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Biomedical subjects

M Shahabpour

Publications and source records attributed to M Shahabpour.

At least 19 recordsLinked to original sources
PubMed2003

Can bone marrow edema be seen on STIR images of the ankle and foot after 1 week of running?

PURPOSE: To evaluate whether initiation of running in sedentary individuals would lead to bone marrow edema on MR images, within the time span of 1 week. MATERIALS AND METHODS: The feet of 10 healthy volunteers were imaged by MR imaging before and after running during 30 min a day for 1 week. The images were evaluated by consensus of 2 musculoskeletal radiologists who graded the presence of bone marrow edema on a 4-point scale. Edema scores and number of bones involved before and after running were compared statistically. RESULTS: Edema was present on the baseline images in 3 subjects. After running edema showed an increase or was present in 5 subjects. The changes after running were statistically significant. Bones involved were the talus, calcaneus, navicular bone, cuboid bone, and 5th metatarsal. CONCLUSION: Edema patterns can be seen in the feet of asymptomatic individuals. During initiation of running an increase of edema or development of new edema areas can be seen.

Adult↗
PubMed2001

Posterolateral supporting structures of the knee: findings on anatomic dissection, anatomic slices and MR images.

In this article we study the ligaments and tendons of the posterolateral corner of the knee by anatomic dissection, MR-anatomic correlation, and MR imaging. The posterolateral aspect of two fresh cadaveric knee specimens was dissected. The MR-anatomic correlation was performed in three other specimens. The MR images of 122 patients were reviewed and assessed for the visualization of different posterolateral structures. Anatomic dissection and MR-anatomic correlation demonstrated the lateral collateral, fabellofibular, and arcuate ligaments, as well as the biceps and popliteus tendons. On MR images of patients the lateral collateral ligament was depicted in all cases. The fabellofibular, arcuate, and popliteofibular ligaments were visualized in 33, 25, and 38% of patients, respectively. Magnetic resonance imaging allows a detailed appreciation of the posterolateral corner of the knee.

Aged↗
PubMed2001

MR imaging of meniscal cysts: evaluation of location and extension using a three-layer approach.

PURPOSE: To analyze the extension of medial and lateral meniscal cysts relative to the capuloligamentous planes of the knee. MATERIALS AND METHODS: The MR images of 32 patients with meniscal cysts were reviewed. The location and extension of the meniscal cysts with reference to the capsule and ligaments were recorded. RESULTS: Most medial meniscal cysts were located posteromedially. Posteromedial meniscal cysts usually penetrated the capsule and were located between layer I and the fused layers II+III. From this site some extended anteriorly and then became located superficial to the superficial MCL. The location of lateral meniscal cysts was more varied. Anteriorly the cysts were located deep to the iliotibial band, whereas posterolateral cysts were located deep to the lateral collateral ligament. CONCLUSION: Although the site of capsular penetration of meniscal cysts is determined by the location of meniscal tears, the possible pathways of extension appear to be determined by the capsuloligamentous planes of the knee.

Adolescent↗
PubMed2001

MR imaging of the medial collateral ligament bursa: findings in patients and anatomic data derived from cadavers.

OBJECTIVE: The purpose of this work was to define the MR imaging findings of fluid collections confined to the medial collateral ligament (MCL) bursa and to correlate these findings with anatomic features shown in cadaveric specimens. MATERIALS AND METHODS: The anatomic location of the MCL bursa was investigated by MR-anatomic correlation in seven cadaveric knees. The MR imaging studies and clinical charts of six patients with fluid collections confined to the MCL bursa were reviewed. RESULTS: On anatomic sections, the MCL bursa was located between the superficial and deep portions of the MCL. Separate femoral and tibial compartments were seen in most specimens. CONCLUSION: The anatomy of the MCL bursa is shown with MR imaging in cadaveric specimens and patients. Understanding the compartmentlike distribution of fluid in the MCL bursa at MR imaging allows accurate diagnosis and differentiation from other conditions.

Adult↗
PubMed2000

CT and MR arthrography of the normal and pathologic anterosuperior labrum and labral-bicipital complex.

