| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Musculoskeletal Imaging |
1 From the Departments of Radiology (A.Y.S., R.D.B., R.W.M.D., A.W.H., C.M., D.S.C., N.L., D.J.T., D.L.R.) and Pathology (P.H.), Veterans Affairs Medical Center and University of California San Diego, 3350 La Jolla Village Dr, San Diego, CA 92161. Received April 23, 1998; revision requested June 24; final revision received December 15; accepted January 15, 1999. Supported in part by Veterans Administration grant no. SA-360. Address reprint requests to D.L.R. (e-mail: dresnick@ucsd.edu).
PURPOSE: To use radiography and magnetic resonance (MR) imaging after contrast material opacification of the bursae in cadaveric specimens to demonstrate the anatomy of the bicipitoradial bursa and to report MR imaging findings in patients with bicipitoradial bursitis.
MATERIALS AND METHODS: Bicipitoradial bursa in eight cadaveric elbows were injected with a solution containing gadodiamide, iodinated contrast agent, and gelatin. Radiographs and MR images were obtained in each specimen, with both supination and pronation of the forearm. The morphology and relationships of the bursa were studied. Anatomic sections subsequently were obtained. MR imaging studies in eight patients with bicipitoradial bursitis were also evaluated.
RESULTS: The bicipitoradial bursa revealed a smooth outline and a wide base along the superficial aspect of the radius. The mean volume of contrast material that could be injected before extravasation was 4 mL. The mean size of the bursa was 1.8 x 2.5 cm. The bicipitoradial bursa enveloped the biceps tendon, with internal septation seen in two cases. Displacement of the superficial branch of the radial nerve by the bursa was found in two specimens. Communication between the bicipitoradial bursa and elbow joint was not observed. In patients, MR imaging demonstrated fluid collections in the bicipitoradial bursa in all cases, with compression of branches of the radial nerve in two cases.
CONCLUSION: The anatomy of the bicipitoradial bursa is demonstrated with radiography and MR imaging of bursae. MR imaging allows accurate diagnosis of bicipitoradial bursitis and its effects on adjacent structures.
Index terms: Bursa, 422.251 • Bursitis, 422.251 • Elbow, anatomy, 422.11, 422.121411, 422.121415, 422.12143, 422.251, 422.92 • Elbow, MR, 422.121411, 422.121415, 422.12143
This article has been cited by other articles:
|
|
 |
|
  G. S. Stacy and L. B. Dixon Pitfalls in MR Image Interpretation Prompting Referrals to an Orthopedic Oncology Clinic RadioGraphics, May 1, 2007; 27(3): 805 - 826. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. L. Chew and B. M. Giuffre Disorders of the Distal Biceps Brachii Tendon RadioGraphics, September 1, 2005; 25(5): 1227 - 1237. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Floemer, W. B. Morrison, G. Bongartz, and H. P. Ledermann MRI Characteristics of Olecranon Bursitis Am. J. Roentgenol., July 1, 2004; 183(1): 29 - 34. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J Teh, V Sukumar, and S Jackson Imaging of the elbow Imaging, December 1, 2003; 15(4): 193 - 204. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. Hauger, L. R. Frank, R. D. Boutin, N. Lektrakul, C. B. Chung, P. Haghighi, and D. Resnick Characterization of the "Red Zone" of Knee Meniscus: MR Imaging and Histologic Correlation Radiology, October 1, 2000; 217(1): 193 - 200. [Abstract] [Full Text]
|
|
|
|
|
|
T. T. Miller and R. S. Adler Sonography of Tears of the Distal Biceps Tendon Am. J. Roentgenol., October 1, 2000; 175(4): 1081 - 1086. [Abstract] [Full Text] [PDF]
|
|
