Sectional Anatomy by MRI and CT - Nodrm
Sectional Anatomy by MRI and CT - Nodrm
Sectional Anatomy by MRI and CT - Nodrm
Mark W. Anderson, MD
Harrison Distinguished Teaching Professor of Radiology
Chief, Musculoskeletal Imaging
Professor of Orthopaedic Surgery
University of Virginia
Charlottesville, Virginia
Michael G. Fox, MD
Associate Professor of Radiology and Medical Imaging
Associate Professor of Orthopaedic Surgery
University of Virginia
Charlottesville, Virginia
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
No part of this publication may be reproduced or transmitted in any form or by any means, electronic
or mechanical, including photocopying, recording, or any information storage and retrieval system,
without permission in writing from the publisher. Details on how to seek permission, further informa-
tion about the Publisher’s permissions policies and our arrangements with organizations such as the
Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.
elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical treat-
ment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in eval-
uating and using any information, methods, compounds, or experiments described herein. In using
such information or methods they should be mindful of their own safety and the safety of others,
including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check
the most current information provided (i) on procedures featured or (ii) by the manufacturer of
each product to be administered, to verify the recommended dose or formula, the method and du-
ration of administration, and contraindications. It is the responsibility of practitioners, relying on
their own experience and knowledge of their patients, to make diagnoses, to determine dosages
and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of products li-
ability, negligence or otherwise, or from any use or operation of any methods, products, instruc-
tions, or ideas contained in the material herein.
Names: Anderson, Mark W., 1957- , author. | Fox, Michael G., author. |
El-Khoury, Georges Y. Sectional anatomy by MRI and CT. Preceded by
(work):
Title: Sectional anatomy by MRI and CT / Mark W. Anderson, Michael G. Fox.
Description: Fourth edition. | Philadelphia, PA : Elsevier, [2017] | Includes
index. | Preceded by Sectional anatomy by MRI and CT / Georges Y.
El-Khoury, William J. Montgomery, Ronald A. Bergman. 3rd ed. 2007.
Identifiers: LCCN 2015049199 | ISBN 9780323394192 (hardcover : alk. paper)
Subjects: | MESH: Anatomy, Regional | Magnetic Resonance Imaging |
Tomography, X-Ray Computed | Atlases
Classification: LCC QM25 | NLM QS 17 | DDC 611/.90222--dc23
LC record available at http://lccn.loc.gov/2015049199
Printed in China
W
ith the explosion of cross-sectional imaging, the New features in this fourth edition include color-coded
accessibility of a high quality anatomic atlas has labeling and a corresponding online version that allows for
become essential and it is with great pleasure easy access anytime/anywhere and provides features such
that we introduce the fourth edition of this classic atlas. as scroll, zoom, and search functions that should further
enhance the user’s experience.
Since it was first published in 1990, it has become a
standard anatomic reference source. The first three edi- We hope that you will find this new edition to be an
tions were masterfully edited by Drs. Georges El-Khoury, integral and valuable addition to your practice.
Ronald Bergman, and William Montgomery, and we are
honored to be able to continue the tradition of excellence Mark W. Anderson, MD
that they established. Michael G. Fox, MD
Acknowledgments
W
e are indebted to Drs. El-Khoury and Bergman from Elsevier for helping to bring this project to fruition.
for their prior efforts in producing and improv- Without their invaluable assistance, it wouldn’t have
ing this text and for allowing us to continue happened!
along the path of excellence they established. We also Mark W. Anderson, MD
thank Robin Carter, Katie DeFrancesco, and Dan Fitzgerald Michael G. Fox, MD
Contents
SECTION I UPPER EXTREMITY SECTION II LOWER EXTREMITY
Chapter 1 M
RI of the Pectoral Girdle and Chest Chapter 9 MRI of the Hip, 221
Wall, 3
Axial, 224
Axial, 4 Sagittal, 233
Sagittal, 14 Coronal, 243
Coronal, 24 Chapter 10 MR Arthrography of the Hip, 250
Chapter 2 MRI of the Shoulder, 34 Axial, 251
Axial, 36 Sagittal, 257
Oblique Sagittal, 46 Coronal, 262
Oblique Coronal, 56 Chapter 11 MRI of the Thigh, 267
Chapter 3 MR Arthrography of the Shoulder, 66 Axial, 269
Axial, 67 Sagittal, 277
Oblique Sagittal, 72 Coronal, 286
Oblique Coronal, 78 Chapter 12 MRI of the Knee, 294
ABER (Abduction and External Rotation), 84
Axial, 295
Chapter 4 MRI of the Arm, 90 Sagittal, 302
Axial, 92 Coronal, 311
Sagittal, 98 Chapter 13 MRI of the Leg, 321
Coronal, 105
Axial, 324
Chapter 5 MRI of the Elbow, 114 Sagittal, 334
Axial, 115 Coronal, 342
Oblique Sagittal, 125 Chapter 14 MRI of the Ankle, 348
Oblique Coronal, 134
Axial, 349
Chapter 6 MRI of the Forearm, 143 Oblique Axial, 359
Axial, 146 Sagittal, 365
Sagittal, 156 Coronal, 372
Coronal, 162 Chapter 15 MRI of the Foot, 381
Chapter 7 MRI of the Wrist, 170 Axial, 385
Axial, 171 Sagittal, 391
Sagittal, 180 Coronal, 399
Coronal, 189
SECTION III SPINE AND BACK Chapter 21 MRI of the Abdomen, 493
Chapter 16 MRI of the Thoracic Spine, 411 Axial, 494
Sagittal, 502
Axial, 415 Coronal, 510
Sagittal, 417
Coronal, 420
SECTION VI PELVIS
Chapter 17 MRI of the Lumbar Spine, 424
Chapter 22 CT of the Male Pelvis, 521
Axial, 425
Sagittal, 429 Axial, 522
Coronal, 432 Sagittal, 528
Coronal, 531
Upper Extremity
This page intentionally left blank
1
Chapter
AXIAL
Figure 1.1.1 Internal jugular v Platysma m Infrahyoid m Thyroid cartilage
Inferior constrictor m
Sternocleidomastoid m Carotid a
Posterior scalene m
Levator scapulae m
Multifidus m
Trapezius m artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
Splenius cervicis Semispinalis cervicis ligaments = ligs
and splenius capitis mm and semispinalis capitis mm nerve &
vessels
bone
Trachea
Internal
carotid a
Longus
colli m
Middle
scalene m C6-7
disc level
Posterior
scalene m
Semispinalis
Trapezius m cervicis and
semispinalis
capitis mm
Trachea
Thyroid
gland
Esophagus
Longus
colli m
C7 vertebral
body
Posterior
scalene m
Trachea
Common
carotid a
Longus
colli m
Posterior
scalene m
Acromion Multifidus m
Semispinalis
capitis m
Clavicle
Splenius
capitis and
splenius
cervicis mm
Scapular Supraspinatus m Trapezius m Levator Serratus posterior
spine scapulae m superior m
6 UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL
Middle Longus
deltoid m colli m
Middle
scalene m
Serratus
Posterior anterior m
deltoid m
Semispinalis
capitis m
Splenius capitis
and splenius
cervicis mm
Anterior
jugular v
Greater Sternohyoid m
tuberosity
of humerus Common
carotid a
Humeral Internal
head jugular v
Deltoid m
Costovertebral
joint
Subclavian a
Costotransverse
Glenoid joint
Rib
Infraspinatus m
Sternohyoid m
Deltoid m,
Anterior jugular v
anterior head
Sternothyroid m
Biceps Common
brachii t, carotid a
long head
Subclavian a
Greater Thoracoacromial a
tuberosity
of humerus Semispinalis
thoracis m
Humeral
head Semispinalis
capitis m
Glenoid
Splenius capitis
and splenius
cervicis mm
Posterior
deltoid m
Rhomboid major m
Sternocleidomastoid m,
sternal head
Anterior jugular v
Sternohyoid m
Brachiocephalic a
Brachiocephalic v
Deltoid m
Trachea
Subclavian v
Axillary a
Right lung
Semispinalis
thoracis m
Glenohumeral
joint Rhomboid
major m
Trapezius m
Glenoid
Biceps
brachii t,
long head Clavicle
Sternothyroid m
Sternohyoid m
Brachiocephalic a
Brachiocephalic v
Right lung
Deltoid
Rib
Trapezius m
Splenius capitis
and splenius
cervicis mm
Infraspinatus m Glenoid Serratus Scapular body, Serratus Trapezius m Rhomboid
anterior m medial border anterior m major m
Left
Surgical neck brachiocephalic v
of humerus
Brachiocephalic a
Right
brachiocephalic v
Trachea
Deltoid m Axillary v
Costovertebral
joint
Quadrangular Rib
space
Semispinalis
thoracis m
Posterior
circumflex Splenius capitis
humeral a and and splenius
branches cervicis mm
and axillary n
and branches Rhomboid
major m
Triceps brachii m, Teres Subscapularis m Infraspinatus m Serratus Trapezius m
long head minor m anterior m
UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL 9
Sternum
Left
brachiocephalic v
Humerus
Brachiocephalic a
Right
brachiocephalic v
Deltoid m Trachea
Thoracic
vertebral body
Subscapularis m
Quadrangular
space Rib
Rhomboid
Axillary n and major m
posterior
circumflex
humeral a Trapezius m
Sternum
Ascending aorta
Superior vena
cava
Deltoid m Pectoralis minor m
Trachea
Pectoralis
major t
Sternum
Biceps
brachii m,
long head Ascending aorta
Superior
Deltoid m vena cava
Cephalic v Sternum
Internal thoracic
Pectoralis a and v
major t
Ascending
Biceps aorta
brachii m,
long head Superior
vena cava
Deltoid m
Right lung
Humeral
diaphysis
Subscapularis m
Latissimus
dorsi t Teres major m
and teres
major m Semispinalis
Triceps thoracis m
brachii m, Erector spinae m
lateral head
Axillary n, Trapezius m
posterior branch
Triceps
brachii m,
long head Axillary Latissimus Scapula Infraspinatus m Serratus Rhomboid
neurovascular dorsi m anterior m major m
bundle
UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL 11
Sternum
Pectoralis Superior
major t vena cava
Deltoid m
Right main
pulmonary a
Triceps
brachii m,
lateral head Thoracic
vertebral body
Brachial
neurovascular Rib
bundle
Latissimus Semispinalis
dorsi m thoracis m
Erector
Triceps
spinae m
brachii m,
long head
Sternum
Biceps Internal
brachii m, thoracic
long head a and v
Cephalic v Ascending
aorta
Biceps
Superior
brachii m,
vena cava
short head
Deltoid m
Humeral
diaphysis
Triceps
brachii m, Erector
lateral head spinae m
Triceps
brachii m, Semispinalis
long head thoracis m
Radial n and
deep brachial a Trapezius m
Sternum
Biceps
brachii m,
long head
Cephalic v
Deltoid m
Humeral
diaphysis
Triceps
brachii m, Erector
medial head spinae m
Radial n
Triceps
brachii m, Semispinalis
lateral head thoracis m
Triceps Trapezius m
brachii m,
long head
Sternum
Internal
thoracic
a and v
Cephalic v
Biceps
brachii m,
long head
Deltoid m
Triceps Right lung
brachii m,
medial head
Radial n
Triceps
brachii m, Intercostal m
lateral head
Triceps Erector
brachii m, spinae m
long head
Trapezius m
Sternum
Biceps
brachii m,
long head
Cephalic v
Coracobrachialis m
Deltoid m
Triceps Erector
brachii m, spinae m
long head
Trapezius m
SAGITTAL
Figure 1.2.1
Deltoid m
Deltoid m
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
Cephalic v tendons = tt
nerve = n
Triceps brachii m,
nerves = nn
long head
ligament = lig
ligaments = ligs
nerve &
Triceps brachii m, vessels
lateral head bone
Greater
tuberosity
of humerus
Humeral head
Deltoid m
Cephalic v
Triceps brachii m,
lateral head
Lateral edge
of acromion
Supraspinatus t
Teres minor m and t
Deltoid m
Humeral head
Teres major m
Deltoid m
Cephalic v Triceps brachii m,
lateral head
Deltoid tuberosity
Humeral diaphysis
Triceps brachii m,
medial head
Triceps brachii m,
long head
Biceps brachii m,
long head
Supraspinatus t
Infraspinatus t
Humeral head
Subscapularis t Deltoid m
Lesser tuberosity
Teres minor m
of humerus
Deltoid m
Posterior circumflex a
Anterior circumflex and axillary n
humeral a
Teres major m
Cephalic v
Radial n and
Pectoralis major t deep brachial a
Biceps brachii m,
short head Triceps brachii m,
medial head
Biceps brachii m,
long head Triceps brachii m
Humeral diaphysis
16 UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL
Acromion
Infraspinatus m and t
Coracoacromial lig
Deltoid m
Humeral head
Deltoid m
Teres minor m
Pectoralis major m
Latissimus dorsi t
Latissimus dorsi m
Biceps brachii m
Supraspinatus m
Coracoacromial lig
Deltoid m Infraspinatus m
Deltoid m
Medial
humeral head
Teres minor m
Glenoid
Subscapularis m
Cephalic v
Teres major m
Biceps brachii m,
short head
Trapezius m
Scapular spine
Deltoid m
Supraspinatus m
Coracoacromial lig
Pectoralis major m,
clavicular head
Teres major m
Pectoralis major m,
sternocostal head
Latissimus dorsi m
Deltoid m
Infraspinatus m
Coracoid process
Subscapularis m
Scapula
Coracobrachialis m
Teres minor m
Axillary a
Pectoralis major m,
clavicular head Teres major m
Pectoralis major m,
sternocostal head
Latissimus dorsi m
18 UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL
Deltoid m
Infraspinatus m
Cephalic v
Pectoralis minor m
Subscapularis m
Axillary a
Pectoralis major m,
clavicular head Teres major m
Scapula
Serratus anterior m
Latissimus dorsi m
Supraspinatus m
Clavicle
Subclavius m
Cephalic v
Infraspinatus m
Subscapularis m
Pectoralis minor m
Axillary a
Axillary v
Teres major m
Scapula
Pectoralis major m
Latissimus dorsi m
Ribs
Latissimus dorsi m
Serratus anterior m
UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL 19
Supraspinatus m
Clavicle
Scapular spine
Subclavius m
Cephalic v
Subscapularis m
Pectoralis minor m
Axillary a Infraspinatus m
Axillary v
Teres major m
Latissimus dorsi m
Latissimus dorsi m
Serratus anterior m
Supraspinatus m
Subclavius m
Trapezius m
Clavicle
Medial scapular spine
Cephalic v
Subscapularis m
Cords of brachial plexus
Axillary a
Axillary v Serratus
anterior m
Pectoralis minor m
Infraspinatus m
Pectoralis major m
Scapula,
inferior angle
Right lung
Serratus anterior m
Latissimus dorsi m
20 UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL
Serratus anterior m
Supraspinatus m
Subclavius m
Clavicle
Pectoralis minor m
Scapular body
Ribs
Serratus anterior m
Right lung
Latissimus dorsi m
Trapezius m
Cords of brachial plexus
Inferior omohyoid m
Serratus anterior m
Subclavius m Supraspinatus m
Scapula, medial margin
Clavicle Serratus anterior m
Axillary a
Trapezius m
Axillary v
Pectoralis major m,
clavicular head
Pectoralis major m,
sternocostal head Rhomboid major m
Posterior rib
Intercostal m
Right lung
Latissimus dorsi m
UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL 21
Serratus anterior m
Trapezius m
Subclavian v
External jugular v
Levator scapulae m
Subclavius m Subclavian a
Serratus posterior
Clavicle superior m
Rhomboid major m
Posterior ribs
Serratus posterior
inferior m
Internal intercostal m
Latissimus dorsi m
Clavicle
Pectoralis major m,
clavicular head
Rhomboid major m
Right lung
Serratus posterior
inferior m
Latissimus dorsi m
Costal cartilage
22 UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL
Subclavian a
Posterior scalene m
Anterior scalene m
Trapezius m
External jugular merging
with subclavian v
Levator scapulae m
Sternocleidomastoid m, Rhomboid minor m
clavicular head
Serratus posterior
Anterior jugular v
superior m
Pectoralis major m,
clavicular head
Serratus posterior
Pectoralis major m, inferior m
sternocostal head
Intercostal m
Costal cartilage
Latissimus dorsi m
Trapezius m
Anterior scalene m
Pectoralis major m,
sternocostal head
Posterior rib
Intercostal m
Costal cartilage
Latissimus dorsi m
Serratus posterior
inferior m
Sternohyoid m
Subclavian v
UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL 23
Figure 1.2.19
Sternocleidomastoid m Internal jugular v
Semispinalis
capitis m
Sternohyoid m
Sternocleidomastoid m, Trapezius m
clavicular head
Anterior jugular v Posterior ribs medially
Brachiocephalic v Rhomboid major m
Medial clavicle
Sternoclavicular joint
Manubrium
Pectoralis major m,
costosternal head Trapezius m
Intercostal
neurovascular bundle
Costal cartilage, third rib
Erector spinae m
CORONAL
Figure 1.3.1
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
Pectoralis major m, tendons = tt
clavicular head nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Costal cartilage
Pectoralis major m,
sternocostal head
Sternum
Internal intercostal m
Trachea
Anterior deltoid m
Pectoralis major m,
sternocostal head
Costal cartilage
UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL 25
Infrahyoid m
Deltoid m
Pectoralis major m,
sternocostal head
Thyroid cartilage
Deltoid m
Sternocleidomastoid m
Conjoined t of
coracobrachialis m and
biceps brachii m,
short head
Biceps brachii m, Anterior jugular v
long head
Subclavian v
Lesser tuberosity of
humerus
Deltoid m Interclavicular lig
Pectoralis
major m, clavicular head
Cephalic v
Right lung
Pectoralis major m,
sternocostal head
26 UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL
Acromion
Deltoid m
Cephalic v
Right lung
Lesser tuberosity
of humerus
Acromioclavicular Sternocleidomastoid m
joint
Acromion
Internal jugular v
Supraspinatus t
Trachea
Distal clavicle
Anterior scalene m
Acromioclavicular joint
External jugular v
Supraspinatus t
Humeral head Subclavian a and v
Subscapularis m
Thyrocervical trunk
Greater tuberosity
of humerus Trachea
Right
Deltoid m brachiocephalic v
Cephalic v
Right lung
Biceps brachii m
Posterior
sternocleidomastoid m
Middle scalene m
Acromion
Brachial plexus
Deltoid m Subclavian a
Greater tuberosity Brachial plexus
of humerus
Axillary a
Humeral head
Axillary v
Latissimus dorsi t
Biceps brachii m,
short head
Coracobrachialis m
Biceps brachii m,
long head
Cephalic v
Serratus Ribs
anterior m
28 UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL
Multifidus m
Posterior scalene m
Acromion Middle scalene m
Superior glenoid
Greater tuberosity of Thoracic vertebrae
humerus
Humeral head
Subscapularis m
Deltoid m
Teres major m and t
Latissimus dorsi m
Biceps brachii m,
short head
Biceps brachii m,
long head
Posterior scalene m
Acromion Semispinalis capitis m
Quadrangular space
Teres major m
Subscapular a
Latissimus dorsi m
Right lung
Humeral diaphysis
Coracobrachialis m
Biceps brachii m
Levator
Posterior glenoid scapulae m
Teres minor m Quadrangular
space
Deltoid m
Axillary n and Triceps brachii t,
posterior circumflex long head
humeral a
Teres major m
Latissimus dorsi m
Radial n and
deep brachial a
Humeral diaphysis
Coracobrachialis m
Biceps brachii m
Trapezius m
Semispinalis
cervicis
and semispinalis
capitis mm
Acromion
Splenius capitis m
Infraspinatus m
Serratus
Teres minor m anterior m
Deltoid m
Axillary n, Thoracic
posterior branch vertebral body
Latissimus dorsi m
Triceps brachii m,
lateral head Right lung
Radial n and
deep brachial a
Humeral diaphysis
Infraspinatus m
Subscapularis m
Rotatores thoracis m
Triceps brachii m,
long head
Rib
Deltoid m
Teres major m
Triceps brachii m,
lateral head
Thoracic vertebral
Radial n body
Triceps brachii m, Posterior intercostal
medial head a and v
Humeral diaphysis
Intervertebral disc
Splenius capitis m
Infraspinatus m
Scapular body
Semispinalis capitis m
Deltoid m
Rotatores thoracis mm
Teres minor m
Triceps brachii m,
long head
Teres major m
Latissimus dorsi m Right lung
Triceps brachii m,
lateral head
Radial n
Posterior
Triceps brachii m, intercostal a and v
medial head
Humeral diaphysis
Teres minor m
Spinalis thoracis m
Semispinalis capitis m
Subscapularis m
Teres major m
Triceps brachii m,
lateral head
Triceps brachii m, Costotransverse joints
long head
Triceps brachii m,
medial head Posterior
intercostal a and v
Radial n
Humeral diaphysis
Rhomboid minor m
Semispinalis thoracis m
Teres major m
Spinal cord
Triceps brachii m,
long head
Latissimus Ribs
dorsi m
Serratus
anterior m
32 UPPER EXTREMITY: MRI OF THE PECTORAL GIRDLE AND CHEST WALL
Teres major m
Costovertebral joint
Triceps brachii m,
long head
Levator costae m
Latissimus Serratus
dorsi m anterior m
Rhomboid minor m
Teres minor m
Rhomboid major m
Deltoid m
Erector spinae m
Teres major m
Posterior rib
Intercostal m
Teres major m
Rib
Inferior scapula
Semispinalis
thoracis m
Erector spinae m
Latissimus Serratus
dorsi m anterior m
Trapezius m
Rhomboid major m
Inferior scapula
Spinous process,
Triceps brachii m, thoracic spine
long head
Semispinalis
thoracis m
Pectoralis Medial half of the anterior surface of the Crest of the greater tubercle of the Lateral and medial
major clavicle, side and front of the sternum as humerus, lateral lip of the intertu- pectoral (C5 and C6
far as the 6th costal cartilage, front and bercular groove, deltoid tubercle, for the clavicular part,
surfaces of the cartilage of the 2nd and fibrous periosteum of the in- and C7, C8, and T1
through 6th ribs, osseous ends of the 6th tertubercular sulcus for the sternocostal
and 7th ribs, and aponeurosis of external part)
abdominal oblique
Pectoralis Aponeurotic slips from the 2nd through Anterior half of the medial border Medial and lateral
minor 5th ribs, near costal cartilages and upper surface of the coracoid pectoral (C6, C7, C8)
process of the scapula
Subclavius First rib and its cartilage Inferior surface of the clavicle Nerve to subclavian
between the costal and coracoid (C5 or C5 and C6)
tuberosities
Deltoid Lateral border and upper surface of the Deltoid tuberosity of the humerus Axillary (C5, C6)
lateral third of the clavicle, the
acromion, and the scapular spine
Supraspinatus Supraspinous fossa and investing Shoulder capsule and superior Suprascapular
fascia facet of the greater tubercle of the (C4, C5, C6)
humerus
Infraspinatus Infraspinous fossa, scapular spine, Shoulder capsule and middle facet Suprascapular
investing (deep) fascia, and adjacent of the greater tubercle of the hu- (C4, C5, C6)
aponeurotic septa merus
Teres minor Upper two thirds of the axillary Shoulder capsule and inferior facet Axillary (C4, C5, C6)
border of the scapula of the greater tubercle of the
humerus
Subscapularis Subscapularis fossa Shoulder capsule and lesser tubercle Two or three subscap-
of humerus and its shaft immedi- ular branches from
ately below the tubercle posterior cord and
upper and lower
subscapular (C5,
C6, C7)
Teres major Inferior angle of the scapula Medial lip of the intertubercular Lower subscapular
groove of the humerus (C6, C7)
Latissimus Spine and interspinous ligaments of the Muscle tendon inserts onto the Thoracodorsal (C6,
dorsi lower five or six thoracic vertebrae, upper ventral side of the lesser tubercle of C7, C8)
lumbar vertebrae, thoracodorsal fascia, the humerus and onto the floor of
posterior third of the crest of the ilium, the intertubercular groove ventral
and the lateral surface and upper edge of to the tendon of the teres major.
the lower three or four ribs The tendon may extend to the
greater tubercle of the humerus.
36 UPPER EXTREMITY: MRI OF THE SHOULDER
AXIAL
Figure 2.1.1 Trapezius m
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Trapezius m
Thoracoacromial a,
clavicular branch
Trapezius m
UPPER EXTREMITY: MRI OF THE SHOULDER 37
Deltoid m
Trapezius m
Acromion
Supraspinatus m
Trapezius m
Thoracoacromial a,
acromial branch
Trapezius m
Deltoid m Thoracoacromial
a and v,
acromial branch
Supraspinatus m
Deltoid m
Supraspinatus m
Clavicle
Deltoid m
Suprascapular aa
Inferior omohyoid
m and t
Supraspinatus m
Clavicle
Supraspinatus t
Subclavius m
Deltoid m
Inferior
omohyoid t
Serratus
anterior m
Biceps
anchor Supraspinatus m
Supraspinatus t
Greater
tuberosity Subclavius m
of humerus
Coracoid
Humeral head process
Deltoid m
Suprascapular
a and n
Infraspinatus t
Subscapularis m
Supraspinatus m
Glenoid
Coracoid
process
Subclavius m
Greater
tuberosity
of humerus
Middle
glenohumeral lig
Humeral
head
Glenoid
Deltoid m
Subscapularis m
Pectoralis
major m
Cephalic v
Greater
tuberosity
of humerus
Humeral head
Glenoid
Spinoglenoid
Deltoid m notch
Subscapularis m
Pectoralis
major m
Bicipital Cephalic v
(intertubercular) Thoracoacromial a,
groove deltoid branch
Greater
tuberosity Anterior
of humerus glenoid labrum
Glenoid
Humeral head
Glenoid neck
Deltoid m
Subscapularis m
Infraspinatus t
Scapula
Pectoralis
major m
Bicipital
(intertubercular)
groove Pectoralis
minor m
Axillary a and v
Greater
tuberosity
of humerus
Deltoid m
Glenoid neck
Scapular body
Biceps brachii t,
long head
Pectoralis major m
Pectoralis minor m
Axillary v
Humerus
Axillary a
Anterior
inferior labrum
Deltoid m Subscapularis m
Glenoid neck
Scapular body
Pectoralis
major m
Pectoralis minor m
Lymph node
Axillary v
Axillary a
Deltoid m
Subscapularis m
Humerus
Pectoralis
Transverse
major m
humeral lig
Pectoralis
minor m
Lymph node
Humerus Axillary v
Axillary a
Deltoid m
Subscapularis m
Pectoralis major m
Pectoralis minor m
Axillary v
Deltoid m Axillary a
Subscapular a
Humerus
Subscapularis m
Scapular body
Pectoralis major m
Pectoralis minor m
Coracobrachialis m and t
Axillary v
Axillary a
Humerus
Subscapular a
Subscapularis m
Deltoid m
Scapular body
Cephalic v in
deltopectoral
triangle
Deltoid m Pectoralis major m
Pectoralis minor m
Subscapularis m
Deltoid m
Posterior
circumflex
humeral a Scapular body
and axillary n
Teres minor m
Pectoralis
major m
Deltoid m Pectoralis
minor m
Biceps brachii t,
long head Coracobrachialis m
Axillary v
Humeral Axillary a
diaphysis
Subscapular a
Deltoid m
Teres major m
Scapular body
Teres minor m
Pectoralis
major m
Pectoralis
minor m
Triceps brachii m,
lateral head Subscapularis m
Teres major m
Deltoid m
Scapula
Teres minor m
OBLIQUE SAGITTAL
Figure 2.2.1
Deltoid m
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 2.2.2
Deltoid m
Humeral epiphysis
(greater tuberosity)
Humeral physis
Deltoid m
Deltoid m
UPPER EXTREMITY: MRI OF THE SHOULDER 47
Figure 2.2.3 Supraspinatus t insertion Humeral epiphysis (greater tuberosity) Infraspinatus t insertion
Humeral
physis
Deltoid m
Humeral
metaphysis
Deltoid m
Humeral
Biceps brachii t, epiphysis
long head
Humeral
physis
Humeral
metaphysis
Deltoid m
Deltoid m
48 UPPER EXTREMITY: MRI OF THE SHOULDER
Deltoid m
Biceps
brachii t,
long head Humeral
head
Lesser
tuberosity Teres minor t
of humerus
Humeral
physis
Biceps
brachii t,
long head
Humerus
Deltoid m
Deltoid m
Rotator cuff
interval
Biceps
brachii t,
long head
Subscapularis t Humeral
insertion head
Lesser
tuberosity Teres
of humerus minor t
Deltoid m
Anterior
circumflex Deltoid m
humeral a
Cephalic v
Humerus
UPPER EXTREMITY: MRI OF THE SHOULDER 49
Biceps brachii t,
long head
Supraspinatus t
Deltoid m
Infraspinatus t
Coracohumeral
and superior Humeral head
glenohumeral ligs
Subscapularis t
Humeral epiphysis Teres minor t
Teres minor m
Triceps brachii m,
long head
Biceps brachii t,
long head
Coracohumeral Infraspinatus t
and superior
glenohumeral ligs
Triceps brachii m,
long head
Triceps brachii m,
lateral head
Biceps brachii m, short head Latissimus dorsi and teres major tt Humerus
50 UPPER EXTREMITY: MRI OF THE SHOULDER
Deltoid m Deltoid m
Blended superior
glenohumeral and
coracohumeral ligs,
roof of rotator Infraspinatus t
interval
Triceps brachii m,
Pectoralis major m lateral head
Triceps brachii m,
long head
Biceps brachii m,
short head
Acromion
Coracoacromial lig
Pectoralis major m
Triceps brachii m,
Biceps brachii m, long head
short head
Triceps brachii m,
Coracobrachialis m lateral head
Deltoid m
Supraspinatus m
Coracoacromial lig
Superior
glenohumeral lig
Infraspinatus m
Humeral epiphysis
Coracoid process
Deltoid m
Deltoid m
Cephalic v
Supraspinatus m
Biceps brachii t,
long head
Coracoacromial lig
Infraspinatus m
Coracohumeral lig
Deltoid m
Coracoid process
Deltoid m
Subscapularis m Teres minor m
Cephalic v
Triceps brachii t,
long head
Pectoralis major m
Coracobrachialis m
Triceps brachii m,
long head
Acromioclavicular Acromion
joint
Supraspinatus m
Coracohumeral lig
Deltoid m Infraspinatus m
Coracoid process Posterior
superior labrum
Pectoralis minor t
Deltoid m
Coracobrachialis m Glenoid
Anterior circumflex
humeral a Subscapularis m
Posterior circumflex Triceps brachii m,
humeral a and long head
axillary n
Teres major m
Pectoralis major m
Axillary a
Acromioclavicular lig
Scapular spine
Deltoid m
Infraspinatus m
Pectoralis minor t
Glenoid Deltoid m
Cephalic v
Teres minor m
Subscapularis m Infraglenoid tubercle
Triceps brachii m,
long head
Teres major m
Pectoralis major m
Clavicle
Deltoid m
Deltoid m
Base of
coracoid process Infraspinatus m
Pectoralis minor t
Cephalic v
Scapular neck
Teres minor m
Pectoralis
major m
Triceps brachii m,
long head
Axillary a
Cord of brachial
plexus
Coracoclavicular lig,
trapezoid portion
Deltoid m Deltoid m
Infraspinatus m
Base of coracoid
process Suprascapular a
Cephalic v and n in
spinoglenoid notch
Clavicle
Coracoclavicular lig,
trapezoid portion
Deltoid m
Deltoid m
Infraspinatus m
Cephalic v
Axillary a
Pectoralis minor m Triceps brachii m,
long head
Teres major m
Latissimus dorsi m
Coracoclavicular lig,
conoid portion
Deltoid m
Deltoid m
Cephalic v
Infraspinatus m
Pectoralis
major m Scapular body
Teres minor m
Axillary a
Pectoralis Circumflex
minor m scapular a
Teres major m
Scapular spine
Clavicle
Deltoid m
Cephalic v
Infraspinatus m
Pectoralis
major m Scapular body
Axillary a and v Teres minor m
Pectoralis
minor m
Teres major m
Rib
Figure 2.2.20
Trapezius m Supraspinatus m Scapular spine
Clavicle
Deltoid m
Subclavius m
Cephalic v Infraspinatus m
Pectoralis minor m
Teres minor m
Axillary v
Teres major m
Rib
Latissimus
dorsi m
OBLIQUE CORONAL
Figure 2.3.1 Clavicle Thoracoacromial a Inferior omohyoid m
Trapezius m
Suprascapular
a and n
Subclavius m Serratus
anterior m
Subscapularis m
Rib
Deltoid m
Axillary a
Axillary v
artery = a
Cephalic v arteries = aa
vein = v
veins = vv
Pectoralis
muscle = m
major m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
Pectoralis ligaments = ligs
major m nerve &
vessels
bone
Trapezius m
Serratus
Coracoclavicular lig, anterior m
conoid portion Inferior
omohyoid m
Subscapularis m
Pectoralis minor t
Rib
Deltoid m
Axillary a
Axillary v
Cephalic v
Pectoralis major m
Pectoralis major m
UPPER EXTREMITY: MRI OF THE SHOULDER 57
Trapezius m
Thoracoacromial a,
clavicular branch
Serratus anterior m
Deltoid m
Suprascapular a
Inferior omohyoid
Coracoid process m and t
Deltoid m
Cephalic v
Serratus anterior m
Cephalic v
Trapezius m
Thoracoacromial a,
clavicular branch
Supraspinatus m
Coracohumeral lig
Suprascapular a and n
Subscapularis t
Deltoid m Subscapularis m
Rib
Deltoid m
Thoracodorsal a
Cephalic v
Figure 2.3.6 Acromioclavicular joint Clavicle Coracoid process Thoracoacromial a, acromial branch
Trapezius m
Thoracoacromial a,
clavicular branch
Deltoid m Supraspinatus m
Coracohumeral lig
Suprascapular
a and n
Subscapularis t
Deltoid m Subscapularis m
Biceps brachii m,
short head Subscapular a
Axillary v
Cephalic v
Deltoid m
Blended superior
glenohumeral and Supraspinatus m
coracohumeral ligs
Superior
glenohumeral lig
Suprascapular
a and n
Lesser tuberosity
of humerus
Deltoid m
Subscapularis t
Posterior circumflex
humeral
a and axillary n
Coracobrachialis m
Biceps brachii m,
short head
Trapezius m
Acromion
Deltoid m
Supraspinatus m
Coracohumeral lig
Sublabral sulcus
Suprascapular
Supraspinatus t a and n
Glenoid
Humeral head
Anterior circumflex
humeral a
Deltoid m
Circumflex
scapular a
Biceps brachii m Subscapularis m
and t, short head
Trapezius m
Supraspinatus m
Supraspinatus t
Suprascapular
a and n
Biceps brachii t,
long head
Humeral head
Anterior
circumflex Subscapularis m
humeral a
Posterior circumflex
humeral a
Deltoid m and axillary n
Circumflex
Biceps scapular a
brachii m,
short head
Biceps brachii m
and t, long head
Acromion
Trapezius m
Deltoid m
Supraspinatus t
Supraspinatus m
Superior labrum
Greater tuberosity
of humerus Scapula
Humeral head
Deltoid m
Inferior labrum
Capsular ligs
Subscapularis m
Circumflex
Biceps brachii m, scapular a
short head
Radial n and
Deltoid m deep brachial a
Trapezius m
Deltoid m
Supraspinatus m
Supraspinatus t Supraspinatus m
Greater tuberosity
of humerus
Humeral head
Infraspinatus m
Deltoid m Glenoid
Humeral
surgical neck Teres major m
Capsular ligs
Posterior Circumflex
circumflex scapular a
humeral a
and axillary n
Deltoid m
Junction of Trapezius m
infraspinatus and
supraspinatus tt
Greater tuberosity
of humerus
Infraspinatus m
Humeral head
Glenoid
Humeral
surgical neck
Capsular ligs
Posterior circumflex
humeral a and
axillary n Teres major m
Deltoid m
Scapula
Coracobrachialis m
Latissimus Circumflex
dorsi m scapular a
62 UPPER EXTREMITY: MRI OF THE SHOULDER
Deltoid t
Humeral
Circumflex surgical neck
vessels
Capsular ligs
Infraspinatus m
Posterior
circumflex Teres major m
humeral a and
axillary n Scapular body
Deltoid m
Deltoid m
Humeral head
Infraspinatus t
Infraspinatus m
Humeral
surgical neck
Deltoid m Triceps brachii m,
long head
Posterior circumflex
humeral a and Teres minor m
axillary n in
quadrangular space Scapula
Radial n and
deep brachial a
Humeral diaphysis
Teres major m
Triceps brachii m,
long head
Deltoid t
Infraspinatus t
Humeral head
Triceps brachii m,
long head
Deltoid m
Teres minor m
Posterior circumflex
humeral a and
axillary n in
quadrangular space Circumflex
scapular a
Deltoid m
Teres major m
Triceps brachii m,
lateral head
Humerus
Deltoid m
Humeral head
Teres Circumflex
minor m scapular a
Deltoid m
Teres minor m
Posterior circumflex
humeral Teres major m
a and axillary n
Triceps brachii m,
lateral head Latissimus
dorsi m
Humerus
Triceps brachii m,
long head
64 UPPER EXTREMITY: MRI OF THE SHOULDER
Infraspinatus m
Deltoid m
Circumflex
Posterior scapular a
circumflex
humeral a
and axillary n
Teres major m
Latissimus
dorsi m
Deltoid m
Teres
minor m
Latissimus
dorsi m
Deltoid m
Latissimus
dorsi m
Triceps brachii m,
long head
Deltoid m
MR Arthrography
of the Shoulder
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 67
AXIAL
Figure 3.1.1 Supraspinatus t
Clavicle
Biceps brachii t,
long head
Superior
Deltoid m glenoid,
supraglenoid
tubercle
Infraspinatus t
Deltoid m Scapular
spine
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Biceps brachii t,
Humeral head long head
Supraspinatus t Superior
glenohumeral lig
Deltoid m
Glenoid articular
cartilage Glenoid
Infraspinatus t
Spinoglenoid
notch
Scapular
Posterior superior spine
labrum
Infraspinatus m Subscapularis m
68 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
Biceps brachii t,
long head
Coracoacromial lig
Supraspinatus t
Superior
glenohumeral lig
Humeral head
Anterior labrum
Middle
Glenoid articular glenohumeral lig
cartilage
Glenoid
Scapular spine
Subscapularis m
Infraspinatus m
Biceps brachii t,
long head
Greater Coracoacromial lig
tuberosity
of humerus
Coracoid
Infraspinatus t process
Coracohumeral lig
Anterior
labrum
Middle
glenohumeral lig
Posterior
labrum
Glenoid
Infraspinatus m Subscapularis m
Scapular body
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 69
Biceps brachii t,
long head
Coracoacromial lig
Greater
tuberosity
of humerus
Coracoid process
Superior
Subscapularis t subscapular
recess
Humeral head
Middle
Anterior labrum glenohumeral lig
Infraspinatus t
Glenoid articular
cartilage
Posterior Subscapularis m
labrum
Capsular insertion
Infraspinatus m
Scapular body
Biceps brachii t,
Greater long head
tuberosity Coracoacromial lig
of humerus
Lesser
tuberosity Pectoralis minor t
of humerus
Coracoid process
Subscapularis t
Humeral head
Middle
Anterior labrum glenohumeral lig
Posterior Glenoid
labrum
Deltoid m
Subscapularis m
Scapular body
70 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
Anterior labrum
Posterior
labrum Glenoid
Deltoid m
Subscapularis m
Scapular body
Biceps brachii t,
long head
Biceps brachii t,
short head
Greater
tuberosity Coracobrachialis t
of humerus
Lesser
tuberosity Middle
of humerus glenohumeral
lig merging with
subscapularis t
Teres minor t
Articular
cartilage
Posterior Capsular insertion
inferior labrum
Glenoid
Deltoid m
Subscapularis m
Teres minor m
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 71
Biceps brachii t,
long head
Biceps brachii t,
short head
Bicipital Coracobrachialis t
(intertubercular)
groove
Humeral Crest of lesser
surgical neck tuberosity
Inferior
glenohumeral lig,
Teres minor m
anterior band
Inferior glenoid,
Posterior inferior infraglenoid
labrum tubercle
Biceps brachii t,
long head
Biceps brachii t,
short head
Bicipital Coracobrachialis t
(intertubercular)
groove Crest of lesser
tuberosity
Humeral Inferior
surgical neck glenohumeral lig,
anterior bands
Teres minor m
Axillary pouch
Triceps
brachii t,
long head
72 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
OBLIQUE SAGITTAL
Figure 3.2.1
Infraspinatus t
Supraspinatus t
Deltoid m
Teres minor t
Greater
tuberosity
of humerus
Deltoid m
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 3.2.2
Acromion
Infraspinatus t
Supraspinatus t
Humeral head
Subscapularis t
Teres minor t
Biceps
brachii t,
long head
Deltoid m
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 73
Figure 3.2.3
Acromion
Coracoacromial lig
Infraspinatus t
Supraspinatus t
Rotator cuff
Humeral head interval
Deltoid m Subscapularis t
Lesser tuberosity
Teres minor t of humerus
Humeral
surgical neck
Biceps brachii t,
long head
Acromion
Coracoacromial lig
Infraspinatus t
Humeral head
Biceps Rotator cuff
brachii t, interval
long head
Subscapularis t
Deltoid m
Deltoid m
Humeral
surgical neck
74 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
Supraspinatus t
Coracoacromial lig
Infraspinatus t
Coracohumeral lig
Biceps
brachii t, Rotator cuff
long head interval
Humeral head
Subscapularis t
Teres minor t
Humeral
surgical neck Lesser tuberosity
of humerus
Figure 3.2.6
Acromion
Acromioclavicular
joint
Tip of coracoid
Teres minor t process
Biceps brachii t,
short head
Humeral
surgical neck
Coracobrachialis t
Deltoid m
Subscapularis t
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 75
Figure 3.2.7
Clavicle
Acromion
Supraspinatus Coracoacromial lig
m and t
Infraspinatus
m and t
Rotator cuff
interval
Biceps
brachii t,
long head Coracoid process
Subscapularis t
Teres minor
m and t Deltoid m
Humeral head
Deltoid m
Humeral
diaphysis
Figure 3.2.8
Acromion Clavicle
Supraspinatus
m and t
Rotator cuff
Infraspinatus interval
m and t
Inferior
Recurrent glenohumeral
humeral lig, anterior band
circumflex
vessels
and axillary n
Coracobrachialis m
Infraspinatus Superior
m and t glenohumeral lig
Supraglenoid
tubercle,
biceps anchor Coracoid
process
Posterior Glenoid fossa
labrum
Anterior Subscapularis t
labrum
Teres minor
m and t
Middle
glenohumeral lig
Subscapularis m
Inferior
glenohumeral
lig, anterior band
Acromion
Clavicle
Supraspinatus
m and t
Superior
subscapular recess
Infraspinatus
m and t Coracoclavicular lig,
trapezoid portion
Coracoid process
Glenoid
Superior
subscapular recess
Teres minor
m and t Subscapularis t
Middle
Triceps glenohumeral lig
brachii t,
long head
Subscapularis m
Posterior humeral
circumflex vessels
and axillary n
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 77
Acromion Clavicle
Supraspinatus
m and t
Coracoclavicular
lig, trapezoid
portion
Infraspinatus
m and t
Coracoid
process
Superior
subscapular
Glenoid recess
Subscapular
recess
Teres minor m
Triceps brachii t,
long head
Subscapularis
m and t
Teres major m
Infraglenoid
tubercle
78 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
OBLIQUE CORONAL
Figure 3.3.1
Clavicle
Supraspinatus m
Acromion
Coracohumeral lig
Coracoid
Superior process
subscapular
recess Middle
glenohumeral lig
Rotator
cuff interval
Subscapularis m
Subscapularis t
Biceps brachii t,
short head
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
Coracobrachialis t muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Clavicle
Acromion
Supraspinatus m
Base of
coracoid process
Superior
Biceps brachii t, subscapular
long head recess
Middle
glenohumeral lig
Subscapularis m
Lesser tuberosity
of humerus
Subscapularis t
Biceps brachii t,
short head
Coracobrachialis t
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 79
Acromion
Supraspinatus
m
Glenoid
Supraspinatus t
Scapula
Labrum
Subscapular
recess
Lesser tuberosity
of humerus Labrum
Biceps brachii t,
long head
Subscapularis
m
Biceps brachii t,
short head
Coracobrachialis t Middle
glenohumeral
lig
Acromion
Supraspinatus m
Suprascapular
Supraspinatus t notch and
suprascapular
a and n
Humeral head Scapula
Deltoid m Glenoid
Subscapularis m
Biceps brachii t,
long head Inferior
glenohumeral lig,
anterior band
Biceps brachii t,
short head
Coracobrachialis t
80 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
Figure 3.3.5
Acromion Supraspinatus m
Spinoglenoid
Supraspinatus t notch and
suprascapular
a and n
Greater
tuberosity
of humerus Glenoid
Humeral head
Labrum
Deltoid m
Inferior
glenohumeral lig,
anterior band
Subscapularis m
Biceps
brachii t,
long head
Axillary recess
Figure 3.3.6
Supraspinatus m
Acromion
Biceps brachii t,
long head
Supraspinatus t
Scapular spine
Spinoglenoid
Greater notch and
tuberosity suprascapular
of humerus a and n
Glenoid
Deltoid m
Labrum
Biceps Subscapularis m
brachii t,
long head
Axillary recess
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 81
Figure 3.3.7
Acromion
Scapular spine
Infraspinatus t
Labrum
Infraspinatus m
Greater
tuberosity
of humerus Glenoid
Labrum
Deltoid m
Subscapularis m
Biceps
brachii t,
long head
Axillary recess
Figure 3.3.8
Scapular spine
Acromion
Infraspinatus t
Infraspinatus m
Greater
tuberosity
of humerus
Glenoid
Articular Labrum
cartilage
Scapular body
Axillary recess
Humeral
surgical neck
Biceps
brachii t,
long head
82 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
Figure 3.3.9
Acromion Scapular spine
Infraspinatus t
Infraspinatus m
Humeral head
Greater Posterior
tuberosity labrum
of humerus
Glenoid
Deltoid m
Humeral
surgical neck
Axillary
recess
Figure 3.3.10
Acromion
Infraspinatus t
Humeral head
Greater
tuberosity
Infraspinatus m
of humerus
Humeral
surgical neck Glenoid,
posterior rim
Axillary recess
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 83
Figure 3.3.11
Acromion
Infraspinatus t
Posterior
humeral head Infraspinatus m
Teres minor t
Deltoid m
Axillary
Teres minor m
recess
Humeral
diaphysis
Figure 3.3.12
Acromion
Infraspinatus t
Teres
minor t
Teres minor m
Posterior
humeral
circumflex
vessels
and axillary n
Humerus
84 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
Biceps
Coracobrachialis t brachii t,
long head
Superior
glenohumeral
lig
Coracoid
process Supraspinatus
m
artery = a
arteries = aa
vein = v
veins = vv
Glenoid muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 3.4.2
Biceps
Lesser brachii t,
tuberosity long head
of humerus
Acromion
Coracobrachialis t
Biceps brachii t,
short head
Biceps
Coracoid anchor
process
Subscapularis t
Glenoid
Middle
glenohumeral
lig
Supraspinatus
m
Pectoralis
major m
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 85
Figure 3.4.3
Biceps brachii t,
long head
Pectoralis
major m
Acromion and
Humeral head, scapular spine
anterior medial
aspect
Greater
Subscapularis t tuberosity
of humerus
Supraspinatus t
Glenoid
Supraspinatus m
Subscapularis m
Scapula
Ribs
Greater
Humeral
tuberosity
head
of humerus
Pectoralis Supraspinatus t
major m
Anterior
labrum
Glenoid
Supraspinatus m
Subscapularis m
Scapula
86 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
Acromion
Humeral
head
Infraspinatus t
Inferior
glenohumeral
lig, anterior
band
Scapular
spine
Anterior
labrum
Posterior
Pectoralis labrum
major m
Glenoid
Subscapularis m
Figure 3.4.6
Humeral
Biceps diaphysis
brachii m
Acromion
Humeral
surgical neck
Greater
Humeral tuberosity
head of humerus
Infraspinatus t
Inferior
glenohumeral
lig, anterior
band
Posterior
Anterior labrum
labrum
Scapular
spine
Pectoralis
major m
Glenoid
Subscapularis m
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 87
Humeral Acromion
surgical neck
Greater
Humeral tuberosity
head of humerus
Infraspinatus t
Inferior
glenohumeral
lig, anterior
band
Posterior
labrum
Anterior
labrum
Glenoid
Infraspinatus m
Subscapularis m
Scapular body
Figure 3.4.8
Acromion
Greater
tuberosity
Humeral of humerus
head
Teres
minor t
Inferior
glenohumeral
lig, anterior
band
Posterior
inferior
labrum
Anterior inferior
labrum
Glenoid
Infraspinatus m
Subscapularis m
Scapular body
88 UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER
Figure 3.4.9
Greater
tuberosity
of humerus
Humeral Teres
head minor t
Posterior
Anterior inferior inferior
labrum labrum
Glenoid
Infraspinatus m
Subscapularis m
Scapular body
Figure 3.4.10
Posterior
humeral Teres
head minor t
Inferior
labrum
Inferior
glenoid
Infraspinatus m
Subscapularis m
UPPER EXTREMITY: MR ARTHROGRAPHY OF THE SHOULDER 89
Figure 3.4.11
Teres
Posterior minor t
humeral
head
Infraglenoid
tubercle
and triceps t, Glenoid
long head
Teres
minor t
Subscapularis m
4
Chapter
AXIAL
Figure 4.1.1 Biceps brachii m,
long head Coracobrachialis m
Cephalic v
Biceps brachii m,
short head
Humerus
Median n
Deltoid m Brachial a
Deltoid Basilic v
tuberosity
Ulnar n
Triceps brachii m,
medial head
Triceps brachii m,
lateral head
Triceps brachii m,
long head
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
Radial n tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Biceps brachii m,
short head
Brachialis m
Median n
Deltoid
tuberosity Brachial a
Deltoid m Basilic v
Ulnar n
Radial n Humerus
Triceps brachii m,
lateral head
Triceps brachii m,
long head
UPPER EXTREMITY: MRI OF THE ARM 93
Biceps brachii m,
short head
Musculocutaneous n
Median n
Humerus Brachial a
Basilic v
Brachialis m
Superior ulnar
collateral a and
ulnar n
Triceps
brachii m,
lateral head
Triceps brachii m,
long head
Humerus
Median n
Medial cutaneous n
of forearm
Basilic v
Brachialis m Superior ulnar
collateral a and
ulnar n
Radial n and
profunda
brachii a Triceps brachii m,
medial head
Triceps brachii m,
lateral head
Triceps brachii m,
long head
94 UPPER EXTREMITY: MRI OF THE ARM
Humerus
Medial cutaneous n
of forearm
Brachialis m
Basilic v
Triceps brachii m,
Triceps medial head
brachii m,
lateral head
Triceps brachii m,
long head
Median n and
brachial a and v
Brachialis m
Basilic v
Ulnar n and
Radial n and superior
profunda collateral a
brachii a
Triceps
brachii m,
Triceps medial head
brachii m,
lateral head
Triceps
brachii m,
long head
Humerus
UPPER EXTREMITY: MRI OF THE ARM 95
Basilic v
Brachialis m
Ulnar n and
Radial n and superior ulnar
profunda collateral a
brachii a
Triceps
Brachioradialis m brachii m
Triceps brachii m
Brachialis m Basilic v
Radial n
Ulnar n and
Extensor carpi superior
radialis ulnar
longus m collateral a
Humerus
Basilic v
Extensor carpi
radialis
longus m Ulnar n and
superior ulnar
Brachioradialis m collateral a
Superior lateral
supracondylar
crest Humerus
Triceps brachii
m and t
Medial
cutaneous
n of forearm
Brachioradialis m Basilic v
Extensor carpi
radialis longus m
Inferior ulnar
collateral a
Ulnar n and
superior ulnar
Lateral collateral a
supracondylar
crest
Humerus
Triceps brachii
m and t
UPPER EXTREMITY: MRI OF THE ARM 97
Brachioradialis m
Basilic v
Inferior
ulnar
Extensor carpi collateral a
radialis longus m
Ulnar n and
Lateral superior
supracondylar ulnar
crest collateral a
SAGITTAL
Figure 4.2.1
Deltoid m
Triceps brachii m,
lateral head
Brachialis m
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
Brachioradialis m Extensor carpi radialis nerve = n
longus m nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 4.2.2
Deltoid m
Triceps brachii m,
lateral head
Brachialis m
Figure 4.2.3
Deltoid m
Triceps brachii m,
long head
Triceps brachii m,
Brachialis m lateral head
Brachioradialis m
Radial head
Figure 4.2.4
Deltoid m
Triceps brachii m,
long head
Triceps brachii m,
lateral head
Biceps brachii m
Brachialis m
Triceps brachii m
Brachioradialis m
Lateral supracondylar
crest
Brachialis m
Capitellum
Radial head
100 UPPER EXTREMITY: MRI OF THE ARM
Deltoid m
Deltoid m
Triceps brachii m,
Humerus long head
Triceps brachii m,
long head
Triceps brachii m,
lateral head
Biceps brachii m
Brachialis m
Radial fossa
Capitellum
Radial head
Supraspinatus m
Infraspinatus m
Teres minor m
Triceps brachii m,
lateral head
Humerus
Biceps brachii m
Brachialis m Triceps brachii m,
long head
Brachialis m
Triceps brachii m
Brachialis m and t
Trochlea,
lateral aspect
Coronoid process,
lateral aspect
UPPER EXTREMITY: MRI OF THE ARM 101
Supraspinatus m
Deltoid m
Infraspinatus m
Quadrangular space Teres minor m
Triceps brachii m,
Biceps brachii m long head
Brachialis m
Humerus
Lesser tuberosity
of humerus Deltoid m
Teres minor m
Deltoid m
Quadrangular space Axillary n and posterior
Pectoralis major t circumflex humeral a
Teres major m
Triceps brachii m,
Biceps brachii m, long head
short head
Humerus, medial cortex
Triceps brachii m,
long head
Biceps brachii m Triceps brachii m,
medial head
Brachialis m
Triceps brachii m
Coronoid fossa and
anterior fat pad Olecranon fossa and
posterior fat pad
Brachialis m
Olecranon
Trochlea Trochlear notch
Coronoid process, ulna
102 UPPER EXTREMITY: MRI OF THE ARM
Acromion
Deltoid m
Teres major and
latissimus dorsi mm
Coracobrachialis m
Triceps brachii m,
long head
Triceps brachii t
Brachialis m
Olecranon
Trochlea
Trochlear notch
Infraspinatus m
Deltoid m
Teres minor m
Deltoid m
Teres major m
Biceps brachii m,
short head Radial n and profunda
brachii a
Basilic v
Triceps brachii m,
medial head
Triceps brachii m,
long head
Biceps brachii m
Triceps brachii t
Brachialis m
Olecranon
Trochlea
UPPER EXTREMITY: MRI OF THE ARM 103
Acromion
Deltoid m
Deltoid m
Infraspinatus m
Basilic v
Biceps brachii m
Triceps brachii m,
long head
Triceps brachii m,
medial head
Trochlea
Supraspinatus m
Deltoid m
Deltoid m
Infraspinatus m
Glenoid
Subscapularis m
Teres minor m
Coracobrachialis m Axillary n and posterior
circumflex humeral a
Pectoralis major t Teres major m
Biceps brachii m,
short head Latissimus dorsi m
Axillary
neurovascular bundle
Triceps brachii m,
Basilic v medial head
Acromion
Deltoid m
Supraspinatus m
Supraspinatus m
Deltoid m
Coracobrachialis m and
biceps brachii m, Infraspinatus m
short head
Axillary n and posterior Teres minor m
circumflex humeral a Circumflex scapular a
Latissimus dorsi m
Triceps brachii m,
medial head
CORONAL
Figure 4.3.1
Deltoid m
Pectoralis major m
artery = a
arteries = aa
Biceps brachii m vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
Brachial a and v nerve = n
nerves = nn
Biceps brachii t ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 4.3.2
Deltoid m
Pectoralis major m
Cephalic v
Cephalic v
Biceps brachii m
Brachioradialis m Brachialis m
106 UPPER EXTREMITY: MRI OF THE ARM
Figure 4.3.3
Lesser tuberosity
of humerus
Deltoid m
Coracobrachialis m
Biceps brachii m,
short head
Biceps brachii m
Biceps brachii m,
long head
Brachialis m Basilic v
Brachial vessels
Brachioradialis m
Brachialis m
Figure 4.3.4
Lesser tuberosity
of humerus
Biceps brachii t,
long head
Subscapularis t
Deltoid m
Coracobrachialis m
Biceps brachii m,
short head
Biceps brachii m,
short head
Biceps brachii m,
long head
Basilic v
Brachioradialis m
Brachialis m
Medial epicondyle
Radial head
UPPER EXTREMITY: MRI OF THE ARM 107
Figure 4.3.5
Greater tuberosity Lesser tuberosity of
of humerus humerus
Subscapularis m
Biceps brachii m
Brachial
neurovascular bundle
Basilic v
Brachialis m
Brachioradialis m
Coronoid
process, ulna
Brachial a and v
Brachialis m
Brachialis m
Triceps brachii m,
medial head
Brachioradialis m
Lateral epicondyle
Medial epicondyle
Radial head
108 UPPER EXTREMITY: MRI OF THE ARM
Teres major t
Deltoid m Axillary neurovascular bundle
Latissimus dorsi t
Triceps brachii m,
medial head
Basilic v
Brachialis m
Brachioradialis m
Extensor carpi
radialis longus m Olecranon fossa
Lateral epicondyle
Clavicle
Subscapularis m
Teres major m and t
Deltoid m Latissimus dorsi m and t
Brachialis m
Brachioradialis m
Triceps brachii m,
medial head
Extensor carpi
radialis longus m
Olecranon fossa
Lateral epicondyle
Olecranon
UPPER EXTREMITY: MRI OF THE ARM 109
Clavicle
Supraspinatus t Supraspinatus m
Glenoid labrum
Greater tuberosity Glenohumeral joint
of humerus Glenoid
Subscapularis m
Teres major m
Deltoid m Latissimus dorsi m
Basilic v
Deltoid tuberosity
Latissimus dorsi m
Humerus
Triceps brachii m,
lateral head
Triceps brachii m,
medial head
Brachioradialis m
Triceps brachii
musculotendinous unit
Olecranon
Clavicle
Humeral head Supraspinatus m
Glenoid
Teres minor m
Subscapularis m
Circumflex scapular a
Deltoid m Teres major m
Latissimus dorsi m
Triceps brachii m,
lateral head
Radial n and vessels around
spiral groove of humerus
Latissimus dorsi m
Triceps brachii m,
lateral head
Humerus
Triceps brachii t
Olecranon
110 UPPER EXTREMITY: MRI OF THE ARM
Deltoid t
Supraspinatus m
Deltoid m
Humeral head
Glenoid
Teres minor m
Subscapularis m
Axillary n and posterior
circumflex humeral a Triangular space
Triceps brachii t and m, long head
Deltoid m Teres major m
Latissimus dorsi m
Latissimus dorsi m
Triceps brachii m, long head
Triceps brachii m,
lateral head
Triceps brachii t
Triceps brachii m
Supraspinatus m
Deltoid m
Infraspinatus m
Glenoid
Triceps brachii m,
lateral head
Latissimus dorsi m
Figure 4.3.13
Lateral scapular spine
Deltoid t
Infraspinatus m
Deltoid m
Teres minor m
Teres major m
Latissimus dorsi m
Triceps brachii m,
lateral head
Latissimus dorsi m
Figure 4.3.14
Lateral scapular spine
Infraspinatus m
Deltoid m
Teres minor m
Teres major m
Triceps brachii m,
lateral head
Latissimus dorsi m
Figure 4.3.15
Deltoid m Infraspinatus m
Teres minor m
Teres major m
Latissimus dorsi m
Triceps brachii m,
lateral head
Figure 4.3.16
Infraspinatus m
Deltoid m
Teres minor m
Triceps brachii m, long head
Teres major m
Latissimus dorsi m
Triceps brachii m,
lateral head
UPPER EXTREMITY: MRI OF THE ARM 113
Figure 4.3.17
Infraspinatus m
Deltoid m
Teres minor m
Triceps brachii m, long head
Teres major m
Triceps brachii m,
long head
Latissimus dorsi m
Figure 4.3.18
Infraspinatus m
Deltoid m
Teres minor m
Teres major m
Triceps brachii m,
long head
Latissimus dorsi m
5
Chapter
AXIAL
Figure 5.1.1
Accessory
cephalic v
Biceps brachii
Cephalic v m and t
Median
cubital v
Brachioradialis m Median v of
forearm
Brachial a
Radial n
Median n
Brachialis
m and t
Musculocuta-
neous n
Extensor carpi
radialis longus m Basilic v
Ulnar n
Triceps brachii m,
lateral and
medial heads Triceps
brachii m,
long head
Triceps brachii t
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Extensor carpi
radialis longus m Basilic v
Pronator teres m
Triceps
brachii m, Ulnar n
lateral and
medial heads Triceps brachii m,
long head
Triceps brachii t
116 UPPER EXTREMITY: MRI OF THE ELBOW
Lateral
epicondyle Olecranon
Medial epicondyle
Capitellum Median n
Lateral Trochlea
epicondyle
Common flexor t
Ulnar n
Triceps brachii t
Cubital tunnel
retinaculum
Olecranon
Medial epicondyle
Common flexor t
Anconeus m
Ulnar n
*Data from Sassmannshausen
G, Mair SD, Blazar PE. Superior ulnar
collateral a
Rupture of a bifurcated
distal biceps tendon.
