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Sectional Anatomy
by MRI and CT
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Sectional Anatomy
by MRI and CT
Fourth Edition

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

SECTIONAL ANATOMY BY MRI AND CT, FOURTH EDITION ISBN: 978-0-323-39419-2

Copyright © 2017 by Elsevier, Inc. All rights reserved.

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
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ration of administration, and contraindications. It is the responsibility of practitioners, relying on
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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.

Previous editions copyrighted 2007, 1995, and 1990.

Library of Congress Cataloging-in-Publication Data

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

Content Strategist: Robin Carter


Content Development Specialist: Kathryn DeFrancesco
Publishing Services Manager: Catherine Jackson
Senior Project Manager: Daniel Fitzgerald
Designer: Paula Catalano

Printed in China

Last digit is the print number:  9  8  7  6  5  4  3  2  1


Preface

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

Chapter 8  MRI of the Hand, 196


Axial, 198
Sagittal, 205
Coronal, 214
viii  CONTENTSviii

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

SECTION IV  THORAX Chapter 23  CT of the Female Pelvis, 537


Chapter 18  CT of the Thorax, 441 Axial, 538
Sagittal, 543
Axial, 442 Coronal, 546
Sagittal, 449
Coronal, 453 Chapter 24  MRI of the Male Pelvis, 552
Chapter 19  MRI of the Heart, 459 Axial, 553
Sagittal, 559
Axial, 460 Coronal, 565
Sagittal, 464
Coronal, 467 Chapter 25  MRI of the Female Pelvis, 571
Axial, 572
SECTION V  ABDOMEN Sagittal, 576
Coronal, 580
Chapter 20  CT of the Abdomen, 473
Axial, 475 Index, 585
Sagittal, 481
Coronal, 487
I
Section

Upper Extremity
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1
Chapter

MRI of the Pectoral Girdle


and Chest Wall
4  UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL

AXIAL
Figure 1.1.1 Internal jugular v Platysma m Infrahyoid m Thyroid cartilage

Inferior constrictor m
Sternocleidomastoid m Carotid a

C5-6 disc level


Anterior scalene m Vertebral a
Middle scalene m

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

Figure 1.1.2 Platysma m


Anterior
scalene m
Internal
jugular v
Sternocleido-
mastoid m Infrahyoid m

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

Levator Splenius cervicis Multifidus m


scapulae m and splenius capitis mm
UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  5

Figure 1.1.3 Distal


clavicle Supraspinatus m
Middle
scalene m
Anterior
scalene m
Sternocleido-
mastoid m
Anterior
jugular v

Trachea
Thyroid
gland
Esophagus
Longus
colli m
C7 vertebral
body

Posterior
scalene m

Trapezius m Transverse cervical Levator Splenius m Rhomboid


vessels scapulae m minor m

Figure 1.1.4 Middle


scalene m
Internal
jugular v

Acromioclavicular Externa Serratus Anterior Sternocleido-


joint jugular v anterior m scalene m mastoid m
Thyroid

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

Figure 1.1.5 Supraspinatus m


Anterior
deltoid m Clavicle
External
jugular v
Sternocleidomastoid m, Sternocleidomastoid m,
clavicular head sternal head
Anterior scalene m
Anterior
jugular v
Common
carotid a
Internal
jugular v

Middle Longus
deltoid m colli m

Middle
scalene m

Serratus
Posterior anterior m
deltoid m
Semispinalis
capitis m
Splenius capitis
and splenius
cervicis mm

Supraspinatus t Scapular Trapezius m Levator Trapezius m Rhomboid


spine scapulae m minor m

Figure 1.1.6 Thoracoacromial a,


acromial branch Subclavius m
Anterior
scalene m
Sternocleidomastoid m,
clavicular head
Deltoid m, Serratus Sternocleidomastoid m,
anterior head Coracoid Subscapularis m Clavicle anterior m sternal head

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

Scapular Supraspinatus m Trapezius m Rhomboid Splenius capitis Semispinalis


spine minor m and splenius cervicis mm capitis m
UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  7

Figure 1.1.7 Conjoined t of


Pectoralis
minor t Subscapularis m Clavicle
Anterior
scalene m
coracobrachialis m
and biceps brachii m, Coracoid Sternocleidomastoid m,
short head process Cephalic v Subclavius m Cephalic v sternal head

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

Suprascapular neurovascular Infraspinatus m Scapular Serratus Trapezius m


bundle in suprascapular notch body anterior m

Figure 1.1.8 Humeral


head
Coracobrachialis t
Pectoralis Axillary v
Biceps major m,
Biceps brachii t, brachii t, Pectoralis clavicular
long head short head Cephalic v minor m head Clavicle Subclavius 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

Infraspinatus m Suprascapular Infraspinatus m Subscapularis m Trapezius m Serratus


a and n in anterior m
spinoglenoid notch
8  UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL

Figure 1.1.9 Lesser


Pectoralis minor m
Subscapularis m
Pectoralis major m, Sternocleidomastoid m,
tuberosity Biceps brachii t, Coracobrachialis m clavicular head
of humerus short head Axillary a Axillary v sternal head

Biceps
brachii t,
long head Clavicle
Sternothyroid m
Sternohyoid m
Brachiocephalic a

Brachiocephalic v

Right lung
Deltoid
Rib

Greater Erector spinae m


tuberosity
of humerus
Semispinalis
thoracis m

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

Figure 1.1.10 Deltoid m,


Coracobrachialis m and
Biceps brachii t,
biceps brachii m,
Pectoralis
major m, Pectoralis
anterior head short head Axillary a clavicular head minor m
Biceps short head
brachii t, Sternoclavicular
long head joint

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

Figure 1.1.11 Coracobrachialis m


Pectoralis major m,
clavicular head Costochondral
Biceps brachii t, Biceps brachii t, Pectoralis cartilage,
long head short head Axillary a Axillary v minor m first rib

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

Triceps brachii m, Teres Teres Infraspinatus m Scapular body Serratus


long head major m minor m anterior m

Figure 1.1.12 Biceps brachii t,


long head
Biceps brachii m,
short head Coracobrachialis m Axillary a
Pectoralis major m,
sternoclavicular head

Sternum

Ascending aorta

Superior vena
cava
Deltoid m Pectoralis minor m
Trachea

Superior Right lung


portion of t of
latissimus Subscapularis m
dorsi m
Serratus anterior m
Triceps m,
lateral head Rhomboid
major m
Latissimus
dorsi m
Triceps
brachii m, Trapezius m
long head
Teres major m
Circumflex Teres Subscapular a Infraspinatus m
scapular a minor m
10  UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL

Figure 1.1.13 Biceps brachii m,


Axillary
neurovascular
Pectoralis
major m, Pectoralis
short head Coracobrachialis m bundle sternocostal head minor m

Pectoralis
major t
Sternum
Biceps
brachii m,
long head Ascending aorta
Superior
Deltoid m vena cava

Latissimus Right mainstem


dorsi and bronchus
teres major tt Subscapularis m

Triceps Vertebral body


brachii m,
lateral head Rib
Axillary n, Serratus
posterior branch anterior m
Rhomboid
Triceps major m
brachii m,
long head Trapezius m
Infraspinatus m

Teres Latissimus Teres Inferior


major m dorsi m minor m scapula

Figure 1.1.14 Biceps brachii m,


short head Coracobrachialis m
Pectoralis
minor m
Pectoralis major m,
costosternal head

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

Figure 1.1.15 Biceps brachii m,


short head Coracobrachialis m
Pectoralis
minor m
Pectoralis major m,
costosternal head

Sternum

Biceps Internal thoracic


brachii m, a and v
long head
Ascending
aorta
Cephalic v

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

Subscapularis m Teres Inferior Serratus Rhomboid Trapezius m


major m scapular body anterior m major m

Figure 1.1.16 Coracobrachialis m


Pectoralis
minor m
Pectoralis major m,
costosternal 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

Latissimus Teres Inferior Serratus Rhomboid


dorsi m major m scapula anterior m major m
12  UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL

Figure 1.1.17 Biceps brachii m,


short head Coracobrachialis m
Pectoralis
minor m
Pectoralis major m,
costosternal head
Internal thoracic
a and v

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

Neurovascular Latissimus Teres Serratus Inferior medial Rhomboid


bundle dorsi m major m anterior m scapula major m

Figure 1.1.18 Biceps brachii m,


short head Coracobrachialis m
Pectoralis
minor m
Pectoralis
major m

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

Brachial Latissimus Long thoracic Serratus Inferior medial


neurovascular dorsi m n and a anterior m scapula
bundle
UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  13

Figure 1.1.19 Biceps brachii m,


short head
Pectoralis
minor m
Pectoralis major m,
costosternal head
Internal thoracic
a and v

Sternum

Biceps
brachii m,
long head

Cephalic v
Coracobrachialis m
Deltoid m

Radial n and Vertebral


deep brachial a body
Triceps Costovertebral
brachii m, joint
lateral head

Triceps Erector
brachii m, spinae m
long head
Trapezius m

Triceps brachii m, Brachial Latissimus Serratus Latissimus Rib


medial head neurovascular dorsi m anterior m dorsi m
bundle
14  UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL

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

Figure 1.2.2 Infraspinatus t Deltoid m

Greater
tuberosity
of humerus
Humeral head

Deltoid m

Cephalic v

Triceps brachii m,
lateral head

Deltoid Triceps brachii m,


tuberosity long head
UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  15

Figure 1.2.3 Infraspinatus t

Lateral edge
of acromion

Supraspinatus t
Teres minor m and t
Deltoid m
Humeral head

Biceps brachii t, Posterior circumflex


long head humeral a and axillary n

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

Figure 1.2.4 Acromion

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

Figure 1.2.5 Supraspinatus m and t

Acromion

Infraspinatus m and t
Coracoacromial lig

Deltoid m
Humeral head
Deltoid m
Teres minor m
Pectoralis major m

Posterior circumflex a Teres major m


and axillary n

Latissimus dorsi t

Latissimus dorsi m

Radial n and deep


Biceps brachii m, brachial a
short head, and
coracobrachialis m Brachial neurovascular
bundle

Biceps brachii m

Figure 1.2.6 Distal clavicle Distal scapular spine

Supraspinatus m
Coracoacromial lig
Deltoid m Infraspinatus m
Deltoid m
Medial
humeral head
Teres minor m
Glenoid
Subscapularis m
Cephalic v
Teres major m

Pectoralis major m Latissimus dorsi m

Biceps brachii m,
short head

Brachial neurovascular bundle


UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  17

Figure 1.2.7 Distal clavicle

Trapezius m
Scapular spine

Deltoid m
Supraspinatus m
Coracoacromial lig

Coracohumeral lig Infraspinatus m


Coracoid process Suprascapular
neurovascular
bundle
Subscapularis m Scapula
Biceps brachii m,
Teres minor m
short head, and
coracobrachialis m

Pectoralis major m,
clavicular head

Teres major m

Pectoralis major m,
sternocostal head

Latissimus dorsi m

Axillary a and neurovascular bundle

Figure 1.2.8 Clavicle Trapezius m

Supraspinatus m Scapular spine

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

Figure 1.2.9 Trapezius m

Clavicle Scapular spine


Supraspinatus m

Deltoid m
Infraspinatus m
Cephalic v
Pectoralis minor m
Subscapularis m
Axillary a
Pectoralis major m,
clavicular head Teres major m

Scapula

Pectoralis major m, Latissimus dorsi m


sternocostal head

Serratus anterior m

Latissimus dorsi m

Figure 1.2.10 Trapezius 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

Figure 1.2.11 Trapezius m

Supraspinatus m

Clavicle

Scapular spine
Subclavius m
Cephalic v
Subscapularis m
Pectoralis minor m
Axillary a Infraspinatus m

Axillary v

Teres major m

Pectoralis major m Scapula

Latissimus dorsi m

Right lung Ribs

Latissimus dorsi m

Serratus anterior m

Figure 1.2.12 Inferior omohyoid m and t

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

Figure 1.2.13 Inferior omohyoid m and t

Serratus anterior m

External jugular v Trapezius m

Supraspinatus m
Subclavius m
Clavicle

Cords of brachial plexus Serratus anterior m


Axillary a
Axillary v
Pectoralis major m,
Infraspinatus m
clavicular head

Pectoralis minor m
Scapular body
Ribs

Pectoralis major m Scapula,


inferior angle

Serratus anterior m

Right lung

Latissimus dorsi m

Figure 1.2.14 External jugular v

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 minor m Scapula, medial


inferior margin

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

Figure 1.2.15 Cords of brachial plexus

Serratus anterior m
Trapezius m
Subclavian v
External jugular v
Levator scapulae m
Subclavius m Subclavian a
Serratus posterior
Clavicle superior m

Pectoralis major m, Rhomboid minor m


clavicular head

Rhomboid major m

Posterior ribs

Pectoralis major m, Posterior intercostal


sternocostal head neurovascular bundle

Serratus posterior
inferior m
Internal intercostal m

Latissimus dorsi m

Figure 1.2.16 Middle scalene m

Subclavian a Posterior scalene m


Anterior scalene m
Trapezius m
Subclavian v
Levator scapulae m

Sternocleidomastoid m, Serratus posterior


clavicular head superior m
External jugular v Rhomboid minor m

Clavicle
Pectoralis major m,
clavicular head

Rhomboid major m

Right lung

Pectoralis major m, Posterior rib


sternocostal head
Internal intercostal m

Serratus posterior
inferior m
Latissimus dorsi m

Costal cartilage
22  UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL

Figure 1.2.17 Middle scalene m

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

Clavicle Rhomboid major m

Pectoralis major m,
clavicular head

Sternoclavicular joint, Posterior rib


lateral aspect

Serratus posterior
Pectoralis major m, inferior m
sternocostal head
Intercostal m

Costal cartilage
Latissimus dorsi m

Figure 1.2.18 Middle scalene m

Trapezius m
Anterior scalene m

Splenius cervicis and


splenius capitis mm
Subclavian a Rhomboid minor m
Serratus posterior
Sternocleidomastoid m, superior m
clavicular head
Anterior jugular v Trapezius m
Clavicle

Pectoralis major m, Rhomboid major m


clavicular head

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

Splenius cervicis and


splenius capitis mm

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

Medial posterior rib


24  UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL

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 thoracic a and v


(internal mammary vessels)

Internal intercostal m

Figure 1.3.2 Clavicle

Trachea

Anterior deltoid m

Pectoralis major m, Articular disc in


clavicular head sternoclavicular joint
Manubrium
Cephalic v

Pectoralis major m,
sternocostal head

Internal thoracic a and v


(internal mammary vessels)

Costal cartilage
UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  25

Figure 1.3.3 Clavicle


Sternocleidomastoid m,
sternal head

Infrahyoid m

Deltoid m

Pectoralis major m, Sternoclavicular


clavicular head joint
Costoclavicular lig
Manubrium
Cephalic v
Internal thoracic
a and v

Pectoralis major m,
sternocostal head

Figure 1.3.4 Coracoid


process Cephalic v
Shaft of
clavicle Subclavius m
Proximal end
of clavicle

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

Figure 1.3.5 Acromioclavicular joint


Coracoid
process Mid-clavicle Subclavius m Sternocleidomastoid m

Acromion

Deltoid m Common carotid a

Humeral head Trachea


Greater tuberosity Internal jugular v
of humerus
Biceps brachii t,
long head Left brachiocephalic v

Deltoid m

Cephalic v

Right lung
Lesser tuberosity
of humerus

Conjoined t of Pectoralis major m Pectoralis minor m


coracobrachialis m
and biceps brachii m, short head

Figure 1.3.6 Trapezoid lig,


coracoclavicular portion
Coracoid
process Clavicle Subclavius m
External
jugular v

Acromioclavicular Sternocleidomastoid m
joint
Acromion
Internal jugular v
Supraspinatus t

Trachea

Greater tuberosity of Right common carotid a


humerus
Humeral head
Brachiocephalic trunk
Subscapularis m
Deltoid m
Superior vena cava