Interpretation of computed tomographic and magnetic resonance arthrograms of the shoulder is complicated by normal variants of the labrum and glenohumeral ligaments. A superior sublabral recess is located at the 12 o'clock position and represents a normal recess between the superior labrum and the cartilage of the glenoid cavity. A sublabral foramen is located at the 2 o'clock position and represents localized detachment of the labrum from the glenoid rim. Buford complex is characterized by absence of the anterosuperior labrum and cordlike thickening of the middle glenohumeral ligament. Imaging features of damage to the anterior labrum include absence or detachment of the labrum and an irregular frayed appearance. Superior labrum anterior-to-posterior (SLAP) lesions are classified as type I (tear confined to the superior labrum), type II (labrum and biceps tendon detached from the superior glenoid), type III (bucket handle tear of the superior labrum), or type IV (bucket handle tear of the superior labrum with lateral extension into the biceps tendon). Increased distance between the labrum and the glenoid, an irregular appearance of the labral margin, or lateral extension of the separation may suggest a SLAP lesion rather than a normal anatomic variant. However, differentiation between normal variants and pathologic conditions and between various types of SLAP lesions remains difficult.

Adolescent↗
PubMed1999

Subperiosteal ganglion cyst of the tibia. A communication with the knee demonstrated by delayed arthrography.

We report a patient with a subperiosteal ganglion cyst of the tibia which was imaged by radiography, arthrography, CT and MRI. The images were correlated with the arthroscopic surgical and histological findings. Spiculated formation of periosteal new bone on plain radiographs led to the initial suspicion of a malignant tumour. Demonstration of the cystic nature of the tumour using cross-sectional imaging was important for the precise diagnosis. Communication between the ganglion cyst and the knee was shown by a delayed arthrographic technique, and the presence of this communication was confirmed at arthroscopy and surgically.

Arthrography↗
PubMed1999

Tarsal tunnel syndrome: ultrasonographic and MRI features.

Tarsal tunnel syndrome is a well-known but rare entrapment neuropathy involving the posterior tibial nerve in the tarsal tunnel, a fibro-osseous channel extending from the medial aspect of the ankle to the midfoot. Posttraumatic fibrosis, ganglion cyst, tenosynovitis, tumor of the nerves or other structures, dilated or tortuous veins can cause significant nerve compression in this anatomic region. Herein, we present the typical ultrasonographic and magnetic resonance features of this disorder in patient with a ganglion cyst.

Adult↗
PubMed1998

Calcium hydroxyapatite deposition disease of the neck: finding in three patients.

Calcium hydroxyapatite deposition disease may occasionally involve the superolateral portion of the longus colli muscle. Clinical symptoms include headache, neck pain, and dysphagia. Characteristic prevertebral calcifications with the epicenter at the C1-C2 level are depicted on lateral radiographs of the cervical spine.

Adult↗
PubMed1998

Glenoid dysplasia: radiographic and CT arthrographic findings.

A 60-year-old man with dysplasia of the glenoid and a rotator cuff tear is reported on. Because of the tear, CT arthrography was performed, offering an opportunity to evaluate the various soft tissue abnormalities accompanying glenoid dysplasia. Marked thickening of the glenoid cartilage and labrum was apparent, as well as an abnormal posterolateral orientation of the glenoid cavity. A deep notch was observed along the central portion of the glenoid cartilage. Furthermore the middle glenohumeral ligament appeared thickened and cordlike.

Arthrography↗
PubMed1997

Imaging in sports-medicine--knee.