Olecranon Ulnar collateral lig,
A case report. J Bone posterior band
Joint Surg Am 2004;86:
2737-2740.
118 UPPER EXTREMITY: MRI OF THE ELBOW
Median cubital v
Accessory
Bicipital
cephalic v
aponeurosis
Brachioradialis m Biceps brachii t
Radial n, (bifurcated)*
superficial
Radial n, deep Brachial a
Brachialis t Median n
Capitellum Brachialis m
Pronator
Extensor carpi teres m
radialis brevis m
Radial Trochlea
collateral lig Basilic v
Common
Ulnar collateral lig,
extensor t
anterior band
Lateral
epicondyle Common flexor t
Median basilic v
of forearm
Brachial a
Radial n, superficial
Radial n, deep Interosseous n,
anterior
Extensor carpi
radialis longus m Median n
Radial collateral lig
Brachialis m
Extensor carpi
radialis brevis m Pronator teres m
Extensor digitorum Brachialis t
and extensor Trochlea
digiti minimi tt
Basilic v
Extensor carpi Ulnar collateral lig
ulnaris t
Palmaris longus m
Lateral intermuscular
septum Flexor digitorum
superficialis m
Anconeus m Ulnar n
Bicipital
Accessory
aponeurosis
cephalic v
Median basilic v
of forearm
Ulnar collateral a,
superior
Radial head
Median basilic v
Brachioradialis m
of forearm
Accessory
cephalic v
Radial n,
superficial Bicipital
Extensor carpi aponeurosis
radialis longus m
Radial a
Radial n, deep
Ulnar a
Radial recurrent a
Interosseous n,
Extensor carpi
anterior
radialis brevis m
Median n
Radial collateral
Biceps brachii t
and annular ligs
(bifurcated)
Extensor Pronator teres m
digitorum m
Flexor carpi
Extensor digiti radialis m
minimi and Brachialis m
extensor carpi
ulnaris tt Palmaris longus m
Lateral ulnar Basilic v
collateral lig Annular lig
Annular lig Flexor digitorum
superficialis m
Anconeus m
Ulnar n
Proximal
radioulnar joint Ulnar collateral a,
superior
Olecranon Flexor carpi
ulnaris m,
ulnar head
Radial notch Flexor digitorum
of ulna Sublime process profundus m
Coronoid process
120 UPPER EXTREMITY: MRI OF THE ELBOW
Median basilic v
Brachialis t of forearm
Accessory Bicipital
cephalic v aponeurosis
Brachioradialis m Radial a
Radial n, superficial Ulnar a
Extensor Interosseous n,
carpi radialis anterior
longus m
Radial n, deep Median n
Radial recurrent a
Extensor Biceps brachii t
carpi radialis (bifurcated)
brevis m
Radial collateral lig Pronator teres m
Extensor Flexor carpi
digitorum m radialis m
Extensor digiti Brachialis m
minimi and
extensor carpi Palmaris longus m
ulnaris tt Basilic v
Ulnar collateral Flexor digitorum
lig, lateral superficialis m
Radial head Flexor carpi ulnaris
Annular ligs m, humeral head
Ulnar n
Anconeus m
Ulnar collateral a,
superior
Ulna Flexor carpi ulnaris
m, ulnar head
Sublime process
Accessory cephalic v
Pronator teres m
Brachioradialis m
Radial n, superficial
Radial a
Extensor carpi
radialis longus m
Ulnar a
Radial n, deep
Radial recurrent a Median n
Extensor carpi
radialis brevis m Interosseous n,
anterior
Supinator m
Biceps brachii t
Extensor digitorum m Flexor carpi
Extensor digiti minimi radialis m
and extensor Brachialis m
carpi ulnaris tt Palmaris
longus m
Radial head Flexor digitorum
superficialis t
Ulnar collateral lig, and m
lateral
Supinator m Basilic v
Flexor carpi
ulnaris m,
humeral head
Brachialis t
Ulnar n
Ulnar
collateral a,
superior
Accessory
cephalic v
Median basilic v
Radial n, of forearm
superficial
Pronator teres m
Extensor carpi
radialis longus m Radial a
Brachialis t
Radial n, deep Ulnar a
Radial recurrent a Median n
Interosseous n,
Extensor carpi
anterior
radialis brevis m
Flexor carpi
Supinator m radialis m
Extensor Pronator teres m,
digitorum m deep head
Extensor digiti
minimi t Palmaris longus m
Radial neck Flexor digitorum
superficialis m
Ulnar collateral lig,
lateral Brachialis m
Ulnar collateral a,
Anconeus m superior
Extensor carpi
radialis brevis m
Interosseous n,
Supinator m anterior
Extensor Median n
digitorum m
Pronator teres m,
Extensor digiti deep head
minimi t Palmaris longus m
Radial neck Flexor digitorum
superficialis m
Ulnar collateral lig,
lateral
Brachialis t
Extensor carpi
ulnaris m
Supinator ridge Basilic v
Biceps brachii t Flexor carpi
ulnaris m,
Anconeus m humeral head
Ulna Ulnar n
Radial n,
superficial Pronator teres m
Extensor carpi
Ulnar a
radialis longus m
Median n
Extensor carpi
radialis brevis m Flexor carpi
radialis m
Extensor
digiti minimi t Ulnar collateral a,
superior
Radial tuberosity Flexor carpi ulnaris
m, humeral head
Lateral ulnar
collateral lig
Basilic v
Extensor carpi Ulnar n
ulnaris m
Flexor carpi ulnaris
Biceps brachii t
m, ulnar head
Anconeus m Flexor digitorum
profundus m
Ulna
Median basilic v
of forearm
Radial n,
superficial
Extensor carpi
radialis longus m Pronator teres m
Ulnar a
Extensor carpi
radialis brevis m Flexor carpi
radialis m
Radial n, deep
Supinator m Median n
Extensor Pronator teres m,
digitorum m deep head
Interosseous n,
anterior Palmaris longus m
Ulna
UPPER EXTREMITY: MRI OF THE ELBOW 123
Accessory
cephalic v
Cephalic v
Median basilic v
Radial n, of forearm
superficial
Basilic v
Ulna Flexor digitorum
profundus m
Extensor carpi
radialis longus m
Median basilic v
of forearm
Extensor carpi
ulnaris m Flexor carpi
ulnaris m
Anconeus m
Basilic v
Anconeus m Basilic v
Radial a
Radial n, superficial
Pronator teres m
Extensor carpi Palmaris
radialis longus m longus m
Anterior
interosseous a
Extensor carpi
radialis brevis m
Median n
Supinator m
Radius Flexor digitorum
Radial n, deep superficialis m
Extensor digitorum m
Interosseous n, anterior
Ulnar n
Interosseous a, Ulnar a
posterior branches
Flexor carpi
Extensor digiti minimi m ulnaris m
OBLIQUE SAGITTAL
Figure 5.2.1
Biceps brachii m
Triceps brachii m, lateral head
Brachioradialis m
Accessory cephalic v
Extensor digitorum m
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 5.2.2
Biceps brachii m
Triceps brachii m, lateral head
Brachialis m
Accessory cephalic v
Extensor digitorum m
126 UPPER EXTREMITY: MRI OF THE ELBOW
Triceps brachii t
Accessory cephalic v
Extensor carpi radialis longus m
Brachioradialis m
Extensor carpi radialis brevis m
Lateral epicondyle
Radial head
Supinator m
Extensor carpi
radialis brevis m
Figure 5.2.4
Biceps brachii m
Triceps brachii m,
lateral head
Radial n
Triceps brachii t
Accessory cephalic v
Brachialis m
Brachioradialis m
Capitellum
Supinator m
Extensor carpi
radialis longus m
Figure 5.2.5
Triceps brachii m,
medial head
Biceps brachii m
Triceps brachii t
Brachialis m
Cephalic v
Brachioradialis m
Capitellum
Radial n, deep
Anconeus m
Supinator m
Extensor
carpi radialis longus m
Extensor
carpi radialis brevis m Extensor digitorum m
Extensor digiti minimi m
Extensor carpi ulnaris m
Figure 5.2.6
Humerus
Triceps brachii m,
medial head
Biceps brachii m
Brachialis m
Cephalic v
Brachioradialis m
Capitellum
Radial n,
superficial Radial head
Lateral ulnar collateral lig
Supinator m
Anconeus m
Radial n, deep
Supinator m
Interosseous n and a,
posterior
Extensor
carpi radialis
longus m
Abductor pollicis longus m
Extensor
carpi radialis Extensor carpi ulnaris m
brevis m
128 UPPER EXTREMITY: MRI OF THE ELBOW
Figure 5.2.7
Triceps brachii m,
medial head
Biceps brachii m
Humerus
Brachialis m
Cephalic v
Radial head
Annular lig
Lateral ulnar collateral lig
Ulna
Anconeus m
Supinator m
Radial tuberosity
Brachioradialis m
Supinator m
Figure 5.2.8
Triceps brachii m,
medial head
Biceps brachii m
Humerus
Brachialis m
Cephalic v
Capitellum
Biceps brachii t
Radial head
Anconeus m
Supinator m
Radial tuberosity
Brachioradialis m
Ulna
Interosseous membrane
Radius
UPPER EXTREMITY: MRI OF THE ELBOW 129
Figure 5.2.9
Triceps brachii m,
medial head
Biceps brachii m
Brachialis m
Biceps t
Radial head
Ulnar a
Ulna
Figure 5.2.10
Triceps brachii m,
long head
Biceps brachii m
Humerus
Coronoid process
Ulnar a
Ulna
Interosseous a and n,
anterior
Flexor carpi
radialis m
Flexor digitorum
Pronator teres m
profundus m
130 UPPER EXTREMITY: MRI OF THE ELBOW
Figure 5.2.11
Biceps brachii m
Triceps brachii m,
long head
Brachial a
Humerus
Triceps brachii t
Median cubital v Olecranon fossa
Coronoid fossa
Brachialis m Trochlea
Olecranon
Brachial a
Trochlear notch
Coronoid process
Median n
Ulnar tuberosity
Pronator teres m,
deep head
Flexor carpi
radialis m
Flexor digitorum
Pronator teres m
profundus m
Figure 5.2.12
Biceps brachii m
Triceps brachii m,
long head
Brachial a
Median cubital v
Triceps brachii t
Brachialis m
Trochlea
Olecranon
Trochlear notch
Median n
Coronoid process
Pronator teres m,
deep head
Pronator teres m
Figure 5.2.13
Triceps brachii m,
long head
Median cubital v
Brachialis m
Trochlea
Olecranon
Median basilic v
of forearm
Pronator teres m
Pronator teres m,
deep head
Ulnar n
Flexor digitorum
superficialis m
Flexor carpi
radialis m
Flexor
carpi ulnaris m
Figure 5.2.14
Basilic v
Triceps brachii m,
long head
Median cubital v
Ulnar n
Brachialis m
Medial epicondyle
Trochlea
Ulnar n
Pronator teres m Flexor carpi ulnaris m,
ulnar head
Flexor digitorum
Flexor digitorum profundus m
superficialis m
Figure 5.2.15
Triceps brachii m,
Basilic v lateral head
Ulnar n
Flexor digitorum
superficialis m
Flexor
digitorum profundus m
Flexor carpi radialis m
Palmaris longus m
Figure 5.2.16
Basilic v
Medial epicondyle
Pronator teres t
Pronator teres m
Flexor carpi
ulnaris m, ulnar head
Flexor carpi
ulnaris m, humeral head
Basilic v
Flexor digitorum
superficialis m
Palmaris longus m
UPPER EXTREMITY: MRI OF THE ELBOW 133
Figure 5.2.17
Basilic v
Palmaris longus m
Pronator teres m
Basilic v
Flexor digitorum
superficialis m
134 UPPER EXTREMITY: MRI OF THE ELBOW
OBLIQUE CORONAL
Figure 5.3.1
Biceps brachii m
artery = a
arteries = aa
vein = v
veins = vv
Brachioradialis m muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
Flexor carpi radialis m nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 5.3.2
Cephalic v
Biceps brachii m
Median cubital v
Median
basilic v of forearm
Cephalic v
Brachioradialis m
Radial a
Flexor carpi radialis m
Figure 5.3.3
Biceps brachii m
Median cubital v
Cephalic v
Median
basilic v of forearm
Accessory cephalic v
Brachioradialis m
Pronator teres m
Figure 5.3.4
Biceps brachii m
Median cubital v
Accessory cephalic v
Brachioradialis m
Forearm vv, deep
Pronator teres m
Flexor digitorum
superficialis m
136 UPPER EXTREMITY: MRI OF THE ELBOW
Figure 5.3.5
Biceps brachii m
Median cubital v
Brachial a
Radial a
Radial n, superficial
Supinator m Median n
Extensor carpi Flexor digitorum
radialis brevis m superficialis m
Figure 5.3.6
Biceps brachii m
Median cubital v
Brachial a
Median n
Brachioradialis m
Pronator teres m
Radial n, superficial
Brachialis m
Radial n, deep
Biceps brachii t
Ulnar a
Extensor carpi
radialis longus m Flexor carpi radialis m
Palmaris longus m
Pronator teres m
Supinator m
Median n
Extensor carpi Flexor digitorum
radialis brevis m superficialis m
Radius
UPPER EXTREMITY: MRI OF THE ELBOW 137
Figure 5.3.7
Biceps brachii m
Median cubital v
Median n
Brachioradialis m
Radial n
Pronator teres m
Brachialis m
Brachialis m
Extensor carpi
radialis longus m
Radius
Extensor carpi Flexor digitorum
radialis brevis m profundus m
Figure 5.3.8
Basilic v
Brachioradialis m
Radial n
Extensor carpi
radialis longus m
Brachialis m Pronator teres m
Extensor carpi
radialis brevis m
Brachialis m
Pronator teres m
Radial n, deep Palmaris longus m
Biceps brachii t Interosseous a,
common
Ulnar a
Supinator m
Flexor digitorum
Extensor digitorum m superficialis m
Radius
Ulnar a
Flexor digitorum
profundus m
138 UPPER EXTREMITY: MRI OF THE ELBOW
Figure 5.3.9
Brachialis m
Brachioradialis m Basilic v
Radial n
Extensor carpi
radialis longus m
Pronator teres m
Extensor carpi
radialis brevis m Trochlea
Capitellum Basilic v
Figure 5.3.10
Triceps brachii m
Radial n
Extensor carpi
radialis longus m
Pronator teres m
Extensor carpi
radialis brevis m
Trochlea
Capitellum
Basilic v
Radial collateral lig Ulnar collateral lig
Coronoid process
Annular lig
Radial n, deep Pronator teres m, deep head
Radial head Flexor digitorum superficialis m
Extensor digitorum m Brachialis m
Biceps brachii t Interosseous a
Radial tuberosity
Supinator m Radius
Flexor carpi ulnaris m
Interosseous a and n, Flexor digitorum profundus m
anterior
Extensor digitorum m Ulnar n
UPPER EXTREMITY: MRI OF THE ELBOW 139
Figure 5.3.11
Triceps brachii m
Radial n
Brachioradialis m
Brachialis m
Extensor carpi
radialis longus m
Coronoid fossa
Extensor carpi
radialis brevis m Pronator teres m
Supinator m Ulnar n
Flexor carpi ulnaris m
Interosseous a and n,
anterior Flexor digitorum profundus m
Extensor carpi
ulnaris m
Ulna
Figure 5.3.12
Humerus
Triceps brachii m,
long head
Brachioradialis m
Triceps brachii m,
medial head
Brachialis m
Extensor carpi
radialis longus m
Extensor carpi
radialis brevis m Pronator teres m
Lateral epicondyle Medial epicondyle
Common extensor t Sublime process
Intermuscular septum, lateral
Ulnar collateral lig
Ulnar collateral lig, lateral
Flexor digitorum
Radial collateral lig superficialis m
Extensor digiti minimi and
extensor carpi ulnaris tt
Annular lig Basilic v
Radial head
Radial n, deep Pronator teres m
Supinator m Ulnar n
Flexor carpi ulnaris m
Figure 5.3.13
Humerus
Triceps brachii m,
long head
Brachioradialis m
Triceps brachii m,
medial head
Extensor carpi
radialis longus m Ulnar n
Olecranon fossa
Medial epicondyle
Ulnar n
Basilic v
Supinator m Flexor carpi ulnaris m
Radial n, deep
Ulna
Extensor carpi ulnaris m
Flexor digitorum
profundus m
Figure 5.3.14
Humerus
Olecranon fossa
Medial epicondyle
Basilic v
Ulna
Extensor
carpi ulnaris m Flexor digitorum
profundus m
UPPER EXTREMITY: MRI OF THE ELBOW 141
Figure 5.3.15
Triceps brachii m,
lateral head
Ulnar n
Lateral epicondyle
Olecranon
Anconeus m
Flexor carpi ulnaris m,
ulnar head
Ulna
Flexor digitorum
profundus m
Extensor carpi
ulnaris m
Figure 5.3.16
Triceps brachii m,
lateral head
Triceps brachii m,
medial head
Triceps brachii m,
long head
Triceps brachii t
Olecranon
Anconeus m
Ulna
Flexor digitorum
profundus m
142 UPPER EXTREMITY: MRI OF THE ELBOW
Figure 5.3.17
Triceps brachii m,
lateral head
Triceps brachii m,
medial head
Triceps brachii t
Olecranon
Anconeus m
Flexor digitorum
profundus m
6
Chapter
AXIAL
Figure 6.1.1 Median basilic v of forearm
Pronator
teres m,
deep head
Cephalic v
Radial a Pronator teres m
Radial n, Flexor carpi
superficial radialis m
Palmaris
Accessory longus m
cephalic v Median n
Brachioradialis m Flexor digitorum
superficialis m
Biceps brachii t
Interosseous n,
Extensor carpi anterior
radialis longus m R Ulnar a
Radial n, deep Ulnar n
Supinator m Interosseous a,
Extensor carpi common
radialis brevis m
U Flexor carpi
Extensor ulnaris m
digitorum m Flexor digitorum
Extensor digiti profundus m
minimi m
Extensor carpi
ulnaris m
Anconeus m
UPPER EXTREMITY: MRI OF THE FOREARM 147
Cephalic v Pronator
teres m
Radial a
Flexor carpi
Radial n, radialis m
superficial Palmaris
longus m
Brachioradialis m
Median n
Extensor carpi Flexor digitorum
radialis longus m superficialis m
Ulnar a
Supinator m R Ulnar n
Radial n, deep Interosseous n,
anterior
Extensor carpi Flexor carpi
radialis brevis m ulnaris m
Extensor U Supinator m
digitorum m Interosseous a,
posterior
Extensor digiti
minimi m Flexor digitorum
profundus m
Extensor carpi
ulnaris m
Anconeus m
Pronator
Cephalic v teres m
Radial a Flexor carpi
radialis m
Radial n,
superficial Palmaris
longus m
Brachioradialis m
Flexor digitorum
Flexor pollicis superficialis m
longus m Median n
Supinator m Ulnar a
Ulnar n
Extensor carpi Flexor carpi
radialis longus m R ulnaris m
Interosseous a,
Extensor carpi
anterior
radialis brevis m
Interosseous n,
Interosseous n, anterior
posterior U
Flexor digitorum
Extensor profundus m
digitorum m
Extensor pollicis
Interosseous a, longus m
posterior
Abductor pollicis
Extensor digiti longus m
minimi m
Cephalic v
Radial a Flexor carpi
Radial n, radialis m
superficial
Palmaris longus m
Brachioradialis m
Flexor pollicis Flexor digitorum
longus m superficialis m
Pronator teres m Median n
Supinator m Ulnar a
Extensor carpi Ulnar n
radialis longus m Flexor carpi
ulnaris m
Extensor carpi
R Interosseous n,
radialis brevis m
anterior
Interosseous a, Interosseous a,
posterior anterior
Extensor U Flexor digitorum
digitorum m profundus m
Interosseous n,
posterior Extensor pollicis
longus m
Extensor digiti
minimi m Abductor pollicis
longus m
)OH[RUFDUSL
&HSKDOLFY UDGLDOLVP
5DGLDOD 3DOPDULV
5DGLDOQVXSHUILFLDO ORQJXVP
%UDFKLRUDGLDOLVPDQGW 0HGLDQQ
)OH[RUSROOLFLVORQJXVP
)OH[RUGLJLWRUXP
3URQDWRUWHUHVPDQGW VXSHUILFLDOLVP
([WHQVRUFDUSLUDGLDOLV 8OQDUD
ORQJXVP )OH[RUFDUSL
XOQDULVP
([WHQVRUFDUSLUDGLDOLV
EUHYLVP 8OQDUQ
5
,QWHURVVHRXVD )OH[RUGLJLWRUXP
SRVWHULRU SURIXQGXVP
$EGXFWRUSROOLFLV ,QWHURVVHRXV
ORQJXVP DDQGQ
8 DQWHULRU
([WHQVRUGLJLWRUXPP
,QWHURVVHRXV
,QWHURVVHRXVQ PHPEUDQH
SRVWHULRUEUDQFKHV
([WHQVRU
LQGLFLVP
([WHQVRUGLJLWL
PLQLPLP ([WHQVRUSROOLFLV
ORQJXVP
([WHQVRUFDUSLXOQDULVP
150 UPPER EXTREMITY: MRI OF THE FOREARM
Flexor carpi
radialis m and t
Cephalic v
Radial a Palmaris
longus m
Radial n, superficial
Brachioradialis m Median n
Flexor pollicis longus m Flexor digitorum
Pronator teres t superficialis m
Ulnar a
Extensor carpi radialis
longus m Flexor carpi
ulnaris m
Extensor carpi radialis
brevis m Ulnar n
R Interosseous
Interosseous a,
posterior a and n,
anterior
Abductor pollicis Flexor digitorum
longus m profundus m
U
Interosseous n, Interosseous
posterior branches membrane
Extensor digitorum m Extensor pollicis
longus m
Extensor digiti
minimi m
Flexor carpi
radialis m and t
Palmaris
Cephalic v longus m
Radial a
Median n
Brachioradialis m and t Flexor digitorum
Radial n, superficial superficialis m
Flexor pollicis longus m Ulnar a
Pronator teres t Flexor carpi
ulnaris m and t
Extensor carpi radialis
longus m and t R Ulnar n
Extensor carpi radialis Interosseous
brevis m a and n,
Abductor pollicis anterior
longus m U Flexor digitorum
Interosseous n, profundus m
posterior branches Interosseous
Extensor digitorum m membrane
Extensor pollicis
Extensor digiti
longus m
minimi m
Flexor carpi
radialis m and t Palmaris longus t
Cephalic v
Brachioradialis t
Median n
Radial a
Flexor digitorum
Radial n, superficial superficialis m
Flexor pollicis Flexor digitorum
longus m profundus m
Extensor carpi radialis Ulnar a
longus t Ulnar n
R
Extensor carpi radialis Interosseous a and n,
brevis m anterior branches
Abductor pollicis Flexor carpi ulnaris m
longus m
U Interosseous
Interosseous n, membrane
posterior branches
Extensor pollicis
Extensor digitorum m longus m
Extensor digiti
minimi m
Flexor carpi
radialis m and t
Radial a
Brachioradialis t
Palmaris longus t
Cephalic v
Median n
Radial n, superficial
Flexor digitorum
Flexor pollicis longus m superficialis m
Flexor digitorum
Extensor carpi radialis profundus m
longus t
Ulnar a
Extensor carpi radialis Ulnar n
brevis t R
Interosseous a and n,
Extensor pollicis anterior branches
brevis m
Flexor carpi ulnaris m
Abductor pollicis
longus m and t U Interosseous
membrane
Extensor digitorum Extensor indicis m
m and t
Extensor digiti Extensor carpi
minimi t ulnaris m
Extensor pollicis
longus m
SAGITTAL
Figure 6.2.1
Brachioradialis m
Basilic v
Figure 6.2.2
Accessory cephalic v
Brachioradialis m
Flexor digitorum
superficialis m
Radial a
Cephalic v
Flexor carpi
radialis m
UPPER EXTREMITY: MRI OF THE FOREARM 157
Figure 6.2.3
6XSLQDWRUP
5DGLDOD
DQGSDLUHGYY
([WHQVRUFDUSL
UDGLDOLVEUHYLVP
)OH[RUFDUSL
UDGLDOLVP
([WHQVRUFDUSL
UDGLDOLVORQJXVP
)OH[RUGLJLWRUXP
VXSHUILFLDOLVP
)OH[RUSROOLFLV
ORQJXVPDQGW
)OH[RUGLJLWRUXP
SURIXQGXVW &HSKDOLFY
0HGLDQQ
Figure 6.2.4
Biceps brachii t
Radius
Radial n, deep
Supinator m
Pronator teres m
Flexor carpi
radialis m
Median n
Extensor carpi
radialis brevis m
Median n
Flexor digitorum
superficialis m
Flexor pollicis
longus m
Figure 6.2.5
Biceps brachii t
Radial neck
Radial tuberosity
Pronator teres m
Radial n, deep
Radius
Interosseous a,
posterior
Flexor digitorum
superficialis m
Abductor pollicis
longus m and t
Flexor digitorum
profundus m
Pronator
quadratus m
Figure 6.2.6
Biceps brachii t
Pronator teres m
Radial
tuberosity
Supinator m
Flexor carpi
radialis m
Flexor digitorum
superficialis m
Interosseous a,
Interosseous a, posterior
anterior
Radius
Extensor pollicis
Pronator
brevis m
quadratus m
Flexor carpi
ulnaris t
Ulnar a
UPPER EXTREMITY: MRI OF THE FOREARM 159
Figure 6.2.7
Interosseous a,
common
Supinator m
Palmaris
longus m
Ulnar a
Flexor digitorum
superficialis m Interosseous a,
posterior
Extensor
Flexor digitorum digitorum m
profundus m
Abductor pollicis
longus m
Interosseous n,
Interosseous a,
posterior
anterior
Extensor pollicis
brevis m
Pronator
quadratus m
Extensor pollicis
Flexor carpi longus m
ulnaris t
Radius
Ulnar a
Figure 6.2.8
6XSLQDWRUP
,QWHURVVHRXVDDQGY
SRVWHULRU
)OH[RUGLJLWRUXP
VXSHUILFLDOLVP
$EGXFWRUSROOLFLVORQJXVP
([WHQVRUGLJLWRUXPP
)OH[RUGLJLWRUXP
SURIXQGXVP
8OQDUD
)OH[RUFDUSL
XOQDULVW
8OQDUQ ([WHQVRUSROOLFLVORQJXVP
3URQDWRU
TXDGUDWXVP
8OQD ([WHQVRUGLJLWLPLQLPLW
160 UPPER EXTREMITY: MRI OF THE FOREARM
Figure 6.2.9
Brachialis
m insertion
Anconeus m
Ulna
Flexor digitorum
superficialis m
Extensor carpi
ulnaris m
Interosseous n and a,
posterior
Abductor pollicis
longus m
Flexor digitorum
profundus m
Extensor
digitorum m
Flexor carpi
ulnaris m
Extensor pollicis
longus m
Ulnar n
Pronator
quadratus m
Ulna
Extensor indicis m and t
Figure 6.2.10
Palmaris Anconeus m
longus m
Ulnar n
Extensor carpi
Flexor digitorum ulnaris m
profundus m
Extensor
digitorum m
Ulnar n Ulna
Extensor indicis
m and t
UPPER EXTREMITY: MRI OF THE FOREARM 161
Figure 6.2.11
Flexor carpi Anconeus m
ulnaris m
Flexor digitorum
profundus m
Ulna
Extensor carpi
ulnaris m
Extensor
digitorum m
Figure 6.2.12
Flexor carpi
ulnaris m
Flexor digitorum
profundus m
Extensor carpi
ulnaris m
162 UPPER EXTREMITY: MRI OF THE FOREARM
CORONAL
Figure 6.3.1
Palmaris longus m
Figure 6.3.2
Ulnar a
Flexor digitorum profundus m and t Ulnar n
UPPER EXTREMITY: MRI OF THE FOREARM 163
Figure 6.3.3
Pronator teres m
Palmaris longus t
Ulnar a
Ulnar n
Flexor digitorum superficialis m and t
Figure 6.3.4
Cephalic v
Pronator teres m
Ulnar a
Ulnar n
Palmaris longus t
Figure 6.3.5
Cephalic v
Pronator teres m
Median n
Ulnar a
Pronator quadratus m
Flexor digitorum superficialis m
Ulna
Palmaris longus t
Flexor digitorum profundus m and t
Figure 6.3.6
%LFHSVEUDFKLLW
6XSLQDWRUP
5DGLDOD
3URQDWRUWHUHVP
8OQDUD
%UDFKLRUDGLDOLVP
&HSKDOLFY )OH[RUGLJLWRUXPSURIXQGXVP
)OH[RUFDUSLXOQDULVP
)OH[RUGLJLWRUXPVXSHUILFLDOLVP
0HGLDQQ
8OQD
3URQDWRUTXDGUDWXVP
)OH[RUGLJLWRUXPSURIXQGXVPDQGW
0HGLDQQ ([WHQVRUFDUSLXOQDULVW
UPPER EXTREMITY: MRI OF THE FOREARM 165
Figure 6.3.7
%LFHSVEUDFKLLW
6XSLQDWRUP
8OQDUD
%UDFKLRUDGLDOLVP
3URQDWRUWHUHVP
)OH[RUGLJLWRUXPSURIXQGXVP
5DGLDOD
&HSKDOLFY
)OH[RUGLJLWRUXPVXSHUILFLDOLVP
8OQD
,QWHURVVHRXVDDQGQDQWHULRU
3URQDWRUTXDGUDWXVP
)OH[RUGLJLWRUXPSURIXQGXVPDQGW
([WHQVRUFDUSLXOQDULVW
)OH[RUFDUSLUDGLDOLVW
5DGLXV
Figure 6.3.8
Biceps brachii t
Supinator m
Brachioradialis m
Pronator teres m
Flexor digitorum profundus m
Flexor digitorum superficialis m
Radial a
Cephalic v
Ulna
Interosseous a and n, anterior
Radius
166 UPPER EXTREMITY: MRI OF THE FOREARM
Figure 6.3.9
8OQD
5DGLDOWXEHURVLW\
,QWHURVVHRXVDDQGQDQWHULRU
6XSLQDWRUP
%UDFKLRUDGLDOLVP
5DGLDOQVXSHUILFLDO
)OH[RUGLJLWRUXPSURIXQGXVP
3URQDWRUWHUHVP
)OH[RUGLJLWRUXPVXSHUILFLDOLVP
&HSKDOLFY
,QWHURVVHRXVDDQGQDQWHULRU 8OQD
5DGLDOD
)OH[RUSROOLFLVORQJXVP
([WHQVRULQGLFLVP
([WHQVRUFDUSLXOQDULVPDQGW
([WHQVRUSROOLFLVORQJXVP
5DGLXV
Figure 6.3.10
Supinator m
Radius
Ulna
Brachioradialis m
Radial n, superficial
Interosseous a and n, anterior
Radial a
Extensor pollicis longus t
Radius
UPPER EXTREMITY: MRI OF THE FOREARM 167
Figure 6.3.11
Brachioradialis m
Supinator m
Ulna
Extensor digitorum m
Radius
Radial n, superficial
Figure 6.3.12
Supinator m
Brachioradialis m
Ulna
Radius
Extensor digitorum m
Figure 6.3.13
Supinator m
Extensor carpi radialis longus m
Anconeus m
Interosseous a, posterior
Radius
Abductor pollicis longus m
Extensor digitorum m
Figure 6.3.14
Anconeus m
Supinator m
Extensor carpi radialis longus m
Figure 6.3.15
Extensor digitorum m
Figure 6.3.16
Extensor digitorum m
Extensor carpi radialis brevis m
Extensor carpi ulnaris m
7
Chapter
AXIAL
Figure 7.1.1 Extensor pollicis
longus t
Radius
Cephalic v
Extensor carpi Extensor digitorum m
radialis brevis t
Extensor retinaculum
Extensor carpi Extensor digiti minimi t
radialis longus t Extensor indicis m and t
Interosseous a, anterior
Extensor pollicis Extensor carpi ulnaris t
brevis t and m
Abductor pollicis Ulna
longus t
Pronator Flexor digitorum
quadratus m profundus m
Flexor pollicis
longus m Ulnar n
Radial a Ulnar a
Flexor carpi ulnaris
Flexor carpi m and t
radialis t
Palmaris longus t
Median n
artery = a
Flexor digitorum arteries = aa
superficialis m vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Flexor digitorum
superficialis m
172 UPPER EXTREMITY: MRI OF THE WRIST
ORQJXVW
&HSKDOLFY
'RUVDOUDGLDO
WXEHUFOH ([WHQVRU
/LVWHUҋVWXEHUFOH GLJLWRUXPWW
([WHQVRUFDUSL ([WHQVRUGLJLWL
UDGLDOLVEUHYLVW PLQLPLW
([WHQVRUFDUSL ([WHQVRULQGLFLVW
UDGLDOLVORQJXVW
5DGLXV ([WHQVRUFDUSL
([WHQVRUSROOLFLV XOQDULVW
EUHYLVW VXEOX[HG
$EGXFWRUSROOLFLV 8OQD
ORQJXVW )OH[RUGLJLWRUXP
3URQDWRU SURIXQGXVPDQGW
TXDGUDWXVP
8OQDUQ
)OH[RUSROOLFLV
ORQJXVP 8OQDUD
5DGLDOD )OH[RUFDUSL
0HGLDQQ XOQDULVPDQGW
3DOPDULVORQJXVW
)OH[RUFDUSL
UDGLDOLVW
)OH[RUGLJLWRUXP
VXSHUILFLDOLVP
Extensor digitorum tt
Extensor pollicis
longus t Extensor digiti
minimi t
Extensor carpi Extensor indicis t
radialis brevis t Triangular
fibrocartilage
Extensor carpi
Extensor carpi
radialis longus t
ulnaris t
Radius Ulnar styloid
Extensor pollicis Lunate
brevis t Flexor digitorum
Abductor pollicis profundus tt
longus t
Ulnar n
Flexor pollicis Ulnar a, deep
longus t
Ulnar a, superficial
Radial a Flexor carpi ulnaris t
Flexor carpi Palmar carpal lig
radialis t
Palmaris longus t
Median n
Flexor digitorum
superficialis t
Extensor pollicis
longus t
Extensor
Extensor carpi digitorum tt
radialis brevis t Extensor digiti
minimi t
Extensor carpi
radialis longus t Extensor indicis t
Extensor carpi
Scaphoid ulnaris t
Radial styloid Ulnar styloid
Extensor pollicis Lunate
brevis t Flexor digitorum
Abductor pollicis profundus tt
longus t Ulnar n
Flexor pollicis
longus t Ulnar a, deep
Flexor digitorum
superficialis t
174 UPPER EXTREMITY: MRI OF THE WRIST
Radiolunotriquetral lig
Dorsal
scaphotriquetral lig Extensor indicis t
Extensor carpi Triquetrum
radialis longus t Extensor carpi
Dorsal ulnaris t
radiotriquetral lig Medial
Scaphoid pisotriquetral lig
Radial collateral lig Lunate
Capitate Radiolunotriquetral
Cephalic v lig
Radioscaphocapitate Flexor digitorum
lig profundus tt
Extensor pollicis
brevis t Pisiform
Abductor pollicis Ulnar n
longus t
Flexor carpi
Radial a, deep ulnaris t
Flexor pollicis
longus t Ulnar a, deep
Flexor carpi radialis t
Radial a, Median n Flexor digitorum Palmaris Palmar Ulnar a,
superficial superficialis tt longus t carpal lig superficial
Extensor Extensor
carpi digitorum tt
radialis Extensor digiti
longus t minimi t
Capitate Extensor
indicis t
Radial a, Extensor carpi
deep ulnaris t
Hamate
Scaphoid Triquetrum
Trapezium Palmar
Extensor scaphotriquetral
pollicis lig, distal bands
brevis t Flexor
Abductor digitorum
pollicis profundus tt
longus t
Abductor Abductor digiti
pollicis minimi m
brevis m
Flexor carpi Flexor carpi
radialis t ulnaris t
Flexor pollicis
longus t Ulnar a, deep
Flexor digitorum Radial a,
Median n Palmaris Flexor Ulnar a, Ulnar n
superficialis tt superficial
longus t retinaculum superficial
UPPER EXTREMITY: MRI OF THE WRIST 177
SAGITTAL
Figure 7.2.1
Opponens pollicis m
Radial a Second metacarpal
First metacarpal
Extensor carpi radialis longus t
Abductor pollicis brevis m
Trapezium
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 7.2.2
Adductor pollicis m,
transverse head
Flexor pollicis brevis m
First dorsal interosseous m
Adductor pollicis m,
Deep palmar arch oblique head
Trapezium
Figure 7.2.3
Radial a, superficial Palmar digital a, common
palmar arch Adductor pollicis m,
transverse head
Flexor pollicis brevis m
First dorsal interosseous m
Deep palmar arch
Adductor pollicis m,
oblique head
Opponens pollicis m
Second metacarpal
First metacarpal
Trapezium
Scaphotrapezial
intercarpal lig Scaphoid tuberosity
Radiolunotriquetral lig
Extensor carpi
radialis longus t
Radius
Pronator quadratus m
Scaphoid tuberosity
Palmar scaphotriquetral lig
Radioscaphocapitate lig
Radius
Pronator quadratus m
Radial a
182 UPPER EXTREMITY: MRI OF THE WRIST
'HHSSDOPDUDUFK
)OH[RUSROOLFLVEUHYLVP $GGXFWRUSROOLFLVP
VXSHUILFLDO REOLTXHKHDG
)OH[RUSROOLFLVORQJXVW )OH[RUSROOLFLVEUHYLVP
GHHSKHDG
2SSRQHQVSROOLFLVP
6HFRQGPHWDFDUSDO
$EGXFWRUSROOLFLVEUHYLVP 7UDSH]RLG
7UDSH]LXP ([WHQVRUFDUSLUDGLDOLV
EUHYLVW
)OH[RUUHWLQDFXOXP
3DOPDUVFDSKRWULTXHWUDOOLJ 6FDSKRLGWXEHURVLW\
5DGLRVFDSKRFDSLWDWHOLJ
$FFHVVRU\UDGLRFDUSDO
IDVFLFXOXVRISURQDWRU
TXDGUDWXVPYDULDQW
([WHQVRUSROOLFLVORQJXVW
5DGLRXOQRWULTXHWUDOOLJ
)OH[RUFDUSLUDGLDOLVW
5DGLXV
3URQDWRUTXDGUDWXVP
)OH[RUSROOLFLVORQJXVP ([WHQVRUSROOLFLVEUHYLVP
Figure 7.2.6
Second dorsal
interosseous m
Adductor pollicis m,
Deep palmar arch transverse head
Extensor digitorum t
Third metacarpal
Adductor pollicis m,
Flexor pollicis brevis m, oblique head
superficial
Flexor pollicis brevis m,
Flexor pollicis longus t
deep head
Opponens pollicis m
Second metacarpal
Trapezoid
Abductor pollicis brevis m
Capitotrapezoid
Flexor retinaculum intercarpal lig
Capitate
Palmar scaphotriquetral lig,
distal band
Dorsal scaphotriquetral lig
Palmar scaphotriquetral lig,
proximal band Scaphoid
Radioscaphocapitate lig
Dorsal radiotriquetral lig
Radioulnotriquetral lig
Median n
Radius
Pronator quadratus m
Extensor pollicis brevis m
UPPER EXTREMITY: MRI OF THE WRIST 183
)OH[RUSROOLFLVORQJXVW
5DGLRVFDSKROXQDWHOLJ ([WHQVRUUHWLQDFXOXP
5DGLXV ([WHQVRUSROOLFLVORQJXVW
)OH[RUGLJLWRUXP
SURIXQGXVW
)OH[RUGLJLWRUXP
VXSHUILFLDOLVPDQGW
3DOPDULVORQJXVW
3URQDWRUTXDGUDWXVP
Second dorsal
interosseous m
Deep palmar arch
Third metacarpal
Adductor pollicis m,
transverse head
Flexor digitorum profundus t
Extensor digitorum t
Median n, branch Adductor pollicis m,
oblique head
Flexor pollicis brevis m
Palmar aponeurosis Carpometacarpal lig
Opponens pollicis m
Abductor pollicis brevis m
Palmar scaphotriquetral lig, Capitate
distal band
Flexor retinaculum
Median n Extensor indicis t
Radioscaphocapitate lig Dorsal
scaphotriquetral lig
Palmar scaphotriquetral lig,
distal band Scaphoid
Palmaris longus t Dorsal radiotriquetral lig
Radiolunotriquetral lig Extensor retinaculum
Flexor digitorum
superficialis m and t
Pronator quadratus m
Extensor pollicis
longus m
184 UPPER EXTREMITY: MRI OF THE WRIST
Third metacarpal
Flexor digitorum
superficialis t Fourth metacarpal
Palmar aponeurosis Adductor pollicis m,
oblique head
Abductor pollicis brevis m
Radius
Flexor digitorum
superficialis m and t
Flexor digitorum
profundus m and t
Pronator quadratus m
Extensor pollicis
longus m
Fourth metacarpal
Palmar aponeurosis
Flexor digitorum
superficialis t Hamate
Flexor digitorum profundus t Capitohamate
intercarpal lig
Palmar scaphotriquetral lig,
distal band
Palmar scaphotriquetral lig, Capitate
proximal band Dorsal
scaphotriquetral lig
Flexor retinaculum
Extensor retinaculum
Radiolunotriquetral lig Dorsal radiotriquetral lig
Lunate
Short radiolunate lig
Extensor digitorum t
Radius
Flexor digitorum
superficialis m and t
Flexor digitorum Extensor indicis m
profundus m and t
Pronator quadratus m
UPPER EXTREMITY: MRI OF THE WRIST 185
Extensor digitorum t
Deep palmar arch
Radius
Flexor digitorum
superficialis m and t
Flexor digitorum Extensor indicis m
profundus m and t
Pronator quadratus m
Extensor digitorum t
Pronator quadratus m
Extensor digitorum t
Extensor indicis m
186 UPPER EXTREMITY: MRI OF THE WRIST
Figure 7.2.13
Extensor digitorum t
Third palmar
interosseous m Fourth dorsal
interosseous m
Opponens digiti minimi m
Ulnar a Ulna
Flexor digitorum
profundus m and t
Pronator quadratus m
Extensor digiti minimi m
Ulnar n
Extensor indicis m
Triquetrum
Abductor digiti minimi m
Extensor retinaculum
Pisiform
Dorsal radiotriquetral lig
Extensor digiti minimi t
Radiolunotriquetral lig
Palmar ulnotriquetral lig Dorsal ulnotriquetral lig
Lunotriquetral intercarpal lig
Triangular fibrocartilage
Palmar radioulnar lig Lunate
Ulnar n
Ulna
Pronator quadratus m
Extensor indicis m
Extensor digiti
minimi m and t
UPPER EXTREMITY: MRI OF THE WRIST 187
Figure 7.2.15
)RXUWKGRUVDO
7KLUGSDOPDULQWHURVVHRXVP LQWHURVVHRXVP
)OH[RUGLJLWLPLQLPLEUHYLVP
)LIWKPHWDFDUSDO
2SSRQHQVGLJLWLPLQLPLP
3DOPDULVEUHYLVP
3LVRPHWDFDUSDOOLJ +DPDWH
([WHQVRUGLJLWLPLQLPLW
$EGXFWRUGLJLWLPLQLPLP
7ULTXHWUXP
3LVRWULTXHWUDOMRLQW
3LVLIRUP
([WHQVRUUHWLQDFXOXP
3DOPDUXOQRWULTXHWUDOOLJ 'RUVDOXOQRWULTXHWUDOOLJ
7ULDQJXODUILEURFDUWLODJH
8OQD
)OH[RUFDUSLXOQDULVPDQGW
3URQDWRUTXDGUDWXVP
([WHQVRUFDUSLXOQDULVP
Figure 7.2.16
Palmaris brevis m
Ulna
Pronator quadratus m
Extensor retinaculum
Ulna
CORONAL
Figure 7.3.1 )OH[RUSROOLFLV $EGXFWRUGLJLWLPLQLPLP
EUHYLVP 3DOPDULVEUHYLVP
2SSRQHQVSROOLFLVP 8OQDUDGHHSSDOPDU
$EGXFWRUSROOLFLV EUDQFK
EUHYLVP )OH[RUGLJLWLPLQLPL
EUHYLVP
8OQDUQ
3LVLIRUP
)OH[RUFDUSLUDGLDOLVW
8OQDUD
0HGLDQQ
3DOPDULVORQJXVW
DUWHU\ D
DUWHULHV DD
YHLQ Y
YHLQV YY
PXVFOH P
PXVFOHV PP
WHQGRQ W
WHQGRQV WW
QHUYH Q
QHUYHV QQ
OLJDPHQW OLJ
)OH[RUFDUSL OLJDPHQWV OLJV
XOQDULVP QHUYH
YHVVHOV
ERQH
Radial a
Flexor pollicis
longus t
Ulnar n
Median n
Flexor carpi
ulnaris m
Flexor digitorum
profundus m
Radius Ulnar n
Flexor pollicis
longus t
Pronator quadratus m
Cephalic v
Pronator quadratus m
Flexor pollicis
longus m and t Flexor carpi ulnaris m
Flexor digitorum Ulna
profundus m
Pronator quadratus m
Ulna
Flexor pollicis longus m
192 UPPER EXTREMITY: MRI OF THE WRIST
Brachioradialis t
Pronator
quadratus m
Extensor carpi
radialis brevis m
UPPER EXTREMITY: MRI OF THE WRIST 193
Scaphoid Triquetrum
Lunate Lunotriquetral lig
Ulnar collateral lig
Scapholunate lig
Triangular fibrocartilage disc
Ulnar styloid
Radius
Ulna
Trapezium Hamate
Trapezoid
Capitate
Intercarpal lig
Dorsal trapezotriquetral lig
Extensor pollicis
brevis m and t
Extensor pollicis
longus m and t Extensor indicis m
Abductor pollicis
longus t
Trapezoid Capitate
Figure 7.3.13
Second metacarpal Third metacarpal
Trapezoid Capitate
Extensor carpi radialis
brevis t
Extensor indicis t
AXIAL
Figure 8.1.1 Extensor carpi