Deltoid m Ascending aorta


Cephalic v
Deltoid m

Pectoralis Omohyoid m, Subclavian v Right


minor m inferior belly brachiocephalic v
UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  27

Figure 1.3.7 Trapezoid lig, Coracoid


Cords of
brachial Omohyoid m,
coracoclavicular portion process plexus Axillary a inferior belly

Distal clavicle
Anterior scalene m
Acromioclavicular joint

Acromion Middle scalene m

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

Superior vena cava


Biceps brachii t,
long head

Cephalic v
Right lung

Biceps brachii m

Biceps brachii m, Serratus Ribs Axillary v


short head anterior m
Coracobrachialis m

Figure 1.3.8 Glenoid


Supraspinatus m
Distal end of
Trapezius m
Inferior
labrum clavicle Subscapularis m omohyoid m and t

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

Figure 1.3.9 Scapular notch with


suprascapular a and n Trapezius m
Inferior Serratus
omohyoid t anterior m
Levator
scapulae m

Multifidus m
Posterior scalene m
Acromion Middle scalene m

Supraspinatus m Brachial plexus

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

Coracobrachialis m Axillary Serratus Ribs


a and v anterior m

Figure 1.3.10 Transverse


Dorsal
scapular
Subscapularis m Supraspinatus m Trapezius m cervical a and v a and v

Posterior scalene m
Acromion Semispinalis capitis m

Scapular notch with Levator scapulae m


suprascapular
a and n Posterior scalene m
Humeral head Serratus anterior m
Glenoid
Thoracic vertebrae
Deltoid m

Quadrangular space
Teres major m
Subscapular a
Latissimus dorsi m
Right lung
Humeral diaphysis

Coracobrachialis m

Biceps brachii m

Brachial Circumflex Serratus Ribs


a and v scapular a anterior m
UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  29

Figure 1.3.11 Spinoglenoid notch


with inferior
Trapezius m
suprascapular
Serratus Transverse
a and n Supraspinatus m anterior m cervical a and v
Dorsal
scapular a and v
Semispinalis
capitis m
Acromion
Splenius
Infraspinatus m capitis 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

Circumflex Serratus Subscapularis m


scapular a in anterior m
triangular space

Figure 1.3.12 Transverse


cervical a and v
Dorsal
Scapular scapular Levator
spine Supraspinatus m Trapezius m a and v scapulae 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

Brachial Teres Circumflex Serratus Subscapularis m


neurovascular major m scapular a anterior m
bundle
30  UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL

Figure 1.3.13 Subscapularis m Supraspinatus m

Serratus Levator Semispinalis


Supraspinatus m Trapezius m anterior m scapulae m capitis m

Infraspinatus m

Subscapularis m

Teres minor m Multifidus 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

Latissimus Circumflex Serratus


dorsi m scapular a anterior m

Figure 1.3.14 Scapula,


superior margin
Scapular Serratus Levator
spine Supraspinatus m Trapezius m anterior m scapulae m

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

Circumflex Latissimus Serratus Subscapularis m


scapular a dorsi m anterior m
UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  31

Figure 1.3.15 Infraspinatus m


Scapular
body
Scapular
spine Trapezius m
Levator Splenius
scapulae m capitis m

Teres minor m
Spinalis thoracis m

Semispinalis capitis m

Deltoid m Serratus posterior


superior 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

Latissimus Serratus Ribs


dorsi m anterior m
Long thoracic
neurovascular bundle

Figure 1.3.16 Subscapularis m


Scapular spine
Serratus
Scapular posterior
body Infraspinatus m Trapezius m superior m

Rhomboid minor m

Semispinalis thoracis m

Deltoid m Semispinalis capitis m

Teres minor m Costotransverse joint

Teres major m

Spinal cord

Triceps brachii m,
long head

Triceps brachii m, Intercostal


lateral head vessels and nn

Latissimus Ribs
dorsi m
Serratus
anterior m
32  UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL

Figure 1.3.17 Teres


Medial
inferior Serratus Rhomboid
minor m scapula Infraspinatus m anterior m Trapezius m minor m

Splenius capitis and


splenius cervicis mm
Deltoid m Semispinalis thoracis m

Teres major m

Costovertebral joint
Triceps brachii m,
long head
Levator costae m

Latissimus Serratus
dorsi m anterior m

Figure 1.3.18 Infraspinatus m


Scapular
body Subscapularis m
Serratus
anterior m Trapezius m

Rhomboid minor m

Teres minor m
Rhomboid major m

Deltoid m

Erector spinae m
Teres major m
Posterior rib
Intercostal m

Triceps brachii m, Levator costae m


long head
Costotransverse joint

Latissimus Serratus Intercostal


dorsi m anterior m vessels
and nn
UPPER EXTREMITY:  MRI OF THE PECTORAL GIRDLE AND CHEST WALL  33

Figure 1.3.19 Deltoid m Infraspinatus m Trapezius m

Teres major m
Rib
Inferior scapula

Triceps brachii m, Intercostal m


long head

Semispinalis
thoracis m
Erector spinae m

Latissimus Serratus
dorsi m anterior m

Figure 1.3.20 Teres


major m Infraspinatus m

Trapezius m

Rhomboid major m
Inferior scapula

Spinous process,
Triceps brachii m, thoracic spine
long head

Semispinalis
thoracis m

Latissimus Serratus Latissimus Erector


dorsi m anterior m dorsi m spinae m
2
Chapter

MRI of the Shoulder


UPPER EXTREMITY:  MRI OF THE SHOULDER  35

Table 2-1.  Muscles of the Shoulder


MUSCLE ORIGIN INSERTION NERVE SUPPLY

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

Figure 2.1.2 Distal acromion


Acromioclavicular
joint Distal clavicle

Trapezius m

Thoracoacromial a,
clavicular branch

Trapezius m
UPPER EXTREMITY:  MRI OF THE SHOULDER  37

Figure 2.1.3 Capsule of


acromioclavicular joint
Distal
clavicle

Deltoid m
Trapezius m

Acromion

Supraspinatus m

Trapezius m

Thoracoacromial a,
acromial branch

Figure 2.1.4 Capsule of


acromioclavicular joint Deltoid m
Distal
clavicle

Trapezius m

Deltoid m Thoracoacromial
a and v,
acromial branch

Supraspinatus m

Acromion Scapular spine


38  UPPER EXTREMITY:  MRI OF THE SHOULDER

Figure 2.1.5 Supraspinatus t Coracoacromial lig


Thoracoacromial a and v,
Deltoid m acromial branch Clavicle

Deltoid m

Supraspinatus m

Deltoid m Scapular spine

Figure 2.1.6 Deltoid m Coracoacromial lig


Coracoclavicular lig,
trapezoid portion
Coracoclavicular lig,
conoid portion Subclavius m

Clavicle

Deltoid m
Suprascapular aa

Inferior omohyoid
m and t

Supraspinatus m

Deltoid m Infraspinatus m Scapular spine


UPPER EXTREMITY:  MRI OF THE SHOULDER  39

Figure 2.1.7 Biceps brachii t,


long head Coracoacromial lig
Coracoclavicular lig, Coracoclavicular lig,
trapezoid portion conoid portion

Clavicle

Supraspinatus t
Subclavius m

Humeral head Suprascapular a,


v, and n

Deltoid m
Inferior
omohyoid t
Serratus
anterior m
Biceps
anchor Supraspinatus m

Infraspinatus t Deltoid m Scapular spine Infraspinatus m

Figure 2.1.8 Deltoid m


Superior
glenohumeral lig
Attachment of
Coracoacromial lig Coracohumeral lig coracoclavicular lig

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

Deltoid m Scapular spine Infraspinatus m


40  UPPER EXTREMITY:  MRI OF THE SHOULDER

Figure 2.1.9 Transverse


humeral lig
Biceps brachii t,
long head
Blended coracohumeral and
superior glenohumeral ligs Deltoid m Coracoacromial lig

Coracoid
process

Subclavius m
Greater
tuberosity
of humerus
Middle
glenohumeral lig
Humeral
head
Glenoid
Deltoid m

Subscapularis m

Infraspinatus t Glenoid articular Superior Infraspinatus m Scapular


cartilage transverse scapular lig spine

Figure 2.1.10 Biceps brachii t,


long head Deltoid m
Middle
Subscapularis t glenohumeral lig
Coracoid
process

Pectoralis
major m
Cephalic v

Greater
tuberosity
of humerus

Humeral head
Glenoid
Spinoglenoid
Deltoid m notch
Subscapularis m

Deltoid m Infraspinatus Posterior Articular cartilage, Suprascapular Scapular


m and t glenoid labrum humeral head a and n spine
UPPER EXTREMITY:  MRI OF THE SHOULDER  41

Figure 2.1.11 Lesser


Conjoined t of coracobrachialis m and
biceps brachii m, short head
Biceps brachii t, tuberosity of Coracoid Pectoralis
long head humerus Subscapularis t process Deltoid m minor t

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

Deltoid m Infraspinatus m Suprascapular a and n

Figure 2.1.12 Lesser


Biceps brachii t, tuberosity
Subscapularis t Anterior
glenoid Coracoid Pectoralis
long head of humerus Deltoid m labrum process minor t Cephalic v

Pectoralis
major m
Bicipital
(intertubercular)
groove Pectoralis
minor m

Axillary a and v
Greater
tuberosity
of humerus

Deltoid m
Glenoid neck

Humeral head Subscapularis m

Scapular body

Deltoid m Infraspinatus t Posterior Glenoid Infraspinatus m


glenoid labrum
42  UPPER EXTREMITY:  MRI OF THE SHOULDER

Figure 2.1.13 Lesser


tuberosity
Biceps brachii
m and t,
Cephalic v in
Coracobrachialis deltopectoral
of humerus Deltoid m Subscapularis t short head m and t triangle

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

Deltoid m Infraspinatus m Posterior Glenoid Infraspinatus m


glenoid labrum

Figure 2.1.14 Biceps


Transverse brachii t,
Biceps brachii m and t,
short head Coracobrachialis
Cephalic v in
deltopectoral
humeral lig long head Deltoid m m and t triangle

Pectoralis
major m

Pectoralis minor m

Lymph node
Axillary v
Axillary a

Deltoid m

Subscapularis m
Humerus

Teres Posterior Glenoid Infraspinatus m


minor m glenoid labrum
UPPER EXTREMITY:  MRI OF THE SHOULDER  43

Figure 2.1.15 Biceps brachii t,


long head Deltoid m
Biceps brachii m and t, Coracobrachialis
short head m and t
Cephalic v in
deltopectoral triangle

Pectoralis
Transverse
major m
humeral lig

Pectoralis
minor m
Lymph node

Humerus Axillary v
Axillary a

Deltoid m
Subscapularis m

Teres Posterior inferior Scapular neck Infraspinatus m Scapular body


minor m glenoid labrum

Figure 2.1.16 Biceps brachii t,


long head Deltoid m
Biceps brachii m and t,
short head
Cephalic v in
deltopectoral triangle
Coracobrachialis
m and t

Pectoralis major m

Pectoralis minor m

Axillary v
Deltoid m Axillary a
Subscapular a
Humerus

Subscapularis m

Scapular body

Deltoid m Teres Posterior inferior Triceps brachii t, Infraspinatus m


minor m glenoid labrum long head
44  UPPER EXTREMITY:  MRI OF THE SHOULDER

Figure 2.1.17 Biceps


Anterior
inferior Biceps brachii Cephalic v in
brachii t, glenohumeral m and t, deltopectoral
long head Deltoid m lig and capsule short head triangle

Pectoralis major m

Pectoralis minor m
Coracobrachialis m and t
Axillary v
Axillary a
Humerus
Subscapular a

Subscapularis m
Deltoid m

Scapular body

Deltoid m Triceps brachii t, long head Teres minor m

Figure 2.1.18 Anterior Biceps


Latissimus dorsi and inferior glenohumeral brachii m and t,
teres major tt lig and capsule short head

Cephalic v in
deltopectoral
triangle
Deltoid m Pectoralis major m

Pectoralis minor m

Biceps brachii t, Coracobrachialis m


long head
Axillary v
Axillary a
Humerus
Subscapular a

Subscapularis m
Deltoid m

Posterior
circumflex
humeral a Scapular body
and axillary n

Teres minor m

Triceps brachii m, long head Triceps brachii t, long head


UPPER EXTREMITY:  MRI OF THE SHOULDER  45

Figure 2.1.19 Latissimus dorsi and


teres major tt
Biceps brachii m,
short head
Cephalic v in
deltopectoral triangle

Pectoralis
major m

Deltoid m Pectoralis
minor m
Biceps brachii t,
long head Coracobrachialis m
Axillary v
Humeral Axillary a
diaphysis
Subscapular a

Triceps brachii m, Subscapularis m


lateral head

Deltoid m
Teres major m

Scapular body

Teres minor m

Posterior circumflex Triceps brachii Latissimus


humeral a and axillary n m and t, long head dorsi m

Figure 2.1.20 Latissimus dorsi and Biceps brachii m,


teres major tt short head
Cephalic v
in deltopectoral triangle

Pectoralis
major m
Pectoralis
minor m

Biceps brachii t, Coracobrachialis m


long head
Axillary v
Axillary a
Humeral diaphysis
Subscapular a

Triceps brachii m,
lateral head Subscapularis m

Teres major m
Deltoid m

Scapula

Teres minor m

Triceps brachii m, Posterior circumflex Triceps brachii m and t, Latissimus


long head humeral a and axillary n long head dorsi m
46  UPPER EXTREMITY:  MRI OF THE SHOULDER

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

Figure 2.2.4 Supraspinatus t Infraspinatus t insertion

Humeral
Biceps brachii t, epiphysis
long head
Humeral
physis

Humeral
metaphysis

Deltoid m

Deltoid m
48  UPPER EXTREMITY:  MRI OF THE SHOULDER

Figure 2.2.5 Supraspinatus t Infraspinatus t Deltoid m

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

Figure 2.2.6 Coracohumeral lig Supraspinatus t Deltoid m Infraspinatus t

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

Figure 2.2.7 Rotator cuff interval Coracohumeral lig Supraspinatus m Deltoid m

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

Anterior circumflex Deltoid m


humeral a
Posterior circumflex
Deltoid m humeral a and
axillary n
Cephalic v

Triceps brachii m,
long head

Biceps brachii m, Humerus Triceps brachii m,


long head lateral head

Figure 2.2.8 Coracohumeral lig Supraspinatus m and t Acromion Humeral head

Biceps brachii t,
long head

Coracohumeral Infraspinatus t
and superior
glenohumeral ligs

Subscapularis t Teres minor t


Deltoid m
Teres minor m
Anterior circumflex
humeral a
Posterior circumflex
humeral a and
Cephalic v axillary n

Pectoralis major m Deltoid m

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

Figure 2.2.9 Biceps brachii t, long head Acromion Supraspinatus m and t

Deltoid m Deltoid m
Blended superior
glenohumeral and
coracohumeral ligs,
roof of rotator Infraspinatus t
interval

Subscapularis t Humeral head


Biceps brachii t,
short head Teres
minor m and t
Deltoid m

Anterior circumflex Deltoid m


humeral a
Posterior circumflex
humeral a and
Cephalic v axillary n

Triceps brachii m,
Pectoralis major m lateral head

Triceps brachii m,
long head
Biceps brachii m,
short head

Biceps brachii m, Latissimus dorsi Humeral


short head and teres major tt diaphysis

Figure 2.2.10 Biceps brachii t,


long head Supraspinatus m and t

Acromion
Coracoacromial lig

Coracohumeral lig Infraspinatus


m and t
Superior
glenohumeral lig Humeral epiphysis
Coracoid process
Teres minor m
Subscapularis t
Deltoid m
Deltoid m
Cephalic vein in the
deltopectoral triangle
Posterior circumflex
humeral a and
Anterior circumflex axillary n
humeral a