Since the last decade, the introduction of Magnetic Resonance Imaging has provided a powerful new tool for the clinician to diagnose sports-related knee injuries. The main objective of this paper is to familiarise the relevant specialists with the proven clinical indications and semiology of MRI of the knee. At the present time, the knee joint is the area in which the advantages of MRI are most spectacularly apparent. The MR appearances of meniscal tears in particular, are first discussed in detail, referring to recent literature and personal experience based on more than ten thousands MR examinations of traumatic knees. Also the mechanisms of injuries and the most commonly involved sports are described. The precise types of meniscal lesions, as visualised at arthroscopy, are abundantly illustrated on MR images: e.g., bucket-handle, radial and horizontal cleavage tears, meniscocapsular separations, discoid menisci and meniscal cysts. We discuss the numerous pitfalls due to neighbouring anatomical structures as well as non clinically or surgically significant intrameniscal hypersignals in athletes. Towards other imaging techniques, MRI is particularly suited for the diagnosis of ligamentous injuries, especially the cruciate ligaments. We develop the currently used direct and indirect signs of rupture, the diagnostic difficulties related to the age of trauma and the detection of associated lesions. Sport-induced tendinous and bursal pathology is another interesting indication of MRI, not only lesions of the more superficial extensor tendons but also the pes anserinus or hamstring tendons. We finally treat the recent developments of MRI in assessment of cartilage, subchondral and medullary bone disorders of traumatic or microtraumatic origin.

Athletic Injuries↗
PubMed1997

[A "good choice" of diagnostic imaging examinations: the knee].

A medically sound and cost-effective choice of diagnostic imaging investigations in knee pathology must be supported by a good evaluation of the respective strong and weak points of the available methods. These are: conventional radiology, C.T., arthrography, arthro C.T., ultrasound, scintigraphy and magnetic resonance imaging. Based upon that analysis, decisional algorithms are proposed, in function of the clinically suspected pathologies.

Algorithms↗
PubMed1995

Lymphomatoid papulosis: a clinical case.

We report a case of lymphomatoid papulosis in a 36-year-old man who presented recurrent necrotic skin nodules that regressed spontaneously leaving scars. The condition had persisted since 1988. These nodules were always solitary and located on the extremities. Histological examination revealed a perivascular and interstitial, superficial and deep infiltrate with numerous atypical lymphocytes (> 40%) characterized by cerebriform mononuclear cells and large atypical cells stained by MT1, UCHL1 and Ber-H2 (anti-CD30). No associated disease was found. The patient has been free of lesions for more than a year without treatment. A nosological and physiopathological hypothesis of lymphomatoid papulosis is discussed.

Adult↗
PubMed1993

[Three-dimensional MRI of the knee].

Three-dimensional gradient echo T2-weighted sequences have a number of advantages over spin echo T2-weighted sequences (or even 2D gradient echo T2-weighted sequences) for assessment of the knee. They allow a multidimensional analysis based on a single acquisition sequence usually obtained in the sagittal plane. Image reconstructions can be performed secondarily in the coronal, axial and oblique planes, particularly along the specific path of the anterior cruciate ligament. By providing ultrathin serial sections, decreasing the partial volume effect, small lesions, such as cartilaginous fissures or flaps and radial meniscal lesions can be detected in the axial plane, for example. This advantage, combined with the marked sensitivity of gradient echo sequences to alterations in the tissue water content, allows the detection of partial tendon ruptures. The reduction of the partial volume effect and chemical shift artefact probably participate in the capacity of these sequences to visualise the two surfaces of the cartilage of the femorotibial joint. Flow artefacts are less of a problem than with 2D imaging, which eliminates the need for techniques such as saturation of the vascular signal or cardiac gating. A disadvantage of these gradient echo sequences (3D or 2D) is their sensitivity to the presence of metallic material, limiting their application in operated knees.

Anterior Cruciate Ligament↗
PubMed1993

Femoral periosteal thickening in pustulotic arthroosteitis, including 3-year followup by magnetic resonance imaging.

We describe 2 female patients with femoral periosteal thickening, in association with signs of pustulotic arthroosteitis in the sternocostoclavicular region and spine. In one patient, inflammatory changes were seen in muscular tissue surrounding this area of periosteal thickening, with fibrosis in the corresponding marrow. Over a period of up to 4 years after bone biopsy, cortical hyperostosis was observed spreading over a longer segment of her femoral diaphysis, while its thickness decreased over the longterm. Bone biopsy probably contributed to the striking periosteal thickening surrounded by inflammatory lesions in the surrounding muscles of this patients.

Adult↗