radialis longus t
Extensor carpi
radialis brevis t
Second
metacarpal Extensor digitorum tt
Extensor pollicis
longus t Extensor indicis t
Radial a, deep Extensor digiti minimi t
palmar arch Third, fourth, and fifth
Extensor pollicis metacarpals
brevis t Abductor digiti minimi t
First metacarpal Flexor digitorum
Flexor pollicis profundus tt
longus t Flexor digiti minimi
Opponens brevis m
pollicis Opponens digiti
brevis m minimi m
Flexor pollicis Palmaris brevis m
brevis m Ulnar a,
superficial and deep
Abductor Radial a, Median n Palmar Flexor digitorum
pollicis superficial aponeurosis superficialis tt artery = a
brevis m palmar arch arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Second dorsal
interosseous m Extensor digitorum tt
First dorsal Extensor digiti minimi t
interosseous m Third and fourth
3
2 4 dorsal interosseous mm
First palmar
interosseous m Second and third
palmar interosseous mm
Extensor pollicis Abductor digiti minimi t
longus t
Flexor digitorum
Extensor profundus tt
expansion (hood)
Fifth proximal phalanx
6HFRQG
PHWDFDUSDO 'RUVDOGLJLWDO
KHDG QHXURYDVFXODU
VWUXFWXUHV
6DJLWWDOEDQG
7KLUGPHWDFDUSDOKHDG
5DGLDOFROODWHUDO 8OQDUFROODWHUDOOLJ
OLJSURSHU SURSHU
,QWHURVVHRXVP
&ROODWHUDOOLJV
DFFHVVRU\
3DOPDUGLJLWDOD
9RODUSODWH
/XPEULFDOP
/XPEULFDOW
9RODUSODWH 3DOPDUGLJLWDOQQ
VHVDPRLG SURSHU
$SXOOH\
)OH[RUGLJLWRUXP )OH[RUGLJLWRUXP
SURIXQGXVW VXSHUILFLDOW
Dorsal digital v
Flexor digitorum
profundus t
Palmar digital
a, n, and v
A2 pulley
SAGITTAL
Figure 8.2.1
7KXPEGLVWDOSKDODQ[
&ROODWHUDOOLJ
&ROODWHUDOOLJ
,QWHUSKDODQJHDOMRLQW
7KXPESUR[LPDOSKDODQ[
)LUVWPHWDFDUSDO
DUWHU\ D
DUWHULHV DD
YHLQ Y
YHLQV YY
PXVFOH P
PXVFOHV PP
WHQGRQ W
WHQGRQV WW
QHUYH Q
QHUYHV QQ
OLJDPHQW OLJ
OLJDPHQWV OLJV
QHUYH
YHVVHOV
ERQH
Figure 8.2.2
Metacarpophalangeal joint
Figure 8.2.3
Index finger
First metacarpal
Figure 8.2.4
Index finger, proximal phalanx
Opponens pollicis m
Abductor pollicis brevis m First metacarpal
UPPER EXTREMITY: MRI OF THE HAND 207
Figure 8.2.5
Adductor pollicis m
Opponens pollicis m
Trapezium
Figure 8.2.6
Index finger, distal phalanx
Distal interphalangeal joint
Volar plate
Adductor pollicis m
Opponens pollicis m
Abductor pollicis brevis m Trapezoid
Trapezium
Scaphoid
208 UPPER EXTREMITY: MRI OF THE HAND
Figure 8.2.7
Index finger, distal phalanx
Distal interphalangeal joint
First lumbrical m
Figure 8.2.8
Index finger
Second metacarpal
Extensor digitorum t
First lumbrical m
Figure 8.2.9
Figure 8.2.10
A2 pulley
Long finger, proximal phalanx
Metacarpophalangeal joint
A1 pulley
Volar plate
Third metacarpal
Third lumbrical m
Second dorsal interosseous m
Adductor pollicis m, transverse head
Figure 8.2.11
C1 pulley
A2 pulley
Long finger, proximal phalanx
Metacarpophalangeal joint
Volar plate
Extensor digitorum t
Third metacarpal
Hamate
Flexor retinaculum
Figure 8.2.12
Third lumbrical m
Figure 8.2.13
Nail
Volar plate
Fourth metacarpal head
Flexor digitorum profundus and superficialis tt
Extensor digitorum t
Fifth metacarpal
Flexor digiti minimi brevis m
Hamate
Figure 8.2.14
Metacarpophalangeal joint
Volar plate
Fourth metacarpal head
Extensor digitorum t
Fifth metacarpal
Figure 8.2.15
Volar plate
Figure 8.2.16
Figure 8.2.17
Figure 8.2.18
CORONAL
Figure 8.3.1
Flexor pollicis
brevis m
Abductor pollicis Palmar aponeurosis
brevis m artery = a
Flexor pollicis longus t arteries = aa
Base of first vein = v
Palmaris brevis m veins = vv
metacarpal
Ulnar a, superficial muscle = m
Abductor pollicis palmar arch muscles = mm
longus t tendon = t
Flexor digitorum
superficialis t tendons = tt
Trapezium
nerve = n
Flexor carpi radialis t Pisiform nerves = nn
Flexor retinaculum ligament = lig
Median n Palmaris longus t ligaments = ligs
nerve &
vessels
bone
Figure 8.3.2
/XPEULFDOPP
9RODUSODWH
8OQDUDVXSHUILFLDO
)OH[RUSROOLFLVORQJXVW SDOPDUDUFK
)OH[RUSROOLFLVEUHYLVP 2SSRQHQVGLJLWL
2SSRQHQVSROOLFLVP PLQLPLP
([WHQVRUSROOLFLVEUHYLVW
3DOPDULVEUHYLVP
%DVHRIILUVWPHWDFDUSDO
+RRNRIKDPDWH
7UDSH]LXP )OH[RUGLJLWRUXP
$EGXFWRUSROOLFLVORQJXVW VXSHUILFLDOLVWW
6FDSKRLGWXEHURVLW\ 3LVLIRUP
)OH[RUSROOLFLVORQJXVW
8OQDUQ
8OQDUD
0HGLDQQ
)OH[RUFDUSLXOQDULV
UPPER EXTREMITY: MRI OF THE HAND 215
Figure 8.3.3
Small finger,
middle phalanx
Lumbrical mm
Flexor digitorum
Volar plate
superficialis tt
Adductor pollicis m, 1
Opponens digiti
oblique head minimi m
First metacarpal
Abductor digiti
minimi m
Flexor pollicis brevis m Flexor digiti
minimi m
Hook of
Trapezium
hamate
Extensor pollicis brevis t Pisohamate lig
Scaphoid tuberosity
Abductor pollicis longus t Pisiform
Radioscaphocapitate lig Lunate
Ulnar n
Radial a
Ulnar a
Figure 8.3.6
3DUWRIH[WHQVRU
H[SDQVLRQKRRG
,QGH[ILQJHUSUR[LPDOSKDODQ[ /RQJILQJHU
7KXPEGLVWDOSKDODQ[ SUR[LPDOSKDODQ[
8OQDUFROODWHUDOOLJVDFFHVVRU\ 5LQJILQJHU
([WHQVRUSROOLFLVORQJXVW SUR[LPDOSKDODQ[
5DGLDOFROODWHUDOOLJVDFFHVVRU\ 5DGLDODQGXOQDU
)LUVWGRUVDOLQWHURVVHRXVW FROODWHUDOOLJVSURSHU
-RLQWFDSVXOH
5DGLDODQGXOQDU
,QWHURVVHRXVWW
FROODWHUDOOLJVSURSHU
7KXPESUR[LPDOSKDODQ[
)LUVWSDOPDULQWHURVVHRXVP
7KLUGGRUVDO
6HFRQGGRUVDOLQWHURVVHRXVP LQWHURVVHRXVP
'HHSSDOPDUDUFK )RXUWKGRUVDO
LQWHURVVHRXVP
)LUVWGRUVDOLQWHURVVHRXVP
([WHQVRUSROOLFLVORQJXVW
%DVHRIVHFRQGWKLUGIRXUWK
DQGILIWKPHWDFDUSDOV
([WHQVRUFDUSLUDGLDOLVORQJXVW
5DGLDOD
7UDSH]RLG +DPDWH
,QWHUFDUSDOOLJ ([WHQVRUFDUSL
&DSLWDWH XOQDULVW
'RUVDOWUDSH]RWULTXHWUDOOLJ
6FDSKRLG 7ULTXHWUXP
5DGLDOVW\ORLG 7ULDQJXODU
/XQDWH ILEURFDUWLODJH
5DGLXV 8OQDUVW\ORLG
([WHQVRUSROOLFLVEUHYLVW 8OQD
UPPER EXTREMITY: MRI OF THE HAND 217
Figure 8.3.7
,QGH[ILQJHUSUR[LPDO
SKDODQ[ /RQJILQJHUSUR[LPDO
8OQDUFROODWHUDOOLJVSURSHU SKDODQ[
7KXPELQWHUSKDODQJHDOMRLQW 5LQJILQJHUSUR[LPDO
5DGLDOFROODWHUDOOLJVSURSHU SKDODQ[
)LUVWGRUVDOLQWHURVVHRXVW ([WHQVRUH[SDQVLRQ
KRRGVDJLWWDOEDQG
([WHQVRU
H[SDQVLRQKRRG
6HFRQGGRUVDO 7KLUGGRUVDO
LQWHURVVHRXVP LQWHURVVHRXVP
)LUVWGRUVDOLQWHURVVHRXVP )RXUWKGRUVDO
LQWHURVVHRXVP
%DVHRIVHFRQGWKLUG
DQGIRXUWKPHWDFDUSDOV
([WHQVRUSROOLFLVORQJXVW
7UDSH]RLG +DPDWH
&DSLWDWH
7ULTXHWUXP
'RUVDOWUDSH]RWULTXHWUDOOLJ
([WHQVRUFDUSLUDGLDOLV ([WHQVRUFDUSL
ORQJXVW XOQDULVW
6FDSKRLG 7ULDQJXODU
/XQDWH ILEURFDUWLODJH
8OQDUVW\ORLG
5DGLXV
8OQD
Figure 8.3.8
Extensor expansion
(hood)
Figure 8.3.9
Extensor digitorum tt
Radius Ulna
II
Section
Lower Extremity
This page intentionally left blank
9
Chapter
AXIAL
Figure 9.1.1 Iliopsoas m Internal oblique
and transversus
Sartorius m abdominis mm
Rectus
abdominis m
Iliopsoas t
External iliac
vessels
Gluteus minimus m
Gluteus medius m Internal iliac
vessels
Ilium
Superior gluteal
a and v
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
Gluteus maximus m Piriformis m Sacrum vessels
bone
Iliotibial band
Gluteus
minimus m External iliac
vessels
Gluteus
medius m
Obturator
Ilium internus m
Rectum
Internal iliac
vessels
Sacrum
Tensor fasciae
latae m External iliac a
External iliac v
Iliotibial band Anterior inferior
iliac spine
Gluteus minimus m
Ilium
Gluteus medius m
Rectus femoris t, Obturator
reflected head internus m
Rectus femoris t,
straight head Sciatic n
Sacrum
Gluteus minimus m
Iliotibial band
Ilium
Gluteus medius m
Obturator
Rectus femoris t, internus m
reflected head
Gluteus medius t
Sciatic n
Piriformis m
Rectum
Sacrum
Gluteus maximus m
226 LOWER EXTREMITY: MRI OF THE HIP
Gluteus
medius t Sciatic n
Piriformis m
Inferior gluteal
a and v
Gluteus Rectum
maximus m
Sacrum
Iliopsoas m
Rectus
Sartorius m abdominis m
Common
Rectus femoral a
femoris t
Common
Tensor fasciae femoral v
latae m
Rectus
femoris m Anterior
acetabular wall
Iliotibial band
Femoral head
Gluteus
minimus m
Obturator
internus m
Gluteus Posterior
medius m acetabular wall
Sciatic n
Gluteus
medius t Inferior
gluteal a
Gluteus
maximus m
Sacrum
Piriformis t Piriformis m
LOWER EXTREMITY: MRI OF THE HIP 227
Femoral n
Iliopsoas m
Sartorius m
Rectus femoris t Common
femoral a
Rectus femoris m Common
Tensor fasciae femoral v
latae m
Anterior
acetabular wall
Gluteus
minimus m
Gluteus Acetabular fossa
medius m Fovea
Iliotibial band Femoral head
Obturator internus m
Gluteus minimus t
Posterior
Piriformis t
acetabular wall
Greater Sciatic n
trochanter
Gluteus Inferior
medius t gluteal a
Sacrospinous lig
Gluteus
maximus m
Sacrotuberous lig
Femoral head
Gluteus minimus m
Urinary bladder
Iliotibial band
Obturator internus m
Gluteus medius m
Ischium
Gluteus minimus t
Rectum
Greater trochanter Obturator internus t
Femoral Sciatic n
neck
Rectus femoris t
Femoral a
Rectus femoris m
Femoral v
Lateral femoral
circumflex vessels, Pectineus m
branches Medial femoral
Tensor fasciae latae m circumflex vessel
Iliopsoas m
Obturator
Vastus lateralis m
externus m
Iliotibial band
Gluteus minimus m
Obturator externus t Obturator
Gluteus medius m internus m
Ischial
tuberosity
Rectum
Greater trochanter
Sacrotuberous lig
Gluteus Sciatic n
maximus m
LOWER EXTREMITY: MRI OF THE HIP 229
Greater
saphenous v
Rectus femoris t
Femoral a
Rectus femoris m Femoral v
Lateral femoral
circumflex vessel Pectineus m
Tensor fasciae
latae m Iliopsoas t
Iliopsoas m
Medial femoral
Vastus lateralis m circumflex vessel
Femoral neck Obturator
externus m
Iliotibial band
Calcar femorale Ischial tuberosity
Gluteus medius m Obturator
Sciatic n internus m
Common
hamstring t
Gluteus
maximus m
Greater
Lymph node saphenous v
Sartorius m Femoral a
Femoral v
Rectus femoris t
Adductor
Rectus femoris m longus m
Tensor fasciae Adductor
latae m brevis m
Pectineus m
Inferior pubic
Vastus lateralis m
ramus
Lateral femoral Obturator
circumflex vessels externus m
Iliotibial tract Medial femoral
Calcar femorale circumflex vessels
Femur Ischial tuberosity
Quadratus Obturator
femoris m internus m
Common
hamstring t
Sciatic n
Gluteus
maximus m
Iliopsoas t
230 LOWER EXTREMITY: MRI OF THE HIP
Lymph node
Sartorius m Lymph node
Adductor longus m
Rectus femoris m
Femoral a
Tensor fasciae
latae m Femoral v
Lateral femoral Adductor brevis m
circumflex vessels Pectineus m
Vastus lateralis m
Vastus intermedius m Adductor magnus m
Iliotibial band Inferior pubic ramus
Iliopsoas m
Calcar femorale Obturator internus m
Iliopsoas t
Ischial tuberosity
Sciatic n
Quadratus femoris m
Semimembranosus t
Gluteus maximus m Conjoined t of
semitendinosus m
and biceps
femoris m, long
head
Medial femoral
circumflex vessel
Sciatic n
Conjoined t of
semitendinosus
m and biceps
femoris m, long
head
Gluteus maximus m Semimembranosus t
Iliopsoas t
LOWER EXTREMITY: MRI OF THE HIP 231
Iliotibial band
Calcar femorale Gracilis m
Femur
Lesser
trochanter Semimembranosus t
Sciatic n
Semitendinosus m
Conjoined t of
semitendinosus
Gluteus m and biceps
maximus m femoris m, long
head
Quadratus femoris m
Femur
Quadratus femoris m
Gluteal Semimembranosus t
tuberosity
Sciatic n
Semitendinosus m
Conjoined t of
semitendinosus
m and biceps
Gluteus femoris m, long
maximus m head
232 LOWER EXTREMITY: MRI OF THE HIP
Sartorius m
Rectus
femoris m Femoral vessels,
superficial
Vastus Adductor longus m
intermedius m
Vastus Femoral vessels,
lateralis m deep
Adductor brevis m
Gracilis m
Adductor magnus m
Femur
Semimembranosus t
Iliotibial band
Sciatic n Semitendinosus m
Conjoined t of
semitendinosus
Gluteus m and biceps
maximus m femoris m, long
head
Femoral vessels,
deep
Femur Adductor magnus m
SAGITTAL
Figure 9.2.1
Gluteus Gluteus
medius m maximus m
Tensor fasciae
latae m
Figure 9.2.2
Gluteus
medius m Gluteus
maximus m
Gluteus
minimus m
Tensor fasciae
latae m
Vastus
lateralis m
Rectus
femoris m
Iliotibial
band
234 LOWER EXTREMITY: MRI OF THE HIP
Figure 9.2.3
Gluteus
medius m
Gluteus
Tensor fasciae maximus m
latae m
Gluteus
minimus m
Lateral femoral
circumflex vessels,
branches
Rectus
femoris m
Vastus
lateralis m Greater
trochanter
Iliotibial band
Vastus
intermedius m Vastus
lateralis m
Figure 9.2.4
Gluteus
minimus m
Gluteus
medius m
Gluteus
minimus t
Rectus
femoris m
Vastus
lateralis m
Greater
trochanter
Vastus
intermedius m
Vastus
lateralis m
LOWER EXTREMITY: MRI OF THE HIP 235
Gluteus
medius m
Gluteus Gluteus
minimus m maximus m
Tensor Lateral femoral
fasciae circumflex vessels,
latae m branches
Gluteus
minimus t
Greater
trochanter
Vastus Gluteus
lateralis m maximus m
Lateral femoral
Rectus circumflex vessels
femoris m
Femoral
diaphysis
Vastus
intermedius m Vastus lateralis m
Gluteus
Tensor
medius m
fasciae
latae m
Sartorius m Gluteus
maximus m
Gluteus
minimus m Greater
trochanter
Lateral femoral
circumflex
Rectus vessels
femoris m Femoral
a and v, deep
Gluteus
maximus m
Femoral diaphysis
Vastus
intermedius m
Vastus lateralis m
236 LOWER EXTREMITY: MRI OF THE HIP
Sartorius m
Gluteus
medius t
Iliopsoas m
Greater
trochanter
Rectus
femoris m
Lateral femoral
circumflex vessels
Femoral diaphysis
Vastus
intermedius m
Adductor
magnus m
Figure 9.2.8
Iliac crest
Gluteus
medius m
Gluteus
minimus m Gluteus
maximus m
Obturator
Sartorius m internus
and gemelli mm
Piriformis t
Gluteus
Iliopsoas m medius t
Greater
trochanter
Obturator
externus t
Rectus
femoris m
Gluteus
maximus m
Vastus
intermedius m
Adductor
magnus m
LOWER EXTREMITY: MRI OF THE HIP 237
Semitendinosus m
Femoral neck
Obturator
Rectus externus t
femoris m
Lesser Sciatic n
trochanter Quadratus
Vastus femoris m
intermedius m
Sartorius m
Gluteus
Adductor maximus m
brevis m
Sciatic n
Semitendinosus m
Adductor
magnus m
238 LOWER EXTREMITY: MRI OF THE HIP
Iliopsoas m
Gluteus
Anterior minimus m
inferior
iliac spine Gluteus
maximus m
Femoral head
Obturator
Iliopsoas m internus m
Sciatic n
Deep femoral
vessels Quadratus
femoris m
Lesser
Pectineus m trochanter
Adductor Adductor
brevis m magnus m
Gluteus
maximus m
Semitendinosus t
Sartorius m
Semitendinosus m
Iliopsoas m
Gluteus
minimus m
Gluteus
Acetabular roof maximus m
Piriformis m
Obturator
internus m
Pectineus m Sciatic n
Quadratus
Femoral vessels, femoris m
superficial
Gluteus
Femoral vessels, maximus m
deep Semimembranosus t
Adductor brevis m
Sartorius m Adductor
magnus m
Semitendinosus m
LOWER EXTREMITY: MRI OF THE HIP 239
Gluteus
minimus m
Acetabular Gluteus
roof maximus m
Femoral Piriformis m
head
Posterior acetabular
Lymph node wall
Obturator
Iliopsoas t
internus m
Femoral
Obturator
vessels
externus m
Quadratus
Pectineus m femoris m
Semimembranosus t
Adductor
brevis m Gluteus maximus m
Adductor Semitendinosus t
longus m
Semitendinosus m
Sartorius m
Adductor
magnus m
Iliopsoas t Posterior
acetabular wall
Femoral head Obturator
Lymph node internus m
Gluteus
Common femoral maximus m
vessels
Medial femoral Obturator
circumflex vessels externus m
Adductor Semimembranosus t
magnus m
Semitendinosus t
Pectineus m
Adductor
brevis m
Greater Quadratus
saphenous v femoris m
Adductor Semitendinosus m
longus m
Sartorius m
240 LOWER EXTREMITY: MRI OF THE HIP
Ilium Gluteus
Anterior maximus m
acetabular wall
Obturator
Lymph node internus m
Iliopsoas m Medial femoral
Common circumflex
femoral a vessels
Femoral head Obturator
externus m
Pectineus m Adductor
brevis m
Lymph node
Adductor
magnus m
Greater
saphenous v Semitendinosus m
Adductor
longus m
Piriformis m
Acetabular
fossa
Gluteus
Femoral maximus m
vessels Obturator
internus m
Obturator
Pectineus m externus m
Ischium
Semitendinosus m
Adductor
brevis m
Adductor
magnus m
Adductor
longus m
LOWER EXTREMITY: MRI OF THE HIP 241
Adductor
Adductor magnus t
brevis m
Adductor
longus m Adductor
magnus m
Figure 9.2.18
Iliopsoas m
Ilium
Rectus
abdominis m
External iliac Piriformis m
vessels
Sciatic n
Greater
sciatic notch
Gluteus
maximus m
Obturator
internus m
Pectineus m
Obturator
externus m
Sacrotuberous lig
Adductor Ischium
brevis m
Adductor
longus m Adductor
magnus m
242 LOWER EXTREMITY: MRI OF THE HIP
Superior gluteal
a and v
External iliac
vessels
Piriformis m
Obturator n
Obturator a
Obturator v
Superior
pubic ramus Gluteus
maximus m
Obturator
Pectineus m internus m
Obturator
foramen
Obturator
externus m
Ischium
Adductor
brevis m
Adductor
longus m Adductor
magnus m
LOWER EXTREMITY: MRI OF THE HIP 243
CORONAL
Figure 9.3.1 Lymph node
Rectus
abdominis m
Internal
oblique m
Circumflex
iliac v,
superficial
Spermatic
cord
artery = a
arteries = aa
Lymph node vein = v
veins = vv
muscle = m
Greater muscles = mm
saphenous v tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
Rectus Sartorius m
bone
femoris m
Iliopsoas m
Spermatic
cord
Common
femoral a
Rectus Common
femoris t femoral v
Lymph
node
Rectus Adductor
femoris m longus m
244 LOWER EXTREMITY: MRI OF THE HIP
Common
femoral a
Common
Iliopsoas m femoral v
Tensor Urinary
fasciae bladder
latae m
Pectineus m
Rectus Superior
femoris m pubic
ramus
Adductor
brevis m
Femoral a,
deep
Adductor
longus m
Vastus Vastus
lateralis m intermedius m
Gluteus
minimus m Common
Anterior inferior femoral a
iliac spine
Common
femoral v
Tensor fasciae
latae m
Rectus femoris t,
straight head Urinary
bladder
Rectus
Superior
femoris m
pubic ramus
Iliopsoas m
Adductor
brevis m
External
iliac a
Rectus External
femoris t, iliac v
reflected head
Acetabulum
Iliotibial
band Urinary
bladder
Femoral
head
Tensor Superior
fasciae pubic ramus
latae m Obturator
externus m
Pectineus m
Gracilis m
Acetabular
roof
Femoral head
Obturator n
and vessels
Acetabular fossa
Urinary
Iliotibial bladder
band
Obturator
internus m
Obturator
externus m
Pubis
Vastus Iliopsoas t
lateralis m
Pectineus m
Adductor brevis m
Gracilis m
Quadrilateral
plate
Acetabular fossa
Femoral
neck
Femoral head
Obturator
internus m
Obturator
Iliotibial externus m
band
Iliopsoas t
Inferior
pubic ramus
Calcar
femorale
Adductor
brevis m
Gracilis m
Quadrilateral
plate
Gluteus
minimus t
Iliotibial Obturator
band internus m
Greater
trochanter
Obturator
externus m
Ischium
Gemellus m,
superior
Gluteus
maximus m
Ischium
Piriformis t
Obturator
internus m
Greater
trochanter
Obturator Gemellus m,
externus t inferior
Obturator
externus m
Iliotibial
Quadratus
band
femoris m
Ischium
Adductor
magnus m
Sacroiliac
joint
Gluteus Gluteal a,
maximus m superior
Sciatic n
Gluteus
medius t Obturator internus t
and gemelli mm,
superior and inferior
Greater
trochanter Rectum
Levator ani m
Iliotibial Obturator
band internus m
Gluteal a,
inferior Ischium
Sciatic n
Common
hamstring t
Adductor
magnus m
Sacroiliac
joint
Piriformis m
Gluteal a,
inferior
Rectum
Levator ani m
Obturator
internus m
Semitendinosus m
Gluteus
maximus m
Piriformis m
Rectum
Levator ani m
Gluteus
maximus m
LOWER EXTREMITY: MRI OF THE HIP 249
Piriformis m
Lateral
sacral
crest
Gluteus
maximus m
10
Chapter
AXIAL
Figure 10.1.1 Rectus
femoris t Iliopsoas t
Iliofemoral lig
Femoral head
Gluteus
medius t
Sacrotuberous lig
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Femoral v
Anterior
labrum
Iliofemoral lig
Femoral
head
Posterior
labrum
Sacrotuberous lig
Gluteus
medius t
252 LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP
Rectus
femoris t
Iliopsoas t
Anterior
Iliofemoral lig labrum
Ligamentum
Posterior teres
labrum femoris
Gluteus
medius t
Sacrotuberous lig
Rectus
femoris t
Femoral v
Iliofemoral lig
Anterior
labrum
Ischiofemoral lig
Ligamentum
Gluteus teres femoris
medius t
Posterior
labrum
Sacrotuberous lig
LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP 253
Rectus
femoris t
Iliofemoral lig
Gluteus Anterior
minimus t labrum
Posterior
labrum
Sacrotuberous lig
Gluteus
medius t
Zona Anterior
orbicularis labrum
Gluteus Ligamentum
minimus t teres femoris
Fovea
Iliofemoral lig Acetabular
fossa
Obturator
externus t
Gluteus
medius t
Ischial
spine
Sacrotuberous lig
Rectus
femoris t Femoral v
Anterior
Iliofemoral lig labrum
Zona Zona
orbicularis orbicularis
Gluteus Ligamentum
minimus t teres femoris
Femoral Acetabular
neck fossa
Greater
trochanter Posterior
labrum
Sacrotuberous lig
Zona
orbicularis
Femoral v
Transverse
acetabular lig
Femoral
neck Ligamentum
teres femoris
Greater Acetabular
trochanter fossa
Posterior
labrum
Sacrotuberous lig
Iliofemoral lig
Transverse
acetabular lig
Acetabular
fossa
Greater
trochanter
Sacrotuberous lig
Rectus
femoris t
Iliofemoral lig
Femoral
neck
Ischium
Femoral a
Rectus
femoris t
Femoral v
Iliofemoral lig
Inferior articular
recess
Ischium
Zona
orbicularis Sacrotuberous lig
Rectus
femoris t
Iliofemoral lig
Ischium
Sacrotuberous lig
LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP 257
SAGITTAL
Figure 10.2.1 Ilium Superior labrum
Femoral
head
Obturator
internus t
Ischiofemoral lig
Iliofemoral lig Zona orbicularis
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Femoral neck
Acetabular roof
Femoral head
Posterior labrum
Obturator
Iliofemoral lig internus t
Ischiofemoral lig
Zona orbicularis
258 LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP
Acetabular roof
Posterior labrum
Anterior
labrum
Femoral
head
Iliofemoral lig
Iliopsoas t Obturator
internus t
Ischiofemoral lig
Zona orbicularis
Anterior
labrum
Obturator
internus t
Iliofemoral lig
Posterior labrum
Ischiofemoral lig
LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP 259
Anterior
acetabular
wall
Posterior
acetabular
Anterior wall
labrum
Obturator
Femoral head internus t
Posterior labrum
Iliopsoas t
Ischiofemoral lig
Iliofemoral lig
Posterior
acetabular
Anterior wall
labrum
Obturator
internus t
Iliopsoas t
Posterior
labrum
Iliofemoral lig
Semitendinosus t
Semimembranosus t
260 LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP
Anterior
acetabular
wall
Femoral
Iliopsoas t head
Posterior inferior
labrum
,OLRSVRDVW /LJDPHQWXP
WHUHVIHPRULV
2EWXUDWRU
LQWHUQXVW
7UDQVYHUVH
DFHWDEXODUOLJ
,VFKLXP
LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP 261
Ligamentum
Femoral teres femoris
vessels
Obturator
Femoral
internus t
head
Transverse Ischium
acetabular lig
Acetabular
Ligamentum
fossa
teres femoris
Obturator
internus t
Ischium
Cotyloid
notch
262 LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP
CORONAL
Figure 10.3.1
Ilium
Superior
articular
recess
Anterior superior
labrum
Femoral head
Iliofemoral lig
Superior pubic
ramus
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 10.3.2
Figure 10.3.3
Ilium
Superior
Iliofemoral lig labrum
Ligamentum
teres femoris
Transverse
acetabular lig
Ischium
Iliofemoral lig
Anterior
superior
Iliofemoral lig labrum
Ligamentum
teres femoris
Femoral neck
Transverse
acetabular lig
Iliofemoral lig
Zona
orbicularis
264 LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP
Figure 10.3.5
Ilium
Superior
articular
recess Superior
labrum
Iliofemoral lig
Fovea
Zona
orbicularis Ligamentum
teres femoris
Femoral Transverse
neck acetabular lig
Iliofemoral lig
Zona
orbicularis
Figure 10.3.6
Ilium
Zona
orbicularis Fovea
Ligamentum
Femoral neck teres
Transverse
acetabular lig
Zona Ischium
orbicularis
LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP 265
Figure 10.3.7
,OLXP
6XSHULRU 6XSHULRU
DUWLFXODU ODEUXP
UHFHVV
$FHWDEXODUIRVVD
,OLRIHPRUDOOLJ /LJDPHQWXPWHUHV
=RQD IHPRULV
RUELFXODULV )HPRUDOKHDG
*UHDWHU
WURFKDQWHU
)HPRUDOQHFN 7UDQVYHUVH
DFHWDEXODUOLJ
,VFKLXP
=RQD
RUELFXODULV
Figure 10.3.8
Ilium
Posterior
superior labrum
Iliofemoral lig
Zona
orbicularis
Greater
trochanter
Transverse
Femoral neck acetabular lig
Ischium
Zona
orbicularis
266 LOWER EXTREMITY: MR ARTHROGRAPHY OF THE HIP
Figure 10.3.9
Ilium
Superior
articular
recess
Posterior
Iliofemoral lig superior
labrum
Zona
orbicularis
Greater
trochanter
Posterior
Obturator inferior
internus t labrum
Ischiofemoral lig
Obturator
externus t
Figure 10.3.10
,OLXP
6XSHULRU
DUWLFXODU
UHFHVV 3RVWHULRU
2EWXUDWRU VXSHULRU
LQWHUQXVW ODEUXP
*UHDWHU 3RVWHULRU
WURFKDQWHU ODEUXP
2EWXUDWRU
H[WHUQXVW
=RQD
DUWLFXODULV
,VFKLXP
/HVVHU
WURFKDQWHU
11
Chapter
AXIAL
Figure 11.1.1 9DVWXV
ODWHUDOLVP
5HFWXV
IHPRULVP 6DUWRULXVP )HPRUDOD
7HQVRU
IDVFLDHODWDHP
9DVWXV *UHDWHU
LQWHUPHGLXVP VDSKHQRXVY
$GGXFWXV
,OLRWLELDO ORQJXVP
EDQG
$GGXFWRU
EUHYLVP
)HPXU 3HFWLQHXVP
/HVVHU $GGXFWRU
WURFKDQWHU PDJQXVP
6FLDWLFQ
*OXWHXV ,VFKLXP
PD[LPXVP
%LFHSV
IHPRULVW 6HPLPHPEUDQRVXVW
6HPLWHQGLQRVXVP *OXWHXV
PD[LPXVP
DUWHU\ D
DUWHULHV DD
YHLQ Y
YHLQV YY
PXVFOH P
PXVFOHV PP
WHQGRQ W
WHQGRQV WW
QHUYH Q
QHUYHV QQ
OLJDPHQW OLJ
OLJDPHQWV OLJV
QHUYH
YHVVHOV
ERQH
9DVWXV
ODWHUDOLVP *UHDWHU
VDSKHQRXVY
)HPRUDOY
9DVWXV VXSHUILFLDO
LQWHUPHGLXVP
$GGXFWRU
,OLRWLELDO ORQJXVP
EDQG
$GGXFWRU
)HPRUDO
EUHYLVP
DDQGYGHHS
)HPRUDO
GLDSK\VLV *UDFLOLVP
3HFWLQHXVP
$GGXFWRU
PDJQXVP
6FLDWLFQ 6HPLPHPEUDQRVXVW
*OXWHXV $GGXFWRUPDJQXVW
PD[LPXVP 6HPLWHQGLQRVXVP
%LFHSV
IHPRULVW
270 LOWER EXTREMITY: MRI OF THE THIGH
Femoral a,
superficial
Vastus Femoral v,
intermedius m superficial
Femoral Adductor
shaft longus m
Adductor
Vastus brevis m
lateralis m
Iliotibial Gracilis m
band
Lateral Adductor
intermuscular magnus m
septum
Sciatic n
Gluteus
maximus m
Rectus
Vastus femoris t
lateralis m
Sartorius m
Vastus
intermedius m
Femoral
a and v, Greater
deep saphenous v
Femoral shaft Adductor
Iliotibial longus m
band
Femoral a and v,
superficial
Lateral
intermuscular Gracilis m
septum
Adductor
Sciatic n brevis m
Gluteus Adductor
maximus m magnus m
5HFWXV
IHPRULVW
9DVWXV
LQWHUPHGLXVP 6DUWRULXVP
)HPXU
)HPRUDOD
9DVWXV VXSHUILFLDO
ODWHUDOLVP
)HPRUDOY
VXSHUILFLDO
)HPRUDO $GGXFWRU
DDQGYGHHS ORQJXVP
$GGXFWRU
6FLDWLFQ EUHYLVP
*UDFLOLVP
*OXWHXV
PD[LPXVP $GGXFWRU
PDJQXVP
%LFHSV
IHPRULVP
ORQJKHDG 6HPLPHPEUDQRVXVW
'HHS 6HPLWHQGLQRVXVP
IDVFLD
6HPLWHQGLQRVXVW
9DVWXV 6DUWRULXVP
LQWHUPHGLXVP
)HPXU )HPRUDOD
,OLRWLELDO
EDQG )HPRUDOY
9DVWXV
PHGLDOLVP $GGXFWRU
ORQJXVP
)HPRUDO
DDQGYGHHS
6FLDWLFQ *UDFLOLVP
*OXWHXV $GGXFWRU
PD[LPXVP PDJQXVP
6HPLWHQGLQRVXVW
%LFHSV
IHPRULVP
ORQJKHDG
6HPLWHQGLQRVXVP 6HPLPHPEUDQRVXVW
272 LOWER EXTREMITY: MRI OF THE THIGH
Sartorius m
Iliotibial
band
Femoral a,
superficial
Vastus
lateralis m Femoral v,
superficial
Linea
aspera Greater
saphenous v
Femoral Adductor
a and v, deep longus m
Sciatic n
Gracilis m
Adductor
Biceps magnus m
femoris m
Semitendinosus t
Semimembranosus m
Vastus
lateralis m
Vastus
medialis m
Sartorius m
Femoral a,
Iliotibial superficial
band
Femoral v,
superficial
Nutrient Greater
a, femur saphenous v
Adductor
Sciatic n longus m
Gracilis m
Biceps Adductor
femoris m, magnus m
long head
Semimembranosus m
Vastus
lateralis m
Vastus
Iliotibial medialis m
band
Sartorius m
Femur Femoral a,
superficial
Biceps Adductor
femoris m, longus m
short head
Greater
Sciatic n saphenous v
Adductor
Biceps magnus m
femoris m,
Gracilis m
long head
Semimembranosus t
Semimembranosus m
Semitendinosus m Hamstring
fascia
9DVWXV
LQWHUPHGLXVP
)HPXU 9DVWXV
,OLRWLELDO PHGLDOLVP
EDQG
9DVWXV 6DUWRULXVP
ODWHUDOLVP
)HPRUDOD
%LFHSV VXSHUILFLDO
IHPRULVP )HPRUDOY
VKRUWKHDG VXSHUILFLDO
6FLDWLFQ *UHDWHU
+DPVWULQJ VDSKHQRXVY
IDVFLD $GGXFWRU
%LFHSV ORQJXVP
IHPRULVP $GGXFWRU
ORQJKHDG PDJQXVP
*UDFLOLVP
6HPLPHPEUDQRVXVP
6HPLWHQGLQRVXVP
274 LOWER EXTREMITY: MRI OF THE THIGH
Vastus
lateralis m
Vastus
Iliotibial medialis m
band
Vastus
intermedius m Femoral a,
superficial
Biceps Sartorius m
femoris m, Adductor
short head longus m
Sciatic n Greater
saphenous v
Biceps Adductor
femoris m, magnus m
long head
Gracilis m
Semimembranosus m
Vastus
lateralis m
Iliotibial Vastus
band medialis m
Femoral a,
Biceps superficial
femoris m,
short head Sartorius m
Sciatic n Adductor
magnus m
Biceps Greater
femoris m, saphenous v
long head Adductor
magnus m
Gracilis m
Semitendinosus m Semimembranosus m
LOWER EXTREMITY: MRI OF THE THIGH 275
Vastus
lateralis m
Iliotibial Vastus
band medialis m
Femoral v,
superficial
Biceps Femoral a,
femoris m, superficial
short head Adductor
Common canal
peroneal n Sartorius m
Tibial n Adductor
magnus m
Greater
saphenous v
Biceps
femoris m, Gracilis m
long head
Semitendinosus m Semimembranosus m
Vastus
intermedius m Rectus
Vastus femoris m
lateralis m
Femur Vastus
Iliotibial medialis m
band
Popliteal v
Biceps
femoris m, Popliteal a
short head Adductor
magnus m
Common
peroneal n Sartorius m
Tibial n
Greater
saphenous v
Biceps Gracilis m
femoris m,
long head
Semitendinosus m Semimembranosus m
276 LOWER EXTREMITY: MRI OF THE THIGH
Vastus
lateralis m
Vastus
intermedius m
Iliotibial Popliteal v
band
Biceps Vastus
femoris m, medialis m
short head
Popliteal a
Tibial n
Sartorius m
Common Greater
peroneal n saphenous v
Biceps Gracilis m
femoris m,
long head
Semitendinosus m Semimembranosus m
Vastus
intermedius m
Iliotibial Vastus
band intermedius t
Vastus Vastus
lateralis m medialis m
Biceps
femoris m, Popliteal v
short head
Popliteal a
Tibial n Sartorius m
Common Greater
peroneal n saphenous v
Biceps Gracilis m
femoris m,
long head
Semitendinosus m Semimembranosus m
LOWER EXTREMITY: MRI OF THE THIGH 277
SAGITTAL
Figure 11.2.1 ,OLRWLELDO
EDQG *OXWHXV
PD[LPXVP
7HQVRU
IDVFLDH
ODWDHP
9DVWXV
ODWHUDOLVP
DUWHU\ D
DUWHULHV DD
YHLQ Y
YHLQV YY
PXVFOH P
PXVFOHV PP
WHQGRQ W
WHQGRQV WW
%LFHSV QHUYH Q
IHPRULVP QHUYHV QQ
ORQJKHDG OLJDPHQW OLJ
OLJDPHQWV OLJV
%LFHSV QHUYH
IHPRULVP YHVVHOV
VKRUWKHDG ERQH
7HQVRU
IDVFLDH
ODWDHP ,OLRWLELDO
EDQG
9DVWXV
ODWHUDOLVP
9DVWXV
LQWHUPHGLXVP
%LFHSV
IHPRULVP
ORQJKHDG
/DWHUDO
LQWHUPXVFXODU
VHSWXP
%LFHSV
IHPRULVP
VKRUWKHDG
278 LOWER EXTREMITY: MRI OF THE THIGH
Gluteus
Tensor maximus m
fasciae
latae m
Vastus
intermedius m
Vastus
lateralis m
Vastus
intermedius m Biceps
femoris m,
long head
Lateral Biceps
intermuscular femoris m,
septum short head
Tensor fasciae
latae m
Gluteus
maximus m
Vastus
lateralis m
Biceps
femoris m,
short head
Biceps
Vastus femoris m,
intermedius m long head
Popliteal
vessels
LOWER EXTREMITY: MRI OF THE THIGH 279
Gluteus
maximus m
Vastus
lateralis m
Femur
Vastus
intermedius m
Biceps femoris m,
short head
Biceps femoris m,
long head
Semitendinosus m
Semimembranosus m
5HFWXV *OXWHXV
IHPRULVP PD[LPXVP
6FLDWLFQ
)HPXU 'HHSIHPRUDOD
SHUIRUDWHUEUDQFK
9DVWXV
ODWHUDOLVP
$GGXFWRU
PDJQXVP
9DVWXV
LQWHUPHGLXVP 6HPLWHQGLQRVXVP
%LFHSVIHPRULVP
ORQJKHDG
6HPLPHPEUDQRVXVP
$GGXFWRU
PDJQXVP
280 LOWER EXTREMITY: MRI OF THE THIGH
Femoral Quadratus
neck femoris m
Rectus Gluteus
femoris m maximus m
Sciatic n
Semitendinosus m
Vastus
lateralis m Adductor
magnus m
Vastus
intermedius m
Femur
Semimembranosus m
Popliteal
vessels
Gluteus
maximus m
Lesser
trochanter
Rectus
femoris m
Semimembranosus t
Semitendinosus m
Vastus Adductor
medialis m magnus m
Medial cortex
Vastus femoral
intermedius m
Semimembranosus m
Vastus
lateralis m
Popliteal
vessels Femur
LOWER EXTREMITY: MRI OF THE THIGH 281
Figure 11.2.9
Femur
Sartorius m Gluteus
Iliopsoas m maximus m
Quadratus
femoris m
Rectus
femoris m
Lesser
trochanter
Semimembranosus t
Semitendinosus m
Adductor
magnus m
Quadriceps t
Semimembranosus m
Superficial
femoral
vessels,
distal
Vastus
medialis m
Medial
femoral condyle
Figure 11.2.10
Sartorius m
Quadratus
femoris m
Iliopsoas m
Gluteus
Pectineus maximus m
and adductor
brevis mm
Rectus Semimembranosus t
femoris m
Femoral Semitendinosus m
vessels,
deep
Adductor
longus m
Adductor
Vastus magnus m
intermedius m
Semimembranosus m
Rectus
femoris m
Adductor
Superficial magnus m
femoral
vessels,
distal
Vastus
medialis m
282 LOWER EXTREMITY: MRI OF THE THIGH
Rectus
femoris m
Semimembranosus t
Pectineus m
Semitendinosus m
Femoral
vessels,
deep
Vastus
medialis m
Rectus Adductor
femoris m magnus m
Adductor
longus m
Semimembranosus m
Superficial
femoral
vessels,
distal
Adductor
magnus t
Gracilis m
Vastus
medialis m
Pectineus m
Semitendinosus m
Femoral
vessels,
superficial
Adductor
longus m
Rectus
femoris m Adductor
magnus m
Vastus
medialis m
Femoral
vessels,
deep Gracilis m
Sartorius m
Adductor
magnus t
LOWER EXTREMITY: MRI OF THE THIGH 283
Ischium
Sartorius m
Gluteus
Pectineus m maximus m
Adductor
brevis m
Rectus Adductor
femoris m longus m
Adductor
magnus m
Femoral vessels,
superficial
Vastus
medialis m
Gracilis m
Sartorius m
Pectineus m Ischium
Adductor
brevis m
Femoral vessels,
superficial
Adductor
longus m
Rectus
femoris m
Adductor
magnus m
Gracilis m
Vastus
medialis m
Sartorius m
284 LOWER EXTREMITY: MRI OF THE THIGH
Adductor
brevis m
Adductor
brevis m
Adductor
magnus m
Gracilis m
Sartorius m
Greater
saphenous v
Femoral v Gluteus
maximus m
Pectineus m
Ischium
Greater Adductor
saphenous v magnus m
Adductor Adductor
longus m brevis m
Gracilis m
Sartorius m Greater
saphenous v
LOWER EXTREMITY: MRI OF THE THIGH 285
Pectineus m
Adductor
brevis m
Greater
saphenous v
Adductor Adductor
longus m magnus m
Gracilis m
Greater
saphenous v
286 LOWER EXTREMITY: MRI OF THE THIGH
CORONAL
Figure 11.3.1 Tensor fasciae
latae m
Sartorius m
Rectus
femoris m
Vastus
lateralis m
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Greater
Rectus
saphenous v
femoris t
Vastus
lateralis m
Rectus femoris m
LOWER EXTREMITY: MRI OF THE THIGH 287
Greater
Tensor fasciae saphenous v
latae m
Sartorius m
Rectus femoris t
Vastus
lateralis m
Rectus femoris m
Rectus femoris t
Greater
saphenous v
Rectus
femoris t
Sartorius m
Vastus
intermedius m
Rectus femoris m
Vastus
lateralis m
Anterior femoral
cortex
Rectus femoris t
Quadriceps t
288 LOWER EXTREMITY: MRI OF THE THIGH
Superficial
femoral v
Greater
saphenous v
Sartorius m
Vastus
intermedius m
Vastus
lateralis m
Vastus medialis m
Femur
Greater
trochanter
Pubic
symphysis
Superficial
femoral
vessels
Vastus
intermedius m
Sartorius m
Vastus
lateralis m
Femur
Vastus
intermedius m
Vastus
medialis m
LOWER EXTREMITY: MRI OF THE THIGH 289
Iliotibial
tract
Adductor
Vastus longus m
lateralis m Femoral vessels,
deep
Femur Femoral v,
superficial
Greater
saphenous v
Femoral a,
superficial
Sartorius m
Vastus
lateralis m Posterior
femoral cortex
Vastus
Vastus medialis m
intermedius m
Femur
Femur
Gracilis m
Vastus
lateralis m Adductor
longus m
Femoral v,
superficial
Greater
saphenous v
Femoral a,
superficial
Sartorius m
Vastus
intermedius m
Vastus
lateralis m
Vastus
medialis m
Popliteal vessels
290 LOWER EXTREMITY: MRI OF THE THIGH
Figure 11.3.9
Lesser
trochanter
Adductor
magnus m
Adductor
brevis m Gracilis m
Gluteus
maximus m
Adductor
longus m
Vastus Greater
lateralis m saphenous v
Femoral a
Adductor
magnus m Femoral v
Sartorius m
Biceps
femoris m, Vastus
short head medialis m
Figure 11.3.10
,OLRWLELDO
EDQG
*OXWHXV
PD[LPXVP
*UDFLOLVP
$GGXFWRU
9DVWXV PDJQXVP
ODWHUDOLVP
$GGXFWRU
ORQJXVP
%LFHSV 6DUWRULXVP
IHPRULVP
VKRUWKHDG
3RSOLWHDO
YHVVHOV
3RSOLWHDO
DDQGY
DQGWLELDOQ
6HPLPHPEUDQRVXVP
LOWER EXTREMITY: MRI OF THE THIGH 291
Figure 11.3.11
Quadratus
femoris m
Sciatic n
Gluteus
maximus m
Adductor
magnus m
Vastus Gracilis m
lateralis m,
posterior margin
Greater
saphenous v
Biceps
femoris m,
long head
Sartorius m
Semimembranosus m
Ischium
Adductor
Gluteus magnus m
maximus m
Semimembranosus t
Sciatic n
Adductor
Semitendinosus m
magnus m
Gracilis m
Adductor
magnus m
Biceps femoris m,