Pectoralis major m
Triceps brachii m,
Biceps brachii m, long head
short head

Triceps brachii m,
Coracobrachialis m lateral head

Latissimus dorsi and teres major tt Teres major m


UPPER EXTREMITY:  MRI OF THE SHOULDER  51

Figure 2.2.11 Coracohumeral lig Biceps brachii t, long head Acromion

Deltoid m
Supraspinatus m
Coracoacromial lig
Superior
glenohumeral lig
Infraspinatus m
Humeral epiphysis
Coracoid process
Deltoid m
Deltoid m

Subscapularis m and t Teres minor m

Cephalic v

Coracobrachialis m Posterior circumflex


and biceps brachii m, humeral a and
short head axillary n

Pectoralis major m Triceps brachii m,


long head

Latissimus dorsi and teres major tt Teres major m Latissimus dorsi m

Figure 2.2.12 Superior


glenohumeral lig
Acromioclavicular
joint Acromion

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

Posterior circumflex Teres major m Latissimus


humeral a and axillary n dorsi m
52  UPPER EXTREMITY:  MRI OF THE SHOULDER

Figure 2.2.13 Clavicle


Biceps anchor at
supraglenoid tubercle
Acromioclavicular lig
and joint capsule

Acromioclavicular Acromion
joint

Supraspinatus m
Coracohumeral lig

Deltoid m Infraspinatus m
Coracoid process Posterior
superior labrum
Pectoralis minor t
Deltoid m

Cephalic v Teres minor 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

Radial n Latissimus Triceps brachii t, Triceps brachii m,


dorsi m long head long head

Figure 2.2.14 Coracoid


process Clavicle Supraspinatus m

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

Axillary a Latissimus Triceps brachii t,


dorsi m long head
UPPER EXTREMITY:  MRI OF THE SHOULDER  53

Figure 2.2.15 Supraspinatus m Scapular spine

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

Subscapular a Axillary v Circumflex Latissimus Teres


scapular a dorsi m major m

Figure 2.2.16 Clavicle Supraspinatus m Trapezius m Scapular spine

Coracoclavicular lig,
trapezoid portion

Deltoid m Deltoid m
Infraspinatus m
Base of coracoid
process Suprascapular a
Cephalic v and n in
spinoglenoid notch

Pectoralis Teres minor m


minor m Subscapularis m
Triceps brachii m,
Axillary a long head
Pectoralis
major m Teres major m

Axillary lymph node Axillary v Latissimus dorsi m Circumflex scapular a


54  UPPER EXTREMITY:  MRI OF THE SHOULDER

Figure 2.2.17 Supraspinatus m Trapezius m Scapular spine

Clavicle
Coracoclavicular lig,
trapezoid portion

Deltoid m
Deltoid m

Infraspinatus m
Cephalic v

Pectoralis major m Teres minor m

Axillary a
Pectoralis minor m Triceps brachii m,
long head

Teres major m

Latissimus dorsi m

Axillary v Subscapular a Subscapularis m

Figure 2.2.18 Clavicle Trapezius m Supraspinatus m Scapular spine

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

Axillary v Subscapularis m Latissimus dorsi m


UPPER EXTREMITY:  MRI OF THE SHOULDER  55

Figure 2.2.19 Coracoclavicular lig, conoid portion Supraspinatus m Trapezius 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

Superior cord Lymph node Subscapularis m Latissimus


of brachial plexus dorsi m

Figure 2.2.20
Trapezius m Supraspinatus m Scapular spine

Clavicle
Deltoid m
Subclavius m

Cephalic v Infraspinatus m

Axillary a Scapular body

Pectoralis minor m
Teres minor m
Axillary v

Teres major m

Rib

Latissimus
dorsi m

Long thoracic a and n Subscapularis m


56  UPPER EXTREMITY:  MRI OF THE SHOULDER

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

Figure 2.3.2 Clavicle Thoracoacromial a Suprascapular a

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

Figure 2.3.3 Coracoclavicular lig, Coracoclavicular lig, Thoracoacromial a,


trapezoid portion Clavicle conoid portion acromial branch

Trapezius m
Thoracoacromial a,
clavicular branch
Serratus anterior m
Deltoid m
Suprascapular a
Inferior omohyoid
Coracoid process m and t

Coracobrachialis t and Subscapularis m


biceps brachii t,
short head

Deltoid m

Cephalic v

Pectoralis major m Axillary a Axillary v

Figure 2.3.4 Clavicle


Thoracoacromial a,
acromial branch Trapezius m

Serratus anterior m

Coracohumeral lig Suprascapular


a and n
Coracobrachialis t and Coracoid process
biceps brachii t,
short head Serratus anterior m
Subscapularis m
Deltoid m
Rib

Cephalic v

Pectoralis major Coracobrachialis m Axillary a Axillary v


m and t
58  UPPER EXTREMITY:  MRI OF THE SHOULDER

Figure 2.3.5 Clavicle Coracoid process Thoracoacromial a, acromial branch

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

Biceps brachii m and t, Coracobrachialis m Axillary a Axillary v


short head

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

Coracobrachialis m Axillary a Lymph node


UPPER EXTREMITY:  MRI OF THE SHOULDER  59

Figure 2.3.7 Acromion


Acromioclavicular Superior labrum/
joint biceps anchor Clavicle Glenoid Trapezius m

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

Axillary a Circumflex Subscapularis m


scapular a

Figure 2.3.8 Biceps brachii t, long head Superior labrum

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

Coracobrachialis m Posterior circumflex Brachial a


humeral a and axillary n
60  UPPER EXTREMITY:  MRI OF THE SHOULDER

Figure 2.3.9 Acromion


Superior
labrum
Articular
cartilage Glenoid

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

Coracobrachialis m Brachial a Basilic v

Figure 2.3.10 Glenoid


Suprascapular a and n
in suprascapular notch

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

Biceps brachii m Latissimus dorsi m


and t, long head

Radial n and
Deltoid m deep brachial a

Coracobrachialis m Posterior circumflex


humeral a and axillary n
UPPER EXTREMITY:  MRI OF THE SHOULDER  61

Figure 2.3.11 Superior


labrum Acromion
Superior transverse Suprascapular a and n
scapular lig in suprascapular notch

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

Biceps brachii m, Biceps brachii m, Coracobrachialis m Latissimus Teres


long head short head dorsi m major m

Figure 2.3.12 Suprascapular


a and n in Scapular
Supraspinatus m Acromion spinoglenoid notch spine

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

Figure 2.3.13 Deltoid m Acromion Glenoid

Deltoid t

Infraspinatus t Scapular spine


Humeral head
Greater
tuberosity
of humerus
Infraspinatus m

Humeral
Circumflex surgical neck
vessels
Capsular ligs
Infraspinatus m
Posterior
circumflex Teres major m
humeral a and
axillary n Scapular body
Deltoid m

Humerus Coracobrachialis m Latissimus


dorsi m

Figure 2.3.14 Deltoid t


Angle of
acromion 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

Latissimus Triangular space


dorsi m (contains circumflex
scapular a)
UPPER EXTREMITY:  MRI OF THE SHOULDER  63

Figure 2.3.15 Angle of


acromion
Infraspinatus
m and t Deltoid m

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

Triceps brachii m, Latissimus


long head dorsi m

Figure 2.3.16 Infraspinatus t Deltoid m Infraspinatus m

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

Figure 2.3.17 Deltoid m Infraspinatus t


Teres minor
m and t Deltoid m

Infraspinatus m

Deltoid m
Circumflex
Posterior scapular a
circumflex
humeral a
and axillary n
Teres major m

Latissimus
dorsi m

Triceps brachii m, Triceps brachii m,


lateral head long head

Figure 2.3.18 Deltoid m Deltoid m

Deltoid m
Teres
minor m

Latissimus
dorsi m

Triceps brachii m, Triceps brachii m,


lateral head long head
UPPER EXTREMITY:  MRI OF THE SHOULDER  65

Figure 2.3.19 Deltoid m

Deltoid m

Latissimus
dorsi m

Triceps brachii m,
long head

Figure 2.3.20 Deltoid m

Deltoid m

Triceps brachii m, Latissimus


long head dorsi m
3
Chapter

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

Humeral head Coracoid


process

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

Figure 3.1.2 Deltoid m

Biceps brachii t,
Humeral head long head

Supraspinatus t Superior
glenohumeral lig

Deltoid m

Anterior superior Coracoid process


labrum

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

Figure 3.1.3 Deltoid m

Biceps brachii t,
long head

Coracoacromial lig
Supraspinatus t
Superior
glenohumeral lig
Humeral head

Infraspinatus t Coracoid process

Anterior labrum

Middle
Glenoid articular glenohumeral lig
cartilage
Glenoid

Posterior labrum Spinoglenoid notch

Scapular spine

Subscapularis m

Infraspinatus m

Figure 3.1.4 Deltoid m

Biceps brachii t,
long head
Greater Coracoacromial lig
tuberosity
of humerus

Coracoid
Infraspinatus t process
Coracohumeral lig
Anterior
labrum
Middle
glenohumeral lig

Humeral head Subscapularis t

Posterior
labrum

Glenoid

Infraspinatus m Subscapularis m

Scapular body
UPPER EXTREMITY:  MR ARTHROGRAPHY OF THE SHOULDER  69

Figure 3.1.5 Deltoid m

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

Figure 3.1.6 Bicipital (intertubercular)


groove

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

Teres minor t Articular cartilage

Posterior Glenoid
labrum

Deltoid m

Subscapularis m

Scapular body
70  UPPER EXTREMITY:  MR ARTHROGRAPHY OF THE SHOULDER

Figure 3.1.7 Bicipital (intertubercular)


groove

Greater Biceps brachii t,


tuberosity long head
of humerus Biceps brachii t,
short head
Coracobrachialis t
Lesser
tuberosity
of humerus
Pectoralis minor t
Subscapularis t
Coracoid process
Teres minor t
Middle
glenohumeral lig

Anterior labrum

Posterior
labrum Glenoid

Deltoid m
Subscapularis m

Scapular body

Figure 3.1.8 Bicipital


(intertubercular)
Deltoid m groove

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

Figure 3.1.9 Crest of greater tuberosity

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

Figure 3.1.10 Crest of greater tuberosity

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

Figure 3.2.4 Supraspinatus t

Acromion

Coracoacromial lig
Infraspinatus t

Humeral head
Biceps Rotator cuff
brachii t, interval
long head

Subscapularis t

Teres minor t Lesser tuberosity


of humerus

Deltoid m

Deltoid m

Humeral
surgical neck
74  UPPER EXTREMITY:  MR ARTHROGRAPHY OF THE SHOULDER

Figure 3.2.5 Acromion

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

Supraspinatus t Coracoacromial lig

Infraspinatus t Rotator cuff


interval
Biceps
brachii t,
long head
Deltoid m

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

Biceps anchor Superior


glenohumeral lig
Anterior superior
labrum Coracoid process
Humeral head
Subscapularis t
Teres minor
m and t
Middle
glenohumeral lig

Inferior
Recurrent glenohumeral
humeral lig, anterior band
circumflex
vessels
and axillary n
Coracobrachialis m

Inferior Joint capsule of


glenohumeral lig, axillary pouch
posterior band
76  UPPER EXTREMITY:  MR ARTHROGRAPHY OF THE SHOULDER

Figure 3.2.9 Superior


acromio-
Acromion clavicular lig
Clavicle
Supraspinatus
m and t

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

Axillary Lymph node


pouch

Figure 3.2.10 Superior


acromioclavicular lig Trapezius m

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

Figure 3.2.11 Trapezius m


Superior
acromioclavicular
lig

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

Figure 3.3.2 Supraspinatus t

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

Figure 3.3.3 Acromioclavicular


joint
Clavicle

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

Figure 3.3.4 Clavicle

Acromion
Supraspinatus m
Suprascapular
Supraspinatus t notch and
suprascapular
a and n
Humeral head Scapula

Deltoid m Glenoid

Greater tuberosity Labrum


of humerus

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

Humeral head Labrum

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

ABER (ABDUCTION AND EXTERNAL ROTATION)


Figure 3.4.1
Lesser
tuberosity
of humerus
Biceps
brachii t,
sheath
Biceps brachii t,
short head

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

Middle Anterior superior


glenohumeral lig labrum

Supraspinatus m
Subscapularis m
Scapula

Ribs

Figure 3.4.4 Biceps


brachii m

Humeral Acromion and


surgical scapular spine
neck

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

Figure 3.4.5 Biceps


brachii m

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

Figure 3.4.7 Humeral


diaphysis

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

MRI of the Arm


UPPER EXTREMITY:  MRI OF THE ARM  91

Table 4-1.  Muscles of the Upper Arm


MUSCLE ORIGIN INSERTION NERVE SUPPLY

Coracobrachialis Coracoid process Shaft of the humerus above Musculocutaneous


the middle of the bone (C5, C6, C7)
Biceps brachii Short head, coracoid process; long head, Tuberosity of the radius and by Musculocutaneous
supraglenoid tubercle; superior part of aponeurotic expansion to the (C5, C6)
glenoid labrum fascia on the ulnar side of the
forearm
Brachialis Distal half of anterior surface of humerus Coronoid process and tuberosity Musculocutaneous
of the ulna (C5, C6)
Triceps Long head, infraglenoid tuberosity of the Primary tendon inserts onto the Radial (C6, C7,
scapula; lateral head, from the posterior surface olecranon process of the ulna C8)
of the humerus; medial head, from the posterior and laterally, by expansion over
surface of the humerus below the radial groove the anconeus, into the dorsal
and dorsal surfaces of the medial and lateral fascia of the forearm
intermuscular septa
92  UPPER EXTREMITY:  MRI OF THE ARM

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

Figure 4.1.2 Biceps brachii m,


Cephalic v long head Coracobrachialis m

Biceps brachii m,
short head

Brachialis m
Median n
Deltoid
tuberosity Brachial a

Deltoid m Basilic v

Ulnar n

Radial n Humerus

Profunda Triceps brachii m,


brachii a medial head

Triceps brachii m,
lateral head

Triceps brachii m,
long head
UPPER EXTREMITY:  MRI OF THE ARM  93

Figure 4.1.3 Cephalic v


Biceps brachii m,
long head Brachialis m

Biceps brachii m,
short head

Musculocutaneous n
Median n
Humerus Brachial a
Basilic v
Brachialis m
Superior ulnar
collateral a and
ulnar n

Radial n and Triceps brachii m,


profunda medial head
brachii a

Triceps
brachii m,
lateral head

Triceps brachii m,
long head

Figure 4.1.4 Brachialis m


Biceps
brachii m Musculocutaneous n Brachial a

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

Figure 4.1.5 Biceps


brachii m Brachialis m
Median n and
brachial a and v

Humerus

Medial cutaneous n
of forearm
Brachialis m
Basilic v

Ulnar n and superior


Radial n and
ulnar collateral a
profunda
brachii a

Triceps brachii m,
Triceps medial head
brachii m,
lateral head

Triceps brachii m,
long head

Figure 4.1.6 Biceps


brachii m

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

Figure 4.1.7 Biceps


brachii m Brachialis m
Median n and
brachial a and v

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

Humerus Triceps brachii t

Figure 4.1.8 Biceps


brachii m Brachialis m
Median n and
brachial a and v

Brachialis m Basilic v

Radial n
Ulnar n and
Extensor carpi superior
radialis ulnar
longus m collateral a

Humerus

Brachioradialis m Superior lateral Triceps brachii m


supracondylar crest
96  UPPER EXTREMITY:  MRI OF THE ARM

Figure 4.1.9 Radial n


Biceps brachii
m and t Brachialis m
Median n and
brachial a and v

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

Figure 4.1.10 Radial n


Brachialis
m and t
Biceps brachii
m and t
Median n and
brachial a and v

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

Figure 4.1.11 Brachialis


m and t
Biceps brachii
m and t
Median n and
brachial a and v

Brachioradialis m

Basilic v

Inferior
ulnar
Extensor carpi collateral a
radialis longus m
Ulnar n and
Lateral superior
supracondylar ulnar
crest collateral a

