jacobson glut tendon 8-23-12 syllabus

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Trochanteric Bursitis Trochanteric Bursitis Transverse Arthrogram Metal-on-Metal Arthroplasty: pseudotumor Introduction: Cup Neck Cup Troch • Anatomy and Scanning Technique • Bursal Pathology • Tendon Injury • Miscellaneous Anterior Lateral Tendinosis: Gluteus Medius Gluteal Tendon Pathology: • Tendinosis: hypoechoic, no defects • Partial tear: anechoic clefts • Complete tear: discontinuous tendon • >2 mm cortical irregularity is associated with tendon tear – Positive predictive value = 90% (xray)* AF LF SPF LF *Steinert et al. Radiology 2010; 257:754 4
Tendinosis: Gluteus Minimus Tear: Gluteus Medius AF LF AF AF LF LF >2 mm cortical irregularity (x-ray) = 90% positive predictive value for gluteus tendon tear Steinert et al. Radiology 2010; 257:754 Post-operative: Gluteus Medius Calcific Tendinosis: Gluteus Medius AF LF SPF LF AF LF LF Long Axis Short Axis Potential Treatment Algorithm: • If bursa: aspirate, inject steroids • If tendinosis: – Tenotomy or fenestration – Inject steroids superficial to tendon • 72% of patients significantly improved 1 • If tendon tear: platelet-rich plasma injection Trochanteric Region Bursae • Trochanteric: deep to gluteus maximus • Subgluteus medius • Subgluteus minimus • Axial plane PF LF 1 Labrosse, et al. 2010 AJR 2010; 194:202 5
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Page 7: Morel-Lavallee Lesion Take-home poi

jacobson glut tendon 8-23-12 syllabus

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