long head
Greater
saphenous v
Semimembranosus m
Sartorius m
292 LOWER EXTREMITY: MRI OF THE THIGH
Gluteus
maximus m
Semitendinosus m
Biceps
femoris m,
long head Semimembranosus m
Gracilis m
Figure 11.3.14
Gluteus
maximus m
Semitendinosus m
Biceps
femoris m,
long head
Gracilis m
Semimembranosus m
LOWER EXTREMITY: MRI OF THE THIGH 293
Figure 11.3.15
Gluteus
maximus m
Semimembranosus m
Semitendinosus m
Biceps femoris m,
long head
Gracilis m
12
Chapter
AXIAL
Figure 12.1.1 Femur Quadriceps t
Iliotibial
band
Vastus
lateralis m
Vastus
medialis m
Tibial n
Adductor
Common magnus t
peroneal n
Greater
Biceps saphenous v
femoris m,
short head Sartorius m
Gracilis m
Biceps Gracilis t
femoris t
artery = a
Biceps arteries = aa
femoris m, vein = v
long head veins = vv
muscle = m
muscles = mm
Lesser tendon = t
saphenous v Popliteal v Popliteal a Semitendinosus m Semitendinosus t Semimembranosus m tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Vastus
lateralis m
Iliotibial
band
Vastus
medialis m
Tibial n
Greater
Common saphenous v
peroneal n
Biceps
femoris m,
short head
Adductor
Biceps magnus t
femoris t
Sartorius m
Biceps
femoris m,
long head Gracilis m and t
Vastus
lateralis m Vastus
medialis m
Iliotibial
band
Greater
Tibial n saphenous v
Biceps
femoris m,
short head Sartorius m
Biceps
femoris t Gracilis t
Common
peroneal n
Popliteal v Popliteal a Semitendinosus t Semimembranosus m
Lateral
patellar
retinaculum
Iliotibial
band
Vastus
medialis m
Gastrocnemius m,
medial head
Greater
saphenous v
Biceps
femoris m,
short head
Tibial n Adductor
magnus t
Biceps
femoris t Sartorius m
Common
peroneal n Gracilis t
Communicating
peroneal n
Lateral
patellar
retinaculum
Iliotibial
band
Synovial
space
Femur
Gastrocnemius m, Adductor
medial head magnus t
Gastrocnemius m,
lateral head
Greater
Biceps femoris m, saphenous v
short head
Common
peroneal n
Gracilis t
Communicating
peroneal n
Lesser Tibial n Popliteal Semitendinosus t Semimembranosus t
saphenous n vessels
Lateral patellar,
facet
Iliotibial
band
Synovial
Gastrocnemius m,
space
medial head
Biceps femoris m,
short head Greater
saphenous v
Biceps femoris t Medial femoral
condyle
Sartorius m
Common
peroneal n
Gracilis t
Communicating
peroneal n
Femoral
trochlea
Intercondylar
fossa
Anterior
cruciate lig
Tibial (medial)
collateral lig
Popliteal
vessels
Greater
Gastrocnemius m, saphenous v
lateral head
Plantaris m
Gastrocnemius m,
medial head
Biceps femoris m,
short head
Gastrocnemius t,
medial head
Common
peroneal n Gracilis t
Communicating
peroneal n
Lesser Tibial n Semitendinosus t Semimembranosus t
saphenous v
Iliotibial
band
Medial
femoral
Meniscofemoral condyle
lig
Tibial (medial)
Lateral collateral lig
femoral condyle
Greater
Plantaris m saphenous v
Fibular (lateral)
collateral lig
Gastrocnemius m,
medial head
Gastrocnemius m,
lateral head
Gastrocnemius t,
medial head
Biceps femoris m,
short head Sartorius m
Biceps femoris t
Gracilis t
Common
peroneal n
Communicating Lesser Semitendinosus t Semimembranosus t
peroneal n saphenous v
LOWER EXTREMITY: MRI OF THE KNEE 299
Iliotibial
band
Popliteus m
Gastrocnemius m,
lateral head Tibial (medial)
collateral lig
Fibular (lateral)
collateral lig
Greater
Popliteus t saphenous v
Plantaris m Gastrocnemius t,
medial head
Sartorius m
Biceps femoris t
Common Gracilis t
peroneal n
Iliotibial
band
Popliteus m Medial
tibial plateau
Lateral
tibial
plateau
Fibular
(lateral)
collateral lig
Greater
saphenous v
Popliteus t
Sartorius t
Gracilis t
Semitendinosus t
Biceps
femoris t
Common
peroneal n
Gerdy’s tubercle
Medial
Popliteus m
tibial condyle
Anterior lig,
fibular head
Greater
saphenous v
Confluence of
biceps femoris t
and fibular
(lateral) Sartorius t
collateral lig
Gracilis t
Fibular head
Semitendinosus t
Common
peroneal n
Extensor
digitorum Tibia
longus m
Gracilis t
Popliteus m
Popliteal
vessels Sartorius t
Greater
Fibular head saphenous v
Common
peroneal n Semitendinosus t
Soleus m
Extensor Pes
digitorum anserinus
longus m
Popliteus m
Peroneus
longus m
Fibula
Greater
Common saphenous v
peroneal n
Soleus m
Plantaris t
Extensor
digitorum
longus m
Peroneus
longus m
Popliteus m
Fibula Tibial n
Common
peroneal n
Popliteal
vessels
Soleus m
SAGITTAL
Figure 12.2.1
Vastus
lateralis m
Biceps femoris m,
short head
artery = a
Fibular (lateral) arteries = aa
collateral lig vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
Fibular head nerve = n
nerves = nn
ligament = lig
ligaments = ligs
Common nerve &
peroneal n vessels
bone
Peroneus
longus m
Figure 12.2.2
Vastus
lateralis m
Biceps femoris m
Gastrocnemius m,
lateral head
Lateral femoral
condyle
Fibular (lateral)
collateral lig
Biceps
femoris t
Lateral tibial Lateral
plateau meniscus body
Common
peroneal n
Fibular head
Peroneus Soleus m
longus m
LOWER EXTREMITY: MRI OF THE KNEE 303
Gastrocnemius m,
lateral head
Common
peroneal n
Lateral Fibular
tibial plateau head
Common
peroneal n
Patella Gastrocnemius m,
lateral head
Articular
cartilage
Plantaris m
Lateral meniscus,
posterior horn
Lateral meniscus,
anterior horn Articular cartilage
Popliteus t
Tibia
Proximal
tibiofibular joint
Tibialis
anterior m Fibular
head
Common
Quadriceps t peroneal n
Patella
Articular
cartilage
Lateral meniscus,
posterior horn Gastrocnemius m,
lateral head
Lateral meniscus,
anterior horn
Infrapatellar
fat pad
Patellar tendon
Popliteus t
Lateral tibial
plateau
Quadriceps t
Lateral femoral
condyle
Synovial space
Articular Plantaris m
cartilage
Patella
Lateral Gastrocnemius m,
meniscus, lateral head
anterior horn
Infrapatellar
fat pad
Patellar tendon
Popliteus t
Lateral tibial
plateau Popliteus m
Quadriceps t
Gastrocnemius m,
lateral head
Patella
Articular
cartilage Lateral meniscus,
posterior horn
Infrapatellar
fat pad
Patellar tendon
Lateral meniscus,
anterior horn
insertion (root)
Synovial space
Tibial n
Quadriceps t
Patella
Lateral meniscus,
posterior horn
Gastrocnemius m
Infrapatellar
fat pad
Patellar tendon
Lymph node
Quadriceps t
Popliteal v
Synovial space
Lesser
Patella saphenous v
Anterior
Blumensaat’s cruciate lig
line
Posterior
cruciate lig
Infrapatellar
fat pad Plantaris m
Patellar tendon
Popliteal a
Quadriceps t
Patella Blumensaat’s
line
Posterior
cruciate lig
Lesser
Infrapatellar saphenous v
fat pad
Transverse
meniscal lig
Figure 12.2.11
Vastus
medialis m Semimembranosus m
Quadriceps t
Gastrocnemius m,
medial head
Patella
Posterior
Meniscofemoral cruciate lig
lig of Humphrey
Infrapatellar
fat pad Gastrocnemius m,
medial head
Tibia
Popliteus m Soleus m
Figure 12.2.12
Vastus
medialis m Semimembranosus m
Femur
Patella
Gastrocnemius m,
medial head
Infrapatellar
fat pad
Posterior
cruciate lig
Medial
meniscus, Plantaris t
posterior root
Gastrocnemius m
Tibia
Popliteus m Soleus m
308 LOWER EXTREMITY: MRI OF THE KNEE
Vastus
medialis m
Semitendinosus t
Patellar
retinaculum Medial femoral
condyle
Medial
Gastrocnemius m,
meniscus,
medial head
anterior horn
Medial Medial
meniscus, tibial plateau
posterior horn
Plantaris t
Popliteus m Soleus m
Vastus
medialis m
Semimembranosus t
Semitendinosus t
Medial
femoral Articular
condyle cartilage
Medial
meniscus,
anterior horn Medial meniscus,
posterior horn
Articular
cartilage
Medial
tibial plateau
Gastrocnemius m,
medial head
Plantaris t
Soleus m
LOWER EXTREMITY: MRI OF THE KNEE 309
Figure 12.2.15
Vastus
medialis m
Sartorius m
Adductor Semimembranosus t
magnus t
Semitendinosus t
Medial
femoral
condyle Articular
cartilage
Medial
meniscus, Medial meniscus,
anterior horn posterior horn
Articular
Medial
cartilage
tibial plateau
Gastrocnemius m,
medial head
Figure 12.2.16
Vastus
medialis m
Sartorius m
Adductor Gracilis t
magnus t
Adductor
tubercle
Medial
femoral
condyle Semimembranosus t
Medial
meniscus, Semitendinosus t
posterior horn
Tibia
Sartorius t
Gastrocnemius m,
medial head
Gracilis t
310 LOWER EXTREMITY: MRI OF THE KNEE
Medial
femoral
condyle
Medial meniscus
Tibia
Sartorius t
Pes Gracilis t
anserinus
Semitendinosus t
Gastrocnemius m,
medial head
LOWER EXTREMITY: MRI OF THE KNEE 311
CORONAL
Figure 12.3.1 Quadriceps t
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Patellar tendon
Vastus
medialis m
Retrobursal fat
Medial patellar
retinaculum
Lateral
patellar
retinaculum Infrapatellar
fat pad
Medial patellar
retinaculum
Patellar tendon
312 LOWER EXTREMITY: MRI OF THE KNEE
Vastus
medialis m
Iliotibial
band
Lateral
femoral
condyle Medial femoral
condyle
Lateral
patellar
retinaculum
Patellar
tendon
Vastus
medialis m
Iliotibial
band
Lateral
patellar
retinaculum
Medial
Infrapatellar patellar
fat pad retinaculum
Patellar
tendon
LOWER EXTREMITY: MRI OF THE KNEE 313
Iliotibial
band
Medial patellar
Lateral retinaculum
patellar
retinaculum
Medial tibial
plateau
Tibial
tuberosity
Patellar
tendon
Figure 12.3.6
Vastus Vastus
lateralis m medialis m
Medial
femoral
Iliotibial condyle
band
Transverse
meniscal lig
Lateral femoral
condyle
Medial
patellar
retinaculum
Lateral patellar
retinaculum
Medial tibial
plateau
Gerdy’s tubercle
Tibial
tuberosity
314 LOWER EXTREMITY: MRI OF THE KNEE
Vastus
lateralis m
Vastus
medialis m
Iliotibial
band
Lateral femoral
condyle Medial
femoral
condyle
Medial
patellar
Gerdy’s tubercle
retinaculum
Medial
meniscus,
anterior horn
Tibia
Transverse
meniscal lig
Iliotibial
band
Medial femoral
condyle
Lateral
femoral
condyle Medial meniscus,
anterior horn
Lateral
tibial Medial patellar
plateau retiniculum
Medial tibial
plateau
Tibialis
anterior m
Articular cartilage
Tibia
LOWER EXTREMITY: MRI OF THE KNEE 315
Vastus
lateralis m Vastus
medialis m
Intercondylar
notch
Iliotibial
band
Medial femoral
condyle
Lateral
femoral
condyle
Lateral Tibial (medial)
meniscus collateral lig
Lateral
tibial
plateau Medial meniscus
body
Tibialis
anterior m
Articular cartilage
Tibia
Vastus
lateralis m Vastus
medialis m
Posterior
cruciate lig
Iliotibial
band Medial femoral
condyle
Lateral
Medial
femoral
intercondylar
condyle
eminence
Anterior
cruciate lig,
posterolateral
band Tibial (medial)
collateral lig
Lateral
meniscus
body
Articular Medial
cartilage meniscus
Lateral body
tibial
plateau
Extensor Pes anserinus
digitorum
longus m
Tibialis
anterior m
Tibia Anterior
cruciate lig,
anteromedial
band
316 LOWER EXTREMITY: MRI OF THE KNEE
Vastus
medialis m
Adductor
magnus t
Posterior
Iliotibial cruciate lig
band
Medial femoral
condyle
Lateral
femoral Medial
condyle intercondylar
eminence
Popliteus t
Anterior
cruciate lig, Tibial (medial)
posterolateral collateral lig
band
Lateral
meniscus
body
Lateral
intercondylar
eminence Medial
meniscus
Extensor body
digitorum
longus m
Tibialis
anterior m
Tibia Anterior
cruciate lig,
anteromedial
band
Iliotibial Adductor
band magnus t
Gastrocnemius m,
medial head Greater
saphenous v
Intercondylar
notch Medial
femoral
Lateral femoral condyle
condyle
Tibial
Popliteus t (medial)
collateral lig
Lateral meniscus
body
Medial
meniscus
Articular body
cartilage
Extensor digitorum
longus m
Tibialis
posterior m
Iliotibial Gastrocnemius m,
band medial head
Meniscofemoral
lig
Medial femoral
Fibular (lateral) condyle
collateral lig
Popliteus t
Lateral Greater
meniscus saphenous v
body
Lateral
capsular lig Medial meniscus
body
Extensor
digitorum
longus m
Tibialis
posterior m
Tibial Tibia
eminence
Sartorius m
Iliotibial
band
Gastrocnemius m,
Gastrocnemius m, medial head
lateral head
Medial femoral
Plantaris m condyle
Lateral femoral Meniscofemoral lig
condyle
Biceps Posterior
femoris t cruciate lig
Greater
saphenous v
Fibular (lateral)
collateral lig
Sartorius t
Peroneus
longus m Gracilis t
Extensor
digitorum Semitendinosus t
longus m
Tibialis
posterior m
Tibia Gastrocnemius m,
medial head
318 LOWER EXTREMITY: MRI OF THE KNEE
Sartorius m
Gastrocnemius m,
lateral head
Gastrocnemius m,
medial head
Plantaris m
Medial femoral
condyle
Lateral femoral
condyle
Fibular (lateral)
collateral lig
Sartorius t
Peroneus
longus m Semitendinosus t
Extensor
digitorum
longus m
Tibialis
posterior m
Sartorius m
Gastrocnemius m, Gastrocnemius m,
lateral head medial head
Popliteal vessels
Medial femoral
Lateral femoral condyle
condyle
Popliteus m Sartorius t
Biceps Gracilis t
femoris t
Lateral
tibial plateau
Semimembranosus t
Fibular head
Semitendinosus t
Peroneus
longus m
Tibialis
posterior m
Biceps
femoris m
Sartorius m
Gastrocnemius m, Tibial n
lateral head
Biceps
femoris t
Semimembranosus t
Popliteal
vessels Gracilis t
Conjoined t of
biceps femoris m Gastrocnemius t,
and fibular (lateral) medial head
collateral lig
Semitendinosus t
Lateral
tibial plateau
Fibular head
Popliteus m
Peroneus
longus m
Gastrocnemius m,
medial head Soleus m
Biceps
femoris m,
short head
Sartorius m
Common
peroneal n
Semimembranosus t
Gastrocnemius m,
lateral head
Biceps Gracilis t
femoris t
Semitendinosus t
Tibial n
Fibular head
Common
peroneal n
Peroneus
longus m
Biceps
femoris m Gracilis
m and t
Sartorius m
Gastrocnemius m, Tibial n
lateral head
Semimembranosus t
Semitendinosus t
Gastrocnemius m,
medial head
Fibular head
Peroneus
longus m
Soleus m
13
Chapter
AXIAL
Figure 13.1.1 Tibialis Tibial
posterior m tubercle Popliteal a and v Tibia
Tibialis
anterior m
Extensor
digitorum
longus m
Crural fascia
Peroneus
longus m Greater
saphenous v
Popliteus m
Fibula
Common
peroneal n
Plantaris t
Soleus t
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
Soleus m Gastrocnemius m, Lesser Gastrocnemius m, ligaments = ligs
lateral head saphenous v medial head nerve &
vessels
bone
Tibialis
anterior
vessels
Extensor
digitorum
longus m
Crural fascia
Peroneus Greater
longus m saphenous v
Popliteus m
Fibula
Gastrocnemius m,
Soleus m medial head
Soleus t
Gastrocnemius
aponeurosis
Extensor
digitorum
longus m
Crural fascia
Peroneus
longus m Popliteus m
Greater
saphenous v
Deep
peroneal n
Fibula Tibialis posterior
vessels and tibial n
Flexor hallucis
longus m Gastrocnemius m,
medial head
Soleus m
Extensor
digitorum
longus m
Popliteus m
Peroneal
vessels
Crural fascia
Peroneus Greater
longus m saphenous v
Tibialis posterior
Superficial vessels
peroneal n
Fibula Gastrocnemius m,
Flexor hallucis medial head
longus m
Tibial n
Soleus m
Extensor
digitorum
longus m Popliteus m
Crural fascia
Peroneus
brevis m
Greater
saphenous v
Peroneus
longus m Tibialis posterior
vessels
Superficial
peroneal n
Gastrocnemius m,
medial head
Fibula
Flexor hallucis
longus m
Extensor
digitorum
longus m
Peroneus
longus m Tibialis posterior
vessels
Superficial
peroneal n Gastrocnemius m,
medial head
Fibula
Interosseous
membrane
Flexor
hallucis
longus m Tibial n
Crural fascia
Extensor
digitorum Greater
longus t saphenous v
Extensor
digitorum
longus m
Flexor digitorum
longus m and t
Peroneus
Tibial n
brevis m
Peroneus
longus m
and t
Gastrocnemius m,
medial head
Fibula
Flexor hallucis
longus m and t
Extensor
digitorum Crural fascia
longus
m and t
Greater
saphenous v
Anterior
crural Flexor digitorum
septum longus m and t
Tibial n
Peroneus
brevis m and t
Peroneus
longus m Gastrocnemius m,
and t medial head
Fibula
Flexor hallucis
longus m and t
Extensor
digitorum
longus
m and t Crural fascia
Greater
saphenous v
Peroneus
brevis m and t
Fibula
Peroneus
longus m Gastrocnemius m,
and t medial head
Peroneal
vessels
Flexor
hallucis
longus m
([WHQVRU
GLJLWRUXP
ORQJXV
PDQGW
*UHDWHU
VDSKHQRXVY
7LELDOLV
DQWHULRU
YHVVHOV 7LELDOLVSRVWHULRU
YHVVHOV
3HURQHXV
EUHYLV 7LELDOQ
PDQGW
)LEXOD
3HURQHXV *DVWURFQHPLXVP
ORQJXV PHGLDOKHDG
PDQGW
)OH[RU
KDOOXFLV
ORQJXVP
Extensor
digitorum
longus
m and t
Tibialis Greater
anterior saphenous v
vessels
Extensor
digitorum
longus
m and t
Greater
Tibialis saphenous v
anterior
vessels Tibialis posterior
vessels
Peroneus Tibial n
brevis
m and t
Soleus m and t
Fibula
Peroneus
longus
m and t
Posterior Gastrocnemius m,
crural medial head
septum
Flexor
hallucis
longus m
Extensor
digitorum
longus m
Greater
saphenous v
Tibialis
anterior
vessels Tibialis posterior
vessels
Peroneus Tibial n
brevis
m and t
Fibula Soleus t
Peroneus
longus
m and t
Peroneal
vessels
Posterior
crural
septum
Flexor
hallucis
longus m
Soleus m Achilles t
Greater
Tibialis saphenous v
anterior
vessels Tibialis posterior
vessels
Peroneus Tibial n
brevis
m and t
Soleus t
Fibula
Peroneus
longus Plantaris t
m and t
Peroneal
vessels
Extensor
digitorum
longus m
Extensor Greater
hallucis saphenous v
longus m
Tibialis Tibialis posterior
anterior vessels
vessels
Tibial n
Peroneus
brevis
m and t
Soleus m
Fibula
Peroneus
longus
m and t Soleus t
Peroneal
vessels
Posterior
crural
septum
Extensor
hallucis
longus
m and t Flexor
digitorum
Tibialis longus
anterior m and t
vessels
Peroneus Tibialis posterior
brevis m vessels
and t
Fibula
Tibial n
Peroneus
longus m
and t Plantaris t
Peroneal
vessels
Flexor
digitorum
Tibialis
longus
anterior
m and t
vessels
Fibula
Peroneus Tibialis posterior
brevis vessels
m and t
Tibial n
Peroneus
longus
m and t
Peroneal
vessels
Flexor
digitorum
longus
m and t
Fibula
Peroneus
longus
m and t
Flexor
digitorum
Fibula longus
m and t
Plantaris t
Peroneus
longus
m and t
Peroneal
vessels
Flexor
digitorum
longus
m and t
Interosseous
membrane
Plantaris t
Peroneus
longus
m and t
SAGITTAL
Figure 13.2.1
3HURQHXV
ORQJXVP *DVWURFQHPLXVP
3HURQHXV ODWHUDOKHDG
ORQJXVW
6ROHXVP
DUWHU\ D
DUWHULHV DD
YHLQ Y
YHLQV YY
PXVFOH P
PXVFOHV PP
WHQGRQ W
WHQGRQV WW
QHUYH Q
QHUYHV QQ
OLJDPHQW OLJ
OLJDPHQWV OLJV
QHUYH
YHVVHOV
ERQH
Common
peroneal n
Fibular head
Tibialis
anterior m
Gastrocnemius m,
lateral head
Extensor
digitorum Soleus m
longus t
Extensor
digitorum
longus m Peroneus longus and
peroneus brevis mm
and tt
LOWER EXTREMITY: MRI OF THE LEG 335
Fibular head
Gastrocnemius m,
Tibialis lateral head
anterior m
Extensor Soleus m
digitorum
longus t
Peroneus longus
Extensor
and peroneus
digitorum
brevis mm
longus m
Fibular head
Gastrocnemius m,
Tibialis lateral head
anterior m
Soleus m
Fibular shaft
Extensor
digitorum
longus t
Peroneus longus
Extensor
and peroneus brevis mm
digitorum
longus m
Peroneus longus
Lateral and peroneus brevis tt
malleolus
336 LOWER EXTREMITY: MRI OF THE LEG
Patellar lig
Fibular head
Tibial
tubercle
Tibialis Gastrocnemius m,
anterior m lateral head
Tibialis
posterior m
Flexor hallucis
longus m
Soleus m
Fibula
Extensor
digitorum longus m
Peroneus
longus m
Extensor
digitorum longus t Peroneus
longus t
Lateral malleolus
Patellar lig
Tibial
tubercle
Tibialis
posterior m
Gastrocnemius m,
lateral head
Tibialis
anterior m
Soleus m
Tibialis
anterior m
Tibialis Peroneus
anterior t longus m
Peroneus
longus t
Distal tibia
LOWER EXTREMITY: MRI OF THE LEG 337
Patellar lig
Tibial
Popliteus m
tubercle
Popliteal a
Gastrocnemius m,
lateral head
Soleus m
Tibia
Soleus m
Flexor hallucis
longus m
Tibialis
anterior t
Tibial
plafond
Tibial
tubercle
Soleus m
Tibialis
posterior m
Tibia
Gastrocnemius
aponeurosis
Tibialis
posterior t
Flexor hallucis
longus m
Tibial plafond
338 LOWER EXTREMITY: MRI OF THE LEG
3RSOLWHXVP
7LELD
*DVWURFQHPLXV
DSRQHXURVLV
7LELDOLV
SRVWHULRUP 6ROHXVP
7LELDOLV $FKLOOHVW
SRVWHULRUW
'LVWDO )OH[RUKDOOXFLV
WLELD ORQJXVPDQGW
Figure 13.2.10
Tibialis anterior
Tibia vessels
Gastrocnemius m,
Popliteus m medial head
Flexor
digitorum
longus m
Soleus m
Tibialis
posterior t Achilles t
Flexor
digitorum
longus t
Distal
tibia Flexor hallucis
longus t
LOWER EXTREMITY: MRI OF THE LEG 339
Figure 13.2.11
Tibia
Gastrocnemius m,
medial head
Soleus m
Achilles t
Tibialis
posterior t
Medial
malleolus
Flexor hallucis
longus t
Medial
tibial Semimembranosus t
plateau insertion
Gastrocnemius m, Gastrocnemius m,
medial head medial head
Gastrocnemius
aponeurosis
Soleus m
340 LOWER EXTREMITY: MRI OF THE LEG
Medial
tibial Semimembranosus t
plateau
Semitendinosus t
Gastrocnemius m,
medial head
Soleus m
Greater
saphenous v
Figure 13.2.14
Gastrocnemius m,
Greater medial head
saphenous v
Soleus m
LOWER EXTREMITY: MRI OF THE LEG 341
Figure 13.2.15
Greater
saphenous v
Gastrocnemius m,
medial head
342 LOWER EXTREMITY: MRI OF THE LEG
CORONAL
Figure 13.3.1
Iliotibial Femur
band
Infrapatellar
fat pad
Tibia
Anterior
tibial
Tibialis cortex
anterior m
Tibialis
anterior t artery = a
arteries = aa
Extensor vein = v
hallucis veins = vv
longus t muscle = m
muscles = mm
tendon = t
Extensor tendons = tt
hallucis Tibia nerve = n
longus m nerves = nn
Medial ligament = lig
Extensor malleolus ligaments = ligs
digitorum nerve &
longus t vessels
Talus bone
Figure 13.3.2
Iliotibial Femur
band
Gerdy’s
tubercle Tibia
Tibialis
Tibialis anterior m
anterior m
Soleus m
Tibialis
anterior t
Extensor
hallucis
longus t
Extensor
digitorum
longus t Extensor
Extensor hallucis
digitorum longus m
longus m
Fibula, lateral
malleolus Talus
Calcaneus
LOWER EXTREMITY: MRI OF THE LEG 343
*HUG\ҋV
WXEHUFOH 0HGLDOWLELDO
SODWHDX
7LELDOLV 7LELD
DQWHULRUP
*DVWURFQHPLXVP
7LELDOLV PHGLDOKHDG
DQWHULRUW
6ROHXVP
([WHQVRU
KDOOXFLV 3RVWHULRU
ORQJXVW WLELDOFRUWH[
([WHQVRU
KDOOXFLV )OH[RU
ORQJXVP GLJLWRUXP
ORQJXVP
*UHDWHU
([WHQVRU VDSKHQRXVY
GLJLWRUXP
ORQJXVP
7LELD
)LEXODODWHUDO
PDOOHROXV
&DOFDQHXV
Anterior Soleus m
cruciate lig
Flexor
digitorum
Tibialis longus t
anterior m
Tibialis anterior Greater
a and deep saphenous v
peroneal n
Soleus m
Extensor Flexor
hallucis digitorum
longus m longus m
Tibialis
posterior t
Extensor
digitorum Tibialis
longus m posterior m
Fibula
Calcaneus
344 LOWER EXTREMITY: MRI OF THE LEG
Figure 13.3.5
Lateral femoral
condyle Medial
femoral
Fibular (lateral) condyle
collateral lig
Posterior Tibia
cruciate lig
Tibialis
anterior a Flexor
Peroneus digitorum
longus m longus m
Gastrocnemius m,
Tibialis medial head
posterior m
Soleus m
Fibula
Peroneus
longus and Tibialis
peroneus posterior t
brevis m
Posterior
tibial a
and tibial n
Soleus m
Peroneus
longus t
Calcaneus
*DVWURFQHPLXVP
PHGLDOKHDG
)LEXOD
3HURQHXV
EUHYLVP 6ROHXVP
7LELDOLV
SRVWHULRUP
3RVWHULRUWLELDO )OH[RUKDOOXFLV
DDQGWLELDOQ ORQJXVP
3HURQHXV
ORQJXVW
3HURQHXV
ORQJXVP 6ROHXVP
)OH[RUKDOOXFLV
ORQJXVP
)OH[RUKDOOXFLV
ORQJXVW
$FKLOOHVW
&DOFDQHXV
LOWER EXTREMITY: MRI OF THE LEG 345
%LFHSV 6DUWRULXVP
IHPRULVW *UDFLOLVW
3RSOLWHDO
YHVVHOV
)LEXODU
KHDG
3HURQHXV
ORQJXVP
6ROHXVP
)LEXOD
*DVWURFQHPLXVP
3HURQHXV PHGLDOKHDG
ORQJXVPDQGW
)OH[RUKDOOXFLV
ORQJXVP
6ROHXVP
/HVVHU
VDSKHQRXVY
$FKLOOHVW
Figure 13.3.8
Gastrocnemius m, Semimembranosus t
lateral head
Gastrocnemius m,
medial head
Flexor hallucis
longus m
Soleus m
Soleus m
Achilles t,
gastrocnemius part
346 LOWER EXTREMITY: MRI OF THE LEG
Figure 13.3.9
Gastrocnemius m, Gastrocnemius m,
lateral head medial head
Soleus m
Figure 13.3.10
Gastrocnemius m,
lateral head
Gastrocnemius m,
medial head
Median raphe
LOWER EXTREMITY: MRI OF THE LEG 347
Figure 13.3.11
Gastrocnemius m,
lateral head
Gastrocnemius m,
medial head
Median raphe
14
Chapter
AXIAL
Figure 14.1.1 Extensor hallucis Extensor hallucis
longus m longus t
Deep
peroneal n
Tibialis
anterior t
Extensor
digitorum
longus t Tibials
anterior a and v
Extensor
digitorum Tibia
longus m Greater
saphenous v
Peroneal
a and v Tibialis
posterior t
Interosseous
membrane Flexor
digitorum
Superior longus t
extensor Flexor
retinaculum digitorum
longus m
Fibula
Tibialis
Peroneus posterior a and v
longus t Flexor
Peroneus retinaculum
brevis t Tibial n
Peroneus Flexor hallucis
brevis m longus t
artery = a
arteries = aa
vein = v
veins = vv
Lesser Sural n Achilles t Flexor Soleus m muscle = m
saphenous v hallucis muscles = mm
longus m tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Extensor
digitorum
longus t
Extensor
digitorum
longus m
Interosseous
membrane Greater
saphenous v
Peroneal a Tibia
and v Tibialis posterior t
Superior
extensor Flexor digitorum
retinaculum longus t
Flexor digitorum
Fibula longus m
Peroneus Tibialis posterior
longus t a and v
Peroneus
brevis t Tibial n
Flexor hallucis
longus t
Extensor
digitorum
longus m
Greater
saphenous v
Peroneal a Tibia
and v Tibialis posterior t
Extensor
digitorum
longus t
Tibialis
anterior a
and v
Extensor
digitorum Greater
longus m saphenous v
Superior
extensor Flexor digitorum
retinaculum longus t
Fibula
Peroneus Tibialis
longus t posterior a and vv
Peroneus
brevis t
Flexor
Peroneus retinaculum
brevis m
Tibial n
Flexor hallucis
longus t
Extensor
digitorum
longus t
Tibialis
anterior
a and vv
Greater saphenous v
Extensor
digitorum
longus m
Anterior
tubercle Tibia
Tibialis posterior t
Posterior
tibial Flexor digitorum
tubercle longus t
Fibula
Peroneus Tibialis
longus t posterior a and vv
Peroneus
brevis t Flexor
retinaculum
Peroneus Accessory flexor
brevis m digitorum
Superior longus m
peroneal Tibial n
retinaculum
Flexor hallucis
longus t
Extensor
digitorum
longus t
Tibialis anterior
a and vv
Extensor
digitorum Greater
longus t saphenous v
Anterior Tibia
tubercle Tibialis
posterior t
Fibular notch
Flexor
retinaculum
Posterior
tubercle
Flexor
digitorum
Fibula longus t
Peroneus
Tibialis
longus t
posterior
Peroneus a and vv
brevis t
Tibial n
Superior
peroneal Accessory
retinaculum flexor
digitorum
Peroneus longus m
brevis m Flexor
hallucis
longus t
Extensor
digitorum
longus t
Greater
saphenous v
Anterior
inferior Deltoid lig
tibiofibular
lig
Fibula, Tibia, medial
lateral malleolus
malleolus
Tibialis
Posterior posterior t
inferior
tibiofibular Flexor
lig digitorum
Superior longus t
peroneal Flexor
retinaculum retinaculum
Peroneus Tibialis
longus t posterior
a and vv
Peroneus
brevis t Tibial n
Peroneus Accessory flexor
brevis m digitorum
Tibia, longus m
posterior
malleolus
Flexor hallucis
longus t
Extensor
digitorum Greater
longus t saphenous v
Deltoid lig,
Anterior tibionavicular and
inferior anterior tibiotalar
tibiofibular parts
lig
Tibia, medial
Fibula, malleolus
lateral Talar dome
malleolus
Tibialis
Posterior posterior t
inferior
tibiofibular Flexor digitorum
lig longus t
Peroneus Flexor
longus t retinaculum
Tibialis
Peroneus posterior a and vv
brevis t
Peroneus Tibial n
brevis m
Accessory flexor
digitorum
longus m
Peroneus
quartus m
Flexor hallucis
longus t
Extensor
digitorum
longus t Greater
saphenous v
Talar head Deltoid lig,
tibionavicular and
Talar neck anterior tibiotalar
parts
Talar body
Fibula, Tibialis
lateral posterior t
malleolus
Flexor digitorum
longus t
Peroneus
longus t Flexor
retinaculum
Superior
Tibialis
peroneal
posterior
retinaculum
a and vv
Peroneus
brevis t Tibial n
Peroneus
brevis m
Accessory
flexor
Peroneus digitorum
quartus m longus m
Extensor
Talonavicular
digitorum
joint
brevis m
Deltoid lig,
tibionavicular
Talar head and anterior
tibiotalar
parts
Talar neck
Tibialis
Anterior posterior t
talofibular lig Talar body
Fibula, lateral
malleolus Flexor
digitorum
Posterior longus t
talofibular lig Flexor
Peroneus retinaculum
longus t Tibialis
Superior posterior
peroneal a and vv
retinaculum
Peroneus Tibial n
brevis t Flexor
hallucis
Peroneus longus t
brevis m
Peroneus Accessory
quartus m flexor
digitorum
longus m
Lesser Kager’s Achilles t Flexor
saphenous v triangle hallucis
longus
fascia
354 LOWER EXTREMITY: MRI OF THE ANKLE
Extensor
digitorum Tibialis
brevis m posterior t
Tarsal sinus
Posterior
talofibular lig
Flexor
digitorum
Fibula, lateral longus t
malleolus
Flexor
Peroneus retinaculum
longus t Tibialis posterior
n and vessels
Peroneus
brevis t Posterior sulcus
Flexor hallucis
longus t
Peroneus
quartus m
Accessory
flexor
digitorum
longus m
Lateral
cuneiform
Extensor
digitorum Tibialis
brevis m posterior t
Talus
Tarsal
sinus
Calcaneofibular lig Flexor
digitorum
longus t
Inferior
flexor
retinaculum
Peroneus longus t Tibial n and
tibialis
posterior
Peroneus brevis t vessels
Flexor
Inferior peroneal hallucis
retinaculum longus t
Peroneus Accessory
quartus m flexor
digitorum
longus m
Lateral Tibialis
cuneiform posterior t,
cuneiform slip
Extensor Tibialis
digitorum posterior t
brevis m
Inferior
Peroneus flexor
longus t retinaculum
Tibial n and
Peroneus tibialis posterior
brevis t vessels
Flexor hallucis
longus t
Peroneus Accessory flexor
quartus t digitorum longus
m
Quadratus
plantae m
Lateral
cuneiform
Cuboid
Abductor
Extensordigitorum hallucis m
brevis m
Calcaneus,
cuboid joint Flexor
digitorum
longus t
Calcaneus,
anterior process
Sustentaculum
tali
Inferior
Peroneus longus t flexor
retinaculum
Peroneus brevis t
Tibial n
Calcaneofibular lig and tibialis
posterior
Tubercle of vessels
calcaneofibular lig
Quadratus
plantae m
Peroneus quartus t
Plantaris t
Retrotrochlear
eminence
Cuboid
Flexor
digitorum
Extensor digitorum longus t
brevis m Flexor
hallucis
Calcaneocuboid longus t
joint
Abductor
Calcaneus, hallucis m
anterior process
Peroneal tubercle
Peroneus
longus
and peroneus
brevis tt
Tubercle of
calcaneofibular lig
Tibial n
Retrotrochlear and tibialis
eminence posterior
vessels
Quadratus
plantae m
Cuboid
Flexor
digitorum
longus t
Flexor hallucis
longus t
Calcaneocuboid
joint Abductor
hallucis m
Calcaneus,
Quadratus
anterior process
plantae m
Lateral plantar
n and vessels
Cuboid
Peroneus Abductor
brevis t hallucis m
Peroneus Quadratus
longus t plantae m
Medial plantar
n and vessels
Lateral plantar
n and vessels
Base of fifth
metatarsal
Quadratus
plantae m
Peroneus
brevis t
Peroneus
longus t
Abductor
digiti
minimi m
Abductor
hallucis m
Calcaneal Calcaneus
tuberosity
358 LOWER EXTREMITY: MRI OF THE ANKLE
Flexor
Plantar digitorum
aponeurosis, brevis m
lateral cord
Abductor digiti
minimi m
Calcaneal
tuberosity
Figure 14.1.20
Flexor
digitorum
brevis m
Abductor digiti
minimi m
Calcaneal
tuberosity
LOWER EXTREMITY: MRI OF THE ANKLE 359
OBLIQUE AXIAL
Figure 14.2.1 Extensor digitorum longus t Extensor hallucis longus t
Tibialis
Extensor anterior m
digitorum Tibialis
longus and anterior t
extensor
hallucis Greater
longus mm saphenous v
Tibia
Extensor
retinaculum Tibialis
posterior t
Flexor
digitorum
Fibula
longus t
Peroneus Tibialis
longus t posterior
vessels and
tibial n
Peroneus
Flexor hallucis
brevis t
longus t
Peroneus
brevis m artery = a
arteries = aa
vein = v
Lesser veins = vv
saphenous v muscle = m
muscles = mm
tendon = t
Flexor tendons = tt
hallucis nerve = n
longus m nerves = nn
ligament = lig
ligaments = ligs
Achilles t nerve &
vessels
bone
Tibia
Fibula
Peroneus
Tibialis
longus t
posterior t
Flexor
Peroneus digitorum
brevis t longus t
Peroneus
brevis m Tibialis
posterior
vessels and n
Lesser
saphenous v Flexor
hallucis
longus t
Achilles t
Flexor hallucis
longus m
360 LOWER EXTREMITY: MRI OF THE ANKLE
Tibialis
anterior t
Extensor
hallucis Tibialis
longus m anterior a
Extensor
digitorum Greater
longus m saphenous v
Fibula
Tibia
Posterior inferior
tibiofibular lig
Tibialis
Peroneus posterior t
longus t
Flexor
Peroneus digitorum
brevis t longus t
Lesser
saphenous v
Tibialis
posterior
Peroneus vessels and
brevis m tibial n
Flexor
Peroneal hallucis
a and v longus t
Calcaneus
Flexor
hallucis
Achilles t longus
attachment fascia
Deep
peroneal n
Peroneus
tertius m Tibialis
anterior a
Flexor hallucis
longus t
Tibialis
anterior a
Peroneus
tertius m
Tibia,
medial malleolus
Talus
Fibula,
lateral Deltoid lig
malleolus
Peroneus Tibialis
brevis t posterior t
Flexor digitorum
longus t
Peroneus
longus t Flexor
Peroneal retinaculum
retinaculum Flexor hallucis
longus t
Lesser
Tibialis
saphenous v
posterior a
Tibial n
Quadratus
plantae m
Tibialis
anterior a
Peroneus Deep
tertius m peroneal n
Greater
saphenous v
Talus
Deltoid lig
Tibialis
Peroneus posterior t
brevis t Flexor digitorum
longus t
Peroneus
longus t Sustentaculum
tali
Peroneal Flexor
retinaculum retinaculum
Medial plantar
vessels and n
Flexor hallucis
longus t
Lateral plantar
vessels and n
Quadratus
plantae m
Calcaneus
Subtalar joint,
posterior facet
362 LOWER EXTREMITY: MRI OF THE ANKLE
Tibialis
anterior a
Talonavicular lig Deep
peroneal n
Tibialis
Extensor anterior t
retinaculum Greater
saphenous v
Talus
Calcaneonavicular
(spring) lig
Tibialis
Peroneus posterior t
brevis t Subtalar joint,
middle facet
Peroneus Flexor digitorum
longus t longus t
Calcaneus,
sustentaculum
tali
Medial plantar
Abductor vessels and n
digiti minimi m
Flexor
retinaculum
Calcaneus
Flexor hallucis
longus t
Plantar
aponeurosis Quadratus
plantae m
Flexor
digitorum Lateral plantar
brevis m vessels and nn
Tibialis
Peroneus anterior t
tertius t
Talus
Extensor Inferoplantar
digitorum calcaneonavicular
brevis m (spring) lig
Tibialis posterior t,
additional slip
Peroneus
brevis t Tibialis
posterior t
Peroneus
longus t
Flexor digitorum
Lesser longus t
saphenous v
Abductor
hallucis m
Abductor Flexor hallucis
digiti minimi m longus t
Medial plantar
vessels and n
Calcaneus
Quadratus
plantae m
Extensor
retinaculum
Tibialis
anterior t
Peroneus
tertius t
Navicular
Extensor
digitorum
brevis m
Flexor hallucis
Cuboid longus t
Calcaneocuboid Tibialis
joint posterior t,
additional slip
Peroneus
brevis t Tibialis
posterior t
Peroneus
longus t Abductor
hallucis m
Plantar Abductor
calcaneocuboid lig hallucis t
Flexor digitorum
Abductor longus t
digiti minimi m
Medial plantar
vessels and n
Quadratus
plantae m
Extensor
retinaculum
Tibialis
anterior t
Extensor
digitorum
brevis m
Middle
Peroneus cuneiform
tertius t Medial
cuneiform
Cuboid
Tibialis posterior t,
Peroneus additional slips
brevis t Flexor hallucis
longus t
Peroneus Flexor
longus t hallucis t
Abductor
hallucis m
Flexor digitorum
Abductor longus t
digiti minimi m
Medial plantar
vessels and n
Quadratus
plantae m
Flexor digitorum
Lateral plantar brevis m
vessels and n
364 LOWER EXTREMITY: MRI OF THE ANKLE
Extensor
digitorum
Middle
brevis m
cuneiform
Peroneus Tibialis
tertius t anterior t
Medial
cuneiform
Cuboid Tibialis posterior t,
additional slip
Peroneus
brevis t Flexor hallucis
longus t
Abductor
hallucis m
Peroneus Abductor
longus t hallucis t
Plantar Medial plantar
aponeurosis, vessels and n
lateral part
Flexor digitorum
Abductor digiti
longus t
minimi m
Abductor Quadratus
digiti minimi t plantae m
Lateral plantar
vessels and nn Plantar aponeurosis,
Flexor medial part
digitorum
brevis m
LOWER EXTREMITY: MRI OF THE ANKLE 365
SAGITTAL
Figure 14.3.1
Peroneus
brevis m
Peroneus
brevis t
Fibula,
lateral
malleolus
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 14.3.2
Peroneus
brevis m
Anterior
inferior
tibiofibular lig
Fibula,
lateral
malleolus
Posterior
Peroneus
talofibular lig
brevis t
Peroneus
longus t
Lesser
saphenous v
366 LOWER EXTREMITY: MRI OF THE ANKLE
Peroneus
Anterior brevis m
inferior
tibiofibular lig Fibula,
lateral
Peroneus malleolus
brevis t
Posterior
talofibular lig
Extensor
digitorum
brevis m
Lesser