Triceps brachii m and t Humerus


98  UPPER EXTREMITY:  MRI OF THE ARM

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

Brachioradialis m Extensor carpi radialis


longus m
UPPER EXTREMITY:  MRI OF THE ARM  99

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

Figure 4.2.5 Greater tuberosity


of humerus

Deltoid m

Deltoid m

Triceps brachii m,
Humerus long head

Biceps brachii m, Radial n and vessels


long head in spiral groove

Triceps brachii m,
long head

Triceps brachii m,
lateral head

Biceps brachii m
Brachialis m

Lateral Triceps brachii m


supracondylar crest

Radial fossa

Capitellum

Radial head

Figure 4.2.6 Humeral head

Supraspinatus m

Infraspinatus m

Teres minor m

Deltoid m Axillary n and posterior


circumflex humeral a
Deltoid 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

Figure 4.2.7 Humeral head

Supraspinatus m

Deltoid m
Infraspinatus m
Quadrangular space Teres minor m

Axillary n and posterior


Deltoid m circumflex humeral a
Triceps brachii m,
long head
Biceps brachii m,
long head
Triceps brachii m,
lateral head
Radial n and
profunda brachii a

Triceps brachii m,
Biceps brachii m long head

Brachialis m
Humerus

Olecranon fossa and


posterior fat pad

Triceps brachii m and t


Biceps brachii t
Olecranon
Brachialis t Trochlea
Coronoid process, ulna

Figure 4.2.8 Humeral


head Infraspinatus m

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

Figure 4.2.9 Humeral head

Acromion

Lesser tuberosity Infraspinatus m and t


of humerus Deltoid m
Teres minor m and t

Deltoid m
Teres major and
latissimus dorsi mm

Coracobrachialis m

Biceps brachii m, Radial n and


short head profunda brachii a

Triceps brachii m,
long head

Biceps brachii m Triceps brachii m,


medial head

Olecranon fossa and


Coronoid fossa and posterior fat pad
anterior fat pad

Triceps brachii t
Brachialis m
Olecranon
Trochlea
Trochlear notch

Figure 4.2.10 Humeral head


Acromion

Infraspinatus m
Deltoid m
Teres minor m
Deltoid m
Teres major m

Latissimus dorsi m and t


Coracobrachialis 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

Brachial a and v and median n

Triceps brachii t
Brachialis m

Olecranon
Trochlea
UPPER EXTREMITY:  MRI OF THE ARM  103

Figure 4.2.11 Supraspinatus m and t

Acromion

Deltoid m
Deltoid m
Infraspinatus m

Subscapularis m Teres minor m


Axillary n and posterior
Pectoralis major t
circumflex humeral a
Coracobrachialis m
Teres major m
Biceps m, Latissimus dorsi t and m
short head

Basilic v

Biceps brachii m

Triceps brachii m,
long head

Triceps brachii m,
medial head

Pronator teres and flexor


carpi radialis mm

Trochlea

Figure 4.2.12 Humeral head

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

Pronator teres and flexor


carpi radialis mm
Medial epicondyle
104  UPPER EXTREMITY:  MRI OF THE ARM

Figure 4.2.13 Glenoid

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

Pectoralis major m Teres major m


Axillary
neurovascular bundle

Latissimus dorsi m

Triceps brachii m,
medial head

Pronator teres and flexor Medial epicondyle


carpi radialis mm
UPPER EXTREMITY:  MRI OF THE ARM  105

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 t, long head


Deltoid m
Biceps brachii m, short head
Coracobrachialis m

Biceps brachii m, long head

Biceps brachii m

Brachial
neurovascular bundle

Basilic v
Brachialis m

Brachioradialis m

Lateral epicondyle Medial epicondyle


Common flexor t
Radial head Ulnar collateral lig,
anterior band

Coronoid
process, ulna

Figure 4.3.6 Supraspinatus t


Greater tuberosity
of humerus Glenohumeral joint
Glenoid
Humeral head
Subscapularis m

Humeral diaphysis Latissimus dorsi t


Axillary neurovascular bundle
Deltoid m Biceps brachii m,
short head
Coracobrachialis m

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

Figure 4.3.7 Deltoid m


Acromion
Supraspinatus t
Greater tuberosity Glenohumeral joint
of humerus
Subscapularis m
Humeral head

Teres major t
Deltoid m Axillary neurovascular bundle
Latissimus dorsi t

Humeral diaphysis Brachial a and v

Triceps brachii m,
medial head
Basilic v

Brachialis m

Brachialis m Triceps brachii m,


medial head
Brachialis m

Brachioradialis m
Extensor carpi
radialis longus m Olecranon fossa
Lateral epicondyle

Figure 4.3.8 Acromioclavicular


Acromion joint

Clavicle

Supraspinatus t Glenoid labrum


Greater tuberosity Humeral head
of humerus

Subscapularis m
Teres major m and t
Deltoid m Latissimus dorsi m and t

Brachial neurovascular bundle

Humeral diaphysis Triceps brachii m,


medial head

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

Figure 4.3.9 Acromioclavicular


Acromion joint

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

Figure 4.3.10 Acromioclavicular


Acromion joint

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 m Triceps brachii m,


medial head

Triceps brachii t

Olecranon
110  UPPER EXTREMITY:  MRI OF THE ARM

Figure 4.3.11 Acromion

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

Figure 4.3.12 Acromion

Supraspinatus m
Deltoid m
Infraspinatus m
Glenoid

Axillary n and posterior Teres minor m


circumflex humeral a Triceps brachii t, long head
Teres major m
Deltoid m
Latissimus dorsi m

Triceps brachii m,
lateral head
Latissimus dorsi m

Triceps brachii m Triceps brachii m


UPPER EXTREMITY:  MRI OF THE ARM  111

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

Triceps brachii m, long head

Figure 4.3.14
Lateral scapular spine

Infraspinatus m
Deltoid m
Teres minor m

Triceps brachii m, long head

Teres major m

Triceps brachii m,
lateral head

Latissimus dorsi m

Triceps brachii m, long head


112  UPPER EXTREMITY:  MRI OF THE ARM

Figure 4.3.15

Deltoid m Infraspinatus m

Teres minor m

Triceps brachii m, long head

Teres major m

Latissimus dorsi m

Triceps brachii m, long head

Triceps brachii m,
lateral head

Figure 4.3.16

Infraspinatus m

Deltoid m
Teres minor m
Triceps brachii m, long head

Teres major m

Triceps brachii m, long head

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

MRI of the Elbow


UPPER EXTREMITY:  MRI OF THE ELBOW  115

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

Figure 5.1.2 Accessory


cephalic v
Cephalic v Median cubital v
Biceps brachii
m and t
Brachioradialis m
Median v of forearm
Radial n,
superficial Brachial a
and deep
Median n
Coronoid Brachialis m and t
fossa and
anterior fat pad Musculocutaneous n

Extensor carpi
radialis longus m Basilic v
Pronator teres m

Olecranon fossa and


posterior fat pad
Anconeus 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

Figure 5.1.3 Accessory


cephalic v
Cephalic v Median cubital v
Biceps brachii
Brachioradialis m m and t

Radial n, Median v of forearm


superficial Brachial a
and deep
Median n
Extensor carpi
radialis longus m Brachialis m and t
Musculocutaneous n
Coronoid fossa
and anterior
fat pad Basilic v
Extensor carpi
radialis brevis m Pronator teres m

Lateral
epicondyle Olecranon

Medial epicondyle

Triceps brachii m Ulnar n


Tricipital Cubital tunnel
aponeurosis retinaculum
Triceps brachii t

Figure 5.1.4 Accessory


cephalic v
Cephalic v Median cubital v
Brachioradialis m Biceps brachii
m and t
Radial n,
superficial Brachial a
Radial n, deep
Median n

Extensor carpi Brachialis m and t


radialis longus m
Musculocutaneous n
Coronoid fossa
Extensor carpi Pronator teres m
radialis brevis m
Basilic v
Lateral
epicondyle

Olecranon fossa Olecranon


Medial epicondyle
Common flexor t
Anconeus m
Ulnar n
Tricipital
aponeurosis Cubital tunnel
retinaculum
Triceps brachii t
UPPER EXTREMITY:  MRI OF THE ELBOW  117

Figure 5.1.5 Cephalic v


Accessory
cephalic v Median cubital v
Brachioradialis m Biceps
brachii m and t
Radial n, Median v of forearm
superficial
Brachial a
Radial n, deep

Capitellum Median n

Extensor carpi Brachialis m


radialis longus m
Brachialis t
Extensor carpi Pronator teres m
radialis brevis m
Basilic v

Lateral Trochlea
epicondyle

Common flexor t

Anconeus m Medial epicondyle

Ulnar n
Triceps brachii t
Cubital tunnel
retinaculum
Olecranon

Figure 5.1.6 Cephalic v


Accessory
cephalic v
Median cubital v
Brachioradialis m
Radial n, Brachial a
superficial
Biceps brachii t
Radial n, deep (bifurcated)*
Median n
Capitellum
Brachialis t
Extensor carpi
Brachialis m
radialis longus m

Extensor carpi Pronator teres m


radialis brevis m
Basilic v
Lateral epicondyle Trochlea

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

Figure 5.1.7 Cephalic v

Median cubital v
Accessory
Bicipital
cephalic v
aponeurosis
Brachioradialis m Biceps brachii t
Radial n, (bifurcated)*
superficial
Radial n, deep Brachial a

Extensor carpi Interosseous n,


radialis longus m anterior

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

Anconeus m Flexor carpi ulnaris


m, humeral head
*Data from
Olecranon Ulnar n
Sassmannshausen G, Mair
SD, Blazar PE. Rupture of Ulnar collateral a,
a bifurcated distal biceps superior
tendon. A case report. Ulnar collateral lig,
J Bone Joint Surg Am posterior band
2004;86:2737-2740. Flexor carpi
ulnaris m,
ulnar head
Flexor digitorum
superficialis m

Figure 5.1.8 Accessory


Bicipital
aponeurosis
cephalic v Cephalic v (lacertus fibrosis)

Median basilic v
of forearm

Brachioradialis m Biceps brachii t


(bifurcated)

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

Capitellum Flexor carpi


Olecranon fossa ulnaris m,
humeral head
Olecranon
Ulnar collateral a,
superior

Flexor carpi ulnaris m,


ulnar head
UPPER EXTREMITY:  MRI OF THE ELBOW  119

Figure 5.1.9 Brachioradialis m Cephalic v

Bicipital
Accessory
aponeurosis
cephalic v
Median basilic v
of forearm

Radial n, superficial Biceps brachii t


(bifurcated)
Radial n, deep
Brachial a
Extensor carpi
radialis longus m Interosseous n,
Extensor anterior
carpi radialis Median n
brevis m
Brachialis m
Radial collateral lig
Pronator teres m
Extensor
digitorum and Brachialis t
extensor digiti Flexor carpi
minimi tt radialis m
Extensor carpi Basilic v
ulnaris t Palmaris longus m
Lateral Flexor digitorum
intermuscular superficialis m
septum Ulnar collateral lig
Anconeus m Ulnar n
Flexor carpi
Capitellum
ulnaris m,
Olecranon humeral head

Ulnar collateral a,
superior

Flexor digitorum Flexor carpi ulnaris m,


profundus m ulnar head

Figure 5.1.10 Brachialis t Cephalic v

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

Figure 5.1.11 Cephalic v

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

Coronoid Flexor digitorum


process profundus m

Figure 5.1.12 Cephalic v


Median basilic v
of forearm

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

Anconeus m Ulna Sublime Flexor digitorum Flexor carpi


process profundus m ulnaris m,
ulnar head
UPPER EXTREMITY:  MRI OF THE ELBOW  121

Figure 5.1.13 Brachioradialis m Cephalic v

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

Extensor carpi Ulnar n


ulnaris m

Biceps brachii t Flexor carpi


ulnaris m,
humeral head

Ulnar collateral a,
Anconeus m superior

Ulna Flexor digitorum Flexor carpi ulnaris m,


profundus m ulnar head

Figure 5.1.14 Brachioradialis m Cephalic v Radial a

Accessory Median basilic v


cephalic v of forearm
Radial n,
superficial Pronator teres m
Extensor carpi
radialis longus m
Ulnar a
Radial n, deep Flexor carpi
radialis m

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

Flexor digitorum Ulnar collateral a, Flexor carpi


profundus m superior ulnaris m, ulnar head
122  UPPER EXTREMITY:  MRI OF THE ELBOW

Figure 5.1.15 Accessory


cephalic v Brachioradialis m Cephalic v Radial a
Median basilic v
of forearm

Radial n,
superficial Pronator teres m
Extensor carpi
Ulnar a
radialis longus m
Median n
Extensor carpi
radialis brevis m Flexor carpi
radialis m

Radial n, deep Pronator teres m,


deep head
Supinator m
Extensor Palmaris longus m
digitorum m
Flexor digitorum
Interosseous n, superficialis m
anterior

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

Figure 5.1.16 Accessory


cephalic v Brachioradialis m Cephalic v Radial a

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

Extensor digiti Flexor digitorum


minimi m superficialis m

Radius Ulnar collateral a,


superior
Extensor carpi
ulnaris m Ulnar n
Lateral ulnar Flexor carpi
collateral lig ulnaris m,
humeral head
Basilic v
Biceps brachii t
Flexor carpi
ulnaris m,
ulnar head
Anconeus m Flexor digitorum
profundus m

Ulna
UPPER EXTREMITY:  MRI OF THE ELBOW  123

Figure 5.1.17 Brachioradialis m

Accessory
cephalic v

Cephalic v

Median basilic v
Radial n, of forearm
superficial

Extensor carpi Pronator teres m


radialis longus m Radial a
Common
Extensor carpi interosseous a
radialis brevis m
Flexor carpi radialis m
Radial n, deep Median n
Extensor Palmaris longus m
digitorum m Pronator teres m,
Supinator m deep head
Radius
Flexor digitorum
Extensor digiti superficialis m
minimi m
Ulnar a
Interosseous n, Ulnar n
anterior Flexor carpi ulnaris m,
humeral head
Extensor carpi
ulnaris m Flexor carpi ulnaris m,
Anconeus m ulnar head

Basilic v
Ulna Flexor digitorum
profundus m

Figure 5.1.18 Accessory


cephalic v Brachioradialis m Cephalic v

Extensor carpi
radialis longus m
Median basilic v
of forearm

Radial n, Pronator teres m


superficial
Radial a
Interosseous a,
Extensor carpi common
radialis brevis m
Flexor carpi
Radial n, deep radialis m
Extensor Median n
digitorum m Palmaris longus m

Supinator m Pronator teres m,


deep head
Radius
Flexor digitorum
Extensor digiti superficialis m
minimi m
Ulnar a
Interosseous n,
anterior
Ulnar n

Extensor carpi
ulnaris m Flexor carpi
ulnaris m
Anconeus m
Basilic v

Ulna Flexor digitorum


profundus m
124  UPPER EXTREMITY:  MRI OF THE ELBOW

Figure 5.1.19 Cephalic v Median basilic v


of forearm
Brachioradialis m
Accessory Flexor carpi
cephalic v radialis m
Radial n,
superficial Radial a
Extensor carpi Pronator teres m
radialis longus m and t
Interosseous a,
Extensor carpi common
radialis brevis m Median n
Radial n, deep Palmaris
longus m
Extensor
digitorum m Flexor digitorum
Supinator m superficialis m
Radius
Interosseous n, Ulnar a
anterior
Extensor Ulnar n
digiti minimi m

Extensor Flexor carpi


carpi ulnaris m ulnaris m

Anconeus m Basilic v

Ulna Flexor digitorum


profundus m

Figure 5.1.20 Cephalic v Median basilic v


of forearm
Brachioradialis m
Flexor carpi
Accessory cephalic v radialis m

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

Extensor carpi ulnaris m


Basilic v
Anconeus m
Flexor digitorum
profundus m
Ulna
UPPER EXTREMITY:  MRI OF THE ELBOW  125

