atrophy

·       Biceps tendon tear

 

 

 

Other Diagnosis

Special Diagnosis

·    Tumour

·    GH joint OA

·    Septic arthritis

·    Sub-coracoid Impingement

·    Reverse Bankart and Reverse Hill Sachs

·       Muscle Denervation

·       Quadrilateral space syndrome

 

 

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Section: 2: Elbow MRI

Bone

Soft Tissues

·    Bony Avulsions:

·    Coronoid process,

·    Olecranon

·    Loose bodies

·    Fractures

·    Osteochondritis dissecans

·    Osteomyelitis

·    Marrow

·    (Myeloma/Metastases)

 

 

·    Lateral epicondylitis

·    Medial epicondylitis

·    Tendon injury: Triceps

·    Tendon injury: Distal Biceps

·    Bicipitoradial bursitis

·    Olecranon bursitis

·    Lipomas

·    Subcutaneous lesions

 

Elbow joint

Nerves

·    Joint effusion and haemarthrosis

·    Inflammatory arthropathies (Synovitis/Erosions)

·    Ganglion cysts

·    PVNS

·    Synovial Osteochondromatosis

·    Septic arthritis

 

·    Ulnar Neuritis (Cubital tunnel syndrome)

·    Median Nerve entrapment syndrome

·    PIN compression

 

 

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Section 3: Wrist/Hand MRI

Bone

Soft Tissues

·      Scaphoid fracture

·      Other carpal fractures

·      Lunate/peri lunate dislocation

·      Osteomyelitis

·      Mets

·      Haemangioma

·      Enchondroma

·      Mets

·      Kienbock’s disease

·      Hyperparathyroidism Melorrheostosis

 

·      Carpal tunnel

·      Tenosynovitis

·      Ligamentous/Tendon avulsion

·      Ganglion cysts

·      TFCC

·      Tendon avulsions

·      Stener lesion

·      Glomus tumour of nail

·      GCT of tendon sheath

·      Paronychia

 

Wrist joint

Nerves

·      OA

·      Rheumatoid Arthritis

·      Ganglion cysts

·      Septic arthritis     

·      Psoriatic arthritis

·      Gout

·      PVNS

·      Synovial Osteochondromatosis.

·      Loose Bodies

·      Joint effusion

 

·       Median nerve compression

·       Ulnar nerve entrapment

·       Denervation injuries

 

 

 

 

 

 

 

 

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Section 4: Hip MRI

Bone and Joint.

Soft Tissues

·    AVN Femoral head – mid-age female.

·    Fracture NOF - elderly

·    Joint effusion

·    Osteomyelitis

·    Septic arthritis

·    Cares Sicca – Dry arthritis TB

·    OA / Inflam. arthropathy

·    Mets (Subtrochanteric)

·    ASIS, AIIS Avulsion–athletes

·    Adductor avulsion

·    Hamstring avulsion

·    FAI and Labral tears

·    DDH

·    Sacroiliitis

·    Transient osteoporosis

·    Cares Sicca – Dry arthritis TB

·    Osteoid Osteoma

·    Stress fractures

·    Rarely Primary bone tumours

 

·    Gluteus Medius tendonitis

·    Gluteus Medius tendon tear

·    Trochanteric bursitis.

·    Morel Lavallee’ lesion.

·    Hamstring avulsion tear

·    Myositis.

·    Muscle tear.

·    Groin hernia.

·    Ischiofemoral impingement

·    Avulsion ligament head of femur.

·    Rarely Other tendon tears including-

·    Hamstring avulsion

·    Adductor longus tear

 

 

 

 

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Section 5: Knee MRI

Menisci

Cruciate ligaments

·      Meniscal tear (Morphology: Vertical,  Horizontal, Radial, Longitudinal, Flap, Bucket handle, Displaced fragment)

·      Meniscal root tear

·      Parameniscal cyst

·      Meniscal ossicle

·      Discoid meniscus

 

 

·    ACL tear

·    (Midsubstance; Avulsion from femoral/tibial attachment)

·    PCL tear

·    ACL ganglion cyst/mucoid degeneration

·    ACL reconstruction

·    Cyclops lesion after ACL graft.

 

 

Collateral ligaments

Patellofemoral Joint

·      Pellegrini steida lesion

·      Segond or reverse avulsion

·      Arcuate fracture

·      ITB friction

·      Pes anserine bursitis

·      Tear

·      Posterolateral corner injury

·      Posteromedial corner injury

 

·    Lateral patellar dislocation

·    Lateral patellar tracking

·    Trochlear dysplasia

·    Patellar chondromalacia

·    Patellofemoral ligaments

·    Hoffa fat pad impingement

·    Abnormal TTTG

 

Various

Patellar tendon

·      Pes anserine bursitis

·      Baker’s cyst

·      Osteochondral lesions

·      Hoffa’s ganglion cysts

·      Marrow oedema

·      Loose bodies

·      Intra-osseous ganglion cysts

 

·    Proximal patellar tendinosis/ Jumper’s knee

·    Patellar tendon-lateral femoral condyle impingement/ friction

·    Patella alta/ baja

·    Osgood Schlatter

 

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Section 6: Ankle/Foot MRI

ANKLE JOINT

INTERTARSAL JOINTS

·    Osteochondral defect

·    Osteoarthritis(OA)

·    Effusion

·    Fractures

·    Anterior impingement (tibial and talar beak)

·    Posterior impingement (Os trigonum)?

·    Coalition?

·    Impingement

·    OA

·    Sinus Tarsi

 

TENDONS

LIGAMENTS

·    Anterior compartment

·    Posteromedial compartment

·    Peroneal compartment

·    Lateral

·    Medial/Deltoid

·    Syndesmotic ligaments (Anterior and Posterior Inferior Tibiofibular ligaments)

ACHILLES TENDON

OTHERS

·      Achilles tendon

·      Insertional

·      Non-insertional

·      Haglund’s deformity

·      Plantar fascia (central band)

·      Muscles of sole of foot

 

·    Charcot’s

·    Osteomyelitis/ Abscess or collection

·    Os naviculare

·    Hindfoot valgus or varus

·    First MTP joint/ Hallux valgus/ sesamoids