saphenous v
Peroneus
brevis t
Talus, lateral
process
Peroneus
longus t
Talar dome
Peroneus
Talus, quartus m
lateral
process
Talocalcaneal
lig
Posterior
talofibular lig
Extensor
digitorum
brevis m
Achilles t
Calcaneus,
anterior
process
Posterior
subtalar
Cuboid
joint
Calcaneal
tuberosity
Calcaneus
Abductor
digiti
minimi m
LOWER EXTREMITY: MRI OF THE ANKLE 367
Extensor Soleus m
digitorum
longus t
Achilles t
Tibial plafond
Talocalcaneal
lig
Posterior
Extensor talofibular lig
digitorum
brevis m
Calcaneus, Achilles t
anterior
process
Talar body
Cuboid
Posterior
Base of subtalar
fifth joint
metatarsal
Calcaneal
tuberosity
Cuboid sulcus
Calcaneus
Abductor
digiti
minimi m
Gissane’s
angle
Talar dome
Achilles t
Talus,
lateral process
Talocalcaneal Kager’s
lig triangle
Extensor
digitorum Talus,
brevis m posterior
process
Calcaneus,
anterior process
Talar body
Cuboid
Posterior
Base of fourth subtalar
metatarsal joint
Base of fifth
Calcaneal
metatarsal
tuberosity
Cuboid sulcus
Calcaneus
Peroneus
longus t
Extensor
hallucis Soleus m
longus m
Tibialis anterior
vessels
Flexor
Extensor hallucis
digitorum longus t
longus t
Talar head
Talar dome
Extensor
digitorum
brevis m
Kager’s
Talocalcaneal lig triangle
Tarsal sinus Achilles t
Lateral cuneiform
Talus,
Calcaneus,
posterior
anterior process
process
Cuneocuboid lig Talar body
Cuboid
Posterior
subtalar
Base of fourth joint
metatarsal
Calcaneal
Base of fifth tuberosity
metatarsal
Peroneus Calcaneus
longus t
Extensor
hallucis
longus t
Extensor
digitorum Flexor
longus t hallucis
longus t
Anterior Talus,
subtalar joint posterior
process
Tarsal sinus
Achilles t
Lateral cuneiform
Talar body
Cuneocuboid lig
Base of fourth Posterior
metatarsal subtalar
joint
Cuboid
Calcaneal
Peroneus tuberosity
longus t
Calcaneus
Tibialis
anterior t
Anterior Flexor
subtalar joint hallucis
longus t
Lateral
cuneiform Talar body
Posterior
subtalar
Base of fourth joint
metatarsal
Cuboid
Calcaneus
Calcaneal
tuberosity
Calcaneus
Base of third
metatarsal
Quadratus
plantae m
Calcaneal
tuberosity
Calcaneus,
sustentaculum
tali
Quadratus Medial Middle Flexor Plantar fascia,
plantae m plantar a subtalar digitorum medial cord
joint brevis m
370 LOWER EXTREMITY: MRI OF THE ANKLE
Tibialis
posterior t
Tibialis Flexor digitorum
anterior t longus t
Posterior
tibiotalar lig
Abductor
hallucis m
Medial malleolus,
anterior colliculus Tibialis
posterior t
Medial malleolus,
posterior colliculus
Tibialis
anterior t
Flexor
digitorum
longus t
Navicular
Medial Talus
cuneiform
Inferoplantar
calcaneonavicular
(spring) lig
Calcaneus,
sustentaculum
tali
Abductor
hallucis m
Medial plantar
vessels and n
Tibialis
posterior t
Deltoid lig
Flexor
digitorum
longus t
Navicular
Medial
cuneiform
Tibialis posterior t,
cuneiform slip
Abductor
hallucis m
Medial plantar
vessels and n
CORONAL
Figure 14.4.1 Extensor hallucis
longus m
Extensor hallucis
longus t
Tibialis
anterior t
Extensor
Talar head
digitorum
longus tt
Greater
Flexor saphenous v
digitorum
longus t
Talonavicular
Extensor joint
digitorum
brevis m Navicular
Cuboid
Tibialis
Flexor posterior t
hallucis
longus t
Abductor
hallucis m
Plantar Medial plantar
calcaneocuboid a and n
lig
Quadratus
plantae m
Peroneus
brevis t Flexor digitorum
brevis m
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
Abductor digiti Peroneus Plantar muscles = mm
minimi m longus t aponeurosis, tendon = t
medial cord tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Extensor
digitorum
longus t Talar head
Greater
saphenous v
Inferoplantar
calcaneonavicular
Extensor (spring) lig
digitorum
brevis m Navicular
Tibialis posterior t
insertion
Flexor digitorum
Cuboid longus t
Abductor
hallucis m
Flexor hallucis
longus t
Peroneus Medial plantar
brevis t a and n
Peroneus Quadratus
longus t plantae m
Flexor digitorum
brevis m
Extensor Greater
digitorum saphenous v
longus m
Talus
Tibialis
anterior vessels Tibialis posterior t
insertion
Anterior
subtalar
joint Inferoplantar
calcaneonavicular
Extensor (spring) lig
digitorum
brevis m Flexor digitorum
longus t
Abductor
hallucis m
Cuboid Flexor hallucis
longus t
Medial plantar
a and n
Peroneus
brevis t Quadratus
plantae m
Flexor digitorum
Peroneus brevis m
longus t
vessels Greater
saphenous v
Extensor
digitorum
Talus
longus m
Deltoid lig,
anterior tibiotalar
portion
Anterior Tibialis posterior t
subtalar insertion
joint Flexor digitorum
longus t
Superomedial
Extensor calcaneonavicular
digitorum (spring) lig
brevis m Plantar
calcaneonavicular
(spring) lig
Abductor
Calcaneus hallucis m
Calcaneocuboid
joint Flexor hallucis
longus t
Quadratus
plantae m
Flexor digitorum
Peroneus brevis m
longus t
Extensor digitorum
longus m Tibia,
medial
Tibial malleolus
plafond
Deltoid lig,
anterior tibiotalar
Talus portion
Tarsal Tibialis
sinus posterior t
Flexor digitorum
longus t
Talocalcaneal lig
Peroneus
brevis t
Quadratus
plantae m
Lesser
saphenous v
Flexor digitorum
Peroneus brevis m
longus t
Talocalcaneal Calcaneus,
lig sustentaculum tali
Flexor hallucis
Calcaneus longus t
Peroneus Abductor
brevis t hallucis m
Lesser
saphenous v
Quadratus
plantae m
Peroneus
longus t
Flexor digitorum
Long brevis m
plantar lig
Lesser Abductor
saphenous v hallucis m
Peroneus
longus t Quadratus
plantae m
Lateral plantar
Calcaneus n and vessels
Peroneus Abductor
longus t hallucis m
Lesser Quadratus
saphenous v plantae m
Flexor digitorum
brevis m
Plantar aponeurosis,
medial cord
Tibial
plafond
Tibialis posterior t
Talar dome
Fibula, lateral Deltoid lig,
malleolus deep portion
Talar body
Anterior
Flexor digitorum
talofibular lig
longus t
Talus, lateral
process
Flexor
Posterior retinaculum
subtalar joint
Peroneus
brevis t
Peroneus Flexor hallucis
longus t longus t
Tubercle of peroneal
trochlea
Inferior peroneal Abductor
retinaculum hallucis m
Calcaneus Quadratus
plantae m
Flexor digitorum
brevis m
Fibula
Tibialis posterior t
Tibial
plafond
Flexor digitorum
longus t
Fibula, lateral
malleolus
Talus
Talus, lateral
process Flexor
retinaculum
Posterior Flexor hallucis
subtalar joint longus t
Peroneus
brevis t
Peroneus Tibialis posterior
longus t vessels
Tubercle of
peroneal trochlea
Inferior Abductor
peroneal retinaculum hallucis m
Calcaneus Quadratus
plantae m
Flexor digitorum
brevis m
Fibula
Flexor digitorum
longus t
Fibula, lateral
malleolus
Talus Posterior
subtalar joint
Posterior
talofibular Flexor hallucis
lig longus t
Tibialis posterior
vessels
Peroneus
brevis t
Peroneus Quadratus
longus t plantae m
Abductor
Calcaneus hallucis m
Flexor digitorum
brevis m
Tibial n and
tibialis posterior
Fibula, lateral
vessels
malleolus
Flexor
retinaculum
Talus Flexor hallucis
longus t
Posterior
Posterior
talofibular lig
subtalar joint
Peroneus
longus t Quadratus
plantae m
Peroneus
brevis t
Abductor
Calcaneus hallucis m
Flexor digitorum
brevis m
Retrotrochlear
eminence
Calcaneus
Flexor digitorum
brevis m
Peroneus
brevis t
Accessory flexor
digitorum longus m
Peroneus
quartus m
Lesser
saphenous v
Quadratus
plantae m
Calcaneus
Flexor hallucis
longus m
Lesser
saphenous v
Quadratus
plantae m
Calcaneus
Lateral
calcaneal
tubercle
Figure 14.4.16
Lesser
saphenous v
Soleus m
Kager’s
triangle
Calcaneus
Lateral
calcaneal
tubercle
380 LOWER EXTREMITY: MRI OF THE ANKLE
Kager’s
triangle Achilles t
Calcaneus
Figure 14.4.18
Achilles t
Calcaneus
15
Chapter
AXIAL
Figure 15.1.1 artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Base of first
metatarsal
Base of
second
metatarsal
Medial cuneiform
Middle
cuneiform Tibialis
anterior t
Extensor
digitorum Navicular
brevis m
Talar head
Figure 15.1.2
Extensor hallucis
longus t
Dorsal
interosseous m
Base of first
metatarsal
Base of second
metatarsal
Medial cuneiform
Tibialis
Middle anterior t
cuneiform
Lateral cuneiform
Extensor
Navicular
digitorum
brevis m
Talar head
386 LOWER EXTREMITY: MRI OF THE FOOT
Figure 15.1.3
Extensor
hallucis
longus t
Dorsal
interosseous mm
First
metatarsal
Second
metatarsal
Base of third
metatarsal Medial
cuneiform
Lisfranc lig
Tibialis
anterior t
Extensor
digitorum Intercuneiform lig
brevis m
Lateral cuneiform
Navicular
Middle cuneiform
Talus
Figure 15.1.4
Extensor
hallucis
longus t
Dorsal
interosseous mm
Second First
metatarsal metatarsal
Base of third
metatarsal
Lisfranc
lig
Medial
Lateral cuneiform cuneiform
Abductor
Extensor hallucis m
digitorum
brevis m
Tibialis
Cuboid posterior t,
cuneiform slip
Tibialis
Calcaneus posterior t
LOWER EXTREMITY: MRI OF THE FOOT 387
Figure 15.1.5
Extensor
hallucis
longus t
Dorsal
interosseous mm
Second
metatarsal First metatarsal
Third
metatarsal
Medial
cuneiform
Abductor
Lateral cuneiform hallucis m
Extensor Tibialis
digitorum posterior t,
brevis m cuneiform
Cuboid slips
Calcaneus
Figure 15.1.6
Dorsal
interosseous mm
Adductor
hallucis m,
oblique head
Flexor hallucis
brevis m,
Third metatarsal medial head
Intermetatarsal lig
Peroneus longus t
Base of fourth
metatarsal Medial cuneiform
Base of first
metatarsal
Extensor Abductor
digitorum hallucis m
brevis m
Cuboid
Flexor hallucis
longus t
Base of fourth
metatarsal Abductor
hallucis t
Cuboid Abductor
hallucis m
Flexor
hallucis
longus t
Calcaneus
Plantar
interosseous m Adductor
hallucis m,
oblique head
Fourth metatarsal
Flexor hallucis
Dorsal brevis m,
interosseous m medial head
Abductor
hallucis t
Peroneus Flexor hallucis
longus t brevis m,
lateral head
Flexor hallucis
Base of fifth longus t
metatarsal
Quadratus
plantae m
Flexor digitorum
longus t
Cuboid
Peroneus
brevis t Abductor
hallucis m
Medial plantar nn
Calcaneus and vessels
LOWER EXTREMITY: MRI OF THE FOOT 389
Cuboid
Peroneus
brevis t Medial plantar nn
and vessels
Peroneus
longus t
Fifth metatarsal
Abductor digiti
minimi m
Peroneus Flexor
brevis t digitorum
brevis m
Quadratus
plantae m
390 LOWER EXTREMITY: MRI OF THE FOOT
Figure 15.1.11
Fifth
metatarsal
head
Flexor
digiti
minimi m
Abductor
digiti
minimi t
Abductor Flexor
digiti hallucis
minimi m longus t
Flexor
digitorum
Base brevis m
of fifth
metatarsal
Abductor
digiti
minimi m
Figure 15.1.12
Abductor
digiti
minimi m
LOWER EXTREMITY: MRI OF THE FOOT 391
SAGITTAL
Figure 15.2.1 Peroneus
Peroneus
brevis t
longus t
Peroneus
brevis t
Abductor digiti
minimi t
Fifth metatarsal
Abductor digiti
minimi m
artery = a
Extensor digitorum t arteries = aa
of fifth toe vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
Fifth toe
tendons = tt
proximal phalanx
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 15.2.2
Extensor
digitorum Peroneus
brevis m longus t
Cuboid Peroneal sulcus
Abductor digiti
minimi m
Base of fourth
metatarsal
Adductor digiti
Base of fifth minimi t
metatarsal
Dorsal
interosseous m
Flexor digiti
minimi m
Fifth
metatarsal head
392 LOWER EXTREMITY: MRI OF THE FOOT
Figure 15.2.3
Calcaneus
Anterior process
of calcaneus
Extensor digitorum
brevis m
Cuboid Abductor digiti
minimi m
Peroneal
sulcus
Base of fourth
metatarsal
Plantar
interosseous m
Flexor digiti
minimi m
Figure 15.2.4
Calcaneus
Extensor digitorum
brevis m
Abductor digiti
minimi m
Cuboid
Lateral cuneiform
Peroneus
longus t
Base of third
metatarsal
Dorsal
interosseous m
Plantar interosseous
Fourth metatarsal and lumbrical mm
Fourth toe,
proximal phalanx
LOWER EXTREMITY: MRI OF THE FOOT 393
Figure 15.2.5
Calcaneus
Abductor digiti
minimi m
Extensor digitorum
brevis m
Extensor digitorum
longus t Cuboid
Plantar
interosseous
and lumbrical mm
Figure 15.2.6
Talus
Calcaneus
Abductor digiti
minimi m
Cuboid Plantar
calcaneocuboid lig
Lateral
cuneiform
Peroneus
longus t
Quadratus
plantae m
Flexor digitorum
Third metatarsal brevis m
Plantar
interosseous m Adductor hallucis m,
transverse head
394 LOWER EXTREMITY: MRI OF THE FOOT
Figure 15.2.7
Calcaneus
Talar head Plantar fascia
Navicular
Cuboid
Plantar fascia,
Lateral cuneiform medial cord
Middle cuneiform
Plantar
interosseous m
Adductor
hallucis m,
Third metatarsal transverse head
head
Flexor digitorum t
of third digit, long
Third toe, and short
proximal phalanx
Talar head
Navicular Quadratus
plantae m
Plantar fascia,
Lateral cuneiform medial cord
Middle cuneiform
Base of second
metatarsal
Flexor digitorum
brevis m
Flexor digitorum
Extensor digitorum longus t
longus t
Adductor hallucis m,
oblique head
Plantar
interosseous m
Adductor hallucis m,
transverse head
Third
metatarsal Flexor digitorum t
head of third digit,
long and short
LOWER EXTREMITY: MRI OF THE FOOT 395
Flexor digitorum
Extensor digitorum brevis m
longus t
Navicular
Middle cuneiform Flexor digitorum
longus t
Flexor digitorum
brevis m
Adductor
Second metatarsal hallucis m,
oblique head
Second toe, Flexor digitorum
extensor t longus t
Plantar
interosseous m
Adductor
hallucis m,
transverse head
Navicular
Base of first
metatarsal
Flexor hallucis
brevis m
Dorsal
interosseous m Adductor
hallucis m,
Plantar oblique head
interosseous m
Second
metatarsal head
Flexor
Second toe, digitorum t
proximal phalanx of second digit,
long and short
396 LOWER EXTREMITY: MRI OF THE FOOT
Tibialis posterior t,
cuneiform slip
Navicular
Abductor
hallucis m
Medial cuneiform
Base of first
metatarsal
Flexor hallucis
longus t
Adductor
hallucis m,
oblique head Flexor hallucis
brevis m
Dorsal
interosseous m Plantar
interosseous m
Second
metatarsal head
Second toe,
proximal phalanx
Figure 15.2.12
Tibialis anterior t
Tibialis posterior t
Navicular
Abductor
hallucis t
Medial cuneiform
Abductor
hallucis m
Base of first
metatarsal
Flexor hallucis
Extensor hallucis brevis m
longus t
Flexor hallucis
longus t
LOWER EXTREMITY: MRI OF THE FOOT 397
Figure 15.2.13
Tibialis
posterior t
Tibialis
anterior t
Navicular
Medial Abductor
cuneiform hallucis m
Abductor
hallucis t
First
metatarsal Flexor hallucis
Extensor brevis m
hallucis
longus t
Flexor hallucis
longus t
Lateral
sesamoid
Figure 15.2.14
Anastomotic vv
Navicular
tuberosity
Abductor
hallucis t
Flexor hallucis
brevis m
First
metatarsal head
Extensor hallucis
longus t
Flexor hallucis
longus t
Great toe,
base of proximal
phalanx
398 LOWER EXTREMITY: MRI OF THE FOOT
Figure 15.2.15
Anastomatic vv
Abductor
hallucis t
Flexor hallucis
brevis m
First metatarsal
head Medial sesamoid
Great toe,
base of proximal
phalanx Flexor hallucis
longus t
LOWER EXTREMITY: MRI OF THE FOOT 399
CORONAL
Figure 15.3.1
Extensor
hallucis
longus t
First proximal
Extensor tt phalanx
Second
proximal phalanx
Fourth
proximal Third proximal
phalanx phalanx
Fifth artery = a
proximal Flexor arteries = aa
phalanx hallucis vein = v
longus t veins = vv
muscle = m
muscles = mm
Flexor tendon = t
digitorum tendons = tt
longus and nerve = n
brevis tt nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 15.3.2
Extensor hallucis
longus t
First
metatarsophalangeal
Interosseous t joint
Flexor
digitorum
longus and
brevis tt
400 LOWER EXTREMITY: MRI OF THE FOOT
Figure 15.3.3
Extensor
hallucis
longus t
Flexor tt,
second–fifth digits
Extensor
hallucis
longus t
Extensor tt,
short and long
First
metatarsal
head
Abductor
hallucis t
Medial
sesamoid
Third
metatarsal head Crista
Fourth
metatarsal head
Flexor
Fifth hallucis
metatarsal head longus t
Flexor tt,
short and long
Lateral
sesamoid
LOWER EXTREMITY: MRI OF THE FOOT 401
Figure 15.3.5
Extensor
Dorsal hallucis
interosseous m longus t
First
metatarsal
Extensor tt
Second
metatarsal
Abductor
hallucis t
Third Medial
metatarsal sesamoid
Crista
Flexor hallucis
Fourth longus t
metatarsal
Lateral
Fifth sesamoid
metatarsal
Adductor
Flexor tt hallucis m,
transverse
Plantar head
interosseous m
Dorsal
interosseous m
Extensor tt,
short and long
First
metatarsal
Plantar
interosseous m
Third
metatarsal Abductor
Fourth hallucis t
metatarsal Adductor
Fifth metatarsal hallucis m,
head oblique head
Adductor
hallucis m, Flexor hallucis
transverse longus t
head
Abductor digiti
minimi t
Flexor tt,
short and long
402 LOWER EXTREMITY: MRI OF THE FOOT
Second
metatarsal
Extensor
hallucis
Extensor tt, longus t
long and short
First metatarsal
Flexor hallucis
brevis m,
medial head
Third Abductor
metatarsal hallucis t
Flexor hallucis
Fourth brevis, lateral
metatarsal head m
Adductor
hallucis m,
transverse
head
First
Dorsal metatarsal
interosseous mm
Flexor hallucis
brevis m, medial
head
Abductor
Third hallucis t
metatarsal Adductor
hallucis m,
oblique head
Fourth
metatarsal Flexor hallucis
Fifth longus t
metatarsal
Abductor digiti Flexor hallucis
minimi t and m brevis m,
lateral head
Flexor and
opponens
digiti minimi mm
Flexor digitorum
brevis and flexor
digitorum
longus tt
LOWER EXTREMITY: MRI OF THE FOOT 403
Dorsal
interosseous mm Extensor hallucis
longus t
Extensor tt,
long and short First metatarsal
Adductor hallucis m,
transverse head
Flexor hallucis
brevis m,
Third
medial head
metatarsal
Abductor
Fourth hallucis t
metatarsal Flexor hallucis
longus t
Fifth Flexor hallucis
metatarsal brevis m,
lateral head
Abductor
digiti minimi
m and t
Flexor digitorum
brevis and
flexor
digitorum
longus tt
Second
metatarsal
Extensor tt, First metatarsal
short and long
Adductor
hallucis m,
oblique head
Third Abductor
metatarsal hallucis t
Dorsal Flexor hallucis
interosseous mm brevis m,
medial head
Fourth
metatarsal Flexor hallucis
longus t
Fifth metatarsal
Flexor hallucis
Abductor digiti brevis m,
minimi t and m lateral head
Flexor digiti Plantar
minimi m aponeurosis,
Flexor digitorum medial cord
longus tt
Flexor digitorum
brevis m and tt
404 LOWER EXTREMITY: MRI OF THE FOOT
Second
metatarsal
First metatarsal
Dorsal
interosseous m Flexor hallucis
brevis m
Extensor tt
Abductor
Third hallucis m
metatarsal
Abductor
Fourth metatarsal hallucis t
Dorsal Flexor digitorum
interosseous m longus tt
Flexor hallucis
longus t
Fifth metatarsal
Medial plantar
Plantar a and n
interosseous m
Flexor digitorum
Abductor digiti
brevis m and t
minimi m and t
Flexor digiti
minimi m
Lateral plantar
a and n
Figure 15.3.12
Figure 15.3.13
Lisfranc
lig Extensor
hallucis
longus t
Second
metatarsal
Medial
Extensor tt cuneiform
Flexor hallucis
brevis m
Abductor
Third metatarsal hallucis m
Abductor
hallucis t
Fourth Flexor digitorum
metatarsal longus t
Flexor digiti Flexor hallucis
minimi brevis m longus t
Fifth metatarsal Adductor hallucis m,
oblique head
Opponens Plantar
digiti minimi m aponeurosis,
medial cord
Abductor digiti
minimi m and t Flexor digitorum
brevis m and t
Lateral plantar Quadratus
a and n plantae m
Medial cuneiform
Middle cuneiform
Tibialis
Intercuneiform lig anterior t
Extensor
digitorum
brevis m
Abductor
Lateral cuneiform hallucis m
Abductor
hallucis t
Flexor digitorum
Fourth metatarsal longus tt
Peroneus Flexor hallucis
longus t longus t
Fifth metatarsal
Plantar
Flexor digiti aponeurosis,
minimi brevis m medial cord
Figure 15.3.15
Extensor
hallucis
longus t
Extensor
digitorum
longus tt Tibialis
anterior t
Middle cuneiform
Medial
Extensor cuneiform
digitorum
brevis m Abductor
Lateral cuneiform hallucis m
Cuboid Abductor
hallucis t
Flexor hallucis
longus t
Figure 15.3.16
Extensor
Middle cuneiform hallucis
longus t
Extensor
digitorum Tibialis
longus tt anterior t
Extensor Medial
digitorum cuneiform
brevis m
Lateral cuneiform Abductor
hallucis m
Tibialis posterior t,
additional slips
Abductor
Flexor digitorum hallucis t
longus t
Flexor hallucis
Cuboid longus t
Peroneus Medial plantar
longus t a and n
Quadratus Flexor digitorum
plantae m brevis m and t
Base of fifth
metatarsal Plantar
Abductor digiti aponeurosis
minimi m and t
LOWER EXTREMITY: MRI OF THE FOOT 407
Figure 15.3.17
Extensor
hallucis
Navicular longus t
Extensor Tibialis
digitorum anterior t
longus tt
Extensor Tibialis
digitorum posterior t
longus m
Lateral cuneiform
Tibialis posterior t, Abductor
additional slips hallucis m
Abductor
Flexor hallucis
hallucis t
longus t
Medial plantar
Cuboid a and n
Peroneus Flexor digitorum
longus t longus t
Plantar
Peroneus aponeurosis,
brevis t medial cord
Figure 15.3.18
Extensor
hallucis Tibialis
longus t anterior t
Extensor Greater
digitorum saphenous v
longus t
Navicular
Extensor
digitorum Tibialis
brevis m posterior t
Abductor
hallucis m
Flexor Abductor
hallucis hallucis t
longus t Medial plantar
a and n
Cuboid Flexor digitorum
longus t
Peroneus Flexor digitorum
brevis t brevis m
Peroneus
Plantar
longus t
aponeurosis,
medial cord
Plantar
aponeurosis,
lateral cord Quadratus
plantae m
Abductor digiti
minimi m
This page intentionally left blank
III
Section
AXIAL
Figure 16.1.1
Azygos v Aorta
Costotransverse
foramen Accessory
hemiazygos v
Costovertebal
joint
T6 vertebra
Sixth transverse
process Head of sixth rib
Trapezius m
Transversospinalis mm:
Erector spinae mm:
Rotatores
Spinalis artery = a
Multifidus arteries = aa
Longissimus thoracis
Semispinalis vein = v
Iliocostalis thoracis veins = vv
T5 spinous process muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
T7 superior facet
Accessory
hemiazygos v
Thoracic vertebral
Intercostal vessels vessels
Ventral root
T6 lamina
Rhomboid
major m
T7 inferior facet
Trapezius m
Iliocostalis Longissimus Multifidus m
thoracis m thoracis m Spinalis
thoracis m
Supraspinous lig
416 SPINE AND BACK: MRI OF THE THORACIC SPINE
Transverse proc
Pedicle T9
Costotransverse
joint
Spinal cord
Ninth rib
Serratus
Thoracolumbar posterior m
fascia,
posterior part
Trapezius m
Thoracic erector spinae mm: Transversospinalis mm
iliocostalis, longissimus, spinalis
Costovertebral joint
T10 Pedicle Tenth rib, head
Serratus posterior m
Thoracolumbar
fascia, posterior
part
Trapezius m
Supraspinous Interspinalis m
Thoracic erector lig
spinae mm
Transversospinalis mm
SPINE AND BACK: MRI OF THE THORACIC SPINE 417
SAGITTAL
Figure 16.2.1
Middle scalene m
Rhomboid minor m
Anterior scalene m
Rhomboid major m
Left lung
Rib, posterior
Trapezius m
Rib, posterior
artery = a
Intercostal v
arteries = aa
vein = v
Intercostal a veins = vv
muscle = m
Spleen muscles = mm
Intercostal n
tendon = t
tendons = tt
nerve = n
nerves = nn
Erector spinae (iliocostalis) m
ligament = lig
ligaments = ligs
Left kidney nerve &
vessels
bone
Rhomboid mm
Left lung
Trapezius m
Rib, angle
Intercostal v
Aorta
Intercostal a
Intercostal n
Erector spinae m
Costotransverse joint
Erector spinae m
Trapezius m
Left kidney
Erector spinae m
418 SPINE AND BACK: MRI OF THE THORACIC SPINE
Figure 16.2.3
Erector spinae m
Left lung
Trapezius m
Aorta
Thoracic segmental
vertebral vessels Rib, neck
Erector spinae m
Costovertebral joint
Intercostalis and
Hemiazygos v intertransversarius mm
Rib, head
Rib, tubercle
Costotransverse joint
Erector spinae m
Figure 16.2.4
Inferior articulating
process (facet) Epidural fat in lateral
neuroforamen
Superior articulating
process (facet)
Transversospinalis mm
Vertebral facets for
costovertebral joints
Trapezius m
Spinal nerve
Erector spinae
longissimus m
Figure 16.2.5
Spinalis thoracis m
Trapezius m
Epidural vessels
Thoracic vertebra
Epidural fat in
neuroforamen
Thoracic pedicle
Inferior articulating process
Dorsal n root ganglion (facet)
Erector spinae
Thoracic pars interarticularis
Figure 16.2.6
Interspinous lig
Spinous process
Supraspinous lig
Subarachnoid space
Ligamentum flavum
Lower thoracic vertebra
Thoracic interspinalis m
Basivertebral venous plexus
Conus medullaris
Supraspinatus lig
Cauda equina
420 SPINE AND BACK: MRI OF THE THORACIC SPINE
CORONAL
Figure 16.3.1 Trapezius m
Supraspinatus m
Spinal cord
Supscapularis m
Intercostal m Hemiazygos v
Latissimus
dorsi m
artery = a
arteries = aa
Serratus vein = v
Basivertbral anterior m
venous veins = vv
plexus muscle = m
muscles = mm
Thoracic tendon = t
spinal n tendons = tt
nerve = n
Segmental Spleen nerves = nn
thoracic ligament = lig
a and v ligs
Diaphramatic ligaments =
Liver crus nerve &
vessels
Left kidney bone
Right kidney
Thecal sac Epidural fat
6XSUDVSLQDWXVP
,QWHUFRVWDOP 6XSVFDSXODULVP
,QIUDVSLQDWXVDQG
WHUHVPLQRUPP
6SLQDOFRUG
(SLGXUDOIDW
'XUD
&RVWRYHUWHEUDOMRLQW
ZLWKVXSHULRU
DQGLQIHULRU
IDFHWV
/DWLVVLPXV
GRUVLP
'XUDPDWHU
6HUUDWXV
DQWHULRUP
,QWHUFRVWDOY
DDQGQ
&RQXV 3HGLFOH
PHGXOODULV
&DXGDHTXLQD
SPINE AND BACK: MRI OF THE THORACIC SPINE 421
Supraspinatus m
Spinous process
Infraspinatus m
Costotransverse
Subscapularis m joint
Teres minor m
Transverse process
Teres major m
Inferior scapula
Serratus
anterior m
Costotransverse
joint
6FDSXODUVSLQH
,QIUDVSLQDWXVP
6XEVFDSXODULVP
7HUHVPLQRUP
5LE 7HUHVPDMRUP
6FDSXOD
&RVWRWUDQVYHUVH ,QWHUFRVWDOY
MRLQW DDQGQ
6FDSXOD VXSHULRUWR
LQIHULRU
/DWLVVLPXVGRUVLP
,QWHUFRVWDOP
6HUUDWXV
DQWHULRUP
7UDQVYHUVRVSLQDOLVP
,QWHUFRVWDOP
6SLQRXVSURFHVV
(UHFWRUVSLQDHPP
422 SPINE AND BACK: MRI OF THE THORACIC SPINE
Infraspinatus m
Subscapularis m
Teres minor m
Teres major m
Lattisimus
dorsi m
Rib
Serratus
anterior m
Erector
spinae mm
Thoracic
erector
spinae mm:
iliocostalis,
longissimus,
spinalis
Scapular
spine
Infraspinatus m
Rhomboid
major m Teres major m
Subscapularis m
Spinalis
thoracis m
Spinous process
Longissmus
thoracis m
Trapezius m
Serratus
posterior
inferior mm
Interspinous lig
SPINE AND BACK: MRI OF THE THORACIC SPINE 423
Scapular spine
Rhomboid
major m
Infraspinatus
and teres
minor mm
Serratus
posterior
superior mm Trapezius m
Spinous process
Supraspinous lig
Trapezius m
17
Chapter
AXIAL
Figure 17.1.1 ,QIHULRU
YHQDFDYD $]\JRVY $RUWD
/YHUWHEUD
/XPEDUDDQGY
3VRDVP
3HGLFOH
%DVLYHUWHEUDO
7UDQVYHUVH YHQRXV
SURFHVV SOH[XV
4XDGUDWXV
OXPERUXPP
,OLRFRVWDOLV
OXPERUXPP
DUWHU\ D
DUWHULHV DD
YHLQ Y
YHLQV YY
PXVFOH P
PXVFOHV PP
WHQGRQ W
0XOWLILGXVP /RQJLVVLPXVP WHQGRQV WW
QHUYH Q
QHUYHV QQ
OLJDPHQW OLJ
OLJDPHQWV OLJV
QHUYH
YHVVHOV
ERQH
Aorta
L3-4 disc
Psoas m
Epidural v
Quadratus
lumborum m Facet joint
L3 n root
Ligamentum
flavum
Thecal sac and joint
capsule
Lamina
L4-5 disc
Psoas m
Epidural v
L5 lateral recess
and L5 n root Quadratus
and sheath lumborum t
and
iliolumbar lig
L5 superior
facet Ilium
Iliocostalis
lumborum m
Thoracolumbar Longissimus m
fascia,
posterior part
Multifidus m
L4 spinous L4 inferior
process facet
L5 vertebra
Psoas m
Left L5
pedicle
Iliacus m Left L5
transverse
Iliac crest process
Lumbosacral Gluteus
trunk nn medius m
Iliocostalis
lumborum m
Thecal sac
Longissimus m
Multifidus m
Thoracolumbar fascia,
posterior part
SPINE AND BACK: MRI OF THE LUMBAR SPINE 427
L5 pedicle
Right
common
iliac v
Iliolumbar
vessels
Psoas m L4 n
L5 n in L5
Quadratus lateral recess
lumborum m
S1 paired
dorsal
and ventral n
roots
L5 superior Ilium
articular facet
Thecal sac
L4-5 Iliocostalis
facet joint lumborum m
Longissimus
L4 inferior L4 spinous Thoracolumbar Multifidus m lumborum m
articular facet process fascia,
posterior part
Right
internal
iliac v
Psoas m
Anterior
sacroiliac lig
L5 spinal
ganglion
L5-S1 articular
facet
Gluteus
medius m
Ilium
Iliocostalis Thoracolumbar
lumborum m fascia
3VRDVP
5LJKWLQWHUQDO
LOLDFD ,OLROXPEDUD
DQGY
5LJKWLQWHUQDO
LOLDFY 6DFUDODOD
2EWXUDWRUQ
,OLDFXVP
6DFURLOLDFOLJV
/XPERVDFUDO
WUXQN
,OLXP
*OXWHXV
PD[LPXVP
/6IDFHW
MRLQW
Iliacus m
Sacroiliac joint
S1 n root
Sacrum
S2 n root
Thecal sac
Gluteus Ilium
maximus m
SAGITTAL
Figure 17.2.1
Eleventh rib
Kidney
Twelfth rib
Iliocostalis
Psoas m lumborum and
longissimus mm
Quadratus
lumborum m artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
Iliacus m tendon = t
tendons = tt
nerve = n
Gluteus maximus m nerves = nn
Ilium ligament = lig
ligaments = ligs
Gluteus medius m nerve &
vessels
bone
Twelfth rib
Multifidus m
Psoas m
Longissimus
thoracis m
Iliolumbar lig,
transverse part
Thoracolumbar fascia,
posterior part
Iliacus m
Gluteus maximus m
Iliopsoas m
Ilium
Sacrum
430 SPINE AND BACK: MRI OF THE LUMBAR SPINE
Twelfth rib
Psoas m Longissimus
thoracis m
L3 transverse
process
L5 transverse
process
Multifidus m
Interosseous
sacroiliac ligs
Thoracolumbar
fascia
Lumbosacral trunk
Superior gluteal a
Gluteus
maximus m
Piriformis m
Sacrum Ilium
Kidney
Twelfth rib
Inferior vena
cava
Longissimus
thoracis m
Psoas m
L3 transverse
process
Multifidus m
Thoracolumbar fascia,
Iliolumbar a posterior part
Lumbosacral trunk
Superior gluteal a
Piriformis m
Inferior gluteal a
Sacrum
SPINE AND BACK: MRI OF THE LUMBAR SPINE 431
Figure 17.2.5
7YHUWHEUDOD
DQGY
$]\JRVY
5LJKWUHQDOD
,QIHULRUYHQDFDYD 0XOWLILGXVP
7KRUDFROXPEDU
IDVFLD
/VXSHULRUIDFHW
/SDUV
LQWHUDUWLFXODULV
/SHGLFOH /LQIHULRUIDFHW
&RPPRQLOLDFD 6IRUDPHQ
&RPPRQLOLDFY
6QURRW
/6LQWHUYHUWHEUDO DQGIRUDPHQ
GLVF
/QURRW 6QURRW
Conus medullaris
Spinolaminal junction
Ligamentum flavum
Interspinous lig
Supraspinous lig
L3 spinous process
L4-5 nucleus Posterior
pulposus longitudinal lig
Thecal sac
L4-5 annulus
fibrosus
CORONAL
Figure 17.3.1
Aorta
Part of inferior
vena cava Left common
iliac a
Right common
iliac a
artery = a
Right common Psoas m arteries = aa
iliac v vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
Iliacus m nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
Ilium vessels
Iliopsoas m bone
Right renal a
Left renal a
Left renal v
Origin of Origin of
lumbar v lumbar a
Lumbar a
Right common and v
iliac v
Left common
Psoas m iliac a
Left external
iliac a
Iliacus m
Ilium
SPINE AND BACK: MRI OF THE LUMBAR SPINE 433
Lumbar
vertebral
a and v
Psoas m
L4-5
annulus
fibrosus
Nucleus
pulposus
L5 vertebra
Iliacus m
Iliac vessels
Ilium
Crus of Crus of
right left diaphragm
diaphragm
Lumbar
vertebral
a and v
Psoas m
Iliacus m L5 vertebra
Obturator n Ilium
Gluteus
minimus m
Schmorl node
Right kidney,
inferior pole
Psoas m
Lumbar Quadratus
vertebral lumborum m
vessels
Iliacus m
Anterior
epidural Gluteus
vessels medius m
L4 n
Iliolumbar
vessels, L5 vertebra
iliac branches
Gluteus
Superior gluteal minimus m
vessels
Inferior gluteal
vessels
Figure 17.3.6
Crura of
diaphragm
Left kidney
L1 vertebra
Basivertebral v
Psoas m
Quadratus
L3 pedicle lumborum m
L3 n
L4 dorsal ramus
L4 n of spinal n
Iliacus m
Ilium
L5 n Gluteus medius m
Lumbosacral trunk
S1 vertebra
Sacroiliac
joint
Figure 17.3.7
T12 vertebra Crus of diaphragm
L2 pedicle
Psoas m
L2 n, spinal
ganglion
Intertransversarius m
Quadratus
lumborum m Cauda equina
L5 transverse L5 n
process
Lumbosacral trunk
Gluteus
medius m
Ilium
Sacroiliac joint,
nonarticular Sacrum
Sacroiliac joint,
articular
Figure 17.3.8
Thecal sac
Psoas m
Left kidney
Quadratus
lumborum m
Posterior
epidural fat
Abdominal
wall m
Longissimus
lumborum m
L5 laminar
arch
Gluteus
maximus m
Posterior
sacroiliac lig Sacroiliac joint,
articular
Gluteus
medius m Superior gluteal
vessels, branches
Formation of Inferior S1 n
sciatic n gluteal vessels
436 SPINE AND BACK: MRI OF THE LUMBAR SPINE
Figure 17.3.9
6SOHHQ
/WUDQVYHUVH
5LJKWNLGQH\ SURFHVV
3VRDVP
3RVWHULRU
HSLGXUDOIDW
,OLRFRVWDOLV
$EGRPLQDO OXPERUXPP
ZDOOP
/RQJLVVLPXV
OXPERUXPP
0XOWLILGXVP
VOLS ,OLDFFUHVW
/SRVWHULRU
VSLQRXVSURFHVV
*OXWHXV 3RVWHULRUVXSHULRU
PD[LPXVP VDFURLOLDFOLJ
0XOWLSOH
LQWHURVVHRXV
VDFURLOLDFOLJV
*OXWHXV 6DFURLOLDFMRLQW
PHGLXVP QRQDUWLFXODU
6DFURLOLDFMRLQW
DUWLFXODU
Figure 17.3.10
Right kidney
Twelfth rib
Longissimus
lumborum m
Dorsal ramus n
and vessels
Iliocostalis
lumborum m
Abdominal
wall m
Multifidus m
Gluteus
maximus m
Gluteus
medius m
Sacroiliac joint,
nonarticular
Sacroiliac joint,
articular
Figure 17.3.11
/RQJLVVLPXV
OXPERUXPP 7ZHOIWKULE
0XOWLILGXVP
,OLRFRVWDOLV
OXPERUXPPP
/SRVWHULRU
VSLQRXVSURFHVV
/SRVWHULRU
VSLQRXVSURFHVV
3RVWHULRULOLXP
,QWHURVVHRXV
VDFURLOLDFOLJ
*OXWHXV
PD[LPXVP
6DFURLOLDFMRLQW
6DFUDODOD QRQDUWLFXODUSDUW
6DFURLOLDFMRLQW
DUWLFXODUSDUW
6Q 3LULIRUPLVP
3RVWHULRULQIHULRU
VDFURLOLDFOLJ
This page intentionally left blank
IV
Section
Thorax
This page intentionally left blank
18
Chapter
CT of the Thorax
442 THORAX: CT OF THE THORAX
AXIAL
Figure 18.1.1 Recurrent laryngeal n Carotid a
Thyroid,
right lobe Jugular v
Trachea
Vagus n
Esophagus
Humeral head
Glenoid
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
Vertebral a Vertebral v vessels
bone
Right
common
carotid a
Right
subclavian a
Left
clavicle
Esophagus
Scapula
Right
Left
brachiocephalic v
brachiocephalic v
Left common
carotid a
Left
subclavian a
Trachea Esophagus
Right internal
thoracic
(mammary) a
Right
brachiocephalic v Right
brachiocephalic a
Esophagus
444 THORAX: CT OF THE THORAX
Ascending
Superior
aortic arch
vena cava
Tracheal carina
Descending
Right aortic arch
scapula
Arch of Esophagus
azygos v
Right upper
lobe a, anterior
segment
Superior vena Main
cava pulmonary a
Right Superior left
pulmonary a pulmonary v
Left
Right pulmonary a
mainstem Descending
bronchus aorta
Left
mainstem
bronchus
Azygos v Esophagus
THORAX: CT OF THE THORAX 445
Pericardium
Right atrial
appendage
Main
pulmonary a
Superior Left main
vena cava coronary a
Interlobar a Left atrial
appendage
Esophagus Superior left
pulmonary v
Left lower
lobe a
Figure 18.1.8
Pericardium
Right Pulmonary
coronary a trunk
Right Ascending
atrium aorta
Left atrium
Figure 18.1.9
Aortic valve leaflets
Sternum
Pulmonary
outflow tract,
Pericardium right ventricle
Interventricular
septum
Right atrium
Left ventricle
Plane of
mitral valve
Left atrium
Descending aorta
Figure 18.1.10
;LSKRLG 0RGHUDWRUEDQG
$QWHULRU
SDSLOODU\P 3HULFDUGLXP
ULJKW
YHQWULFOH ,QWHUYHQWULFXODU
VHSWXP
$QWHULRU
SDSLOODU\P
OHIWYHQWULFOH
/HIWYHQWULFOH
(VRSKDJXV
'HVFHQGLQJDRUWD
THORAX: CT OF THE THORAX 447
3HULFDUGLXP
'RPHRI
OLYHU
3RVWHULRU
SDSLOODU\PP
,QIHULRU OHIWYHQWULFOH
YHQDFDYD
(VRSKDJXV
'HVFHQGLQJ
DRUWD
$]\JRVY +HPLD]\JRVY
Right ventricle
Circumflex a
Left ventricle
Liver
Inferior
vena cava
Esophagus
Azygos v
Descending
aorta
Hemiazygos v
Intercostal v
448 THORAX: CT OF THE THORAX
Right
ventricle
Liver Posterior
descending
coronary a
Esophagus
Azygos v Aorta
Hemiazygos v
THORAX: CT OF THE THORAX 449
SAGITTAL
Figure 18.2.1A /HIW
VXEFODYLDQD
/HIW /HIW
FODYLFOH ILUVWULE
/HIW
VXEFODYLDQY 6FDSXOD
6HJPHQWDO
SXOPRQDU\Y
OHIWXSSHU
OREH
/HIW
SXOPRQDU\Y
/HIWORZHUOREHY
/HIWYHQWULFOH
FDYLW\ 6HJPHQWDOOHIW
EURQFKXV
,QWHUYHQWULFXODU 3RVWHULRU
VHSWXP SDSLOODU\P
OHIWYHQWULFOH
$QWHULRU 6SOHHQ
GLDSKUDJP
DUWHU\ D
DUWHULHV DD
YHLQ Y
YHLQV YY
PXVFOH P
PXVFOHV PP
WHQGRQ W
WHQGRQV WW
QHUYH Q
QHUYHV QQ
6WRPDFK /HIW 3RVWHULRU OLJDPHQW OLJ
NLGQH\ GLDSKUDJPOHIW OLJDPHQWV OLJV
QHUYH
YHVVHOV
ERQH
Figure 18.2.1B
Left upper
lobe a
Left upper
lobe v
Left pulmonary a
Pulmonary
outflow tract, Inferior left
right ventricle pulmonary v
Left ventricle
Right ventricle
450 THORAX: CT OF THE THORAX
Figure 18.2.2
Left clavicular
head
Aortic arch
Left
brachiocephalic v
Aortic arch
Main pulmonary a
Right ventricle
Esophagus
Descending
Liver aorta
Superior Celiac a
mesenteric a
THORAX: CT OF THE THORAX 451
Manubrium Esophagus
Spinal cord
Sternum Ascending
aorta
Right
pulmonary a