OBLIQUE SAGITTAL
Figure 5.2.1
Biceps brachii m
Triceps brachii m, lateral head

Brachioradialis m

Extensor carpi radialis longus m

Accessory cephalic v

Extensor carpi radialis brevis m

Extensor digitorum m

Forearm vv, superficial

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

Brachioradialis m Extensor carpi radialis longus m

Extensor carpi radialis brevis m

Accessory cephalic v

Extensor digitorum m
126  UPPER EXTREMITY:  MRI OF THE ELBOW

Figure 5.2.3 Brachialis m

Biceps brachii m Radial n


Triceps brachii m, lateral head

Triceps brachii t

Accessory cephalic v
Extensor carpi radialis longus m
Brachioradialis m
Extensor carpi radialis brevis m
Lateral epicondyle

Radial collateral lig


Lateral ulnar collateral lig

Radial head

Supinator m

Extensor carpi Extensor digitorum m


radialis longus m
Extensor digiti minimi t

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

Extensor carpi Anconeus m


radialis longus m Lateral ulnar collateral lig
Radial head
Annular lig

Supinator m

Extensor carpi
radialis longus m

Extensor carpi ulnaris m


Extensor carpi Extensor digiti minimi m
radialis brevis m Extensor digitorum m
UPPER EXTREMITY:  MRI OF THE ELBOW  127

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

Lateral ulnar collateral lig


Radial head

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

Posterior fat pad

Cephalic v

Radial fossa Capitellum

Radial head
Annular lig
Lateral ulnar collateral lig
Ulna
Anconeus m
Supinator m
Radial tuberosity
Brachioradialis m
Supinator m

Abductor pollicis longus m


Radius
Extensor carpi ulnaris m

Figure 5.2.8
Triceps brachii m,
medial head
Biceps brachii m

Humerus

Brachialis m

Posterior fat pad

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

Posterior fat pad


Anterior fat pad
Triceps brachii t
Olecranon
Cephalic v with Capitellum–trochlea
forearm vv, deep junction

Biceps t
Radial head

Ulnar a
Ulna

Radial a Biceps brachii t


insertion
Flexor carpi
radialis m
Interosseous n and a,
anterior
Pronator teres m Flexor digitorum
profundus m

Figure 5.2.10
Triceps brachii m,
long head
Biceps brachii m

Humerus

Posterior fat pad


Anterior fat pad Olecranon fossa
Triceps brachii t
Coronoid fossa
Brachialis m
Median cubital v Olecranon
Trochlea
Trochlear notch

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

Flexor carpi radialis m


Flexor digitorum
Flexor digitorum profundus m
superficialis m
UPPER EXTREMITY:  MRI OF THE ELBOW  131

Figure 5.2.13

Triceps brachii m,
long head

Median n Triceps brachii t

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

Flexor carpi Flexor


radialis m carpi ulnaris m
132  UPPER EXTREMITY:  MRI OF THE ELBOW

Figure 5.2.15

Triceps brachii m,
Basilic v lateral head

Ulnar n

Brachialis m Medial epicondyle


Ulnar collateral lig,
Ulnar collateral lig,
posterior band
anterior band
Ulnar n
Pronator teres m

Pronator teres t Flexor carpi


ulnaris m, ulnar head

Flexor carpi ulnaris m,


humeral head

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

Pronator teres t Flexor carpi


ulnaris m, humeral head

Basilic v
Flexor digitorum
superficialis m
134  UPPER EXTREMITY:  MRI OF THE ELBOW

OBLIQUE CORONAL
Figure 5.3.1

Biceps brachii m

Cephalic v Median basilic v of forearm

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

Accessory cephalic v Pronator teres m

Radial a
Flexor carpi radialis m

Extensor carpi radialis longus m


UPPER EXTREMITY:  MRI OF THE ELBOW  135

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

Flexor carpi radialis m


Radial a

Extensor carpi Palmaris longus m


radialis longus m

Figure 5.3.4

Biceps brachii m

Median cubital v

Accessory cephalic v

Brachioradialis m
Forearm vv, deep

Pronator teres m

Flexor carpi radialis m

Extensor carpi Radial a


radialis longus m
Palmaris longus m

Flexor digitorum
superficialis m
136  UPPER EXTREMITY:  MRI OF THE ELBOW

Figure 5.3.5

Biceps brachii m

Median cubital v

Brachial a

Biceps brachii t Brachialis m and t


Brachioradialis m Pronator teres m

Radial a

Radial n, superficial

Flexor carpi radialis m

Extensor carpi Palmaris longus m


radialis longus m Pronator teres m

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

Biceps brachii t Ulnar a


Extensor carpi Flexor carpi radialis m
radialis brevis m
Interosseous a, common
Radial n, deep
Ulnar a
Palmaris longus m
Supinator m Median n

Extensor digitorum m Flexor digitorum


superficialis 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

Radial collateral lig Coronoid process

Annular lig Brachialis m


Radial n, deep
Ulnar recurrent a
Radial head
Interosseous a, common
Extensor digitorum m
Ulnar a
Biceps brachii t
Flexor digitorum
Supinator m
superficialis m
Radial tuberosity Pronator teres m
Radius
Flexor carpi ulnaris m
Interosseous a and n,
anterior
Flexor digitorum
profundus m
Ulnar n

Figure 5.3.10
Triceps brachii m

Radial n

Brachioradialis m Epitrochlear lymph node


Brachialis m

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

Common extensor t Trochlea


Capitellum Pronator teres m, deep head
Radial collateral lig Ulnar collateral lig
Coronoid process
Annular lig Basilic v
Pronator teres m
Extensor digitorum m Flexor digitorum superficialis m
Radial n, deep Brachialis m
Radial head
Radial neck
Radial tuberosity

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

Extensor carpi ulnaris m


Flexor digitorum
Interosseous n profundus m
and vessels, posterior
Ulna
140  UPPER EXTREMITY:  MRI OF THE ELBOW

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

Lateral epicondyle Common flexor t

Common extensor t Olecranon

Lateral ulnar collateral lig Flexor digitorum


superficialis m

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

Brachioradialis m Triceps brachii m,


medial head
Triceps brachii m,
Extensor carpi long head
radialis longus m
Ulnar n

Olecranon fossa
Medial epicondyle

Lateral epicondyle Common flexor t


Olecranon
Radial recurrent a Flexor carpi ulnaris m,
humeral head
Ulnar n
Anconeus m

Flexor carpi ulnaris m,


ulnar head

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

Brachioradialis m Triceps brachii m,


medial head
Triceps brachii m,
long head
Extensor carpi
radialis longus m

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

MRI of the Forearm


144  UPPER EXTREMITY:  MRI OF THE FOREARM

Table 6-1.  Muscles of the Forearm


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Anconeus Posterior surface of the lateral epicondyle, Onto the radial side of the Nerve to anconeus
and adjacent capsular ligament of the olecranon and adjacent shaft (C7, C8, T1)
elbow of the ulna
Brachioradialis Upper two thirds of the lateral epicondy- Lateral side of the base of the Radial (C5, C6, C7)
lar ridge of the humerus and the anterior styloid process of the radius
surface of the lateral intermuscular
septum
Extensor carpi Lower third of the lateral epicondylar Lateral aspect of the base of the Radial (C5, C6, C7)
radialis longus ridge, lateral intermuscular septum, second metacarpal
and extensor tendons from the lateral
epicondyle
Extensor carpi Common extensor tendon from the lateral Dorsal aspect of the base of the Radial or deep radial
radialis brevis epicondyle, intermuscular septa, and radial third metacarpal (posterior interos-
collateral ligament of the elbow joint seus) (C7, C8)
Extensor Common extensor tendon Dorsal digital fibrous expansion Deep radial (poste-
digitorum covering the dorsum of the prox- rior interosseus)
imal phalanx and sides of its (C7, C8)
base, base of the middle, and
distal phalanges
Extensor digiti Intermuscular septa, overlying fascia, Base of the proximal phalanx Deep radial (poste-
minimi and common extensor tendon of the little finger rior interosseus)
(C7, C8)
Extensor carpi Two heads: (1) distal dorsal aspect of the Onto a tubercle at the base Deep radial (poste-
ulnaris lateral epicondyle, and (2) proximal three of the fifth metacarpal rior interosseus)
fourths of the dorsal border of the ulna (C7, C8)
Supinator Dorsal aspect of the lateral epicondyle, Lateral surface of the radius be- Deep radial (poste-
ulnar depression distal to the radial tween the anterior and posterior rior interosseous)
notch, and supinator crest oblique lines (C5, C6)
Abductor Lateral edge of the proximal part of Radial side of the ventral aspect Deep radial (poste-
pollicis longus the middle third of the ulna, adjacent of the base of the first metacarpal rior interosseus)
interosseous membrane, dorsal surface (C7, C8)
of the radius, and, occasionally, the
intermuscular septa
Extensor Distal end of the middle third of the Base of the proximal phalanx of Deep radial (poste-
pollicis brevis radius in its dorsal surface, interosseous the thumb or into the capsule rior of interosseus)
membrane, and, occasionally, the ulna the metacarpophalangeal joint (C7, C8)
Extensor Middle third of the dorsal surface of Base of the distal phalanx of the Deep radial (poste-
pollicis longus the ulna adjacent to the interosseous thumb rior interosseus)
membrane (C7, C8)
Extensor Proximal part of the distal third of the Dorsal aponeurosis on the ulnar Deep radial (poste-
indicis posterior surface of the ulna interosseous side of the index finger, adjacent rior interosseus)
membrane to the base of the proximal (C7, C8)
phalanx
Pronator teres Two heads: (1) humeral head (superior Onto the middle third of lateral Median (C6, C7)
half of the ventral surface of the medial surface of the radius
epicondyle), and (2) ulnar head (medial
border of the coronoid process)
Flexor carpi Medial epicondyle of the humerus Base of the second metacarpal Median (C6, C7)
radialis and usually, base of the third
metacarpal
UPPER EXTREMITY:  MRI OF THE FOREARM  145

Table 6-1.  Muscles of the Forearm—cont’d


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Palmaris Medial epicondyle Flexor retinaculum and palmar Median (C7, C8)
longus aponeurosis
Flexor carpi Two heads: (1) medial epicondyle, and Primarily onto the pisiform Ulnar (C7, C8)
ulnaris (2) medial side of the olecranon, upper
two thirds of the dorsal border of the ulna
Flexor Two heads: (1) ulnar (ventral surface of Ventral surface of the shaft of Median (C7,
digitorum the medial epicondyle, ulnar collateral the middle phalanx of each finger C8, T1)
superficialis ligament, ulnar tuberosity, medial border
of coronoid process), and (2) radial
(anterior oblique line and ventral border
below the radial oblique line)
Flexor Proximal three fourths of the medial and Bases of the distal phalanges Median, anterior
digitorum anterior surface of the ulna and interosse- of the second to fifth digits interosseous branch
profundus ous membrane (C8, T1)
Flexor pollicis Ventral surface of the radius, oblique Base of the distal phalanx Median, anterior
longus line, and adjacent interosseus membrane of the thumb interosseous branch
(C8, T1)
Pronator Medial side, ventral surface of the distal Distal quarter of the ventral Median, anterior
quadratus fourth of the ulna surface of the radius interosseous branch
(C8, T1)
146  UPPER EXTREMITY:  MRI OF THE FOREARM

AXIAL
Figure 6.1.1 Median basilic v of forearm

Cephalic v Pronator teres m,


deep head
Radial a
Pronator teres m
Radial n, superficial Flexor carpi
radialis m
Accessory cephalic v
Palmaris longus m
Brachioradialis m Median n
Biceps brachii t Flexor digitorum
superficialis m
Extensor carpi
radialis longus m Interosseous n,
R
anterior
Radial n, deep
Ulnar n
Supinator m
Extensor carpi Ulnar a
radialis brevis m
U Flexor carpi
Extensor digitorum m ulnaris m
Extensor digiti Flexor digitorum
minimi m profundus m
Extensor carpi
ulnaris m artery = a
arteries = aa
vein = v
Anconeus m veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone

Figure 6.1.2 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

Figure 6.1.3 Median basilic v of forearm

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

Figure 6.1.4 Median basilic v of forearm

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

Extensor carpi ulnaris m


148  UPPER EXTREMITY:  MRI OF THE FOREARM

Figure 6.1.5 Median basilic v of forearm

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

Extensor carpi ulnaris m

Figure 6.1.6 Median basilic v of forearm

Cephalic v Flexor carpi


Radial a radialis m
Radial n, Palmaris
superficial longus m
Brachioradialis m Median n
Flexor pollicis
longus m Flexor digitorum
superficialis m and t
Pronator
teres m and t Ulnar a
Extensor carpi Ulnar n
radialis longus m Flexor carpi
Extensor carpi ulnaris m
radialis brevis m Interosseous n,
R
Supinator m anterior
Interosseous a, Interosseous a,
posterior anterior
Abductor pollicis U Flexor digitorum
longus m
profundus m
Extensor
digitorum m Extensor pollicis
longus m
Extensor digiti
minimi m
Interosseous n,
posterior
branches
Extensor carpi ulnaris m
UPPER EXTREMITY:  MRI OF THE FOREARM  149

Figure 6.1.7 Median basilic v of forearm

Cephalic v Flexor carpi


radialis m
Radial a
Palmaris
Radial n, superficial
longus m
Brachioradialis m
Median n
Flexor pollicis
longus m Flexor digitorum
superficialis m
Pronator teres m and t
Ulnar a
Extensor carpi radialis Ulnar n
longus m
Flexor carpi
Extensor carpi radialis
ulnaris m
brevis m R
Interosseous a, Flexor digitorum
posterior profundus m
Interosseous n, Interosseous
posterior branches U a and n,
anterior
Abductor pollicis
longus m

Extensor digitorum m Extensor pollicis


longus m
Extensor digiti
minimi m

Extensor carpi ulnaris m

Figure 6.1.8 0HGLDQEDVLOLFYRIIRUHDUP

)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

Figure 6.1.9 Median basilic v of 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

Extensor carpi ulnaris m

Figure 6.1.10 Median basilic v of forearm

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

Extensor carpi ulnaris m


UPPER EXTREMITY:  MRI OF THE FOREARM  151

Figure 6.1.11 Median basilic v of forearm

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

Extensor carpi ulnaris m

Figure 6.1.12 Median basilic v of forearm

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

Interosseous n, posterior branches


(sensory remnant)
152  UPPER EXTREMITY:  MRI OF THE FOREARM

Figure 6.1.13 Median basilic v of forearm

Flexor carpi radialis t


Radial a
Flexor pollicis longus m Palmaris longus t
Brachioradialis t Median n
Cephalic v Flexor digitorum
superficialis m
Radial n, superficial
Flexor digitorum
Extensor carpi radialis profundus m
longus t
Interosseous a and n,
Extensor carpi radialis anterior branches
brevis t R Ulnar a
Extensor pollicis brevis m Ulnar n
Abductor pollicis Flexor carpi
longus m and t ulnaris m
U Interosseous
Extensor digitorum m and t
membrane
Extensor pollicis longus m Extensor indicis m
Extensor digiti minimi t
Extensor carpi
ulnaris m

Interosseous n, posterior branches

Figure 6.1.14 Median basilic v of forearm

Flexor carpi radialis t


Radial a
Flexor pollicis longus m Palmaris longus t
Brachioradialis t Median n
Cephalic v Flexor digitorum
Radial n, superficial superficialis m
Flexor digitorum
Extensor carpi radialis
profundus m
longus t
Interosseous a and n,
Extensor carpi radialis anterior branches
brevis t R Ulnar a
Abductor pollicis longus Ulnar n
m and t
Flexor carpi
Extensor pollicis brevis m
ulnaris m
Interosseous n, Interosseous
posterior branches U
membrane
Extensor digitorum m and t Extensor indicis m
Extensor pollicis longus m