Aortic root
Left atrium
Right
ventricle
Abdominal
aorta
Right
subclavian a
Superior Arch of
vena cava azygos v
Aortic arch Right
pulmonary a
Left atrium
Right atrium
Suprahepatic
inferior
vena cava
Liver
Duodenum
Infrahepatic
inferior
vena cava
452 THORAX: CT OF THE THORAX
Figure 18.2.6
Right
subclavian v
Right
clavicular head Right
brachiocephalic a
Right
brachiocephalic v
Top of
manubrium
Pulmonary a,
right upper lobe
Pulmonary v,
right upper lobe Interlobar
pulmonary a
Diaphragm
Liver
Portal v
Hepatic Infrahepatic
flexure of colon inferior vena cava
THORAX: CT OF THE THORAX 453
CORONAL
Figure 18.3.1 Right atrial appendage
Pulmonary Pulmonary a
outflow tract,
right ventricle
5LJKW
/HIW
VXEFODYLDQY
FODYLFXODUKHDG
5LJKW
EUDFKLRFHSKDOLFY /HIW
5LJKW EUDFKLRFHSKDOLFY
EUDFKLRFHSKDOLFD
RULJLQ
$RUWLFDUFK
0DLQ
SXOPRQDU\D
5LJKWDWULXP $QWHULRU
SDSLOODU\PP
/LYHU
6WRPDFK
6XSHULRU
PHVHQWHULFD
3DQFUHDWLF
KHDG
454 THORAX: CT OF THE THORAX
5LJKW
VXEFODYLDQY
/HIWMXJXODUY
/HIWVXEFODYLDQY
5LJKW /HIW
EUDFKLRFHSKDOLFY EUDFKLRFHSKDOLFY
5LJKW /HIWFRPPRQ
EUDFKLRFHSKDOLFD FDURWLGDRULJLQ
$RUWLFDUFK
6XSHULRU
YHQDFDYD 0DLQSXOPRQDU\D
/HIWFLUFXPIOH[D
5LJKWDWULXP
/HIWYHQWULFXODU
SDSLOODU\P
6SOHQLFD
3RUWDOY
6SOHQLFY
6XSHULRU 3ODQHRIDRUWLFYDOYH
PHVHQWHULFD
Figure 18.3.3B
Left
Right subclavian a
brachiocephalic v
Aortic arch
Left
Right upper upper lobe a
lobe a
Superior left
Superior pulmonary v
right pulmonary v
Interlobar a
Inferior
right pulmonary v Left
lower lobe v
Right ventricle Left ventricle
Abdominal
aorta
THORAX: CT OF THE THORAX 455
5LJKW
VXEFODYLDQY
5LJKW /HIWFRPPRQ
EUDFKLRFHSKDOLFY FDURWLGD
$RUWLFDUFK
3XOPRQDU\D
6XSHULRU &LUFXPIOH[
YHQDFDYD FRURQDU\D
$RUWLFYDOYH
OHDIOHWV
5LJKWDWULXP /HIWYHQWULFOH
,QIHULRU
YHQDFDYD
/LYHU
6XSHULRU &HOLDFD
PHVHQWHULFD
Figure 18.3.5
Esophagus Left
subclavian a
Trachea
Aortic arch
Right
upper lobe a Pulmonary v,
left upper
Right lobe
pulmonary a
Left atrium
Suprahepatic Plane of
inferior mitral valve
vena cava
Intrahepatic
inferior
vena cava
Celiac a
Infrahepatic Superior
inferior mesenteric a
vena cava
Abdominal Right
aorta renal v
456 THORAX: CT OF THE THORAX
Right
upper lobe
bronchus
Right
pulmonary a Main
pulmonary a
Right Superior left
interlobar pulmonary v
pulmonary a
Left atrium
Esophagus
Infrahepatic
inferior
vena cava
Bronchus
to apical
segment,
Bronchus to
right
anterior
upper lobe
segment,
Bronchus left upper
intermedius, lobe
posterior
wall Lingular
bronchi
THORAX: CT OF THE THORAX 457
Figure 18.3.7A
Right
scapula Left scapula
Spinal
cord
Rib
Vertebral body
Spleen
Liver Left
hemidiaphragm
Right
kidney Left kidney
Figure 18.3.7B
Aortic arch
Right
upper lobe a
Left
pulmonary a
Right
interlobar a
Inferior right Inferior left
pulmonary v pulmonary v
458 THORAX: CT OF THE THORAX
Head
Head of rib of rib
Nerve
Nerve roots roots
Neural Neural
foramina foramina
Right
hemidiaphragm Left
hemidiaphragm
19
Chapter
AXIAL
Figure 19.1.1 Right internal
mammary a and v Sternum
Left internal
mammary a and v
Pectoralis
major m
Pectoralis
Superior minor m
vena cava Left lung
Aortic arch
Trachea
Esophagus
Right lung
artery = a
arteries = aa
Subscapularis m vein = v
veins = vv
muscle = m
Supraspinatus m muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
Thoracic Trapezius m nerve &
vertebral vessels
body bone
Superior
vena cava Ascending
aorta
Figure 19.1.3
Ascending Main
aorta pulmonary a
Superior
vena cava Left
pulmonary a
Right
pulmonary a
Left mainstem
bronchus
Right mainstem
bronchus Descending
aorta
Azygos v Esophagus
Azygos v Esophagus
462 THORAX: MRI OF THE HEART
Aortic root
Superior
vena cava
Left ventricle
Right middle
pulmonary v Left atrium
Aorta
Thoracic Spinal
vertebral cord
body
Right
ventricle Intraventricular
septum
Mitral valve
Left atrium
Circumflex a
Esophagus
Aorta
Azygos v
Figure 19.1.7
Right
ventricle
Sternum
Right
coronary a
Tricuspid
valve
Right atrium Left ventricle
Liver
Coronary sinus
Esophagus
Inferior
vena cava
Aorta
Azygos v
Right lung,
lower lobe Left lung,
lower lobe
464 THORAX: MRI OF THE HEART
SAGITTAL
Figure 19.2.1
Left
clavicle
Left lung,
upper lobe
Left
Left bronchus
pulmonary
a Left
pulmonary v
Left
Pulmonary ventricular
outflow cavity
tract
Left
ventricular
myocardium
artery = a
arteries = aa
Right
vein = v
ventricle
veins = vv
muscle = m
muscles = mm
Liver
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Left kidney
Figure 19.2.2
Left clavicle
Left lung,
upper lobe
Aortic arch
Main
pulmonary a Left superior
pulmonary a
Left mainstem
bronchus Descending
aorta
Left
pulmonary v
Right ventricular
outflow tract
Left ventricular
cavity
Liver
Left kidney
THORAX: MRI OF THE HEART 465
Figure 19.2.3
Brachiocephalic
trunk Neural
foramina
with n roots
Aortic arch
Right
mainstem
Aorticopulmonary bronchus
window
Right
Pulmonary pulmonary a
outflow tract
Left atrium
Aortic root
Right ventricular
cavity
Celiac a
Liver
Abdominal
aorta
Superior
mesenteric a
Brachiocephalic
trunk
Left
brachiocephalic v
Spinal cord
Manubrium
Thoracic
Ascending aorta
vertebral
bodies
Sternum body
Right atrial
appendage Proximal
right
pulmonary a
Sinuses of
Valsalva Left atrium
Right atrium
Right ventricular
cavity Intervertebral
discs
Liver
Xiphoid
466 THORAX: MRI OF THE HEART
Figure 19.2.5
Right
clavicle Right lung,
upper lobe
Right
pulmonary a
Pulmonary vv
Right superior
pulmonary v
Right atrium
Right ventricle
Inferior vena
cava
Liver
THORAX: MRI OF THE HEART 467
CORONAL
Figure 19.3.1
,QWHUQDO
PDPPDU\
YHVVHOV
6WHUQXPERG\
&RVWRFKRQGUDO
FDUWLODJH
;LSKRLG DUWHU\ D
DUWHULHV DD
YHLQ Y
YHLQV YY
PXVFOH P
PXVFOHV PP
WHQGRQ W
WHQGRQV WW
QHUYH Q
QHUYHV QQ
OLJDPHQW OLJ
OLJDPHQWV OLJV
QHUYH
YHVVHOV
ERQH
Figure 19.3.2
Right
clavicle, Left clavicle,
head head
Internal mammary
vessels
Aortic root
Pulmonary
outflow tract
Right atrium
Liver
468 THORAX: MRI OF THE HEART
Figure 19.3.3
Subclavian
vessel
Left
brachiocephalic v
Left lung
Ascending aorta
Main
Right lung pulmonary a
Right atrium
Left
ventricular
Right ventricle cavity
Liver
Figure 19.3.4
Vertebral
body
Left
Trachea subclavian a
Axillary
a and v
Aortic arch
Arch of
azygos v
Main
pulmonary a
Right Confluence
pulmonary a of left
superior
pulmonary vv
Left atrium
Right atrium
Left ventricle
Left ventricular
myocardium
THORAX: MRI OF THE HEART 469
Figure 19.3.5
Right lung
Posterior left
hilum
Descending
aorta
Liver
This page intentionally left blank
V
Section
Abdomen
This page intentionally left blank
20
Chapter
CT of the Abdomen
474 ABDOMEN: CT OF THE ABDOMEN
AXIAL
Figure 20.1.1 Left
hepatic v Esophagus
Rectus
abdominis m Heart
Costal
cartilage
Middle Aorta
hepatic v
Inferior
vena cava
Stomach
Rib
Spleen
Right
hepatic v Serratus
anterior m
Left lung
Left
hepatic a
Stomach
Right portal v
Right hepatic v
Spleen
Liver, right
posterior
superior
subsegment
(segment VII)
0LGGOH
KHSDWLFY
6WRPDFK
5LJKWSRUWDOY
DQWHULRUEUDQFK
5LJKWKHSDWLFY
2ULJLQRI
FHOLDFWUXQN
6SOHHQ
6SOHQLFY
5LJKWSRUWDOY
SRVWHULRUEUDQFK /HIW
DGUHQDOY
0DLQSRUWDOY /HIWDGUHQDO
JODQG
,QIHULRU
YHQDFDYD
5LJKW 5LJKW 5LJKWFUXVRI $RUWD /HIW
NLGQH\ DGUHQDO GLDSKUDJP NLGQH\
VXSHULRU JODQG VXSHULRU
SROH SROH
ABDOMEN: CT OF THE ABDOMEN 477
Right crus of
diaphragm
Main portal v
Right portal v,
anterior branch
Splenic v
Portacaval
space
Intercostal mm
Right hepatic v
Splenic v
Right portal v,
posterior
branch Spleen
Inferior vena
cava
Left kidney,
Right kidney,
superior pole
superior pole
*DOOEODGGHU
3RUWDOY
S9
6XSHULRU
PHVHQWHULFD
5LJKWKHSDWLFY
EUDQFK 6WRPDFK
IXQGXV
6SOHQLFY
3RUWDOY
S9,
,QIHULRUYHQD
FDYD
5LJKW 5LJKWFUXVRI /XPEDUY $RUWD /HIW
NLGQH\ GLDSKUDJP NLGQH\
478 ABDOMEN: CT OF THE ABDOMEN
Superior
mesenteric a
Liver, right
anterior inferior Spleen
subsegment
(segment V) Left renal v
Duodenum,
second portion Splenic v
Pancreas tail
Liver, right
posterior inferior
Left renal a
subsegment
(segment V)
Left kidney
Pancreas, External
head oblique m
Internal
oblique m
Spleen
Gallbladder
Colon,
hepatic flexure
Colon,
splenic flexure
Duodenum,
second portion
Small bowel,
jejunum
Right kidney
Superior Superior
Stomach Gastrocolic mesenteric Stomach mesenteric
antrum trunk v body a
Gallbladder
fundus
Colon,
splenic
flexure
Pancreas,
uncinate
process
Duodenum,
second portion Jejunum
Spleen
Inferior vena
cava
Left kidney
Small bowel,
ileum
Small bowel,
Liver jejunum
Inferior vena
cava Descending
colon
Left kidney,
inferior pole
Ascending
colon Latissimus
Right kidney, dorsi m
inferior pole
Transverse
colon
Small bowel,
Small bowel,
ileum
jejunum
Ascending Descending
colon colon
Small bowel
Right gonadal v mesentery and
mesenteric
vessels
Latissimus
dorsi m
5LJKWJRQDGDOY
$VFHQGLQJFRORQ
7UDQVYHUVXV
DEGRPLQLVP
,QIHULRU 'HVFHQGLQJ
OXPEDUWULDQJOH FRORQ
,OLDFFUHVW
6PDOOERZHO
3VRDVP MHMXQXP
SAGITTAL
Figure 20.2.1 Pericardium
Right
ventricle
Left
ventricle Stomach Left lung
Splenic
Pericardial hilum,
fat splenic a,
and
splenic v
Diaphragm
Spleen
Costal
cartilage
Pancreas,
tail
Internal
oblique m
Left kidney
Transversus
abdominis m Descending
colon
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
Small bowel muscles = mm
tendon = t
Small bowel tendons = tt
mesentery nerve = n
and vessels nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
Rectus bone
abdominis m
Costal
cartilage Spleen
Liver, Splenic a
lateral
segment
Latissimus
dorsi m
Stomach
body
Small bowel
mesentery
and
mesenteric
vessels
Iliocostalis m
Transverse
colon
6SOHQLFY
/HIWNLGQH\
VXSHULRUSROH
/LYHU
ODWHUDO
VHJPHQW
/HIWUHQDOY
6WRPDFK
DQWUXP
7UDQVYHUVH
FRORQ /DWLVVLPXV
GRUVLP
,QIHULRU
PHVHQWHULFY 'XRGHQXP
WKLUGSRUWLRQ
,OLRFRVWDOLV
6LJPRLG DQG
FRORQ ORQJLVVLPXV
GRUVLPP
3VRDVP
/HIWUHQDOY
/LYHU
ODWHUDO
VHJPHQW
/HIWUHQDOD
3DQFUHDV
ERG\
6WRPDFK
DQWUXP
/XPEDUY
/HIW
JRQDGDOY
6SOHQLF ,OLRFRVWDOLV
DDQGY DQG
ORQJLVVLPXV
GRUVLPP
7UDQVYHUVH
FRORQ
3VRDVP
6LJPRLG
FRORQ
5HFWXV /HIWFRPPRQ 'XRGHQXP
DEGRPLQLVP LOLDFD WKLUGSRUWLRQ
ABDOMEN: CT OF THE ABDOMEN 483
5LJKW /HIW
6SOHQLFY 6SOHQLFD YHQWULFOH 0HGLDQDUFXDWHOLJ DWULXP
'LDSKUDJP
/LYHU
ODWHUDO (VRSKDJXV
VHJPHQW
$RUWD
3DQFUHDV &HOLDFWUXQN
ERG\ 6XSHULRU
PHVHQWHULFD
6WRPDFK
DQWUXP
*DVWURHSLSORLF /HIWUHQDOD
DDQGY
*DVWURFROLF
'XRGHQXP
OLJ
WKLUGSRUWLRQ
7UDQVYHUVH ,OLRFRVWDOLV
FRORQ DQG
ORQJLVVLPXV
GRUVLPP
8PELOLFXV
,QIHULRU
PHVHQWHULFD
6PDOO 6LJPRLG 6LJPRLG /HIWFRPPRQ /HIWFRPPRQ
ERZHO FRORQ PHVRFRORQ LOLDFY LOLDFD
Sternum
Esophagus
Splenoportal Liver,
confluence caudate lobe
Ligamentum
Liver, venosum
lateral
segment
Pancreas, Crus of
neck diaphragm
Stomach
Gastroepiploic Left renal v
a and v
Duodenum,
Gastrocolic third portion
lig
Aorta
Superior
mesenteric v Iliocostalis and
longissimus
dorsi mm
Omentum and
omental
vessels
Transverse
colon
Left common
iliac v
Small Sigmoid Small bowel
bowel colon mesentery and
mesenteric
vessels
484 ABDOMEN: CT OF THE ABDOMEN
/HIWSRUWDOY
,QIHULRUYHQD
FDYD
'LDSKUDJP VXSUDKHSDWLF
SRUWLRQ
/LYHU
ODWHUDO
VHJPHQW
,QIHULRUYHQD
FDYD
&RPPRQ KHSDWLFSRUWLRQ
KHSDWLFD
0DLQ
SRUWDOY
&UXVRI
3DQFUHDV GLDSKUDJP
KHDG
&RPPRQ
ELOHGXFW 5LJKWUHQDOD
0XOWLILGXVP
3DQFUHDV
XQFLQDWH
SURFHVV
,QIHULRUYHQD
7UDQVYHUVH FDYD
FRORQ
'XRGHQXP
WKLUGSRUWLRQ
6PDOOERZHO 5LJKWFRPPRQLOLDFD
ELIXUFDWLRQ
Left hepatic a
Longissimus
Gastroduodenal a dorsi m
Duodenum,
third portion
Pancreas, head
Multifidus m
Rectus
abdominis m Lumbar
vessels
Omentum and
omental vessels
Inferior vena cava
Liver, Crus of
medial diaphragm
segment
Ligamentum
teres
Right kidney,
superior pole
Liver,
lateral
segment Right renal a
Pancreas,
head
Rectus Right renal v
abdominis m
Iliocostalis m
Transverse
colon
Duodenum,
second
portion
Psoas m
Small bowel
Longissimus
dorsi m
Right
gonadal v
Right portal v
Liver,
medial
segment Liver, right
(segment IV) posterior
superior
Right subsegment
hepatic a (segment VII)
Common
hepatic Crus of
duct diaphragm
Falciform Liver,
lig caudate lobe
Right kidney
Diaphragm
Right renal v
Gallbladder
neck Renal pelvis
Duodenum,
second Iliocostalis and
portion longissimus
dorsi mm
Rectus
abdominis m
Small bowel
Psoas m
Inferior Transverse
epigastric colon
vessels
486 ABDOMEN: CT OF THE ABDOMEN
Right
portal v,
Gallbladder posterior
body branch
Liver, right
anterior
inferior
subsegment
(segment V) Right kidney,
renal cortex
Renal
Colon, medulla
hepatic
flexure Iliocostalis m
Rectus
abdominis m
Longissimus
dorsi m
Psoas m
Small bowel
Gallbladder
fundus
Latissimus
dorsi m
Right kidney
Transversus
abdominis m
Ascending
colon
Quadratus
Rectus
lumborum m
abdominis m
Iliac crest
ABDOMEN: CT OF THE ABDOMEN 487
CORONAL
Figure 20.3.1 Liver, Sternum,
lateral segment xiphoid process
Costal
cartilage
Left diaphragm
Liver,
Right
medial
gastroepiploic
segment
a and v
Left gastroepiploic
Gallbladder a and v
fundus
Omental
vessels
Falciform
lig artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
Small bowel tendons = tt
loop nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Abdominal wall
(rectus abdominis m)
and inferior epigastric a and v
/HIW
JDVWURHSLSORLF
DDQGY
6WRPDFKERG\
*DOOEODGGHU *DVWURFROLFOLJ
ERG\
7UDQVYHUVH
FRORQ
'XRGHQDO
EXOE
6PDOOERZHO
2PHQWXP MHMXQXP
([WHUQDO
REOLTXHP
,QWHUQDO 6LJPRLGFRORQ
REOLTXHP
6PDOOERZHO
LOHXP
7UDQVYHUVXV
DEGRPLQLVP
6PDOOERZHOPHVHQWHU\
488 ABDOMEN: CT OF THE ABDOMEN
Gastrocolic
Gastroduodenal a trunk
Superior
mesenteric v
Pancreas, neck
Inferior
mesenteric a
Cecum
Aortic
bifurcation
Left common
iliac a
Inferior Right Right Left
vena cava common common common
iliac v iliac a iliac v
6WRPDFK
&RORQ
VSOHQLFIOH[XUH
*DOOEODGGHU
QHFN
/LYHUOHIWOREH
&RPPRQ ODWHUDOLQIHULRU
ELOHGXFW VXEVHJPHQW
VHJPHQW,,,
&RORQ
KHSDWLFIOH[XUH
0DLQSRUWDOY 3DQFUHDV
ERG\
6SOHQLFD
3DQFUHDVKHDG
6SOHQRSRUWDO
FRQIOXHQFH
Pancreas,
Right portal v, body
anterior branch Colon,
splenic flexure
Proper
hepatic a Splenic a
Gallbladder Splenic v
neck
Superior
mesenteric a
Duodenum,
second portion Duodenum,
third portion
Pancreas, head, External
and main oblique m
pancreatic duct
Small bowel
Internal
oblique m
Inferior
Ascending mesenteric v
colon Transversus
abdominis m
Psoas m Inferior Aorta Descending
vena cava colon
'XRGHQXP
VHFRQGSRUWLRQ 3DQFUHDV
ERG\
&RORQ
6SOHQLFD
KHSDWLFIOH[XUH
6SOHQLFY
6PDOOERZHO
MHMXQXP
$VFHQGLQJ
FRORQ
/HIWUHQDOY
Left gastric v
Stomach
Colon,
Right portal v splenic flexure
Duodenum, Pancreas,
second portion body
Splenic a
Splenic v
Colon,
hepatic flexure Inferior
mesenteric v
Ascending External
colon oblique m
Internal
oblique m
Right kidney,
inferior pole
Transversus
Inferior Right Aorta Left Left Small abdominis m
vena renal a renal v gonadal v bowel,
cava jejunum
6PDOOERZHO
5LJKWUHQDOY MHMXQXP
/HIWUHQDOY
&RORQ
KHSDWLF
IOH[XUH /HIWUHQDOD
$VFHQGLQJ
FRORQ
5LJKWNLGQH\
LQIHULRUSROH
,OLDFXVP
Short gastric
a and v
Right
hepatic v
Colon,
Liver, splenic
posterior flexure
segment
Crus of
diaphragm Left renal v
Right kidney,
renal pelvis
Left kidney,
inferior pole
Aorta
Short
Liver, right gastric a
posterior superior
subsegment Splenic a
(segment VII)
Spleen
Liver, right
posterior inferior
subsegment
Pancreas, tail
(segment VI)
Left kidney
Descending
colon
Perirenal fascia
Psoas m
Right kidney
Quadratus
lumborum m
Right crus of
diaphragm
Spleen
Liver,
right lobe,
posterior
segment Splenic v
Splenic a
Descending
colon
Right kidney
Quadratus
lumborum m
Gluteus
Left crus of Left kidney, Left kidney, Ilium medius m
diaphragm renal medulla renal cortex
Spleen
Liver,
right lobe,
posterior
segment Left kidney
External
oblique m
Twelfth rib
Iliocostalis m
Spinous
process
Longissimus
Multifidus m dorsi m
21
Chapter
AXIAL
Figure 21.1.1 Liver, left lobe,
medial segment
Liver, caudate
lobe Sternum
Costal
cartilage
Liver,
Middle left lobe,
hepatic v lateral
segment
Liver, Heart
right lobe,
anterior Left hepatic v
segment
Diaphragm
Inferior
vena cava Stomach
fundus
Right Esophagus
hepatic v
Azygos v Aorta
Serratus
anterior m Spleen
Latissimus
dorsi m Left lung
Liver, artery = a
right lobe, arteries = aa
posterior vein = v
segment veins = vv
muscle = m
Right lung Longissimus Spinal Spinal Ribs muscles = mm
thoracis m cord canal tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Liver,
caudate Costal
lobe cartilage
Liver,
left lobe,
medial Liver,
segment left lobe,
lateral
Liver, segment
right lobe,
anterior
segment Stomach
fundus
Liver, caudate
Right portal v lobe
Left adrenal
gland
Azygos v
Splenic vessel
Liver, Spleen
right lobe,
Latissimus
posterior
dorsi m
segment
Serratus
Iliocostalis anterior m
lumborum m,
Erector spinae m
Hepatic a Colon,
splenic
Liver, flexure
caudate
lobe Stomach
Liver, body
right lobe, Pancreas
anterior
segment Splenic
vessels
Left
Right portal v, adrenal
branches gland
Spleen
Hepatic
Serratus
cyst
anterior m
Latissimus
Liver, dorsi m
right lobe,
posterior Left kidney,
segment upper pole
Liver,
left lobe, Colon,
medial splenic
segment flexure
Stomach,
Main body
portal v
Pancreas,
Liver, body
right lobe,
anterior Splenic
segment vessels
Inferior Left adrenal
vena cava gland
Common Colon,
hepatic a splenic
flexure
Stomach,
Liver, body
right lobe,
anterior Pancreas,
segment body
Pancreas,
tail
Spleen
Left adrenal
gland
Main
portal v
Serratus
anterior m
Cystic Latissimus
duct dorsi m
Left kidney
Liver, right lobe, Right Right Longissimus Multifidus Inferior Diaphragm Aorta
posterior segment hepatic a kidney m m vena cava
Main Stomach,
portal v body
Colon,
Liver, splenic
right lobe, flexure
anterior Jejunum
segment
Splenic a
Pancreas,
Gallbladder body
neck
Left adrenal
Liver, gland
right lobe,
posterior Spleen
segment
Right
adrenal Pancreas,
gland tail
Rectus
External abdominis m
oblique m
Stomach, body
Main
portal v Colon, splenic
flexure
Gallbladder
Duodenum, Jejunum
bulb
Splenic v
Liver,
right lobe, Pancreas, body
anterior
segment Left adrenal
gland
Liver,
right lobe,
posterior Pancreas, tail
segment
Right Spleen
kidney
Left kidney
Latissimus
dorsi m
Iliocostalis
lumborum m,
Erector
spinae m Common Longissimus Multifidus Inferior Diaphragm Aorta Renal
bile duct m m vena sinus
cava
Stomach,
antrum
Transverse
colon
Gallbladder
External
Liver, oblique m
right lobe,
anterior Splenic v
segment
Jejunum
Bulb of Pancreas,
duodenum body
Common
bile duct Superior
mesenteric a
Duodenum,
second
Pancreas, tail
portion
Spleen
Liver,
right lobe,
posterior Renal sinus
segment
Right
kidney Left kidney
Superior
mesenteric v
Pancreas,
uncinate
process
Pancreas,
head
Transverse
Gallbladder
colon
Liver,
right lobe, Left
anterior renal v
segment
Common Jejunum
bile duct
Descending
Duodenum,
colon
second
portion
Spleen
Inferior
vena cava
Left kidney
Liver,
right lobe,
posterior
segment
Right kidney
Colon, Transverse
hepatic abdominis m
flexure
Transverse
colon
Liver,
right lobe, Superior
anterior mesenteric v
segment
Superior
External mesenteric a
oblique m
Jejunum
Common
bile duct Descending
Duodenum, colon
second
portion Spleen
Liver,
right lobe, Left renal v
posterior
segment
Right Left kidney
renal v
Right
kidney
Stomach,
Superior antrum
mesenteric v
Liver, Transverse
right lobe, colon
anterior Jejunum
segment
Duodenum,
Pancreas,
third
uncinate
portion
process
Pancreas, Aorta
head Spleen
Common Diaphragm
bile duct
Duodenum, Descending
second colon
portion
Liver, Left kidney
right lobe,
posterior
segment
Right kidney
Superior
mesenteric a
Superior
mesenteric v
Transverse
Pancreas,
colon
uncinate
process Jejunum
Pancreas,
head Duodenum,
third portion
Ascending
colon Left renal a
Duodenum, Descending
second colon
portion Renal pelvis
Liver,
right lobe, Left kidney
posterior
segment
Common
bile duct
Renal pelvis
Right kidney
Superior
mesenteric a
Superior
mesenteric v
Transverse
Pancreas, colon
head
Duodenum, Lymph node
second
portion Duodenojejunal
junction
Ascending Jejunum
colon
Descending
Liver, colon
right lobe,
posterior Left ureter
segment Left kidney
Right ureter
Latissimus
dorsi m
Right kidney
Transverse
Superior colon
mesenteric v
Pancreas, Duodenojejunal
head junction
Duodenum,
second Jejunum
portion
Ascending Descending
colon colon
Liver, Left ureter
right lobe,
posterior
segment Left kidney
Right ureter
Right kidney
SAGITTAL
Figure 21.2.1
Left breast
Left lung
Heart
Splenic vessels
Spleen
artery = a
arteries = aa
Descending colon vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
Ilium tendons = tt
nerve = n
Iliacus m nerves = nn
ligament = lig
Gluteus ligaments = ligs
medius m nerve &
vessels
Gluteus bone
maximus m
Figure 21.2.2
Left lung
Heart
Spleen
Splenic vessels
Pancreas, tail
Colon,
splenic flexure Left kidney
Rectus
abdominis m Small bowel
Rectus
abdominis m,
tendinous
intersection Quadratus
lumborum m
Descending
colon
Ilium
Iliacus m Gluteus
medius m
Gluteus
maximus m
ABDOMEN: MRI OF THE ABDOMEN 503
Figure 21.2.3
Spleen
Transverse colon
Rectus abdominis m
Iliocostalis
Rectus abdominis m, lumborum m
tendinous intersection
Quadratus
lumborum m
Descending colon
Psoas m
Ilium
Iliacus m
Gluteus medius m
Figure 21.2.4
Left lung
Heart
Splenic v
Left renal a
Transverse colon Renal pelvis
Small bowel
Mesenteric vessels
Rectus abdominis m,
tendinous intersection
Erector
spinae mm
Rectus abdominis m
Psoas m
504 ABDOMEN: MRI OF THE ABDOMEN
Figure 21.2.5
Heart
Left lung
Psoas m
Rectus
abdominis m
Figure 21.2.6
Aorta
Heart
Gastroesophageal
Liver, left lobe, junction
lateral segment
Small bowel
Longissimus
thoracis m
Mesenteric
vessels
Rectus
abdominis m
Left common
iliac vessels
ABDOMEN: MRI OF THE ABDOMEN 505
Figure 21.2.7
Gastroesophageal
junction
Liver,
left lobe, Aorta
lateral
segment Left gastric a
Pancreas, Splenic a
body
Splenic v
Stomach,
body Left renal v
Transverse
colon
Small bowel Neural foramen,
n root
Mesenteric
vessels Erector
spinae mm
Vertebral
pedicle
Figure 21.2.8
Spinal canal
Liver, left lobe,
lateral segment
Splenic a
Celiac a
Pancreas, body
Aorta
Stomach, body Superior mesenteric a
Left renal v
Transverse Duodenum,
colon third portion
Splenic v
Small bowel
Vertebral body
Erector spinae mm
506 ABDOMEN: MRI OF THE ABDOMEN
Figure 21.2.9
Heart
Common hepatic a
Liver, left lobe,
lateral segment
Pancreas, body
Splenic v
Stomach, body Spinal cord
Right renal a
Transverse colon
Left renal v
Spinous process
Linea alba Duodenum, third
portion
Small bowel
Vertebral body
Intervertebral disc
Umbilicus
Sacrum
Superior mesenteric a
Figure 21.2.10
Heart
Duodenum, third
portion
Spinal canal
Stomach, body
Multifidus m
Small bowel
Vertebral body
Sacrum
ABDOMEN: MRI OF THE ABDOMEN 507
Figure 21.2.11
Heart
Stomach, body
Pancreas, head
Right renal a
Transverse
colon Duodenum,
third portion
Erector spinae mm
Small bowel
Rectus
abdominis m Vertebral body
Right common
iliac a Intervertebral disc
Figure 21.2.12
Portal v (main)
Sacrum
508 ABDOMEN: MRI OF THE ABDOMEN
Left portal v
Sacrum
Figure 21.2.14
Right lung
Duodenum bulb
Small bowel
Psoas m
ABDOMEN: MRI OF THE ABDOMEN 509
Figure 21.2.15
Right lung
Duodenum,
Gallbladder second
portion
Rectus
abdominis m
Cecum
Psoas m
Ilium
Iliacus m
Figure 21.2.16
Right lung
Gallbladder
Colon, hepatic
flexure
Right kidney
Rectus Iliocostalis
abdominis m lumborum m
Ascending colon
Quadratus
lumborum m
Ilium
Gluteus
medius m
Iliacus m
Gluteus
maximus m
510 ABDOMEN: MRI OF THE ABDOMEN
CORONAL
Figure 21.3.1
Glandular tissue
within right
breast
Left breast
Costal cartilage
Liver
Xiphoid process
Transverse colon
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
Subcutaneous fat tendon = t
Umbilicus
tendons = tt
nerve = n
Subcutaneous nerves = nn
vessel ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 21.3.2
Glandular
tissue
within
Sternum
right breast
Liver,
Liver, left lobe,
left lobe, lateral
medial segment
segment
Stomach body
Colon, hepatic
flexure
Transverse
Ligamentus colon
teres,
fissure
Rectus
abdominis m
Umbilicus
ABDOMEN: MRI OF THE ABDOMEN 511
Figure 21.3.3
Rectus
abdominis m
Figure 21.3.4
Glandular
tissue
Right lung in left breast
Liver, Heart
left lobe,
medial
segment
Liver, left lobe,
Left portal v, lateral segment
branch Stomach, fundus
Gallbladder
Colon, splenic
Stomach, flexure
antrum
Colon, Jejunum
hepatic
flexure
Transverse
colon
Loops of
small bowel
Ascending
colon
External
oblique m
Internal
oblique m
512 ABDOMEN: MRI OF THE ABDOMEN
Figure 21.3.5
Right lung
Right breast
Heart
Liver, Glandular tissue
left lobe, in left breast
medial
segment Liver, left lobe
lateral segment
Left portal v
Stomach, fundus
Liver, right Pancreas, body
lobe
Gallbladder Pancreatic duct
Colon, splenic
Stomach, flexure
pylorus ring
Spleen
Ascending
colon Jejunum
Descending
colon
Superior
External mesenteric a
oblique m Superior
Internal mesenteric v
oblique m
Sigmoid colon
Figure 21.3.6
Left breast
Heart, left
ventricle
Liver, Liver, left lobe
right lobe lateral segment
Left portal v Stomach,
fundus
Gallbladder
Pancreas,
body
Bulb of
duodenum Spleen
Pancreas,
head Jejunum
Ascending
colon
Descending
colon
Superior
mesenteric a
Aorta
Common iliac a
ABDOMEN: MRI OF THE ABDOMEN 513
Left lung
Main portal v
Figure 21.3.8
Left lung
Main portal v
Stomach,
Right hepatic v fundus
Duodenum, Pancreas, body
second portion Spleen
Common
bile duct Jejunum
Pancreas,
head Descending
Common colon
hepatic a Left gastric a
Ascending Celiac a
colon Superior
External mesenteric a
oblique m
Left renal v
Internal Psoas m
oblique m
Aorta
Iliacus m
Lumbar spine,
vertebral body
Inferior
vena cava
514 ABDOMEN: MRI OF THE ABDOMEN
Figure 21.3.9
Left lung
Right lung
Heart
Liver,
right lobe Liver, left lobe,
caudate lobe
Celiac a
Diaphragm
Superior
mesenteric a Stomach, fundus
Duodenum, Splenic a
second portion
Pancreas, body
Pancreas, head Spleen
Common Left renal v
bile duct Jejunum
Right renal a Left renal a
Ascending Descending
colon colon
External Aorta
oblique m
Internal Psoas m
oblique m
Lumbar spine,
vertebral body
Inferior
vena cava
Figure 21.3.10
Left lung
Right lung Heart,
left atrium
Liver,
caudate
lobe
Gastroesophageal
junction Stomach,
fundus
Aorta
Splenic a
Inferior vena cava
Spleen
Duodenum, Pancreas,
second portion tail
Right renal a
Jejunum
Descending
Ascending colon
colon
Left renal v
Left renal a
Psoas m
Ilium
Gluteus
medius m
ABDOMEN: MRI OF THE ABDOMEN 515
Figure 21.3.11
Heart
Right lung
Left lung
Liver,
caudate lobe
Esophagus Diaphragm
Stomach,
Liver,
fundus
right lobe
Inferior vena Spleen
cava Splenic a
Aorta Pancreas,
tail
Right renal a Left renal v
Right kidney Left renal a
Right ureter Descending
Ascending colon
colon Jejunum
Left ureter
Psoas m
Ilium
Gluteus
medius m
Figure 21.3.12
Left lung
Right lung
Heart
Left adrenal
Aorta gland
Stomach,
fundus
Right
hepatic v Spleen
Splenic
Liver, vessels
right lobe
Pancreas, tail
Right renal v
Left renal v
Right renal a
Left renal a
Right kidney
Descending
Right ureter colon
Ascending Jejunum
colon Left kidney
Internal and
Lumbar external
spine, oblique m
vertebral Left ureter
body
Psoas m
Quadratus
lumborum m Ilium
Gluteus
medius m
Figure 21.3.13
Left lung
Right lung
Aorta
Azygos v
Latissimus
Serratus dorsi m
anterior m
Spleen
Liver,
right lobe Left
adrenal gland
Right adrenal
gland Pancreas, tail
Left kidney
Right kidney
Psoas m
Quadratus
lumborum m
Iliocostalis
lumborum m
Gluteus
medius m
Ilium
Figure 21.3.14
Multifidus m
Iliocostalis
lumborum m
Spinal canal
ABDOMEN: MRI OF THE ABDOMEN 517
Figure 21.3.15
Spinal canal
Right lung Left lung
Serratus
anterior m Spinal cord
Liver,
right lobe Spleen
Left kidney
Right kidney
Latissimus
dorsi m
Iliocostalis
lumborum m
Longissimus
thoracis m
Multifidus m
Subcutaneous fat
Figure 21.3.16
Posterior
vertebral
spinous
process
Right lung
Left lung
Latissimus
dorsi m
Liver,
right lobe
Iliocostalis
lumborum m
Longissimus
thoracis m
Subcutaneous fat
This page intentionally left blank
VI
Section
Pelvis
This page intentionally left blank
22
Chapter
AXIAL
Figure 22.1.1 Rectus Small bowel mesentery Small bowel
Ascending colon abdominis m Linea alba and mesenteric vessels loops
External Inferior
oblique m mesenteric a
Descending
Internal colon
oblique m
Transversus Psoas m
abdominis m
Iliocostalis m
Inferior vena
cava artery = a
arteries = aa
vein = v
Quadratus veins = vv
lumborum m muscle = m
muscles = mm
tendon = t
Right common iliac a Longissimus dorsi m Left common iliac a tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Inferior
mesenteric a
(sigmoid aa)
Internal
oblique m Descending
colon
Transversus
abdominis m
Left common
iliac a
Psoas m
Ascending
colon
Gluteus
medius m
Right ureter
Iliac crest
External
oblique m
Internal
oblique m
Transversus
Right
abdominis m
external
iliac a
Psoas m
Iliacus
Right Gluteus
common medius m
iliac v,
bifurcation
Gluteus
maximus m
Ileocecal
valve
Anterior
superior
iliac spine
Iliopsoas m
Cecum
Gluteus
minimus m
Right
external Gluteus
iliac a medius m
Gluteus
Right maximus m
external
iliac v
Appendix
Iliopsoas m
Right external
iliac a
Gluteus
minimus m
Right external
Gluteus
iliac v
medius m
Right ureter
Iliopsoas m
Sartorius m
Anterior
inferior
iliac spine
Tensor
Right external fasciae
iliac a latae m
Gluteus
minimus m
Right external
iliac v Gluteus
medius m
Obturator Gluteus
internus m maximus m
Rectus Sartorius m
femoris t,
straight Tensor
head fasciae
latae m
Acetabulum Rectus
Femoral femoris t,
head reflected
head
Obturator Gluteus
internus m minimus m
Gluteus
medius m
Sciatic n Gluteus
maximus m
Greater
Gluteus
trochanter
maximus m
Tensor fasciae
Obturator n latae m
and vessels
Gluteus minimus
Greater and medius mm
trochanter
Gluteus
Gemelli mm maximus m
and obturator
internus t
Sartorius m
Pubic bone
Rectus
femoris m
Retropubic Tensor fasciae
space latae m
of Retzius
Urethra
Iliopsoas m
Vastus
Femur
lateralis m
Obturator
externus m
Ischial
tuberosity
Gluteus
maximus m
Right Rectus
superficial femoris m
femoral a
Right deep
femoral a Iliopsoas m
Lateral Tensor
femoral fasciae
circumflex a latae m
Iliotibial Vastus
tract lateralis m
Femur
Medial Obturator
femoral externus m
circumflex a
Ischial Quadratus
tuberosity femoris m
Sartorius m
Rectus
femoris m
Adductor
magnus m Tensor fasciae
latae m
Lesser
trochanter Vastus
lateralis and
Iliotibial intermedius mm
tract
Ischial Quadratus
ramus femoris m
Gluteus
maximus m
Bulb of
penis
Anal canal Urethra, spongiose Ischial
segment cavernosus m
528 PELVIS: CT OF THE MALE PELVIS
SAGITTAL
Figure 22.2.1 Psoas m Quadratus lumborum m
Small bowel
Iliac crest
Iliacus m
Gluteus
medius m
Descending Gluteus
colon maximus m
Superior
gemellus m
Iliopsoas m Obturator
internus and
gemelli mm
Common
femoral a artery = a
arteries = aa
Deep vein = v
femoral a veins = vv
muscle = m
Medial muscles = mm
femoral tendon = t
circumflex a tendons = tt
Superficial nerve = n
femoral v nerves = nn
ligament = lig
Superficial ligaments = ligs
femoral a nerve &
vessels
bone
Hip joint
Pectineus m Adductor Obturator Quadratus Semimembranous
brevis m externus m femoris m and biceps femoris tt
Rectus
abdominis m
Gluteus
Sigmoid maximus m
colon
External
iliac a Piriformis m
Iliacus m
Inferior
gluteal
a and v
Inferior
epigastric
a and v
Obturator n
Obturator
Inguinal a and v
lymph
nodes
Pectineus m
Sacrum
Small bowel
Rectus
abdominis m Internal
iliac a
Urinary Internal
bladder iliac v
Piriformis m
Superior
pubic ramus Gluteus
maximus m
Coccygeus m
Spermatic
cord Levator
ani m
Obturator
internus m
Perivesical
and
periprostatic
venous
plexus
Adductor Obturator Ischial Ischial
brevis m externus m tuberosity cavernosus m
Small bowel
Left common
iliac v
S1 n root
S2 n root and
sacral foramen
Rectus
abdominis m Sigmoid colon
Seminal
vesicle
Urinary Levator ani m
bladder
Urogenital
diaphragm
Obturator
internus m
Obturator externus and Penis, corpus cavernosum, and
adductor brevis mm ischial cavernosus m
530 PELVIS: CT OF THE MALE PELVIS
/6
8PELOLFXV LQWHUYHUWHEUDO
GLVF
6DFUXP
6PDOOERZHO
(UHFWRU
VSLQDHPP
6LJPRLG
FRORQ
5HFWRYHVLFDO
IRVVD
5HFWXV
DEGRPLQLVP
5HFWXP
8ULQDU\
EODGGHU
&RFF\[
6\PSK\VLV
SXELV
$QXV
CORONAL
Figure 22.3.1 Small bowel,
ileum
Transverse
colon
External
oblique m
Internal
Cecum oblique m
Inferior
epigastric a
and v
Rectus
abdominis m
Inguinal
lymph
Spermatic nodes
cord
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
Sartorius m Penis, corpus Penis, corpus muscles = mm
cavernosum sponginosum tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Ascending External
colon oblique m
Gluteus Descending
medius m colon
Anterior
superior
iliac spine
Cecum
Ilipsoas m
Tensor
fasciae
latae m Rectus
femoris m
Femoral a
([WHUQDO
REOLTXHP
$VFHQGLQJ
FRORQ 'HVFHQGLQJ
FRORQ
,OLXP $QWHULRU
VXSHULRU
LOLDFVSLQH
&HFXP
)HPRUDOQ
,OLRSVRDVP
7HQVRU
IDVFLDH
ODWDHP
5HFWXV
IHPRULVP
Ilium Iliacus m
Psoas m
External
iliac v
Gluteus
medius m
Tensor
fasciae
latae m
Deep Iliopsoas m
femoral
a and v
Rectus
femoris m
*OXWHXV /HIWH[WHUQDO
PHGLXVP LOLDFY
0HGLDO
IHPRUDO
FLUFXPIOH[
5LJKW DDQGY
H[WHUQDO 7HQVRUIDVFLDH
LOLDFY ODWDHP
/DWHUDO
IHPRUDO
FLUFXPIOH[
DDQGY
,OLRSVRDVP
Internal iliac
a and v Iliacus m
Ilium Gluteus
minimus m
Sigmoid
colon Gluteus
medius m
Acetabulum Femoral
head
Obturator n
Obturator
internus m
Iliopsoas m Obturator
externus m
Tensor
fasciae
Urinary Inferior pubic Penis Adductor brevis Pectineus m Rectus latae m
bladder ramus and magnus mm femoris m
534 PELVIS: CT OF THE MALE PELVIS
Iliacus m
Prostate
Gluteus
minimus m
Acetabulum
Gluteus
Femoral medius m
head Obturator
a and v
Greater
trochanter Obturator
internus m
Obturator
externus m
Medial
Acetabular femoral
fossa circumflex
a and v
Penis, corpus Penis, corpus Inferior Adductor brevis Pectineus m Vastus
cavernosum spongiosum pubic and magnus mm lateralis m
ramus
Iliacus m
Iliac crest
Urinary
bladder Gluteus
medius m
Acetabulum
Seminal Gluteus
vesicle minimus m
Acetabular
fossa Obturator
internus m
Femoral
neck
Greater
trochanter
Prostate
Inferior External
pubic obturator m
ramus
Vastus
lateralis m
Adductor Ischiocavernosus m Bulbospongiosus m Bulb of Ischial Lesser
magnus m penis ramus trochanter
PELVIS: CT OF THE MALE PELVIS 535
Rectosigmoid
colon
Gluteus
medius m
Seminal
vesicle
Gluteus
Distal rectum minimus m
and anus
Piriformis t Obturator
internus m
Ischiorectal
fossa
Ischium Obturator
externus m
Femur
Vastus
lateralis and
intermedius mm
Bulb of Bulbospongiosus m Ischiocavernosus m Levator
penis ani m
Sacroiliac
Internal iliac joint
a and v
Rectosigmoid
colon
Gluteus
medius m
Sciatic n
Gluteus Rectum
maximus m
Superior
gemellus m
Greater
trochanter Obturator
internus t
Inferior
gemellus m
Obturator
internus m
Iliocostalis m
Longissimus
dorsi m
Sacroiliac
Superior joint
gluteal
a and v
Piriformis m
Rectum
Gluteus
maximus m
Ischial
tuberosity
Inferior gluteal
a and v
Semimembranosus t Levator Anal Ischiorectal Semitendinosus m and
ani m canal fossa biceps femoris t
23
Chapter
AXIAL
Figure 23.1.1 Inferior
epigastric Rectus Linea Small
Left
external
Left
external
a and v abdominis m alba bowel iliac a iliac v
Linea
semilunaris
Superior
gluteal a
Gluteus
Appendix minimus m
Gluteus
medius m
Iliacus m artery = a
arteries = aa
vein = v
veins = vv
muscle = m
Psoas m muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
Sigmoid Sacrum Left Left Sacroiliac Ilium Gluteus
vessels
colon internal internal joint maximus m
bone
iliac a iliac v
Sigmoid
colon
Iliopsoas m
Anterior
superior
iliac spine
Ilium
Small bowel,
ileum
Gluteus
Right external minimus m
iliac a
Gluteus
medius m
Right external
iliac v
Gluteus
maximus m
Iliopsoas m
Gluteus
minimus m
Gluteus
medius m
Iliopsoas m
Right external
iliac v Anterior inferior
iliac spine
Gluteus
Ilium minimus m
Gluteus
medius m
Right ovary
Gluteus
maximus m
Right external
iliac a
Tensor fasciae
latae m
Femoral head
Sigmoid colon
Gluteus
minimus m
Urinary
bladder
Gluteus
medius m
Obturator
internus m Quadrilateral
plate
Gluteus
maximus m
Iliopsoas m
Iliopsoas m Rectus
femoris m
Gluteus
medius m
Femoral
head
Gluteus Gluteus
medius m medius t
Gluteus Obturator
minimus m internus t
Posterior Sciatic n
acetabular wall
Gluteus
maximus m
Rectus
femoris m
Right
common Tensor fasciae
femoral a latae m
Urinary
bladder Gluteus
medius m
Iliotibial
tract
Obturator n
Gluteus and vessels
minimus t
Greater
trochanter Femoral neck
Inferior
gemellus m
Gluteus
maximus m
Levator
ani m
Femur
Quadratus
femoris m
Sciatic n
Obturator Gluteus
externus m maximus m
Ischial
tuberosity
Tensor fasciae
latae m
Pectineus m
Vastus
Adductor lateralis m
brevis m
Iliotibial Vastus
tract intermedius m
Femur
Iliopsoas m
Common
hamstring t
Obturator
externus m Gluteus
maximus m
Sciatic n
SAGITTAL
Figure 23.2.1 Ascending
colon Ilium
Psoas m
Gluteus
medius m
Cecum
Gluteus
Iliacus m maximus m
Hip joint
Iliopsoas m artery = a
arteries = aa
Common vein = v
femoral a veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
Pectineus m Adductor Obturator Ischium ligament = lig
brevis m externus m ligaments = ligs
nerve &
vessels
bone
Right external
iliac v
Urinary bladder
Piriformis m
Superior pubic
ramus Right ovary
Gluteus
maximus m
Pectineus m
Obturator
externus m
Right external
iliac a Right
common
iliac v
Right ovary
Piriformis m
Sigmoid colon
Urinary bladder
Parametrium
Inferior pubic
ramus Levator
ani m
Obturator
externus m Gluteus
maximus m
Right
Sigmoid common
colon iliac v
L5 vertebral
body
Rectus
abdominis m
Sacrum
Uterine
body
Urinary
bladder
Pubis
Rectus
abdominis m Thecal sac
Uterine Multifidus m
fundus
Uterine
body Sacrum
Sigmoid
colon
Urinary
bladder Coccyx
Pubic
symphysis Rectum
CORONAL
Figure 23.3.1 Small bowel,
jejunum
Small bowel,
ileum
Ascending
colon
Left inferior
Anterior superior epigastric
iliac spine a and v
Iliacus m
Tensor fasciae
latae m
Inguinal lig
artery = a
arteries = aa
vein = v
Sartorius m veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
Right inferior Inguinal lig Mons Inguinal Rectus nerve = n
epigastric a and v pubis lymph nodes femoris m nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Figure 23.3.2
Small
bowel
Iliac crest
Gluteus
Right common medius m
femoral a
Ileocecal
valve
Ilium
Cecum
Appendix Iliacus m
Right external Gluteus
iliac a medius m
Iliopsoas m
Superior
pubic ramus
Tensor
fasciae
latae m
External
Cecum oblique m
Iliac crest
Appendix
Right external
iliac a
Gluteus
medius m
Right external
iliac v
Iliacus m
Sigmoid Psoas m
colon
Iliopsoas m
Urinary
Tensor fasciae
bladder
latae m
Inferior External
mesenteric a oblique m
Internal
oblique m
Cecum Gluteus
medius m
Psoas m
Vastus
Femoral head intermedius m
Vastus
lateralis m
Gluteus
minimus m
Iliacus m Femoral head
Acetabular Femoral neck
roof
Greater
Acetabular trochanter
fossa
Iliopsoas m
Obturator
internus m Vastus lateralis
and vastus
Obturator intermedius mm
externus m Iliotibial tract
Obturator Iliopsoas m
internus m
Iliotibial tract
Obturator
externus m Pectineus m
Inferior pubic Vastus lateralis
ramus and vastus
intermedius mm
Adductor brevis Ischiocavernosus m Labium Bulbospongiosus m Urethra
and adductor minus pudendi
magnus mm
Psoas m Gluteus
medius m
Iliacus m
Ilium
Right
common Gluteus
iliac v minimus m
Acetabulum
Right
ovary Femoral head
Urinary Greater
bladder trochanter
Iliotibial
tract Femoral neck
Vastus lateralis
Obturator and vastus
internus m intermedius mm
Iliac crest
Psoas m
Sigmoid
colon
Iliacus m Gluteus
maximus m
Right internal Left gonadal v
iliac a and v
Left ovary
Right
gonadal v Gluteus
minimus m
Acetabulum
Right
ovary Femoral head
Urinary Greater
bladder trochanter
Uterus
Obturator
internus m Vastus
lateralis m
Psoas m
Iliac crest
Lumbar
plexus Left internal
Right internal iliac a and v
iliac a and v
Sacroiliac
joint
Gluteus
medius m Uterus
Uterine
Gluteus a and v
minimus m Greater
trochanter
Obturator
internus m
Vastus
Piriformis t lateralis m
Left internal
Gluteus iliac a and v
medius m
Uterine
body
Gluteus
maximus m
Piriformis m
Obturator
internus m
Ilium
Gluteus
medius m
Sacroiliac
joint
Gluteus
maximus m
Piriformis m S1 n root
Inferior gluteal
a and v
Levator ani m
AXIAL
Figure 24.1.1 Umbilicus
Rectus
abdominis m
Small External
bowel oblique m
Ascending
colon Internal
Common oblique m
iliac a Transversus
Common abdominis m
iliac v Descending
L5 vertebral colon
body Iliac crest
Thecal sac Psoas m
Iliocostalis
Spinous lumborum m
process Longissimus
lumborum m
artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Rectus
abdominis m
Descending
colon
External
Small bowel oblique m
Left internal
iliac v Internal
Ascending colon oblique m
Left internal Transversus
iliac a abdominis m
Right common Ilium
iliac a
Common iliac v Iliacus m
Gluteus
Thecal sac medius m
Psoas m
Erector
spinae mm
554 PELVIS: MRI OF THE MALE PELVIS
Figure 24.1.3
Linea Rectus
alba abdominis m
Small
Abdominal
bowel
wall mm
External Anterior
iliac a superior
Cecum iliac spine
External Descending
iliac v colon
Psoas m
Internal
iliac v Gluteus
Internal medius m
iliac a Iliacus m
Sacral ala
Sacroiliac joint
S1 n root
Gluteus
maximus m
Erector
spinae mm
Sacrum
Erector
spinae mm
tendinous
aponeurosis
PELVIS: MRI OF THE MALE PELVIS 555
Figure 24.1.6
Rectus
abdominis m
Sartorius m
Iliopsoas m
Gluteus
minimus m
Sigmoid Gluteus
colon medius m
Femoral head
Vas deferens
Obturator
Rectum internus m
Gluteus
Sacrum maximus m
556 PELVIS: MRI OF THE MALE PELVIS
Figure 24.1.7
Urinary
bladder,
muscular Rectus
wall abdominis m
Common Iliopsoas m
femoral
a and v Sartorius m
Tensor fasciae
Urinary latae m
bladder,
Rectus femoris t
lumen
Seminal Gluteus
vesicles medius m
Femoral Gluteus
head minimus m
Greater Innominate
trochanter bone
Innominate Obturator
bone internus m
Ischial spine Gluteus
maximus m
Rectum
Coccyx
Common Iliopsoas m
femoral
a and v Tensor fasciae
latae m
Urinary Rectus
bladder, femoris m
lumen
Gluteus
Urinary minimus m
bladder, Gluteus
muscular medius m
wall
Seminal Femoral head
vesicle
Greater Gemelli mm
trochanter and obturator
internus t
Sciatic n
Gluteus
Rectum maximus m
Obturator
internus m
Coccyx
PELVIS: MRI OF THE MALE PELVIS 557
Lymph Sartorius m
node Common
femoral
Rectus a and v
abdominis Tensor
mm and t fasciae
latae m
Pubis
Rectus
Urinary femoris m
bladder Gluteus
IIiotibial minimus and
band medius mm
Prostate Iliopsoas m
gland, Femoral neck
central
gland
Ischium
Rectum
Gluteus
maximus m
Obturator
internus m
Levator ani m
Ischio- Obturator
cavernosus m internus m
Gluteus
maximus m
Urethra, Quadratus
prostatic femoris m
segment
Adductor
Spermatic
brevis m
cord
Greater Pectineus m
saphenous v
Semimembranosus t
Ischio-
cavernosus m
Conjoined t,
semitendinosus m,
and biceps femoris m
Anal canal Adductor Ischium
magnus m
Gluteus
maximus m
SAGITTAL
Figure 24.2.1
Gluteus
medius m
Iliacus m
Piriformis m
Gluteus
Iliopsoas m maximus m
Superior
Ilium
gemellus m
Femoral head
Femoral
vessels
artery = a
Lymph arteries = aa
node vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
Adductor tendons = tt
brevis m nerve = n
nerves = nn
Adductor ligament = lig
longus m ligaments = ligs
nerve &
vessels
bone
Figure 24.2.2
Small
bowel
Ascending
colon
Abdominal
wall mm Iliacus m
Iliopsoas m
Common Piriformis m
femoral Sciatic n
vessels
Pit (fovea) of Gluteus maximus m
femoral head
for lig. teres Superior gemellus m
Pectineus m Obturator
externus m
Greater Ischial tuberosity
saphenous v Semimembranosus t
Adductor Conjoined t of
brevis m semitendinosus
and biceps
femoris mm
Adductor Adductor magnus m
longus m Semitendinosus m
560 PELVIS: MRI OF THE MALE PELVIS
Figure 24.2.3
Erector
Small bowel
spinae mm
Psoas m
Abdominal Ilium
wall mm
Iliacus m
Cecum
External iliac
vessels Piriformis m
Sciatic n
Superior
pubic ramus Gluteus
maximus m
Lymph node Obturator
foramen
Pectineus m Obturator
externus m
Ischium
Adductor Adductor magnus m,
brevis m ischiocondylar
(hamstring) part
Adductor magnus m
Adductor
longus m
Figure 24.2.4
Erector
spinae mm
Small bowel Psoas m
Ilium
Abdominal
wall mm Sacroiliac joint
External Sacrum
iliac a Superior gluteal a
External Piriformis m
iliac v Inferior gluteal a
Internal
iliac vessels
Superior
pubic ramus
Gluteus
Pectineus m maximus m
Obturator
Adductor internus m
brevis m Obturator
externus m
Adductor
longus m
Figure 24.2.5
Erector
spinae mm
Psoas m
External iliac v
Sigmoid colon
Internal iliac
vessels
Gluteus
Superior maximus m
pubic ramus
Levator ani m
Spermatic cord Obturator
internus m
Pectineus m
Obturator
Adductor externus m
brevis m
Adductor
longus m
Gracilis m
Ischial ramus
Internal iliac
Sigmoid vessels
colon
Rectus Piriformis m
abdominis m
Urinary Seminal vesicle
bladder
Levator ani m
Pectineus m Gluteus
maximus m
Spermatic
Obturator
cord
internus m
Adductor Ischiocavernosus m
brevis m
Ischial ramus
Testis
Gracilis m
Adductor
longus m
Obturator
externus m
562 PELVIS: MRI OF THE MALE PELVIS
Obturator
externus m
Figure 24.2.8
Erector
spinae mm
Common Internal iliac a
iliac a Internal iliac v
Testis
PELVIS: MRI OF THE MALE PELVIS 563
Seminal vesicle
Prostate gland
Testis
Penis, corpus
cavernosum
Sacrum
Rectus
abdominis m
Sigmoid colon
Small bowel
Rectum
Coccyx
Urinary Seminal vesicle
bladder
Pubis Prostate gland
Penis
Penis, corpus
cavernosum
Testis
564 PELVIS: MRI OF THE MALE PELVIS
Figure 24.2.11
L4
Intervertebral vertebral body
disc
Erector
spinae mm
Sigmoid colon
Rectus
abdominis m Rectum
Urinary Coccyx
bladder
Pubis Seminal vesicle
Anus
Penis, corpus
spongiosum
Testis
Intervertebral
disc
Small bowel
Sacrum
Penis Rectum
Prostate gland
Anus
Bulb of penis
Testis
PELVIS: MRI OF THE MALE PELVIS 565
CORONAL
Figure 24.3.1
Anterolateral
abdominal
wall mm
Rectus
abdominis m
Superficial
circumflex Spermatic
iliac vessels cord
Inguinal lymph
nodes Sartorius m
Penis, corpus
spongiosum
Figure 24.3.2
Anterolateral
abdominal
wall mm
Iliac crest
Loops of
bowel
Inferior
epigastric Iliopsoas m
vessels
Tensor fasciae
Common latae m
femoral a
Common
Pubic femoral v
symphysis
Penis, corpus
cavernosum
Penis, corpus
spongiosum
Greater Rectus
saphenous v femoris m
Sartorius m
Testis
566 PELVIS: MRI OF THE MALE PELVIS
Vastus lateralis m
Vastus
intermedius m
Superficial
femoral vessels
Common iliac aa
Psoas m
Ilium
Iliacus m
Gluteus minimus m
Gluteus medius m
External iliac v
Sigmoid colon Rectus femoris t,
reflected head
Femoral head
Hip joint
Urinary
bladder Superior pubic ramus
Obturator Iliopsoas m
externus m Medial femoral
Pectineus m circumflex vessels
Penis, corpus Tensor fasciae latae m
cavernosum
Adductor brevis m
Vastus intermedius m
Vastus lateralis m
Gracilis m
Adductor longus m
Penis, corpus
spongiosum
PELVIS: MRI OF THE MALE PELVIS 567
Psoas m
Gluteus
medius m
Internal
Iliacus m
iliac aa
Gluteus
minimus m
Acetabular
Sigmoid roof
colon Pit (fovea) of
femoral head
for lig. teres
Urinary Femoral head
bladder
Obturator
Prostate internus m
gland
Iliopsoas m
Penis, corpus
cavernosum Obturator
externus m
Adductor
Vastus brevis m
lateralis m
Pectineus m
Gracilis m
Adductor
magnus m
Vastus
intermedius m Adductor
longus m
Penis, corpus
spongiosum
Figure 24.3.6
Common Psoas m
iliac aa
L5 vertebral
body Iliacus m
Internal Gluteus
iliac aa medius m
Sigmoid Gluteus
colon minimus m
Urinary
bladder Hip joint
Gluteus
minimus t
Obturator
Prostate internus m
gland Obturator
externus m
Prostate Iliopsoas m
gland,
peripheral Adductor
zone brevis m
Penis, corpus
Adductor
cavernosum
magnus m
Vastus
lateralis m
Femur
Figure 24.3.7
Psoas m
Iliacus m
Internal iliac
vessels
Gluteus
Sigmoid medius m
colon Gluteus
minimus m
Seminal Ilium
vesicles
Iliotibial Femoral head
band
Greater
Prostate
trochanter
gland
Obturator
Lesser internus m
trochanter
Ischial Obturator
ramus externus m
Adductor
brevis m
Ischiocavernosus m
Vastus
lateralis m
Adductor
magnus m
Iliacus m
Sacrum
Gluteus
Internal iliac medius m
vessels Sacroiliac
joint
Sigmoid colon
Gluteus
minimus m
Seminal
Vas deferens
vesicles
Piriformis t Obturator
internus m
Levator ani m Gluteus
medius t
Intertrochanteric Greater
crest trochanter
Ischiorectal
Lesser fossa
trochanter
Vastus
lateralis m
Adductor
magnus m
Distal rectum
and anus
PELVIS: MRI OF THE MALE PELVIS 569
Figure 24.3.9
Sacroiliac
joint
Internal
iliac Gluteus
vessels medius m
Gluteus
Sigmoid maximus m
colon
Vas deferens
Levator
ani m Seminal
vesicles
Obturator
Rectum internus t
and
Obturator gemelli mm
internus m
Ischium
Quadratus
femoris m
Iliotibial band
Vastus
lateralis m
Adductor
magnus m
Distal rectum
and anus
Gluteus medius m
Sacroiliac joint
Sacrum
Rectum
Levator ani m
Obturator
internus m
Ischial Semitendinosus and
tuberosity biceps femoris tt
Adductor
magnus m,
ischiocondylar Anal canal
(hamstring)
Biceps femoris m
part
Semitendinosus m
Semimembranosus m
570 PELVIS: MRI OF THE MALE PELVIS
Figure 24.3.11
Erector
spinae mm
Ilium
Sacroiliac
Sacrum joint
Piriformis m
Rectum
Gluteus
Levator maximus m
ani m
Coccyx
Biceps
femoris m
Figure 24.3.12
Erector
spinae mm
Ilium
Sacrum
Gluteus
maximus m
Coccyx
Semitendinosus m
25
Chapter
AXIAL
Figure 25.1.1 Psoas m Ascending colon
External iliac
vessels
Loops of
small bowel Sigmoid colon
Descending
colon
Iliacus m Ilium
Gluteus artery = a
medius m arteries = aa
vein = v
Sacroiliac veins = vv
joint muscle = m
muscles = mm
tendon = t
Gluteus tendons = tt
maximus m nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Internal iliac vessels Sacrum
Anterior
superior iliac
spine
Gluteus minimus m
Gluteus medius m
Gluteus maximus m
Rectum Piriformis m
PELVIS: MRI OF THE FEMALE PELVIS 573
Ilium
Endometrial Gluteus
canal minimus m
Gluteus
medius m
Sciatic n Myometrium,
junctional zone
Piriformis m
Gluteus
maximus m
Iliopsoas m
Sartorius m
Gluteus
minimus m
Ilium Gluteus medius m
Myometrium,
Obturator junctional zone
internus m
Sciatic n
Gluteus
Piriformis m
maximus m
Loops of
small bowel
Anterior
Obturator n inferior
and iliac spine
vessels
Ilium
Obturator
internus m
Endocervical
canal
Sartorius m
Tensor fasciae
latae m
Iliopsoas m
Gluteus
minimus m
Greater
Gluteus
trochanter
medius m
Femoral head
Ischial
spine Obturator
internus m
Sciatic n
Iliopsoas m
Rectus
femoris m
Tensor fasciae
latae m
Gluteus
medius m
Femoral head
Greater
trochanter Obturator
internus m
Quadratus
femoris m
Sciatic n
Tensor fasciae
latae m
Vastus
lateralis m
Iliotibial band
Inferior Iliopsoas m
pubic ramus
Femur
Obturator
externus m
Semimembranosus t
Sciatic n
Gluteus
maximus m
SAGITTAL
Figure 25.2.1
Sacrum
Ilium
Psoas m
Rectus
abdominis m
Internal iliac
vessels
Piriformis m
Inferior gluteal a
Obturator n Gluteus
maximus m
Superior pubic artery = a
ramus arteries = aa
Obturator vein = v
Obturator internus m veins = vv
vessels
muscle = m
Pectineus m Obturator muscles = mm
externus m tendon = t
Adductor tendons = tt
brevis m Ischium nerve = n
nerves = nn
Adductor ligament = lig
Adductor magnus m, ligaments = ligs
longus m ischiocondylar nerve &
(hamstring) part vessels
bone
Adductor
magnus m
Figure 25.2.2
Erector
spinae mm
Psoas m
Ilium
Sacrum
Internal iliac
Rectus vessels
abdominis m
Piriformis m
Loops of
small bowel
Ovary
Urinary bladder
Gluteus
maximus m
Obturator
Pectineus m internus m
Obturator
externus m
Adductor
brevis m
Adductor Adductor
longus m magnus m
PELVIS: MRI OF THE FEMALE PELVIS 577
Figure 25.2.3
Erector
Psoas m spinae mm
Sacrum
Rectus
abdominis m Piriformis m
Loops of
small bowel
Parametrium
Gluteus
Urinary bladder, maximus m
muscular wall
Urinary bladder,
lumen
Obturator
Pubic ramus internus m
Obturator
Pectineus m externus m
Adductor
brevis m
Adductor
longus m Adductor
magnus m
Figure 25.2.4
Erector
spinae mm
Rectus
abdominis m
Common iliac
vessels
Sacrum
Loops of
small bowel
Urinary bladder,
muscular wall Parametrium
Urinary bladder,
lumen
Levator ani m
578 PELVIS: MRI OF THE FEMALE PELVIS
Figure 25.2.5
L5 vertebral
body
L5-S1
intervertebral disc
Common iliac
vessels
Sacrum
(S2 vertebra)
Rectus
abdominis m
Loops of
small bowel
Vagina
Urinary bladder,
lumen
Pubis
Anus
Figure 25.2.6
L5-S1
intervertebral disc
Sacrum
(S1 vertebra)
Sigmoid colon
Loops of
small bowel
Uterine corpus Uterine cervix
Rectus
abdominis m
Urinary bladder, Rectum
muscular wall
Coccyx
Urinary bladder,
lumen
Vagina
Pubis Anus
Urethra
PELVIS: MRI OF THE FEMALE PELVIS 579
Figure 25.2.7
L4-5
intervertebral disc
L5 vertebral
Sacrum
body
(S1 vertebra)
L5-S1
intervertebral disc
Myometrium,
peripheral zone
Myometrium,
Cervical stroma
junctional zone
Endometrial Uterine cervix
canal
Rectus Rectosigmoid
abdominus m colon
Vagina
Pubic symphysis
580 PELVIS: MRI OF THE FEMALE PELVIS
CORONAL
Figure 25.3.1
Umbilicus
Anterior
superior Internal
iliac spine oblique m
Inguinal Iliohypogastric n
lymph Iliacus m
nodes artery = a
arteries = aa
Sartorius m Rectus vein = v
abdominis tt veins = vv
muscle = m
muscles = mm
Inguinal tendon = t
lymph node tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone
Mons pubis
Figure 25.3.2
Umbilicus
Abdominal Rectus
wall mm, abdominis m
anterolateral Iliac crest
group
Iliacus m
Tensor
Tensor fasciae
fasciae latae m
latae m Femoral v
Superior Femoral a
pubic ramus
Femoral n
Pectineus m
Rectus
femoris m
Mons pubis
PELVIS: MRI OF THE FEMALE PELVIS 581
Figure 25.3.3
Abdominal
wall mm
Descending
colon
Loops of
small bowel
Ascending
colon Iliac crest
Gluteus
minimus m
Iliacus m
Gluteus
Urinary medius m
bladder
Rectus femoris t,
Femoral straight head
vessels
Iliopsoas m
Superior Pubic
pubic ramus symphysis
Labium Tensor
majus fasciae
pudendi latae m
Pectineus m
Figure 25.3.4
Descending
Ascending colon
colon
Psoas m
Common
iliac a Iliacus m
Myometrium,
peripheral zone
Endometrial Myometrium,
canal junctional zone
Gluteus
Rectus medius m
femoris t, Gluteus
reflected head minimus m
Urinary
bladder
Femoral head
Obturator
internus m
Obturator
externus m
Pectineus m
Vastus
intermedius
Labium Adductor and lateralis mm
majus longus m
pundendi
582 PELVIS: MRI OF THE FEMALE PELVIS
Figure 25.3.5
Abdominal
wall mm
Psoas m
L5 vertebral
body
L5-S1
intervertebral
Internal disc
iliac vessels Iliacus m
Loops of Gluteus
small bowel minimus m
Myometrium,
Myometrium, peripheral zone
junctional zone
Gluteus
Right ovary medius m
Endometrial Left ovary
canal Urinary
Hip joint bladder
capsule
Obturator
Femoral internus m
neck
Obturator
externus m
Adductor
brevis and
magnus mm
Urethra Gracilis m
Figure 25.3.6
Abdominal
wall mm
Psoas m
L5 vertebral
body
Sacrum
Ilium
Gluteus
medius m
Uterine cervix
Gluteus
medius m
Endocervical
Cervical canal
stroma Gluteus
minimus m
Hip joint Obturator
capsule internus m
Greater
Femoral neck
trochanter
Femoral head
Quadratus
femoris m
Femur
Adductor
magnus m
Figure 25.3.7
Thecal sac
Quadratus
lumborum m
Ilium
S1 n root Gluteus
medius m
Sacrum
Rectosigmoid
colon
Sacroiliac joint
Cervical
stroma
Gluteus
Uterine maximus m
cervix Endocervical
canal
Greater Obturator
trochanter internus
t and gemelli mm
Ischioanal
fossa
Intertrochanteric
Lesser crest
trochanter
Adductor
magnus m
Vagina
Figure 25.3.8
Erector
spinae mm
Ilium
Rectosigmoid
colon
Sacrum
Superior
gluteal vessels Sacroiliac
joint
Inferior
gluteal vessels Piriformis m
Loops of
small bowel
Gluteus
Levator ani m maximus m
Sciatic n
Vagina
Obturator
internus m
Ischium
Semimembranosus t Ischioanal
fossa
Semitendinosus m
Anal canal
584 PELVIS: MRI OF THE FEMALE PELVIS
Figure 25.3.9
Erector
spinae mm
Dorsal ilium
Sacrum
Piriformis m
Levator ani m
Gluteus
maximus m
Anus
Index
A Abductor hallucis t. Acetabular lig., transverse
axial view, of foot, 388 axial view, of hip arthrogram, 254, 255
A1 pulley
coronal view, of foot, 400, 401, 402, 404, 405, coronal view, of hip arthrogram, 262, 263, 264, 265
axial view, of hand, 202, 204
406, 407 sagittal view, of hip arthrogram, 260, 261
sagittal view, of hand, 209
oblique axial view, of ankle, 363, 364 Acetabular roof
A2 pulley
sagittal view, of foot, 396, 397, 398 coronal view
axial view, of hand, 204
Abductor pollicis brevis m. of female pelvis CT, 548
sagittal view, of hand, 209, 210
axial view, of hand, 198, 199, 200, 201 of hip, 245, 246
A3 pulley, sagittal view, of hand, 209, 210
coronal view, of hand, 214 of male pelvis MRI, 567
A4 pulley, sagittal view, of hand, 209
origin, insertion, and nerve supply of, 197t sagittal view
A5 pulley, sagittal view, of hand, 209
sagittal view, of hand, 206, 207, 208 of hip, 238, 239
Abdominal aorta
Abductor pollicis brevis t., sagittal view, of hand, 205, 206 of hip arthrogram, 257, 258, 259, 260
coronal view, of thorax CT, 454, 455
Abductor pollicis longus m. Acetabular wall, anterior
sagittal view
axial view, of forearm, 147, 148, 149, 150, 151, axial view
of heart MRI, 465
152, 153, 154, 155 of female pelvis CT, 540
of thorax CT, 451
coronal view, of forearm, 167, 168 of hip, 226, 227
Abdominal wall m.
oblique sagittal view, of elbow, 128 sagittal view
axial view, of male pelvis MRI, 554, 555
origin, insertion, and nerve supply of, 144–145t of hip, 239, 240
coronal view
sagittal view, of forearm, 158, 159, 160 of hip arthrogram, 259, 260
of abdomen CT, 487
Abductor pollicis longus t. Acetabular wall, posterior
of female pelvis MRI, 580, 581, 582
axial view, of forearm, 151, 152, 153 axial view
of lumbar spine, 435, 436
coronal view, of hand, 214, 215 of female pelvis CT, 540
of male pelvis MRI, 565, 566, 567
sagittal view, of forearm, 158 of hip, 226, 227
sagittal view, of male pelvis MRI, 559, 560
Accessory cephalic v. sagittal view
Abductor digiti minimi m.
axial view of hip, 239
axial view
of elbow, 115, 116, 117, 118, 119, 120, 121, 122, of hip arthrogram, 259
of ankle, 357, 358
123, 124 Acetabulum
of foot, 389, 390
of forearm, 146 axial view, of male pelvis CT, 525
coronal view
oblique coronal, of elbow, 134, 135 coronal view
of ankle, 372, 373, 374, 375, 376, 377, 378
oblique sagittal view, of elbow, 125, 126 of female pelvis CT, 548, 549, 550
of foot, 402, 403, 404, 405, 406, 407
sagittal view, of forearm, 156 of hip, 245
of hand, 215, 216
Accessory collateral ligs. of male pelvis CT, 533, 534
oblique axial view, of ankle, 362, 363, 364
axial view, of hand, 204 Achilles t.
origin, insertion, and nerve supply of, 197t, 382–384t
coronal view, of hand, 216 axial view
sagittal view
Accessory flexor digitorum longus m. of ankle, 349, 350, 351, 352, 353, 354, 355, 356, 357
of ankle, 366, 367, 368
axial view, of ankle, 351, 352, 353, 354, 355 of leg, 329, 330, 331, 332, 333
of foot, 391, 392, 393
coronal view, of ankle, 378 coronal view
of hand, 211, 212, 213
sagittal view, of ankle, 369 of ankle, 380
Abductor digiti minimi t.
Accessory hemiazygos v. of leg, 344, 345
axial view
axial view, of thoracic spine, 415 gastrocnemius part, coronal view, of leg, 345
of foot, 390
sagittal view oblique axial view, of ankle, 359, 360
of hand, 198, 199, 200, 202, 203
of abdomen CT, 482 sagittal view
coronal view, of foot, 401, 402, 403, 404, 405, 406
of thoracic spine, 418 of ankle, 366, 367, 368
oblique axial view, of ankle, 364
Acetabular fossa of leg, 338, 339
sagittal view, of foot, 391
axial view Acromioclavicular joint
Abductor hallucis m.
of female pelvis CT, 540 axial view
axial view
of hip, 227 of pectoral girdle and chest wall, 5
of ankle, 355, 356, 357
of hip arthrogram, 255, 253, 254 of shoulder, 36, 37
of foot, 386, 387, 388
of male pelvis CT, 525 coronal view
coronal view
coronal view of arm, 108, 109
of ankle, 372, 373, 374, 375, 376, 377
of female pelvis CT, 548 of pectoral girdle and chest wall, 26, 27
of foot, 404, 405, 406, 407
of hip, 245, 246 oblique coronal view
oblique axial view, of ankle, 362, 363, 364
of hip arthrogram, 265 of shoulder, 58, 59
origin, insertion, and nerve supply of, 382–384t
of male pelvis CT, 534 of shoulder arthrogram, 79
sagittal view
sagittal view oblique sagittal view
of ankle, 370, 371
of hip, 240 of shoulder, 51, 52
of foot, 395, 396, 397
of hip arthrogram, 261 of shoulder arthrogram, 74
Note: Page numbers followed by t indicate tables. a. 5 artery; ABER 5 abduction external rotation; lig. 5 ligament; ligs. 5 ligaments; m. 5 muscle;
n. 5 nerve; t. 5 tendon; v. 5 vein
586 Index
Aortic outflow tract, axial view, of heart MRI, 462 Axillary n. (Continued) Biceps anchor
Aortic root oblique coronal view ABER view, of shoulder arthrogram, 84
axial view, of heart MRI, 462 of shoulder, 59, 62, 63, 64 axial view, of shoulder, 39
coronal view, of heart MRI, 467 of shoulder arthrogram, 83 oblique coronal view, of shoulder, 59
sagittal view oblique sagittal view oblique sagittal view, of shoulder, 52, 75, 76
of heart MRI, 465 of shoulder, 49, 50 Biceps brachii m.
of thorax CT, 450, 451 of shoulder arthrogram, 75 ABER view, of shoulder arthrogram, 85, 86
Aortic valve leaflets sagittal view axial view
axial view, of thorax CT, 446 of arm, 100, 101, 103, 104 of arm, 94, 95, 96, 97
coronal view, of thorax CT, 455 of pectoral girdle and chest wall, 16 of elbow, 115, 116, 117
Aortic valve plane, coronal view, of thorax CT, 454 Axillary neurovascular bundle coronal view
Aorticopulmonary window, sagittal view, of heart axial view, of pectoral girdle and chest wall, 10 of arm, 105, 107
MRI, 465 coronal view, of arm, 108 of elbow, 134, 135, 136, 137
Appendix sagittal view, of arm, 103, 104 of pectoral girdle and chest wall, 27, 28, 29
axial view Axillary pouch oblique coronal view, of elbow, 134, 135,
of female pelvis CT, 538 axial view, of shoulder arthrogram, 71 136, 137
of male pelvis CT, 524 oblique sagittal view, of shoulder arthrogram, oblique sagittal view, of elbow, 125, 126, 127, 128,
coronal view, of female pelvis CT, 547 75, 76 129, 130
Arcuate lig., median, sagittal view, of abdomen CT, Axillary recess, oblique coronal view, of shoulder origin, insertion, and nerve supply of, 91t
483 arthrogram, 80, 81, 82, 83 sagittal view
Articular cartilage Axillary v. of arm, 99, 100, 101, 102, 103, 104
axial view axial view of elbow, 125, 126, 127, 128, 129, 130
of knee, 297 of pectoral girdle and chest wall, 7, 8, 9 Biceps brachii m., long head
of shoulder, 40, 67, 68, 69 of shoulder, 41, 42, 43, 44, 45 axial view
coronal view, of knee, 314, 315, 316 coronal view of arm, 92, 93
oblique coronal view, of shoulder, 60, 81 of heart MRI, 468 of pectoral girdle and chest wall, 7, 8, 9, 10, 11,
sagittal view, of knee, 303, 304, 305, 308, 309 of pectoral girdle and chest wall, 27, 28 12, 13
Articular recess, superior, coronal view, of hip oblique coronal view, of shoulder, f, 56, 57, 58 coronal view
arthrogram, 262, 263, 264, 265, 266 oblique sagittal view, of shoulder, 53, 54, 55 of arm, 106, 107
Articulating process (facet) sagittal view, of pectoral girdle and chest wall, 18, of pectoral girdle and chest wall, 25, 26, 27, 28
inferior, sagittal view, of thoracic spine, 418, 419 19, 20 of shoulder, 60
superior, sagittal view, of thoracic spine, 418, 419 Azygos v. oblique coronal view, of shoulder, 60
Atrial appendage axial view sagittal view
axial view of abdomen MRI, 494, 495 of arm, 100, 101
of heart MRI, 462 of heart MRI, 461, 462, 463 of pectoral girdle and chest wall, 15
of thorax CT, 445 of lumbar spine, 425 Biceps brachii m., short head
coronal view, of thorax CT, 453 of thoracic spine, 415, 416 axial view
sagittal view of thorax CT, 444, 445, 447, 448 of arm, 92, 93
of heart MRI, 465 coronal view of pectoral girdle and chest wall, 7, 8, 9, 10, 11,
of thorax CT, 450 of abdomen MRI, 516 12, 13
Atrium of lumbar spine, 432 of shoulder, 41, 42, 43, 44, 45
left sagittal view, of lumbar spine, 431 coronal view
axial view Azygos v., arch of arm, 106, 107
of heart MRI, 462 axial view, of thorax CT, 444 of pectoral girdle and chest wall, 25, 26, 27, 28
of thorax CT, 445, 446 coronal view, of heart MRI, 468 of shoulder, 57, 58, 59, 60, 61
coronal view sagittal view, of thorax CT, 451 oblique coronal view, of shoulder, 57, 58, 59, 60,
of abdomen MRI, 514 61
of heart MRI, 468 oblique sagittal view, of shoulder, 49, 50, 51
of thorax CT, 455, 456 B sagittal view
sagittal view Basilic v. of arm, 102, 103
of abdomen CT, 483 axial view of pectoral girdle and chest wall, 15, 16, 17
of heart MRI, 465 of arm, 92, 93, 94, 95, 96, 97 of shoulder, 49, 50, 51
of thorax CT, 450, 451 of elbow, 115, 116, 117, 118, 119, 120, 122, Biceps brachii t.
right 123, 124 ABER view, of shoulder arthrogram, 84
axial view coronal view axial view
of heart MRI, 462, 463 of arm, 106, 107, 108, 109 of arm, 96, 97
of thorax CT, 445, 446 of elbow, 138, 139, 140 of elbow, 115, 116, 117, 118, 119, 120,
coronal view oblique coronal view 121, 122
of abdomen CT, 490 of elbow, 138, 139, 140 of forearm, 146
of heart MRI, 467, 468 of shoulder, 60 coronal view
of thorax CT, 453, 454, 455 oblique sagittal view, of elbow, 131, 132, 133 of arm, 105
sagittal view sagittal view of elbow, 136, 137, 138
of abdomen CT, 484 of arm, 102, 103 of forearm, 164, 165
of heart MRI, 465, 466 of forearm, 156 oblique coronal, of elbow, 136, 137, 138
of thorax CT, 452 Basilic v., median oblique sagittal view, of elbow, 129
Axillary a. axial view sagittal view
axial view of elbow, 118, 119, 120, 121, 122, 123, 124 of arm, 101
of pectoral girdle and chest wall, 7, 8, 9 of forearm, 146, 147, 148, 149, 150, 151, of elbow, 129
of shoulder, 41, 42, 43, 44, 45 152, 153 of forearm, 157, 158
coronal view coronal view of pectoral girdle and chest wall, 15
of heart MRI, 468 of elbow, 134, 135 Biceps brachii t., long head
of pectoral girdle and chest wall, 27, 28, 29 of forearm, 162 ABER view, of shoulder arthrogram, 84, 85
oblique coronal view, of shoulder, 56, 57, 58, 59 oblique coronal, of elbow, 134, 135 axial view
oblique sagittal view, of shoulder, 52, 53, 54, 55 oblique sagittal view, of elbow, 131 of pectoral girdle and chest wall, 7, 8, 9
sagittal view, of pectoral girdle and chest wall, 17, Basivertebral v. of shoulder, 39, 40, 41, 42, 43, 44, 45
18, 19, 20 axial view, of lumbar spine, 427 of shoulder arthrogram, 67, 68, 69, 70, 71
Axillary lymph node, oblique sagittal view, of coronal view, of lumbar spine, 434 coronal view
shoulder, 53 Basivertebral venous plexus of arm, 106
Axillary n. axial view of pectoral girdle and chest wall, 26, 27
axial view of lumbar spine, 425 oblique coronal view
of pectoral girdle and chest wall, 9, 10 of thoracic spine, 416 of shoulder, 59, 60, 61
of shoulder, 45 coronal view, of thoracic spine, 420 of shoulder arthrogram, 78, 79, 80, 81
coronal view sagittal view oblique sagittal view
of arm, 110 of lumbar spine, 431 of shoulder, 47, 48, 49, 50, 51
of pectoral girdle and chest wall, 29 of thoracic spine, 419 of shoulder arthrogram, 72, 73, 74, 75
588 Index
Capsular insertion, axial view, of shoulder arthrogram, Cephalic v. (Continued) Clavicle (Continued)
69, 70 sagittal view distal
Capsular lig. of forearm, 156, 157 axial view
lateral, coronal view, of knee, 317 of pectoral girdle and chest wall, 14, 15, 18, 19 of pectoral girdle and chest wall, 5
oblique coronal view, of shoulder, 60, 61, 62 Cervical a. and v., superficial, coronal view, of thoracic of shoulder, 36, 37
Cardiac septum, coronal view, of heart MRI, 467 spine, 422 coronal view, of pectoral girdle and chest
Carina, axial view, of heart MRI, 460 Cervical stroma wall, 27
Carotid a., axial view axial view, of female pelvis MRI, 574 sagittal view, of pectoral girdle and chest wall, 17
of pectoral girdle and chest wall, 4 coronal view, of female pelvis MRI, 582, 583 medial, sagittal view, of pectoral girdle and chest
of thorax CT, 442, 443 sagittal view, of female pelvis MRI, 579 wall, 23
Carotid a., common Cervical vessels, transverse oblique coronal view
axial view axial view, of pectoral girdle and chest wall, 5 of shoulder, 56, 57, 58, 59
of pectoral girdle and chest wall, 6, 7 coronal view, of pectoral girdle and chest wall, 28, 29 of shoulder arthrogram, 78, 79
of thorax CT, 442 Cervix, axial view, of female pelvis MRI, 573 oblique sagittal view
coronal view Circumflex a. of shoulder, 52, 53, 54, 55
of pectoral girdle and chest wall, 26 axial view of shoulder arthrogram, 75, 76, 77
of thorax CT, 454, 455 of heart MRI, 462 sagittal view
sagittal view, of thorax CT, 450, 451 of thorax CT, 447 of heart MRI, 464, 466
Carpal lig., palmar, axial view, of wrist, 173, coronal view, of thorax CT, 454, 455 of pectoral girdle and chest wall, 17, 18, 19, 20,
174, 175 posterior, sagittal view, of pectoral girdle and chest 21, 22
Carpometacarpal joint wall, 16 of thorax CT, 449
2nd, sagittal view, of hand, 208 Circumflex femoral a. Clavicular head
3rd, sagittal view, of hand, 209 lateral coronal view
Cauda equina axial view, of male pelvis CT, 527 of heart MRI, 467
coronal view coronal view, of male pelvis CT, 533 of thorax CT, 453
of lumbar spine, 435 medial sagittal view, of thorax CT, 450, 452
of thoracic spine, 420 axial view, of male pelvis CT, 527 Clitoris, coronal view
sagittal view, of thoracic spine, 419 coronal view, of male pelvis CT, 533, 534 of female pelvis CT, 547
Caudate lobe of liver sagittal view, of male pelvis CT, 528 of female pelvis MRI, 581
axial view Circumflex femoral v. Coccygeus m.