Extensor digiti minimi t Extensor carpi


ulnaris m
UPPER EXTREMITY:  MRI OF THE FOREARM  153

Figure 6.1.15 Flexor carpi radialis t


Radial a
Palmaris longus t
Flexor pollicis longus m
Median basilic v
Brachioradialis t of forearm
Cephalic v Median n
Radial n, superficial Flexor digitorum
Pronator quadratus m superficialis m
Extensor carpi radialis Flexor digitorum
longus t profundus m
Extensor carpi radialis Interosseous n and a,
brevis t R anterior branches
Abductor pollicis Ulnar a
longus m and t
Ulnar n
Extensor pollicis brevis m
Interosseous n, Flexor carpi ulnaris m
U
posterior branches Pronator quadratus m
Extensor digitorum m and t Extensor indicis m
Extensor pollicis longus m
Extensor carpi
Extensor digiti minimi t ulnaris m

Figure 6.1.16 Flexor carpi radialis t


Palmaris longus t
Radial a
Flexor pollicis longus m Median n

Brachioradialis t Flexor digitorum


Cephalic v superficialis m

Radial n, superficial Flexor digitorum


profundus m
Pronator quadratus m
Extensor carpi radialis Flexor carpi
longus t ulnaris m and t
Extensor carpi radialis R Ulnar a
brevis t Ulnar n
Abductor pollicis longus m
Interosseous a and n,
Extensor pollicis brevis m anterior branches
Interosseous n, U
Pronator
posterior branches quadratus m
Extensor pollicis longus m
Extensor indicis m
Extensor digitorum m and t
Extensor carpi
Extensor digiti minimi t
ulnaris m
154  UPPER EXTREMITY:  MRI OF THE FOREARM

Figure 6.1.17 Flexor carpi radialis t


Radial a Palmaris longus t
Flexor pollicis m Median n
Brachioradialis t Flexor digitorum
superficialis m
Cephalic v
Flexor digitorum
Radial n, superficial profundus m
Extensor carpi radialis
longus t Ulnar a
Abductor pollicis longus m Ulnar n
R
Extensor carpi radialis Flexor carpi
brevis t ulnaris m and t
Extensor pollicis brevis m Pronator quadratus m
Interosseous n, Interosseous a and n,
posterior branches U anterior branches
Extensor pollicis longus m Extensor indicis m
Extensor digitorum t
Extensor carpi
Extensor digiti minimi t
ulnaris m

Figure 6.1.18 Flexor carpi radialis t


Radial a
Flexor pollicis longus m Palmaris longus t
Cephalic v Median n
Brachioradialis t Flexor digitorum
superficialis m and t
Radial n, superficial
Flexor digitorum
Abductor pollicis longus m profundus m and t
Extensor carpi radialis Ulnar a
longus t
R Ulnar n
Extensor carpi radialis
brevis t Flexor carpi
ulnaris m and t
Extensor pollicis
brevis m and t Interosseous a,
U anterior branch
Extensor pollicis longus m
Extensor indicis m
Extensor digitorum t
Extensor digiti minimi t Extensor carpi
ulnaris m and t
UPPER EXTREMITY:  MRI OF THE FOREARM  155

Figure 6.1.19 )OH[RUFDUSLUDGLDOLVW


5DGLDOD 3DOPDULVORQJXVW
)OH[RUSROOLFLVORQJXVPDQGW 0HGLDQQ
&HSKDOLFY )OH[RUGLJLWRUXP
VXSHUILFLDOLVPDQGW
%UDFKLRUDGLDOLVW
)OH[RUGLJLWRUXP
5DGLDOQVXSHUILFLDO SURIXQGXVPDQGW
$EGXFWRUSROOLFLVORQJXVP 8OQDUD
([WHQVRUFDUSLUDGLDOLVORQJXVW 8OQDUQ
5
([WHQVRUFDUSLUDGLDOLVEUHYLVW )OH[RUFDUSLXOQDULVPDQGW
([WHQVRUSROOLFLVEUHYLVPDQGW 3URQDWRUTXDGUDWXVP
([WHQVRUSROOLFLVORQJXVP 8 ,QWHURVVHRXVD
SRVWHULRUEUDQFK
([WHQVRUGLJLWRUXPW
([WHQVRULQGLFLVPDQGW
([WHQVRUGLJLWLPLQLPLW
([WHQVRUFDUSL
XOQDULVPDQGW

Figure 6.1.20 Flexor carpi radialis t


Palmaris longus t
Radial a Median n
Flexor pollicis longus m and t Flexor digitorum
Cephalic v superficialis m and t
Brachioradialis t Flexor digitorum
Abductor pollicis longus m profundus m and t
Radial n, superficial Ulnar a
Ulnar n
Extensor pollicis brevis t
R Flexor carpi
Extensor carpi radialis longus t ulnaris m and t
Extensor carpi radialis brevis t Pronator quadratus m
U
Extensor pollicis longus t Interosseous a,
Extensor digitorum t posterior branch
Extensor
Extensor digiti minimi t indicis m and t
Extensor carpi
ulnaris m and t
156  UPPER EXTREMITY:  MRI OF THE FOREARM

SAGITTAL
Figure 6.2.1

Brachioradialis m

Cephalic v Median cubital v

Basilic v

Median v of forearm 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 6.2.2
Accessory cephalic v

Cephalic v Extensor carpi


radialis brevis m

Brachioradialis m

Superficial v Extensor carpi


radialis longus 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

Flexor digitorum Extensor carpi


profundus m radialis longus t
158  UPPER EXTREMITY:  MRI OF THE FOREARM

Figure 6.2.5
Biceps brachii t
Radial neck

Radial tuberosity
Pronator teres m
Radial n, deep

Flexor carpi Supinator m


radialis m

Median n Extensor carpi


radialis brevis m

Radius
Interosseous a,
posterior
Flexor digitorum
superficialis m
Abductor pollicis
longus m and t

Flexor pollicis Extensor pollicis


longus m brevis 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

Flexor pollicis Extensor


longus m digitorum m

Interosseous a,
Interosseous a, posterior
anterior

Flexor digitorum Abductor pollicis


profundus m longus m
Interosseous n,
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

Extensor digiti minimi t

Figure 6.2.10
Palmaris Anconeus m
longus m

Ulnar n

Flexor digitorum Ulna


superficialis m

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

Flexor carpi radialis m

Palmaris longus m

Flexor digitorum superficialis m

Median basilic v of forearm


artery = a
arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
Flexor carpi ulnaris m ligament = lig
ligaments = ligs
nerve &
vessels
bone

Figure 6.3.2

Flexor digitorum superficialis m

Palmaris longus m and t

Flexor carpi radialis m

Flexor digitorum profundus m and t

Flexor carpi ulnaris m

Ulnar a
Flexor digitorum profundus m and t Ulnar n
UPPER EXTREMITY:  MRI OF THE FOREARM  163

Figure 6.3.3
Pronator teres m

Flexor digitorum superficialis m and t

Flexor carpi radialis m


Flexor carpi ulnaris m

Palmaris longus t

Ulnar a

Ulnar n
Flexor digitorum superficialis m and t

Flexor digitorum profundus m and t


Ulna

Figure 6.3.4
Cephalic v
Pronator teres m

Flexor carpi ulnaris m

Flexor carpi radialis m

Ulnar a

Ulnar n

Palmaris longus t

Flexor digitorum superficialis m and t


Pronator quadratus m

Flexor digitorum profundus m and t


Ulna
164  UPPER EXTREMITY:  MRI OF THE FOREARM

Figure 6.3.5

Cephalic v
Pronator teres m
Median n

Ulnar a

Flexor carpi ulnaris m

Flexor digitorum profundus m

Flexor carpi radialis m

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

Radial n, superficial Ulnar a

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

Flexor pollicis longus m


Extensor indicis m

Flexor carpi radialis m and t


Extensor carpi ulnaris t

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

Flexor digitorum profundus m


Extensor carpi radialis brevis m
Pronator teres m and t

Flexor digitorum superficialis m

Radial n, superficial
Interosseous a and n, anterior

Extensor pollicis brevis m


Flexor pollicis longus m
Extensor carpi ulnaris m and t
Extensor indicis m

Radial a
Extensor pollicis longus t
Radius
UPPER EXTREMITY:  MRI OF THE FOREARM  167

Figure 6.3.11
Brachioradialis m

Supinator m

Ulna

Extensor carpi radialis longus m

Abductor pollicis longus m

Pronator teres m and t


Extensor carpi radialis brevis m

Extensor pollicis longus m

Abductor pollicis longus m


Extensor carpi ulnaris m
Flexor pollicis longus m

Extensor digitorum m
Radius

Radial n, superficial

Extensor carpi radialis longus and brevis tt

Figure 6.3.12

Supinator m
Brachioradialis m

Ulna

Abductor pollicis longus m


Extensor carpi radialis brevis m

Extensor pollicis longus m

Pronator teres m and t Extensor carpi ulnaris m

Abductor pollicis longus m

Radius

Extensor digitorum m

Extensor carpi radialis longus and brevis tt


168  UPPER EXTREMITY:  MRI OF THE FOREARM

Figure 6.3.13

Supinator m
Extensor carpi radialis longus m
Anconeus m

Interosseous a, posterior

Extensor carpi radialis brevis m


Extensor carpi ulnaris m

Radius
Abductor pollicis longus m

Extensor digitorum m

Figure 6.3.14
Anconeus m

Supinator m
Extensor carpi radialis longus m

Interosseous a and n, posterior

Extensor carpi radialis brevis m

Extensor carpi ulnaris m

Abductor pollicis longus m

Extensor digiti minimi m


Extensor digitorum m

Abductor pollicis longus m


UPPER EXTREMITY:  MRI OF THE FOREARM  169

Figure 6.3.15

Extensor carpi radialis longus m

Extensor carpi radialis brevis m Interosseous a and n,


posterior
Extensor carpi ulnaris m

Extensor digitorum m

Figure 6.3.16

Extensor carpi radialis longus m

Extensor digitorum m
Extensor carpi radialis brevis m
Extensor carpi ulnaris m
7
Chapter

MRI of the Wrist


UPPER EXTREMITY:  MRI OF THE WRIST  171

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

Figure 7.1.2 Extensor pollicis


longus t Cephalic v
Radius Extensor digitorum
m and t
Extensor carpi Extensor retinaculum
radialis brevis t
Extensor digiti
Extensor carpi minimi t
radialis longus t Extensor
Extensor pollicis indicis m and t
brevis t and m Extensor
carpi ulnaris t
Abductor pollicis Ulna
longus t
Flexor digitorum
Pronator profundus m
quadratus m
Flexor pollicis Ulnar n
longus m
Ulnar a
Radial a
Flexor carpi ulnaris
Median n m and t
Palmaris longus t
Flexor carpi
radialis t

Flexor digitorum
superficialis m
172  UPPER EXTREMITY:  MRI OF THE WRIST

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UPPER EXTREMITY:  MRI OF THE WRIST  173

Figure 7.1.5 Extensor retinaculum

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

Figure 7.1.6 Extensor retinaculum

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

Radial a Ulnar a, superficial


Flexor carpi Flexor carpi
radialis t ulnaris t
Median n Palmar carpal lig
Palmaris longus t

Flexor digitorum
superficialis t
174  UPPER EXTREMITY:  MRI OF THE WRIST

Figure 7.1.7 Extensor


retinaculum
Extensor pollicis Dorsal vv,
longus t superficial
Extensor carpi
radialis brevis t Extensor
Extensor carpi digitorum tt
radialis longus t Extensor digiti
Scapholunate lig minimi t
Scaphoid Lunotriquetral lig
Radial styloid Extensor carpi
Radioscaphocapitate ulnaris t
lig Triquetrum
Cephalic v Lunate
Extensor pollicis Extensor indicis t
brevis t Flexor digitorum
Abductor pollicis profundus tt
longus t Ulnar n
Radial a Ulnar a, deep
Radiolunotriquetral Flexor carpi
lig ulnaris t
Flexor carpi radialis t Ulnar a,
Flexor pollicis superficial
longus t Palmar carpal lig
Median n Palmaris
longus t
Flexor digitorum
superficialis tt

Figure 7.1.8 Extensor


pollicis longus t
Scapholunate
lig
Extensor
retinaculum
Extensor
digitorum tt
Extensor
digiti minimi t
Extensor carpi
radialis brevis t
Dorsal
radiotriquetral lig
Extensor
Extensor carpi
indicis t
radialis longus t
Triquetrum
Scaphoid Extensor carpi
ulnaris t
Radial collateral lig
Lunate
Scapholunate lig Radiolunotriquetral
lig
Radioscaphocapitate Pisiform
lig
Flexor digitorum
Extensor profundus tt
pollicis brevis t
Abductor pollicis Ulnar n
longus t Ulnar a, deep
Radial a

Radiolunotriquetral lig

Flexor Flexor Median n Flexor Palmaris Palmar Ulnar a, Flexor carpi


carpi pollicis digitorum longus t carpal lig superficial ulnaris t
radialis t longus t superficialis tt
UPPER EXTREMITY:  MRI OF THE WRIST  175

Figure 7.1.9 Extensor


carpi radialis Superficial Extensor Extensor Extensor
brevis t dorsal v retinaculum digitorum tt digiti minimi t
Extensor pollicis
longus t

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

Figure 7.1.10 Extensor


pollicis longus t
Extensor carpi
radialis brevis t

Extensor carpi Extensor


radialis longus t digitorum tt
Extensor
digiti minimi t
Dorsal Extensor
scaphotriquetral indicis t
lig Extensor
carpi ulnaris t
Scaphoid
Hamate
Capitate Triquetrum
Palmar
Radial a, deep scaphotriquetral
Extensor pollicis lig
brevis t Flexor digitorum
profundus tt
Abductor pollicis
longus t Pisiform
Flexor pollicis Flexor carpi
longus t ulnaris t
Flexor carpi Ulnar n
radialis t
Radial a, Median n Flexor Palmaris Palmar Ulnar a, Ulnar a,
superficial digitorum longus t carpal lig superficial deep
superficialis tt
176  UPPER EXTREMITY:  MRI OF THE WRIST

Figure 7.1.11 Extensor carpi


radialis brevis t
Extensor
pollicis Extensor
longus t digitorum tt
Extensor
Extensor carpi digiti minimi t
radialis Extensor
longus t indicis t
Dorsal Extensor carpi
scaphotriquetral ulnaris t
lig Hamate
Capitate
Triquetrum
Scaphoid Palmar
scaphotriquetral
Radial a, deep lig, distal bands
Extensor Flexor digitorum
pollicis profundus tt
brevis t
Abductor digiti
Abductor minimi m
pollicis Pisiform
longus t
Flexor Flexor carpi
digitorum ulnaris t
superficialis tt Ulnar a, deep
Flexor pollicis Flexor Radial a, Median n Palmaris Flexor Ulnar a, Ulnar n
longus t carpi superficial longus t retinaculum superficial
radialis t

Figure 7.1.12 Extensor pollicis


longus t
Extensor carpi
radialis brevis t

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

Figure 7.1.13 Capitate


Extensor carpi
radialis brevis t Extensor digitorum tt

Extensor pollicis Extensor digiti


longus t minimi t
Extensor carpi Extensor
radialis longus t indicis t
Hamate
Trapezoid
Extensor carpi
Radial a, deep ulnaris t
Trapezium Abductor digiti
Abductor pollicis minimi m
longus t Flexor carpi
ulnaris t
Extensor pollicis Flexor
brevis t digitorum
Flexor carpi profundus tt
radialis t
Hook of
Flexor pollicis hamate
longus t
Ulnar a, deep
Tubercle of
trapezium
Radial a, Ulnar n
superficial
Abductor pollicis Flexor Median n Palmaris Flexor Ulnar a,
brevis m digitorum longus t retinaculum superficial
superficialis tt