of abdomen CT, 476 lateral, coronal view, of male pelvis CT, 533, 534 axial view
of abdomen MRI, 494, 495 medial, coronal view, of male pelvis CT, 533, 534 of female pelvis CT, 540
coronal view Circumflex femoral vessels of hip, 227
of abdomen CT, 490 lateral sagittal view
of abdomen MRI, 514, 515 axial view, of hip, 229 of male pelvis CT, 529
sagittal view coronal view, of male pelvis MRI, 566 of male pelvis MRI, 562, 563
of abdomen CT, 483, 484, 485 sagittal view, of hip, 234, 235, 236 Coccyx
of abdomen MRI, 507, 508 medial axial view
Cecum axial view, of hip, 229 of female pelvis CT, 540
axial view coronal view, of male pelvis MRI, 566 of male pelvis CT, 525, 526
of male pelvis CT, 523, 524, 525 sagittal view, of hip, 237, 239, 240 of male pelvis MRI, 556
of male pelvis MRI, 554 Circumflex humeral a. coronal view, of male pelvis MRI, 570
coronal view anterior sagittal view
of abdomen CT, 488 oblique coronal view, of shoulder, 59, 60 of female pelvis CT, 545
of female pelvis CT, 547, 548 oblique sagittal view, of shoulder, 48, 49, 50, 52 of female pelvis MRI, 578
of male pelvis CT, 531, 532 sagittal view, of pectoral girdle and chest wall, 15 of male pelvis CT, 530
of male pelvis MRI, 566 posterior of male pelvis MRI, 563, 564
sagittal view axial view Collateral ligs
of abdomen MRI, 509 of pectoral girdle and chest wall, 8, 9 accessory
of female pelvis CT, 543 of shoulder, 44, 45 axial view, of hand, 204
of male pelvis MRI, 560 coronal view coronal view, of hand, 216
Celiac a. of arm, 110 sagittal view, of hand, 205
axial view, of heart MRI, 465 of pectoral girdle and chest wall, 29 Colon
coronal view oblique coronal view, of shoulder, 59, 60, 61, 62, axial view, of abdomen CT, 478, 479, 480
of abdomen MRI, 513, 514 63, 64 coronal view, of abdomen MRI, 510, 511, 512, 513,
of thorax CT, 455 oblique sagittal view, of shoulder, 49, 50, 51, 52 514, 515
sagittal view sagittal view sagittal view
of abdomen MRI, 505 of arm, 100, 101, 103, 104 of abdomen CT, 481, 486
of thorax CT, 450 of pectoral girdle and chest wall, 15 of abdomen MRI, 502, 503, 509
Celiac trunk Circumflex humeral vessels Colon, ascending
axial view oblique coronal view, of shoulder arthrogram, 83 axial view
of abdomen CT, 476, 477 oblique sagittal view, of shoulder arthrogram, 75, 76 of abdomen CT, 479, 480
of abdomen MRI, 497 Circumflex iliac v., superficial, coronal view, of hip, 243 of abdomen MRI, 501
coronal view, of abdomen CT, 489, 490 Circumflex iliac vessels, superficial, coronal view, of of female pelvis MRI, 572
sagittal view, of abdomen CT, 483 male pelvis MRI, 565 of male pelvis CT, 522, 523
Cephalic v. Circumflex scapular a. of male pelvis MRI, 553
axial view axial view, of pectoral girdle and chest wall, 9 coronal view
of arm, 92, 93 coronal view of abdomen CT, 489, 490
of elbow, 115, 116, 117, 118, 119, 120, 121, 122, of arm, 109 of abdomen MRI, 511, 512, 513, 514, 515
123, 124 of pectoral girdle and chest wall, 28, 29, 30 of female pelvis CT, 546, 548, 549
of forearm, 146, 147, 148, 149, 150, 151, 152, oblique coronal view, of shoulder, 59, 60, 61, 62, of female pelvis MRI, 581
153, 154, 155 63, 64 of male pelvis CT, 531, 532
of pectoral girdle and chest wall, 7, 10, 11, 12, 13 oblique sagittal view, of shoulder, 53, 54 of male pelvis MRI, 566
of shoulder, 40, 41, 42, 43, 44, 45 sagittal view, of arm, 104 sagittal view
coronal view Circumflex vessels, oblique coronal view, of of abdomen CT, 486
of arm, 105 shoulder, 62 of abdomen MRI, 509
of elbow, 134, 135 Clavicle of female pelvis CT, 543
of forearm, 164, 165, 166 axial view of male pelvis MRI, 559
of pectoral girdle and chest wall, 24, 25, 26, 27 of pectoral girdle and chest wall, 6, 7, 8 Colon, descending
oblique coronal view of shoulder, 38, 39 axial view
of elbow, 134, 135 of shoulder arthrogram, 67 of abdomen CT, 479, 480
of shoulder, 56, 57, 58 of thorax CT, 442 of abdomen MRI, 499, 500, 501
oblique sagittal view coronal view of female pelvis MRI, 572
of elbow, 127, 128, 129 of arm, 108, 109 of male pelvis CT, 522, 523
of shoulder, 48, 49, 50, 51, 52, 53, 54, 55 of pectoral girdle and chest wall, 24, 25, 26 of male pelvis MRI, 553, 554
590 Index
Flexor pollicis longus t. (Continued) Gastrocnemius m., origin, insertion, and nerve supply Glenohumeral lig., middle (Continued)
coronal view, of hand, 214, 215, 216 of, 322–323t oblique coronal view, of shoulder arthrogram,
sagittal view Gastrocnemius t., medial head 78, 79
of forearm, 157 axial view, of knee, 298 oblique sagittal view, of shoulder arthrogram, 75, 76
of hand, 205, 206, 207, 208 coronal view, of knee, 319 Glenohumeral lig., superior
Flexor retinaculum Gastrocolic lig. ABER view, of shoulder arthrogram, 84
axial view coronal view, of abdomen CT, 487 axial view
of ankle, 349, 350, 351, 352, 353, 354, 355 sagittal view, of abdomen CT, 483 of shoulder, 39, 40
coronal view Gastrocolic trunk of shoulder arthrogram, 67, 68
of ankle, 375, 376 axial view, of abdomen CT, 479 oblique coronal view, of shoulder, 59
of hand, 214 coronal view, of abdomen CT, 488 oblique sagittal view
oblique axial view, of ankle, 360, 361, 362 Gastroduodenal a. of shoulder, 49, 50, 51
sagittal view, of hand, 208, 209, 210 coronal view, of abdomen CT, 488 of shoulder arthrogram, 75, 76
Flexor t. sagittal view, of abdomen CT, 484 Glenoid
common Gastroepiploic a. ABER view, of shoulder arthrogram, 84, 85, 86, 87,
axial view, of elbow, 116, 117, 118 coronal view, of abdomen CT, 487 88, 89
coronal view, of arm, 107 sagittal view, of abdomen CT, 483 axial view
coronal view, of foot, 400, 401 Gastroepiploic v. of pectoral girdle and chest wall, 6, 7, 8
Forearm v. coronal view, of abdomen CT, 487 of shoulder, 39, 40, 41, 42
deep, oblique sagittal view, of elbow, 129 sagittal view, of abdomen CT, 483 of shoulder arthrogram, 67, 68, 70
superficial Gastroesophageal junction of thorax CT, 442
oblique sagittal view, of elbow, 125 axial view, of abdomen MRI, 494 coronal view
sagittal view, of forearm, 156 coronal view of arm, 109, 110
Fovea of abdomen CT, 490, 491 of pectoral girdle and chest wall, 28
axial view of abdomen MRI, 514 oblique coronal view
of hip, 227 sagittal view of shoulder, 59, 60, 61, 62
of hip arthrogram, 253 of abdomen CT, 482 of shoulder arthrogram, 79, 80, 81, 82
coronal view, of hip arthrogram, 264 of abdomen MRI, 504, 505 oblique sagittal view
Frenulum, coronal view, of female pelvis MRI, 581 Gastrohepatic lig. of shoulder, 52
axial view, of abdomen CT, 476 of shoulder arthrogram, 76, 77
coronal view, of abdomen CT, 489 sagittal view
G sagittal view, of abdomen CT, 482 of arm, 103, 104
Gallbladder Gemellus m. of pectoral girdle and chest wall, 16
axial view axial view Glenoid, inferior
of abdomen CT, 477, 478 of male pelvis CT, 526 ABER view, of shoulder arthrogram, 87, 88
of abdomen MRI, 498, 499 of male pelvis MRI, 556 axial view, of shoulder arthrogram, 71
body coronal view Glenoid, posterior
coronal view, of abdomen CT, 487, 488 of female pelvis CT, 550 coronal view, of pectoral girdle and chest wall, 29
sagittal view, of abdomen CT, 486 of female pelvis MRI, 583 oblique coronal view, of shoulder arthrogram, 82
coronal view, of abdomen MRI, 511, 512, 513 of male pelvis MRI, 569 Glenoid, superior
fundus sagittal view axial view, of shoulder arthrogram, 67
axial view, of abdomen CT, 479 of hip, 236 coronal view, of pectoral girdle and chest wall, 28
coronal view, of abdomen CT, 487 of male pelvis CT, 528 Glenoid fossa, oblique sagittal view, of shoulder
sagittal view, of abdomen CT, 486 Gemellus m., inferior arthrogram, 76
neck axial view, of female pelvis CT, 541 Glenoid labrum
axial view, of abdomen MRI, 497 coronal view axial view
coronal view of female pelvis CT, 551 of shoulder, 40, 41, 42, 43
of abdomen CT, 488, 489 of hip, 247 coronal view
of thorax CT, 453 of male pelvis CT, 535 of arm, 108, 109
sagittal view, of abdomen CT, 485 origin, insertion, and nerve supply of, 222–223t of pectoral girdle and chest wall, 27
sagittal view, of abdomen MRI, 509 Gemellus m., superior Glenoid neck, axial view, of shoulder, 41, 42
Gastric a. axial view, of male pelvis CT, 525 Gluteal a., inferior
axial view, of abdomen MRI, 496, 497 coronal view axial view, of hip, 226, 227
coronal view of female pelvis CT, 551 coronal view
of abdomen CT, 488, 489, 490, 491 of hip, 247 of female pelvis CT, 551
of abdomen MRI, 513 of male pelvis CT, 535 of hip, 247, 248
sagittal view origin, insertion, and nerve supply of, 222–223t of lumbar spine, 433
of abdomen CT, 482, 483 sagittal view of male pelvis CT, 536
of abdomen MRI, 505 of hip, 241 sagittal view
Gastric v. of male pelvis CT, 528 of female pelvis MRI, 576
axial view, of abdomen CT, 476 of male pelvis MRI, 559 of lumbar spine, 430
coronal view, of abdomen CT, 489, 490, 491, 492 Gemellus t., sagittal view, of hip, 237 of male pelvis CT, 528
sagittal view, of abdomen CT, 482 Gerdy’s tubercle of male pelvis MRI, 560
Gastrocnemius aponeurosis axial view, of knee, 300 Gluteal a., superior
axial view, of leg, 324, 326 coronal view axial view
sagittal view, of leg, 337, 338, 339 of knee, 313 of female pelvis CT, 538
Gastrocnemius m., lateral head of leg, 342, 343 of hip, 224
axial view sagittal view, of knee, 303 of male pelvis MRI, 554
of knee, 297, 298, 299, 300, 301 Gissane’s angle, sagittal view, of ankle, 367 coronal view
of leg, 324, 325, 326, 327, 328 Glenohumeral joint of hip, 247, 248
coronal view axial view, of pectoral girdle and chest wall, 7 of lumbar spine, 433
of knee, 317, 318, 319, 320 coronal view, of arm, 108, 109 of male pelvis CT, 536
of leg, 345, 346, 347 Glenohumeral lig., axial view, of shoulder, 44 sagittal view
sagittal view Glenohumeral lig., inferior of hip, 242
of knee, 302, 303, 304, 305 ABER view, of shoulder arthrogram, 86, 87 of lumbar spine, 430
of leg, 334, 335, 336, 337 axial view of male pelvis MRI, 560
Gastrocnemius m., medial head of shoulder, 44 Gluteal a., trunk, coronal view, of lumbar
axial view of shoulder arthrogram, 71 spine, 433
of knee, 296, 297, 298, 299, 300, 301 oblique coronal view, of shoulder arthrogram, Gluteal tuberosity, axial view, of hip, 231
of leg, 324, 325, 326, 327, 328, 329 79, 80 Gluteal v., inferior
coronal view oblique sagittal view, of shoulder arthrogram, 75, 76 axial view, of hip, 226
of knee, 316, 317, 318, 319, 320 Glenohumeral lig., middle coronal view
of leg, 343, 344, 345, 346, 347 ABER view, of shoulder arthrogram, 84, 85 of female pelvis CT, 551
sagittal view axial view of lumbar spine, 433, 435
of knee, 307, 308, 309, 310 of shoulder, 40 of male pelvis CT, 536
of leg, 337, 338, 339, 340, 341 of shoulder arthrogram, 68, 69, 70 sagittal view, of male pelvis CT, 528
596 Index
Lumbar spine, coronal view, of abdomen MRI, 513, Lymph node (Continued) Median v.
514, 515 sagittal view axial view, of elbow, 115, 116, 117
Lumbar triangle of hip, 239, 240 sagittal view, of forearm, 156
inferior, axial view, of abdomen CT, 480 of knee, 306 Meniscal lig., transverse
superior, axial view, of abdomen CT, 479 of male pelvis MRI, 559, 560 axial view, of knee, 299
Lumbar v. of thigh, 282 coronal view, of knee, 313
axial view sagittal view, of knee, 306
of abdomen CT, 477, 478 Meniscofemoral (Humphrey’s) lig.
of lumbar spine, 425 M axial view, of knee, 298
coronal view, of lumbar spine, 432 Malleolus, lateral coronal view, of knee, 317
sagittal view, of abdomen CT, 482 axial view, of ankle, 352, 353, 354 sagittal view, of knee, 307
Lumbar vertebral a., coronal view, of lumbar spine, 433 coronal view Meniscus homologue, coronal view, of
Lumbar vertebral v., coronal view, of lumbar spine, 433 of ankle, 375, 376, 377, 378 hand, 216
Lumbar vertebral vessels, coronal view, of lumbar of leg, 342, 343 Mesenteric a., inferior
spine, 434 oblique axial view, of ankle, 360, 361 axial view
Lumbar vessels, sagittal view, of abdomen CT, 484 sagittal view of abdomen CT, 480
Lumbosacral fascia, dorsal, axial view, of lumbar of ankle, 365, 366 of male pelvis CT, 522
spine, 428 of leg, 335, 336 coronal view
Lumbosacral trunk Malleolus, medial of abdomen CT, 488
axial view, of lumbar spine, 426, 428 axial view, of ankle, 352 of female pelvis CT, 548
coronal view, of lumbar spine, 434, 435 coronal view of male pelvis CT, 532, 533
sagittal view, of lumbar spine, 430 of ankle, 374, 375 sagittal view, of abdomen CT, 483
Lumbrical m. of leg, 342 Mesenteric a., superior
1st oblique axial view, of ankle, 360, 361 axial view
axial view, of hand, 202, 203 sagittal view of abdomen CT, 477, 478, 479
sagittal view, of hand, 207, 208 of ankle, 370, 371 of abdomen MRI, 498, 499, 500, 501
2nd of leg, 339 coronal view
axial view, of hand, 202, 203 Malleolus, posterior, axial view, of ankle, 352 of abdomen CT, 488, 489, 490
sagittal view, of hand, 209 Mammary a., internal of abdomen MRI, 512, 513, 514
3rd axial view, of heart MRI, 460, 461, 462 of female pelvis CT, 547
axial view, of hand, 202 sagittal view, of abdomen CT, 485 of male pelvis CT, 532
sagittal view, of hand, 209, 210 Mammary v., internal, axial view, of heart MRI, 460, of thorax CT, 453, 454, 455
4th, sagittal view, of hand, 212 461, 462 sagittal view
axial view, of hand, 202, 204 Mammary vessels, internal, coronal view of abdomen CT, 483
coronal view, of hand, 214, 215 of heart MRI, 467 of abdomen MRI, 505, 506
origin, insertion, and nerve supply of, 197t, 382–384t of pectoral girdle and chest wall, 24 of female pelvis CT, 544
sagittal view, of foot, 392, 393 Manubrium of heart MRI, 465
Lumbrical t., axial view, of hand, 204 axial view of thorax CT, 450
Lunate, coronal view, of hand, 215, 216, 217 of heart MRI, 465 Mesenteric v., inferior
Lung of thorax CT, 443 coronal view
left coronal view of abdomen CT, 488, 489, 490
axial view of heart MRI, 467 of male pelvis CT, 532
of abdomen CT, 475, 476 of pectoral girdle and chest wall, 24, 25 sagittal view, of abdomen CT, 482
of abdomen MRI, 494 sagittal view Mesenteric v., superior
of heart MRI, 460, 462, 463 of pectoral girdle and chest wall, 23 axial view
coronal view of thorax CT, 451, 452 of abdomen CT, 478, 479
of abdomen CT, 492 Medial cutaneous n., of forearm, axial view, of arm, of abdomen MRI, 499, 500, 501
of abdomen MRI, 512, 513, 514, 515, 516, 517 93, 94, 96 coronal view
of heart MRI, 467, 468, 469 Medial meniscus of abdomen CT, 488
sagittal view anterior horn of abdomen MRI, 512
of abdomen CT, 481, 482 coronal view, of knee, 314 of female pelvis CT, 547
of abdomen MRI, 502, 503, 504 sagittal view, of knee, 308, 309 sagittal view
of heart MRI, 464 body, coronal view, of knee, 315, 316, 317 of abdomen CT, 483
of thoracic spine, 417, 418 coronal view, of knee, 314 of female pelvis CT, 544
right posterior horn Mesenteric vessels
axial view coronal view, of knee, 317 axial view
of abdomen CT, 475, 476 sagittal view, of knee, 307, 308, 309 of abdomen CT, 479, 480
of abdomen MRI, 494 sagittal view, of knee, 310 of male pelvis CT, 522
of heart MRI, 460, 462, 463 Median basilic v. sagittal view
of pectoral girdle and chest wall, 7, 8, 9, 10 axial view of abdomen CT, 481, 483
coronal view of elbow, 118, 119, 120, 121, 122, 123, 124 of abdomen MRI, 503, 504, 505
of abdomen CT, 492 of forearm, 146, 147, 148, 149, 150, 151, 152, 153 Mesentery
of abdomen MRI, 512, 513, 514, 515, 516, coronal view, of forearm, 162 axial view
517 oblique coronal, of elbow, 134, 135 of abdomen CT, 479, 480
of heart MRI, 467, 468, 469 oblique sagittal view, of elbow, 131 of male pelvis CT, 522
of pectoral girdle and chest wall, 25, 26, 27, Median cubital v. coronal view
28, 29, 30 axial view, of elbow, 115, 116, 117, 118 of abdomen CT, 487
sagittal view oblique coronal, of elbow, 134, 135, 136, 137 of female pelvis CT, 547
of abdomen CT, 484, 486 oblique sagittal view, of elbow, 129, 130 sagittal view, of abdomen CT, 481, 483
of abdomen MRI, 508, 509 sagittal view, of forearm, 156 Mesocolon, sigmoid
of heart MRI, 466 Median n. axial view, of male pelvis CT, 524
of pectoral girdle and chest wall, 19, 20, 21 axial view sagittal view, of abdomen CT, 483
Lymph node of arm, 92, 93, 94, 95, 96, 97 Metacarpal
axial view of elbow, 117, 118, 119, 120, 121, 122, 123, 124 1st
of abdomen MRI, 501 of forearm, 146, 147, 148, 149, 150, 151, 152, axial view, of hand, 198, 199, 200, 201
of hip, 227, 229, 230, 231 153, 154, 155 coronal view, of hand, 215
of male pelvis MRI, 556, 557, 558 of hand, 198, 199, 200, 201, 202 sagittal view, of hand, 205, 205, 206
of shoulder, 42, 43 coronal view 2nd
coronal view of forearm, 164 axial view, of hand, 198, 199, 200, 201
of hip, 243 of hand, 214 sagittal view, of hand, 207, 208, 209
oblique coronal view oblique coronal, of elbow, 136, 137 3rd
of elbow, 138 oblique sagittal view, of elbow, 130, 131 axial view, of hand, 198, 199
of shoulder, 58 sagittal view sagittal view, of hand, 209, 210
oblique sagittal view of arm, 102 4th
of shoulder, 55 of forearm, 157, 158 axial view, of hand, 198, 199
of shoulder arthrogram, 76 Median raphe, coronal view, of leg, 346, 347 sagittal view, of hand, 210
Index 603
Pectineus m. (Continued) Pericardial fat, sagittal view, of abdomen CT, 481 Peroneus longus t.
sagittal view Pericardium axial view
of female pelvis CT, 543, 544 axial view, of thorax CT, 445, 446, 447, 448 of ankle, 349, 350, 351, 352, 353, 354, 355, 356,
of female pelvis MRI, 576 sagittal view, of abdomen CT, 481 357
of hip, 238, 239, 240, 241, 242 Periprostatic venous plexus, sagittal view, of male of foot, 387, 388, 389
of male pelvis CT, 528 pelvis CT, 529 of leg, 327, 328, 329, 330, 331, 332, 333
of male pelvis MRI, 559, 560, 561 Perirenal fascia, coronal view, of abdomen CT, 491 coronal view
of thigh, 281, 282, 283, 284, 285 Perivesical venous plexus, sagittal view, of male pelvis of ankle, 372, 373, 374, 375, 376, 377, 378
Pectoralis major m. CT, 529 of foot, 405, 406, 407
ABER view, of shoulder arthrogram, 84, 85, 86 Peroneal a. of leg, 344, 345
axial view axial view, of ankle, 349 oblique axial view, of ankle, 359, 360, 361, 362,
of heart MRI, 460 oblique axial view, of ankle, 360 363, 364
of shoulder, 40, 41, 42, 43, 44, 45 Peroneal n., common sagittal view
coronal view axial view of ankle, 365, 366, 367, 368
of arm, 105 of knee, 295, 296, 297, 298, 299, 300, 301 of foot, 391, 392, 393
of pectoral girdle and chest wall, 26 of leg, 324 of leg, 334, 336
oblique coronal view, of shoulder, 56, 57 of thigh, 275, 276 Peroneus quartus m.
oblique sagittal view, of shoulder, 49, 50, 51, 52, coronal view, of knee, 318, 319, 320 axial view, of ankle, 352, 353, 354
53, 54, 55 sagittal view coronal view, of ankle, 378
origin, insertion, and nerve supply of, 35t of knee, 302, 303, 304 sagittal view, of ankle, 366
sagittal view of leg, 334 Peroneus quartus t.
of arm, 104 Peroneal n., communicating, axial view, of knee, 296, axial view, of ankle, 355
of pectoral girdle and chest wall, 15, 16, 18, 19, 297, 298 coronal view, of ankle, 378
20 Peroneal n., deep Peroneus tertius m.
Pectoralis major m., clavicular head axial view oblique axial view, of ankle, 360, 361, 362
axial view, of pectoral girdle and chest wall, 7, 8, 9 of ankle, 349, 350 origin, insertion, and nerve supply of, 322–323t
coronal view, of pectoral girdle and chest wall, of leg, 325 Peroneus tertius t., oblique axial view, of ankle, 363, 364
24, 25 coronal view, of leg, 343 Pes anserinus
sagittal view, of pectoral girdle and chest wall, 17, oblique axial view, of ankle, 360, 361, 362 axial view, of knee, 301
18, 20, 21, 22 Peroneal n., superficial coronal view
Pectoralis major m. costosternal head axial view, of leg, 325, 326 of knee, 315
axial view, of pectoral girdle and chest wall, 10, oblique axial view, of ankle, 360 of leg, 344
11, 12 Peroneal retinaculum sagittal view, of knee, 310
sagittal view, of pectoral girdle and chest wall, 23 inferior Piriformis m.
Pectoralis major m., sternoclavicular head, axial view, axial view, of ankle, 354 axial view
of pectoral girdle and chest wall, 9 coronal view, of ankle, 376 of female pelvis CT, 538, 539
Pectoralis major m., sternocostal head oblique axial view, of ankle, 361 of female pelvis MRI, 572, 573
axial view, of pectoral girdle and chest wall, 10, 13 superior, axial view, of ankle, 351, 352, 353 of hip, 224, 225, 226
coronal view, of pectoral girdle and chest wall, 24, 25 Peroneal sulcus, sagittal view, of foot, 391, 392 of male pelvis CT, 523, 524
sagittal view, of pectoral girdle and chest wall, 17, Peroneal tubercle of male pelvis MRI, 554, 555
18, 20, 21, 22 axial view, of ankle, 356 coronal view
Pectoralis major t. coronal view, of ankle, 376 of female pelvis CT, 550, 551
axial view, of pectoral girdle and chest wall, 10, 11 Peroneal v. of female pelvis MRI, 583, 584
oblique coronal view, of shoulder, 57 axial view, of ankle, 349 of hip, 248, 249
sagittal view oblique axial view, of ankle, 360 of lumbar spine, 436
of arm, 101, 103 Peroneal vessels, axial view, of leg, 325, 326, 327, 328, of male pelvis CT, 535, 536
of pectoral girdle and chest wall, 15 329, 330, 331, 333 of male pelvis MRI, 569, 570
Pectoralis minor m. Peroneus brevis m. origin, insertion, and nerve supply of, 222–223t
axial view axial view sagittal view
of heart MRI, 460 of ankle, 349, 350, 351, 352, 353 of female pelvis CT, 543, 544
of pectoral girdle and chest wall, 7, 8, 9, 10, 11, of leg, 326, 327, 328, 329, 330, 331, 332, 333 of female pelvis MRI, 576, 577
12, 13 coronal view of hip, 237, 238, 239, 240, 241, 242
of shoulder, 41, 42, 43, 44, 45 of ankle, 378, 379 of lumbar spine, 430
coronal view, of pectoral girdle and chest wall, 26 of leg, 344 of male pelvis CT, 528, 529
oblique sagittal view, of shoulder, 53, 54, 55 oblique axial view, of ankle, 359, 360 of male pelvis MRI, 559, 560, 561, 562
origin, insertion, and nerve supply of, 35t origin, insertion, and nerve supply of, 322–323t Piriformis t.
sagittal view, of pectoral girdle and chest wall, 18, sagittal view axial view, of hip, 226, 227
19, 20 of ankle, 365, 366 coronal view, of male pelvis MRI, 568
Pectoralis minor t. of leg, 334, 335 sagittal view, of hip, 237
axial view Peroneus brevis t. Pisiform
of pectoral girdle and chest wall, 7 axial view coronal view, of hand, 214, 215
of shoulder arthrogram, 69, 70 of ankle, 349, 350, 351, 352, 353, 354, 355, 356, 357 sagittal view, of hand, 211
long head, axial view, of shoulder, 41 of foot, 388, 389 Pisohamate lig., coronal view, of hand, 215
oblique coronal view, of shoulder, 56 of leg, 327, 328, 329, 330, 331, 332, 333 Plantar a., lateral, coronal view
oblique sagittal view, of shoulder, 52, 53, 55 coronal view of ankle, 372, 375
Pedicle of ankle, 372, 373, 374, 375, 376, 377, 378 of foot, 404, 405
axial view, of lumbar spine, 425 of foot, 407 Plantar a., medial
coronal view, of thorax CT, 458 oblique axial view, of ankle, 359, 360, 361, 362, coronal view
sagittal view, of abdomen MRI, 505, 507 363, 364 of ankle, 372, 373
Penis sagittal view of foot, 404, 406, 407
axial view of ankle, 365, 366 sagittal view, of ankle, 369, 371
of male pelvis CT, 526, 527 of foot, 391 Plantar aponeurosis
of male pelvis MRI, 558 of leg, 334, 335 coronal view, of ankle, 372, 377, 378
bulb Peroneus longus m. oblique axial view, of ankle, 362
axial view, of male pelvis CT, 527 axial view Plantar aponeurosis, lateral
coronal view, of male pelvis CT, 534, 535 of knee, 301 axial view, of ankle, 358
sagittal view of leg, 324, 325, 326, 327, 328, 329, 330, 331, coronal view
of male pelvis CT, 530 332, 333 of ankle, 374, 375, 376
of male pelvis MRI, 564 coronal view of foot, 407
coronal view of knee, 317, 319, 320 oblique axial view, of ankle, 364
of male pelvis CT, 531, 532, 533, 534 of leg, 344, 345 Plantar aponeurosis, medial
of male pelvis MRI, 565, 566, 567 origin, insertion, and nerve supply of, 322–323t coronal view
sagittal view sagittal view of ankle, 374, 375, 376
of male pelvis CT, 529, 530 of knee, 302, 303 of foot, 403, 404, 405, 407
of male pelvis MRI, 562, 563, 564 of leg, 334, 335, 336 oblique axial view, of ankle, 364
606 Index
Supinator ridge, axial view, of elbow, 121 Suspensory lig., coronal view, of male pelvis MRI, 565 Talus (Continued)
Supracondylar crest, lateral Sustentaculum tali oblique axial view, of ankle, 361, 362
axial view, of arm, 95, 96, 97 axial view, of ankle, 355 posterior process
sagittal view, of arm, 99, 100 coronal view, of ankle, 374, 375 axial view, of ankle, 354
Supraglenoid tubercle oblique axial view, of ankle, 361, 362 oblique axial view, of ankle, 360
axial view, of shoulder, 67 sagittal view sagittal view, of ankle, 368
oblique sagittal view, of shoulder, 52, 76 of ankle, 369, 370 sagittal view
Suprascapular a. of foot, 395, 396 of ankle, 370
axial view Sympathetic trunk, axial view, of lumbar spine, 427 of foot, 393, 396
of pectoral girdle and chest wall, 7 Symphysis pubis Tarsal sinus
of shoulder, 38, 39, 40, 41 axial view, of male pelvis CT, 526 axial view, of ankle, 354
coronal view, of pectoral girdle and chest wall, coronal view coronal view, of ankle, 374
28, 29 of female pelvis CT, 546 sagittal view, of ankle, 368
oblique coronal view of male pelvis CT, 532 Tarsometatarsal joint, 5th, axial view, of ankle, 356
of shoulder, 56, 57, 58, 59, 60, 61 sagittal view, of male pelvis CT, 530 Tensor fasciae latae m.
of shoulder arthrogram, 79, 80 Synovial space axial view
oblique sagittal view, of shoulder, 53 axial view, of knee, 297 of female pelvis CT, 540, 541, 542
Suprascapular n. sagittal view, of knee, 304, 305, 306, 307 of female pelvis MRI, 574, 575
axial view of hip, 224, 225, 226, 227, 228, 229, 230, 231
of pectoral girdle and chest wall, 7 of male pelvis CT, 524, 525, 526, 527
of shoulder, 39, 40, 41 T of male pelvis MRI, 556, 557, 558
coronal view, of pectoral girdle and chest wall, 28, 29 T5, spinous process, 415 of thigh, 269, 270
oblique coronal view T6 coronal view
of shoulder, 56, 57, 58, 59, 60, 61 lamina, 415 of female pelvis CT, 546, 547, 548
of shoulder arthrogram, 79, 80 vertebra, 415 of female pelvis MRI, 580, 581
oblique sagittal view, of shoulder, 53 T7 of hip, 244, 245
Suprascapular neurovascular bundle inferior facet, 415 of male pelvis CT, 531, 532, 533
axial view, of pectoral girdle and chest wall, 7 superior facet, 415 of male pelvis MRI, 565, 566
sagittal view, of pectoral girdle and chest wall, 17 T9 of thigh, 286, 287, 288
Suprascapular notch pedicle, 416 origin, insertion, and nerve supply of, 222–223t
axial view, of pectoral girdle and chest wall, 7 vertebra, 416 sagittal view
oblique coronal view T10 of hip, 233, 234, 235
of shoulder, 60, 61 pedicle, 416 of thigh, 277, 278, 279
of shoulder arthrogram, 79 vertebra, 416 Teres major m.
Suprascapular v., axial view, of shoulder, 39 T12 vertebra, 435 axial view
Supraspinatus lig. T12 vertebral a. and v., sagittal view, of lumbar spine, 431 of pectoral girdle and chest wall, 9, 10, 11, 12
axial view, of thoracic spine, 415, 416 T12–L1 of shoulder, 45
coronal view, of thoracic spine, 423 annulus fibrosus, 435 coronal view
Supraspinatus m. nucleus pulposus, 435 of arm, 109, 110, 111, 113
ABER view, of shoulder arthrogram, 84, 85 Talar dome of pectoral girdle and chest wall, 28, 29, 30, 31,
axial view coronal view, of ankle, 374, 375, 376 32, 33
of heart MRI, 460 oblique axial view, of ankle, 352, 360 of thoracic spine, 421, 422, 423
of pectoral girdle and chest wall, 6 sagittal view, of ankle, 366, 367, 368, 369 oblique coronal view, of shoulder, 61, 62, 63, 64
of shoulder, 37, 38, 39 Talocalcaneal joint, posterior facet, axial view, of ankle, 354 oblique sagittal view
coronal view Talocalcaneal lig. of shoulder, 50, 51, 52, 53, 54, 55
of arm, 109, 110 coronal view, of ankle, 374, 375 of shoulder arthrogram, 77
of pectoral girdle and chest wall, 26, 27, 28, 29, 30 sagittal view, of ankle, 366, 367, 368 origin, insertion, and nerve supply of, 35t,
of thoracic spine, 420, 421, 422 Talofibular lig., anterior 412–414t
oblique coronal view axial view, of ankle, 353 sagittal view
of shoulder, 58, 59, 60, 61 coronal view, of ankle, 376 of arm, 101, 103, 104
of shoulder arthrogram, 78, 79, 80 Talofibular lig., posterior of pectoral girdle and chest wall, 15, 16, 17, 18, 19
oblique sagittal view axial view, of ankle, 354 Teres major t.
of shoulder, 49, 50, 51, 52, 53, 54, 55 coronal view, of ankle, 377 axial view
of shoulder arthrogram, 75, 76, 77 oblique axial view, of ankle, 360 of pectoral girdle and chest wall, 10
origin, insertion, and nerve supply of, 35t, sagittal view, of ankle, 365, 366, 367 of shoulder, 44, 45
412–414t Talonavicular joint coronal view
sagittal view axial view, of ankle, 353, 354 of arm, 108
of arm, 100, 101, 103, 104 coronal view, of ankle, 372 of pectoral girdle and chest wall, 28
of pectoral girdle and chest wall, 15, 16, 17, 18, sagittal view, of ankle, 369 oblique sagittal view, of shoulder, 49, 50, 51
19, 20 Talonavicular lig., oblique axial view, of ankle, 362 Teres minor m.
Supraspinatus t. Talus axial view
ABER view, of shoulder arthrogram, 85 axial view of pectoral girdle and chest wall, 8, 9, 10
axial view of ankle, 354 of shoulder, 42, 43, 44, 45
of pectoral girdle and chest wall, 6 of foot, 386 of shoulder arthrogram, 70, 71, 88
of shoulder, 38, 39 body coronal view
of shoulder arthrogram, 67, 68 axial view, of ankle, 353 of arm, 109, 110, 111, 112, 113
coronal view coronal view, of ankle, 374, 375, 376 of pectoral girdle and chest wall, 29, 30, 31, 32
of arm, 108, 109 sagittal view, of ankle, 367, 368, 369 of thoracic spine, 420, 421, 422, 423
of pectoral girdle and chest wall, 26, 27 coronal view oblique coronal view
oblique coronal view of ankle, 373, 374, 377, 378 of shoulder, 62, 63, 64
of shoulder, 59, 60, 61 of leg, 342 of shoulder arthrogram, 83
of shoulder arthrogram, 78, 79, 80 head oblique sagittal view
oblique sagittal view axial view of shoulder, 49, 50, 51, 52, 53, 54, 55
of shoulder, 47, 48, 49, 50 of ankle, 353, 354 of shoulder arthrogram, 75, 76, 77
of shoulder arthrogram, 72, 73, 74, 75, 76, 77 of foot, 385 origin, insertion, and nerve supply of, 35t,
sagittal view coronal view, of ankle, 372 412–414t
of arm, 103 sagittal view sagittal view
of pectoral girdle and chest wall, 16 of ankle, 368, 369 of arm, 100, 101, 102, 103, 104
Supraspinous lig., sagittal view of foot, 394, 395 of pectoral girdle and chest wall, 15, 16, 17
of lumbar spine, 431 lateral process Teres minor t.
of thoracic spine, 419 coronal view, of ankle, 376 ABER view, of shoulder arthrogram, 87, 88, 89
Sural cutaneous n., medial, axial view, of leg, 327, 328 sagittal view, of ankle, 366, 367 axial view, of shoulder arthrogram, 70
Sural n. neck oblique coronal view
axial view, of ankle, 349, 350 axial view, of ankle, 353 of shoulder, 64
medial, axial view, of leg, 324, 325, 326, 329 sagittal view, of foot, 394 of shoulder arthrogram, 83
Index 613
Tibialis posterior t. (Continued) Transverse meniscal lig. Triceps brachii m., lateral head (Continued)
of foot, 407 coronal view, of knee, 313 oblique coronal view
of leg, 343, 344 sagittal view, of knee, 306 of elbow, 141, 142
cuneiform slip Transverse process of shoulder, 63, 64
axial view axial view oblique sagittal view
of ankle, 355 of lumbar spine, 425 of elbow, 125, 126, 132
of foot, 386, 387 of thoracic spine, 415, 416 of shoulder, 49, 50
sagittal view coronal view, of thoracic spine, 421 sagittal view
of ankle, 371 Transversospinalis m. of arm, 98, 99, 100, 101
of foot, 396 axial view, of thoracic spine, 415, 416 of pectoral girdle and chest wall, 14, 15
oblique axial view, of ankle, 359, 360, 361, 363 coronal view, of thoracic spine, 421 Triceps brachii m., long head
sagittal view sagittal view, of thoracic spine, 418 axial view
of ankle, 370, 371 Transversus abdominis m. of arm, 92, 93, 94
of foot, 396, 397 axial view of elbow, 115
of leg, 337, 338, 339 of abdomen CT, 478, 480 of pectoral girdle and chest wall, 8, 9, 10, 11,
Tibialis posterior v., axial view, of ankle, 349, 350, of abdomen MRI, 498, 499 12, 13
351, 352, 353 of hip, 224 of shoulder, 43, 44, 45
Tibialis posterior vessels of male pelvis CT, 522, 523 of shoulder arthrogram, 71
axial view of male pelvis MRI, 553 coronal view
of ankle, 354, 355, 356 coronal view of arm, 110, 111, 112, 113
of leg, 324, 325, 326, 327, 328, 329, 330, 331, of abdomen CT, 487, 489, 490 of pectoral girdle and chest wall, 29, 30, 31,
332, 333 of female pelvis CT, 547, 548 32, 33
coronal view of male pelvis CT, 531, 532, 533, 534 oblique coronal view
of ankle, 376, 377 origin, insertion, and nerve supply of, 474t of elbow, 139, 140, 141
of knee, 319 sagittal view, of abdomen CT, 481, 486 of shoulder, 62, 63, 64, 65
oblique axial view, of ankle, 359, 360 Trapezium oblique sagittal view
Tibiocalcaneal lig., sagittal view, of ankle, 370 coronal view, of hand, 214, 215, 216 of elbow, 129, 130, 131
Tibiofibular joint, proximal sagittal view, of hand, 207, 208 of shoulder, 49, 50, 51, 52, 53, 54
sagittal view Trapezius m. sagittal view
of knee, 303 axial view, 36, 37 of arm, 99, 100, 101, 102, 103
of leg, 335, 336 of heart MRI, 460 of pectoral girdle and chest wall, 14, 15
Tibiofibular lig., anterior inferior of pectoral girdle and chest wall, 6, 7, 8, 9, 10, Triceps brachii m., medial head
axial view, of ankle, 352 11, 12, 13 axial view
oblique axial view, of ankle, 360 of shoulder, 36, 37 of arm, 92, 93, 94
sagittal view, of ankle, 365, 366 of thoracic spine, 415, 416 of elbow, 115
Tibiofibular lig., posterior inferior coronal view of pectoral girdle and chest wall, 12, 13
axial view, of ankle, 352 of pectoral girdle and chest wall, 27, 28, 29, 30, coronal view
coronal view, of ankle, 377, 378 31, 32, 33 of arm, 108, 109
oblique axial view, of ankle, 360 of thoracic spine, 420, 421, 422, 423 of pectoral girdle and chest wall, 30, 31
Tibiotalar joint, axial view, of ankle, 352, 353, 354 oblique coronal view, of shoulder, 56, 57, 58, 59, oblique coronal, of elbow, 139, 140, 141, 142
Tibiotalar lig. 60, 61 oblique sagittal view, of elbow, 127, 128, 129
anterior, sagittal view, of ankle, 370 oblique sagittal view sagittal view
posterior, sagittal view, of ankle, 370 of shoulder, 53, 54, 55 of arm, 101, 102, 103, 104
Toe, 1st (great), proximal phalanx of shoulder arthrogram, 76, 77 of pectoral girdle and chest wall, 15
axial view, 388, 389 origin, insertion, and nerve supply of, 412–414t Triceps brachii musculotendinous unit, coronal view,
coronal view, 399 sagittal view of arm, 109
sagittal view, 397, 398 of pectoral girdle and chest wall, 17, 18, 19, 20, Triceps brachii t.
Toe, 2nd 21, 22, 23 axial view
extensor t., sagittal view, 395 of thoracic spine, 417, 418, 419 of arm, 95, 96, 97
proximal phalanx Trapezoid of elbow, 115, 116, 117
coronal view, 399 coronal view, of hand, 215, 216, 217 coronal view, of arm, 109, 110
sagittal view, 395, 396 sagittal view, of hand, 207, 208 oblique coronal, of elbow, 141, 142
Toe, 3rd, proximal phalanx Trapezoid lig., coracoclavicular portion, coronal view, oblique sagittal view, of elbow, 126, 127, 129, 130,
axial view, 389 of pectoral girdle and chest wall, 26, 27 131
coronal view, 399 Trapezotriquetral lig., dorsal, coronal view, of hand, sagittal view, of arm, 101, 102
sagittal view, 394 216, 217 Triceps brachii t., long head
Toe, 4th Triangular fibrocartilage, coronal view, of hand, 215, ABER view, of shoulder arthrogram, 89
flexor t., sagittal view, 393 216, 217 axial view, of shoulder, 44, 45
proximal phalanx Triangular space coronal view
axial view, 389 coronal view of arm, 110
coronal view, 399 of arm, 110 of pectoral girdle and chest wall, 29
sagittal view, 392 of pectoral girdle and chest wall, 29 oblique sagittal view
Trachea oblique coronal view, of shoulder, 62 of shoulder, 51
axial view Triceps brachii m. of shoulder arthrogram, 76, 77
of heart MRI, 460 axial view Triceps m., lateral head, axial view, of pectoral girdle
of pectoral girdle and chest wall, 7, 8, 9 of arm, 95, 96, 97 and chest wall, 9
of thorax CT, 442, 443 of elbow, 116 Tricipital aponeurosis, axial view, of elbow, 116
coronal view coronal view Tricuspid plane, axial view, of heart MRI, 463
of heart MRI, 468 of arm, 109, 110 Triquetrum
of pectoral girdle and chest wall, 24, 26, 27 of pectoral girdle and chest wall, 30, 31, coronal view, of hand, 215, 216, 217
of thorax CT, 454, 455, 456 32, 33 sagittal view
sagittal view oblique coronal, of elbow, 138, 139 of hand, 210, 211
of heart MRI, 465 origin, insertion, and nerve supply of, 91t of wrist, 210, 211
of thorax CT, 451 sagittal view Trochlea
Tracheal carina of arm, 99, 100, 101 axial view, of elbow, 117, 118
axial view, of thorax CT, 444 of pectoral girdle and chest wall, 15 femoral
coronal view, of thorax CT, 456 Triceps brachii m., lateral head axial view, of knee, 297, 298
Transverse acetabular lig. axial view coronal view, of knee, 311
axial view, of hip arthrogram, 254, 355 of arm, 92, 93, 94 oblique coronal, of elbow, 138, 139
coronal view, of hip arthrogram, 262, 263, 264, 265 of elbow, 115 oblique sagittal view, of elbow, 129, 130, 131
sagittal view, of hip arthrogram, 260, 261 of pectoral girdle and chest wall, 9, 10, 11, sagittal view, of arm, 100, 101, 102, 103
Transverse cervical vessels 12 Trochlear notch
axial view, of pectoral girdle and chest wall, 5 of shoulder, 45 oblique sagittal view, of elbow, 129, 130
coronal view, of pectoral girdle and chest wall, coronal view sagittal view, of arm, 101, 102
28, 29 of arm, 109, 110, 111, 112 Tunica albuginea, axial view, of male pelvis MRI,
Transverse humeral lig., axial view, of shoulder, 42, 43 of pectoral girdle and chest wall, 30, 31 558
Index 615
U Uncinate process V
Ulna axial view Vagina
axial view, of elbow, 120, 121, 122, 123, 124 of abdomen CT, 479 axial view
coronal view of abdomen MRI, 499, 500 of female pelvis CT, 541, 542
of forearm, 163, 164, 165, 166, 167 coronal view, of abdomen CT, 488 of female pelvis MRI, 574, 575
of hand, 216, 217, 218 sagittal view, of abdomen CT, 484 coronal view
oblique coronal, of elbow, 139, 140 Ureter of female pelvis CT, 549, 550, 551
oblique sagittal view, of elbow, 128, 129 axial view of female pelvis MRI, 582, 583
radial notch, axial view, of elbow, 119 of abdomen MRI, 501 posterior fornix, sagittal view, of female pelvis
sagittal view of male pelvis CT, 522, 523, 524 MRI, 579
of arm, 101 coronal view sagittal view
of forearm, 159, 160, 161 of abdomen MRI, 515 of female pelvis CT, 544, 545
Ulnar a. of female pelvis CT, 548 of female pelvis MRI, 578, 579
axial view of male pelvis CT, 532 Vagus n., axial view, of thorax CT, 442
of elbow, 119, 120, 121, 122, 123, 124 sagittal view Valsalva, sinuses of, sagittal view, of heart MRI, 465
of forearm, 146, 147, 148, 149, 150, 151, 152, of abdomen MRI, 508 Vas deferens
153, 154, 155 of male pelvis CT, 529 axial view, of male pelvis MRI, 555
coronal view Ureterovesicular junction, axial view, of male pelvis coronal view, of male pelvis MRI, 568, 569
of forearm, 162, 163, 164, 165 CT, 525 Vastus intermedius m.
of hand, 214, 215 Urethra axial view
oblique coronal, of elbow, 136, 137, 138 axial view of female pelvis CT, 542
oblique sagittal view, of elbow, 129 of female pelvis CT, 541, 542 of hip, 230, 231, 232
sagittal view, of forearm, 158, 159 of female pelvis MRI, 575 of male pelvis CT, 527
Ulnar a., deep of male pelvis CT, 526 of male pelvis MRI, 558
axial view, of hand, 198 coronal view of thigh, 269, 272, 273, 274, 275, 276
coronal view, of hand, 215 of female pelvis CT, 549 coronal view
Ulnar a., superficial, axial view, of hand, 198, 199 of female pelvis MRI, 582 of female pelvis CT, 548, 549
Ulnar collateral a., inferior, axial view, of arm, 96, 97 of male pelvis MRI, 565 of female pelvis MRI, 581, 582
Ulnar collateral a., superior, axial view membranous, axial view, of male pelvis CT, 527 of hip, 244, 245
of arm, 93, 94, 95, 96, 97 prostatic segment, axial view, of male pelvis MRI, of male pelvis CT, 535
of elbow, 117, 118, 119, 120, 121, 122 557 of male pelvis MRI, 566, 567
Ulnar collateral lig. sagittal view of thigh, 288, 289
accessory, coronal view, of hand, 216 of female pelvis CT, 545 origin, insertion, and nerve supply of, 268t
axial view of female pelvis MRI, 578 sagittal view
of elbow, 117, 118, 119 spongiose segment, axial view, of male pelvis CT, of hip, 234, 235, 236, 237
of hand, 204 527 of thigh, 277, 278, 279, 280, 281
coronal view Urinary bladder Vastus intermedius t., axial view, of thigh, 270, 271,
of arm, 107 axial view 275, 276
of hand, 216, 217 of female pelvis CT, 540, 541 Vastus lateralis m.
lateral of female pelvis MRI, 574, 575 axial view
axial view, of elbow, 119, 120, 121, 122 of hip, 228 of female pelvis CT, 542
oblique coronal, of elbow, 139, 140 of male pelvis CT, 525, 526 of female pelvis MRI, 575
oblique sagittal view, of elbow, 126, 127, 128 of male pelvis MRI, 556 of hip, 228, 229, 230, 231, 232
oblique coronal, of elbow, 139 coronal view of knee, 295, 296
oblique sagittal view, of elbow, 132 of female pelvis CT, 546, 547, 548, 549, 550 of male pelvis CT, 526, 527
sagittal view, of hand, 205, 206 of female pelvis MRI, 581, 582 of male pelvis MRI, 557, 558
Ulnar head of hip, 244, 245 of thigh, 269, 270, 271, 272, 273, 274, 275, 276
axial view, of elbow, 123 of male pelvis CT, 532, 533, 534 coronal view
oblique sagittal view, of elbow, 131, 132 of male pelvis MRI, 566, 567 of female pelvis CT, 548, 549, 550
Ulnar n. sagittal view of female pelvis MRI, 581, 582
axial view of female pelvis CT, 543, 544, 545 of hip, 244, 245, 246
of arm, 92, 94, 95, 96 of female pelvis MRI, 576, 577, 578, 579 of knee, 313, 314, 315
of elbow, 115, 116, 117, 118, 119, 120, 121, 122, of male pelvis CT, 529, 530 of male pelvis CT, 534, 535
123, 124 of male pelvis MRI, 561, 562, 563, 564 of male pelvis MRI, 566, 567, 568, 569
of forearm, 146, 147, 148, 149, 150, 151, 152, Urogenital diaphragm of thigh, 286, 287, 289, 290, 291
153, 154, 155 coronal view, of female pelvis CT, 550 origin, insertion, and nerve supply of, 268t
coronal view sagittal view, of male pelvis CT, 529 sagittal view
of forearm, 162, 163 Uterine a. of hip, 233, 234, 235
of hand, 214, 215 axial view, of female pelvis CT, 540 of knee, 302
oblique coronal, of elbow, 138, 139, 140, 141 coronal view, of female pelvis CT, 550 of thigh, 277, 278, 279, 280
oblique sagittal view, of elbow, 131, 132 Uterine body Vastus medialis m.
sagittal view coronal view, of female pelvis CT, 551 axial view
of forearm, 159, 160 sagittal view, of female pelvis CT, 544, 545 of knee, 295, 296
of hand, 210 Uterine cervix of thigh, 273, 274, 276
Ulnar recurrent a., oblique coronal, of elbow, 138 axial view, of female pelvis CT, 540 coronal view
Ulnar sesamoid coronal view of knee, 311, 312, 313, 314, 315, 316
axial view, of hand, 201 of female pelvis CT, 551 of thigh, 288, 289, 290
sagittal view, of hand, 206 of female pelvis MRI, 582, 583 origin, insertion, and nerve supply of, 268t
Ulnar styloid, coronal view, of hand, 216, 217 sagittal view sagittal view
Ulnar tuberosity, oblique sagittal view, of elbow, 130 of female pelvis CT, 544, 545 of knee, 307, 308, 309, 310
Ulnotriquetral lig., palmar, sagittal view, of of female pelvis MRI, 578, 579 of thigh, 281, 282, 283
wrist, 187 Uterine corpus, sagittal view, of female pelvis MRI, Ventricle
Umbilical a., obliterated, axial view, of male pelvis 578 left
MRI, 555 Uterine fundus axial view
Umbilicus axial view, of female pelvis MRI, 573 of heart MRI, 462, 463
axial view sagittal view, of female pelvis CT, 545 of thorax CT, 446, 447
of abdomen CT, 480 Uterine v. coronal view
of male pelvis MRI, 553 axial view, of female pelvis CT, 540 of abdomen CT, 488, 490
coronal view coronal view, of female pelvis CT, 550 of abdomen MRI, 512
of abdomen MRI, 510 Uterosacral lig., axial view, of female pelvis of heart MRI, 467, 468
of female pelvis MRI, 580 CT, 540 of thorax CT, 453, 455
sagittal view Uterus sagittal view
of abdomen CT, 483 axial view, of female pelvis CT, 538, 539, 540 of abdomen CT, 481, 482, 483
of abdomen MRI, 506 coronal view, of female pelvis CT, 550 of heart MRI, 464
of male pelvis CT, 530 sagittal view, of female pelvis MRI, 579 of thorax CT, 449, 450, 451
616 Index
Expert Consult eBooks give you the power to browse and find content,
view enhanced images, share notes and highlights—both online and offline.
4 Click “Redeem”
5 Log in or Sign up
6 Go to “My Library”
Place Peel Off
It’s that easy! Sticker Here