Figure 7.1.14 Extensor digitorum


tt
Extensor digiti
minimi t Extensor
indicis t
Extensor carpi Hamate
radialis brevis t and hook
of hamate
Extensor carpi Extensor carpi
radialis longus t ulnaris t
Extensor pollicis Flexor carpi
longus t ulnaris t
Capitate Abductor digiti
Trapezoid minimi m
Radial a, deep Flexor digitorum
Trapezium profundus tt
Flexor pollicis Flexor digiti
longus t minimi
Extensor pollicis brevis m
brevis t Opponens digiti
Flexor carpi minimi m
radialis t Ulnar n
Abductor
pollicis longus t Ulnar a,
Tubercle of deep branch
trapezium
Opponens pollicis Ulnar a,
brevis m Abductor superficial
Radial a, Flexor Median n Palmaris Flexor
pollicis brevis m superficial digitorum longus t retinaculum
superficialis tt
178  UPPER EXTREMITY:  MRI OF THE WRIST

Figure 7.1.15 Extensor carpi


radialis brevis t
Extensor
digitorum tt
Extensor
indicis t Hamate
Capitate and hook
of hamate
Extensor carpi Extensor
radialis longus t digiti
Extensor pollicis minimi t
longus t Fifth
Trapezoid metacarpal
Extensor carpi
Radial a, deep ulnaris t
Trapezium Abductor
Flexor pollicis digiti
longus t minimi m
Extensor pollicis Flexor
brevis t digitorum
Flexor carpi profundus tt
radialis t Flexor digiti
Abductor pollicis minimi
longus t brevis m
Opponens pollicis Opponens
brevis m digiti
minimi m
Radial a,
Ulnar a, deep
superficial
Ulnar n
Abductor pollicis
brevis m Flexor digitorum Median n Palmaris Flexor Ulnar a,
superficialis tt longus t retinaculum superficial

Figure 7.1.16 Extensor carpi


radialis brevis t
Extensor
digitorum tt
Extensor
indicis t
Adductor Fourth
pollicis m metacarpal
Extensor carpi
radialis longus t Extensor digiti
Flexor pollicis minimi t
brevis m
Extensor pollicis Fifth
longus t metacarpal
Radial a, deep Abductor digiti
Trapezium minimi m
Flexor carpi Flexor
radialis t digitorum
Extensor pollicis
profundus tt
brevis t
First metacarpal Ulnar a, deep
Flexor pollicis
longus t Flexor digiti
Opponens pollicis minimi
brevis m brevis m
Abductor pollicis
longus t Opponens
digiti
Abductor pollicis minimi m
brevis m
Ulnar a, Ulnar n
Radial a, Flexor digitorum Median n Palmaris Flexor superficial
superficial superficialis tt longus t retinaculum
UPPER EXTREMITY:  MRI OF THE WRIST  179

Figure 7.1.17 Extensor carpi Third


radialis brevis t metacarpal
Extensor
digitorum tt
Extensor
indicis t
Extensor
digiti
Second
metacarpal minimi t
Fourth
Extensor carpi metacarpal
radialis longus t Fifth
Flexor carpi metacarpal
radialis t
Abductor
Extensor pollicis digiti
longus t minimi m
Radial a, deep
palmar arch Deep
palmar arch
Adductor pollicis m
Flexor
Flexor pollicis digitorum
brevis m profundus tt
Extensor pollicis
brevis t Flexor digiti
First metacarpal minimi
brevis m
Flexor pollicis Opponens
longus t digiti
Abductor pollicis minimi m
longus t
Ulnar n
Opponens pollicis
brevis m Abductor pollicis Radial a, Median n, Palmar Flexor digitorum Ulnar a,
brevis m superficial branches aponeurosis superficialis tt superficial

Figure 7.1.18 Third


metacarpal
Extensor
digitorum tt Extensor indicis t Fourth
metacarpal
Extensor carpi Extensor
radialis brevis t digiti
Second minimi t
metacarpal Fifth
Flexor carpi metacarpal
radialis t Abductor
Extensor pollicis digiti
longus t minimi m
Radial a, deep Deep palmar
palmar arch arch
Adductor Flexor
pollicis m digitorum
Flexor pollicis profundus tt
brevis m
Extensor pollicis Flexor digiti
brevis t minimi
First metacarpal brevis m
Flexor pollicis Opponens
longus t digiti
minimi m
Opponens pollicis
brevis m Ulnar n
Radial a, Abductor pollicis Median n, Palmar Flexor digitorum Ulnar a,
superficial brevis m branches aponeurosis superficialis tt superficial
180  UPPER EXTREMITY:  MRI OF THE WRIST

SAGITTAL
Figure 7.2.1

Flexor pollicis brevis m Adductor pollicis m


First dorsal interosseous m

Opponens pollicis m
Radial a Second metacarpal
First metacarpal
Extensor carpi radialis longus t
Abductor pollicis brevis m

Trapezium

Extensor pollicis longus t


Radial a

Extensor pollicis brevis t


Abductor pollicis longus 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

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

Opponens pollicis m Second metacarpal


Carpometacarpal ligs
First metacarpal
Extensor carpi
Abductor pollicis brevis m radialis longus t

Trapezium

Radial a, deep Extensor pollicis longus t

Extensor carpi radialis


longus t
Extensor pollicis brevis t

Abductor pollicis longus t


UPPER EXTREMITY:  MRI OF THE WRIST  181

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

Abductor pollicis brevis m Trapezoid

Trapezium

Scaphotrapezial
intercarpal lig Scaphoid tuberosity

Radioscaphocapitate lig Extensor pollicis longus t


Radial a Radial styloid

Radiolunotriquetral lig
Extensor carpi
radialis longus t
Radius

Pronator quadratus m

Figure 7.2.4 Palmar digital a,


common
Flexor pollicis longus t Second dorsal
interosseous m
Adductor pollicis m,
transverse head
Flexor pollicis brevis m,
Deep palmar arch deep head
Flexor pollicis brevis m, Adductor pollicis m,
superficial oblique head
Second metacarpal
Flexor carpi radialis t
Opponens pollicis m

Abductor pollicis brevis m Trapezoid

Trapezium Extensor carpi


radialis brevis t

Scaphoid tuberosity
Palmar scaphotriquetral lig

Radioscaphocapitate lig

Extensor pollicis longus t


Radioulnotriquetral lig
Radial a,
superficial palmar arch Extensor carpi radialis
longus t

Radius

Pronator quadratus m

Radial a
182  UPPER EXTREMITY:  MRI OF THE WRIST

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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

Accessory radiocarpal Extensor retinaculum


fasciculus of pronator
quadratus m (variant) Extensor pollicis longus t

Median n
Radius

Flexor pollicis longus m

Pronator quadratus m
Extensor pollicis brevis m
UPPER EXTREMITY:  MRI OF THE WRIST  183

Figure 7.2.7 6HFRQGOXPEULFDOP 6HFRQGGRUVDO


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Figure 7.2.8 Second lumbrical m

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

Scapholunate intercarpal lig


Radius Lister’s tubercle

Flexor digitorum profundus t

Flexor digitorum
superficialis m and t

Pronator quadratus m
Extensor pollicis
longus m
184  UPPER EXTREMITY:  MRI OF THE WRIST

Figure 7.2.9 Third lumbrical m


Third dorsal
Deep palmar arch interosseous m

Median n Adductor pollicis m,


transverse head

Third metacarpal
Flexor digitorum
superficialis t Fourth metacarpal
Palmar aponeurosis Adductor pollicis m,
oblique head
Abductor pollicis brevis m

Palmar scaphotriquetral lig, Extensor digitorum t


distal band Capitate
Palmaris longus t
Flexor retinaculum
Palmar scaphotriquetral lig,
proximal band
Dorsal scaphotriquetral lig
Lunate
Dorsal radiotriquetral lig
Radiolunotriquetral lig Extensor retinaculum

Scapholunate intercarpal lig Extensor indicis m

Radius

Flexor digitorum
superficialis m and t
Flexor digitorum
profundus m and t
Pronator quadratus m
Extensor pollicis
longus m

Figure 7.2.10 Third lumbrical m


Third dorsal
interosseous m
Deep palmar arch
Second palmar
Superficial palmar arch interosseous m

Fourth metacarpal

Palmar aponeurosis

Abductor pollicis brevis m Carpometacarpal lig

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

Figure 7.2.11 Second palmar


interosseous m
Third dorsal
interosseous m

Extensor digitorum t
Deep palmar arch

Ulnar a, Fourth metacarpal


superficial palmar arch
Opponens digiti minimi m

Palmaris brevis m Carpometacarpal lig


Palmar aponeurosis
Flexor digitorum superficialis t
Hamate
Flexor digitorum profundus t Dorsal capitohamate
Palmar scaphotriquetral lig, intercarpal lig
distal band
Dorsal
Palmar scaphotriquetral lig, scaphotriquetral lig
proximal band Extensor retinaculum
Flexor retinaculum Dorsal radiotriquetral lig
Lunate
Radiolunotriquetral lig

Short radiolunate lig Dorsal radioulnar lig

Radius

Flexor digitorum
superficialis m and t
Flexor digitorum Extensor indicis m
profundus m and t
Pronator quadratus m
Extensor digitorum t

Figure 7.2.12 Third palmar


interosseous m
Fourth lumbrical m Extensor digitorum t

Deep palmar arch Fourth metacarpal

Opponens digiti minimi m


Carpometacarpal lig
Flexor digiti minimi brevis m
Palmaris brevis m
Hamate
Hook of hamate
Flexor digitorum superficialis t
Flexor digitorum profundus t
Ulnar n
Dorsal
Palmar scaphotriquetral lig scaphotriquetral lig
Extensor retinaculum
Dorsal radiotriquetral lig
Radiolunotriquetral lig
Lunate
Ulnolunate lig Dorsal ulnotriquetral lig
Extensor digiti minimi t
Short radiolunate lig
Triangular fibrocartilage
Radius
Dorsal radioulnar lig
Ulna

Flexor digitorum Extensor digiti


profundus m and t minimi m and 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

Flexor digiti minimi brevis m Fourth metacarpal


Ulnar a, deep
Fifth metacarpal
Carpometacarpal lig
Palmaris brevis m
Hamate
Hook of hamate
Ulnar a
Pisohamate lig
Palmar scaphotriquetral lig
Abductor digiti minimi m
Triquetrum
Palmar ulnotriquetral lig Extensor retinaculum
Ulnar n
Dorsal radiotriquetral lig
Radiolunotriquetral lig Dorsal ulnotriquetral lig
Lunate
Ulnolunate lig Extensor digiti minimi t
Triangular fibrocartilage
Palmar radioulnar lig

Ulnar a Ulna

Flexor digitorum
profundus m and t

Pronator quadratus m
Extensor digiti minimi m
Ulnar n
Extensor indicis m

Figure 7.2.14 Extensor digitorum t

Third palmar interosseous m


Fourth dorsal
interosseous m

Flexor digiti minimi brevis m

Opponens digiti minimi m Fifth metacarpal


Carpometacarpal lig

Palmaris brevis m Hook of hamate


Hamate

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

Flexor carpi ulnaris t

Pronator quadratus m

Extensor indicis m
Extensor digiti
minimi m and t
UPPER EXTREMITY:  MRI OF THE WRIST  187

Figure 7.2.15
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Figure 7.2.16

Flexor digiti minimi brevis m


Fifth metacarpal
Opponens digiti minimi m

Extensor digiti minimi t

Palmaris brevis m

Abductor digiti minimi m


Triquetrum

Ulnar collateral lig


Pisiform
Extensor retinaculum

Extensor carpi ulnaris t


Ulnar styloid

Ulna

Pronator quadratus m

Extensor carpi ulnaris m


188  UPPER EXTREMITY:  MRI OF THE WRIST

Figure 7.2.17 Flexor digiti minimi brevis m


Fifth metacarpal

Extensor digiti minimi t

Opponens digiti minimi m

Base of fifth metacarpal

Abductor digiti minimi m


Extensor carpi ulnaris t

Extensor retinaculum

Ulna

Extensor carpi ulnaris t


UPPER EXTREMITY:  MRI OF THE WRIST  189

CORONAL
Figure 7.3.1 )OH[RUSROOLFLV $EGXFWRUGLJLWLPLQLPLP
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Figure 7.3.2 Opponens digiti minimi m


Abductor digiti minimi m
Flexor retinaculum
Abductor pollicis
Flexor digiti minimi
brevis m
brevis m
Flexor digitorum
profundus t Pisiform
Flexor digitorum
Flexor pollicis longus t superficialis tt
Ulnar n

Flexor carpi radialis t


Median n Ulnar a

Flexor carpi ulnaris m


Flexor digitorum
superficialis m
190  UPPER EXTREMITY:  MRI OF THE WRIST

Figure 7.3.3 Flexor retinaculum


Opponens digiti
minimi m
Flexor digitorum
Flexor pollicis superficialis tt
longus t Abductor digiti
Trapezium minimi m
Flexor digiti minimi
Abductor pollicis brevis m
brevis m
Hook of hamate
Scaphoid tuberosity Pisiform
Radio- Flexor digitorum
scaphocapitate lig profundus tt

Radial a
Flexor pollicis
longus t

Ulnar n

Median n

Flexor carpi
ulnaris m
Flexor digitorum
profundus m

Figure 7.3.4 Flexor pollicis


Opponens digiti
minimi m
longus t Flexor digitorum
superficialis tt
Trapezium
Abductor digiti
Abductor pollicis
minimi m
brevis m
Flexor digiti
minimi brevis m
Scaphoid tuberosity Hook of hamate
Radio- Flexor digitorum
scaphocapitate lig profundus tt
Radiolunotriquetral lig Pisiform
Medial
pisotriquetral lig
Radial a

Radius Ulnar n
Flexor pollicis
longus t
Pronator quadratus m

Cephalic v Flexor carpi


ulnaris m
Flexor digitorum
profundus m
UPPER EXTREMITY:  MRI OF THE WRIST  191

Figure 7.3.5 Opponens digiti minimi m


Flexor digitorum
First metacarpal profundus tt
Abductor digiti minimi m
Trapezium Flexor carpi ulnaris t
(pisometacarpal lig)
Carpometacarpal lig Hook of hamate
Scaphoid Palmar scaphotriquetral
Abductor pollicis longus t lig, proximal band
Radial a
Radioscaphocapitate lig Triquetrum
Radiolunotriquetral lig Radiolunotriquetral lig
Medial pisotriquetral lig
Scapholunate lig
Ulnotriquetral lig
Lunate
Palmar radioulnar lig
Brachioradialis t
Radius

Cephalic v

Pronator quadratus m
Flexor pollicis
longus m and t Flexor carpi ulnaris m
Flexor digitorum Ulna
profundus m

Figure 7.3.6 Flexor digitorum


profundus tt
First metacarpal Abductor digiti minimi m
Trapezium Flexor carpi ulnaris t
Carpometacarpal lig Hook of hamate
Extensor pollicis brevis t Palmar
Radial a scaphotriquetral lig,
Radial collateral lig distal band
Scaphoid Triquetrum
Radial styloid
Abductor pollicis longus t Ulnotriquetral lig
Scapholunate lig Ulnar collateral lig,
Lunate meniscus
Radius homologue
Triangular
Brachioradialis t fibrocartilage disc
Cartilage
attachment of
triangular
fibrocartilage

Pronator quadratus m

Ulna
Flexor pollicis longus m
192  UPPER EXTREMITY:  MRI OF THE WRIST

Figure 7.3.7 Fifth metacarpal


First metacarpal
Intercarpal ligs
Trapezium
Trapezoid Hamate
Radial a
Extensor pollicis Capitate
brevis t
Radial collateral lig Triquetrum
Radial styloid Ulnotriquetral lig
Scaphoid
Lunate Ulnar collateral lig,
meniscus homologue
Scapholunate lig
Triangular fibrocartilage disc
Radius Cartilage attachment of
triangular fibrocartilage
Abductor pollicis
longus t Ulnar head

Brachioradialis t
Pronator
quadratus m

Figure 7.3.8 Second metacarpal Fourth metacarpal


Fifth metacarpal
First metacarpal Extensor carpi ulnaris t
Trapezium
Dorsal carpometacarpal lig
Trapezoid
Hamate
Radial a
Dorsal intercarpal lig Capitate
Radial collateral lig
Radial styloid
Triquetrum
Scaphoid
Lunotriquetral lig
Lunate
Scapholunate lig Ulnar collateral lig,
meniscus homologue
Triangular fibrocartilage disc
Extensor pollicis Ulnar styloid
brevis t Ulna
Radius
Abductor pollicis Distal radioulnar joint
longus t
Brachioradialis t
Pronator quadratus m

Extensor carpi
radialis brevis m
UPPER EXTREMITY:  MRI OF THE WRIST  193

Figure 7.3.9 Second metacarpal


Fifth metacarpal
Third metacarpal Fourth metacarpal
First metacarpal
Trapezium Dorsal carpometacarpal lig
Trapezoid Hamate
Radial a
Capitate
Dorsal
trapezotriquetral lig Extensor carpi ulnaris t

Scaphoid Triquetrum
Lunate Lunotriquetral lig
Ulnar collateral lig
Scapholunate lig
Triangular fibrocartilage disc
Ulnar styloid
Radius
Ulna

Extensor pollicis Distal radioulnar joint


brevis t
Extensor carpi radialis
brevis m
Abductor pollicis Extensor carpi ulnaris m
longus t
Pronator quadratus m

Figure 7.3.10 Third metacarpal Fifth metacarpal


Second metacarpal Fourth metacarpal
Extensor digiti minimi t
Trapezium Hamate
Trapezoid Intercarpal lig
Intercarpal lig
Capitate

Dorsal scaphotriquetral lig


Dorsal trapezotriquetral lig
Scaphoid Extensor carpi ulnaris t
Lunate Dorsal radiotriquetral lig

Dorsal radioulnar lig


Extensor carpi radialis
longus t
Ulna
Radius Extensor carpi ulnaris t

Extensor pollicis brevis t Distal radioulnar joint


Extensor carpi radialis
brevis m
Extensor pollicis longus m Extensor indicis m
Abductor pollicis longus t
194  UPPER EXTREMITY:  MRI OF THE WRIST

Figure 7.3.11 Fourth metacarpal


Second metacarpal Third metacarpal

Trapezium Hamate
Trapezoid
Capitate
Intercarpal lig
Dorsal trapezotriquetral lig

Dorsal scaphotriquetral lig Extensor digiti minimi t

Dorsal radiotriquetral lig


Extensor carpi radialis
longus t
Dorsal radioulnar lig
Extensor carpi radialis
brevis t
Radius Ulna

Extensor pollicis
brevis m and t

Extensor pollicis
longus m and t Extensor indicis m
Abductor pollicis
longus t

Figure 7.3.12 Second metacarpal Fourth metacarpal


Third metacarpal

Trapezoid Capitate

Extensor carpi radialis


longus t
Extensor digitorum t
Dorsal scaphotriquetral lig
Extensor carpi radialis
brevis t

Radius Extensor digiti minimi t


Extensor indicis m and t
Ulna

Extensor pollicis longus t

Extensor pollicis brevis


m and t Extensor digitorum m
UPPER EXTREMITY:  MRI OF THE WRIST  195

Figure 7.3.13
Second metacarpal Third metacarpal

Trapezoid Capitate
Extensor carpi radialis
brevis t

Extensor indicis t

Extensor retinaculum Extensor digitorum tt

Extensor pollicis longus t


8
Chapter

MRI of the Hand


UPPER EXTREMITY:  MRI OF THE HAND  197

Table 8-1.  Muscles of the Hand


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Palmaris brevis Ulnar border of the palmar Deep surface of the skin along the Superficial branch
aponeurosis ulnar border of the palm of ulnar (C8, T1)
Abductor pollicis Palmar surface of the flexor Radial side of the base of the proxi- Recurrent branch
brevis retinaculum, trapezium, and, mal phalanx of the thumb of median (C8, T1)
occasionally, scaphoid
Opponens Palmar surface of the flexor Lateral part of the palmar surface Recurrent branch
pollicis retinaculum and tubercle of of the shaft of the first metacarpal of median (C8, T1)
the trapezium
Flexor pollicis Superficial head: trapezium, adjacent Superficial head: lateral side of the Recurrent branch
brevis part of the flexor retinaculum, and palmar aspect of the base of the of median and deep
tendon sheath of the flexor carpi radi- proximal phalanx; deep head: into a branch of ulnar
alis; deep head: trapezoid and capitate tendon of the superficial head (C8, T1)
Adductor pollicis Carpal head: flexor retinaculum, Ulnar side of the palmar aspect of Recurrent branch
brevis capitate, bases of the second and third the base of the proximal phalanx of median (C8, T1)
metacarpals; metacarpal head: palmar of the thumb
ridges of the third metacarpal and
capsules of the second, third, and
fourth metacarpophalangeal
articulations
Abductor digiti Distal half of the pisiform, pisihamate Two tendons: (1) the ulnar side of Deep palmar division
minimi ligament, tendon of the flexor carpi the base of the proximal phalanx of of ulnar (C8, T1)
ulnaris, and, frequently, the flexor the little finger, and (2) the aponeu-
retinaculum rosis of the extensor tendon of the
little finger
Flexor digiti Hook of the hamate and adjacent Ulnar side of the base of the proxi- Superficial or deep
minimi brevis parts of the flexor retinaculum mal phalanx of the little finger palmar branch of
ulnar (C8, T1)
Opponens digiti Distal border of the hook of the ha- Medial surface of the body and Deep palmar branch
minimi mate and adjacent flexor retinaculum particularly onto the head of the of ulnar (C8, T1)
fifth metacarpal
Lumbrical Two lateral lumbricals: radial and pal- Into the radial border of the tendon Median, lateral two
mar sides of the first and second ten- of the extensor digitorum on the or three lumbricals;
dons of the flexor digitorum profun- dorsal aspect of the proximal ulnar, deep palmar
dus; two medial lumbricals: adjacent phalanx branch, medial one
side of the second and third tendons, or two lumbricals
and the third and fourth tendons of (C8, T1)
the flexor digitorum profundus
Interosseous Palmar interosseous: anterior border Into the expansion on the axial side Deep palmar branch
of the shaft of the first, second, of the corresponding digit. The first of ulnar (C8, T1)
fourth, and fifth metacarpals. The first palmar interosseous is described fre-
arises near the base and the others quently as a division of the flexor
arise from three fourths of the shaft brevis or adductor pollicis. The first
of the bone. Dorsal interosseous: adja- dorsal interosseous usually inserts
cent sides of the metacarpal bones in onto the proximal phalanx. The
each metacarpal interspace other three insert into the extensor
expansion and proximal phalanx
198  UPPER EXTREMITY:  MRI OF THE HAND

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

Figure 8.1.2 Extensor carpi


radialis longus t
Second
metacarpal
Extensor carpi
radialis brevis t

Deep palmar Extensor digitorum tt


arch
Extensor pollicis
longus t Extensor indicis t
Extensor digiti minimi t
Extensor pollicis Third, fourth, and fifth
brevis t metacarpals
Abductor digiti minimi t
First metacarpal Flexor digitorum
profundus tt
Flexor pollicis
longus t Flexor digiti minimi
brevis m
Opponens pollicis
brevis m Opponens digiti
minimi m
Flexor pollicis Palmaris brevis m
brevis m Ulnar a, superficial
and deep
Abductor pollicis Median n Palmar Flexor
brevis m aponeurosis digitorum
superficialis tt
UPPER EXTREMITY:  MRI OF THE HAND  199

Figure 8.1.3 Second


metacarpal
Extensor
indicis t Extensor digitorum tt
First dorsal Extensor digiti
interosseous m minimi t
Fourth dorsal
Extensor pollicis interosseous m
longus t
Third, fourth, and fifth
Deep palmar metacarpals
arch Abductor digiti minimi t
Extensor pollicis
brevis t Third palmar
interosseous m
First metacarpal
Flexor pollicis Flexor digitorum
longus t profundus tt
Opponens Flexor digiti
pollicis minimi brevis m
brevis m Opponens digiti
Flexor pollicis minimi m
brevis m Palmaris brevis m

Abductor pollicis Adductor Median n Palmar Flexor digitorum Ulnar a,


brevis m pollicis m aponeurosis superficialis tt superficial arch

Figure 8.1.4 Second


metacarpal
Second dorsal
interosseous m
Extensor
digitorum tt
Extensor
indicis t
First dorsal Extensor digiti
interosseous m minimi t
Palmar Fourth dorsal
metacarpal aa interosseous m
Extensor pollicis Third, fourth, and fifth
longus t metacarpals
Third palmar
Extensor pollicis interosseous m
brevis t Abductor digiti
First metacarpal minimi t
Opponens Flexor digitorum
pollicis profundus tt
brevis m Flexor digiti minimi
Flexor pollicis brevis m
longus t Opponens digiti
Flexor pollicis minimi m
brevis m Palmaris brevis m
Abductor pollicis Adductor Median n, Palmar Flexor digitorum Superficial
brevis m pollicis m branches aponeurosis superficialis tt palmar arch
200  UPPER EXTREMITY:  MRI OF THE HAND

Figure 8.1.5 Second


metacarpal
Second dorsal
interosseous m
Extensor
digitorum tt
Extensor
indicis t

First dorsal Extensor digiti


interosseous m minimi t
Palmar Third and fourth
metacarpal aa interosseous mm
Extensor pollicis 3
4 Third palmar
longus t interosseous m
Extensor pollicis 5 Abductor digiti
brevis t minimi t
First metacarpal Flexor digitorum
Flexor pollicis profundus tt
longus t Flexor digiti minimi
Opponens pollicis brevis m
brevis m
Flexor pollicis Opponens digiti
brevis m minimi m

Abductor Adductor Median n, Palmar Flexor Superficial


pollicis pollicis m branches aponeurosis digitorum palmar arch
brevis m superficialis tt

Figure 8.1.6 First dorsal


interosseous m
Second
metacarpal
Second dorsal
interosseous m
Extensor
digitorum tt
Extensor indicis t
First palmar
Extensor digiti minimi t
interosseous m
Third and fourth
Extensor pollicis dorsal interosseous mm
3
longus t Palmar interosseous mm
4
Extensor pollicis Abductor digiti minimi t
brevis t Flexor digitorum
5 profundus tt
Palmar
metacarpal aa Flexor digiti minimi
First metacarpal brevis m
Opponens digiti minimi m
Flexor pollicis
longus t Common palmar
Flexor pollicis digital aa
brevis m Flexor digitorum
superficialis tt
Abductor pollicis Adductor Median n, Palmar
brevis m pollicis m branches aponeurosis
UPPER EXTREMITY:  MRI OF THE HAND  201

Figure 8.1.7 6HFRQG


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6HFRQGGRUVDO
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PP
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EUHYLVP VXSHUILFLDOLVWW GLJLWDODD

Figure 8.1.8 Second dorsal interosseous m Extensor digitorum tt


Extensor digiti
minimi t
First dorsal Third and fourth
interosseous m dorsal interosseous
mm
2 3 Second and third
Extensor indicis t
4 palmar interosseous
First palmar mm
interosseous m
Abductor digiti
Extensor 5
minimi t
pollicis longus t
Flexor digitorum
Adductor pollicis m profundus tt
with ulnar sesamoid Flexor digiti minimi
Metacarpophalangeal brevis m
joint Flexor digitorum
superficialis tt
Abductor pollicis Flexor pollicis Median n,
brevis m longus t branches
202  UPPER EXTREMITY:  MRI OF THE HAND

Figure 8.1.9 Extensor indicis t


Second dorsal Extensor digitorum tt
interosseous m Extensor digiti minimi t
First dorsal Third and fourth
interosseous m 2 3
4 dorsal interosseous mm
First palmar
Second and third
interosseous m
palmar interosseous mm
Extensor pollicis 5
longus t Abductor digiti minimi t
Adductor Flexor digitorum
pollicis m and t profundus tt
Thumb, proximal Flexor digiti minimi
phalanx brevis m

Flexor pollicis Median n, Flexor digitorum Volar plate


longus t branches superficialis tt sesamoid

Figure 8.1.10 Extensor indicis t


Extensor
digitorum tt
Second dorsal Extensor digiti minimi t
interosseous m Third and fourth
First dorsal dorsal interosseous
interosseous m mm
First palmar 3 Second and third
interosseous m 2 palmar interosseous
4
Extensor pollicis mm
longus t Abductor digiti minimi t
Adductor Flexor digitorum
pollicis m and t profundus tt
Thumb, proximal Flexor digiti
phalanx minimi brevis m
Flexor pollicis
longus t Fifth proximal phalanx
A1 pulley
First, second, and third Median n, Flexor digitorum
lumbrical mm branches superficialis tt
UPPER EXTREMITY:  MRI OF THE HAND  203

Figure 8.1.11 Extensor indicis t

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

Thumb, Flexor pollicis First and second Flexor digitorum


proximal longus t lumbrical mm superficialis tt
phalanx

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Flexor digitorum Palmar digital


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UPPER EXTREMITY:  MRI OF THE HAND  205

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Palmar plate and flexor pollicis longus t

Metacarpophalangeal joint

Thumb, proximal phalanx


Adductor aponeurosis

Radial collateral lig Ulnar collateral lig

Abductor pollicis brevis t First dorsal interosseous m


and extensor expansion (hood)
First metacarpal
206  UPPER EXTREMITY:  MRI OF THE HAND

Figure 8.2.3

Index finger

Flexor pollicis longus t

Thumb, proximal phalanx Adductor pollicis m and


adductor aponeurosis
Ulnar collateral lig
Radial collateral lig

Abductor pollicis brevis t First dorsal interosseous n


and extensor expansion (hood)
Metacarpophalangeal joint

First metacarpal

Figure 8.2.4
Index finger, proximal phalanx

First dorsal interosseous m


Flexor pollicis longus t
Flexor pollicis brevis m
with radial sesamoid Adductor pollicis m with
ulnar sesamoid

Opponens pollicis m
Abductor pollicis brevis m First metacarpal
UPPER EXTREMITY:  MRI OF THE HAND  207

Figure 8.2.5

Index finger, middle phalanx

Index finger, proximal phalanx

Volar plate sesamoid Second metacarpal


First lumbrical m

Adductor pollicis m

Flexor pollicis longus t First dorsal interosseous m


Flexor pollicis brevis m, superficial Flexor pollicis brevis m, deep

Opponens pollicis m

Abductor pollicis brevis m

Trapezium

Figure 8.2.6
Index finger, distal phalanx
Distal interphalangeal joint
Volar plate

Flexor digitorum profundus t


Proximal interphalangeal joint
Volar plate
Extensor digitorum t

Index finger, proximal phalanx


Metacarpophalangeal joint
Volar plate sesamoid
Second metacarpal
First lumbrical m

Adductor pollicis m

First dorsal interosseous m


Flexor pollicis longus t
Flexor pollicis brevis m, deep
Flexor pollicis brevis m, superficial

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

Proximal interphalangeal joint


Volar plate

Flexor digitorum profundus and superficialis tt


Index finger, proximal phalanx
Extensor digitorum t
Metacarpophalangeal joint
Second metacarpal

First lumbrical m

Adductor pollicis m, transverse head

First dorsal interosseous m


Adductor pollicis m, oblique head
Flexor pollicis brevis m, superficial
Flexor pollicis longus t Flexor pollicis brevis m, deep
Opponens pollicis m
Abductor pollicis brevis m Second carpometacarpal joint
Trapezoid
Flexor carpi radialis t
Trapezium
Scaphoid

Figure 8.2.8

Index finger

Index finger, proximal phalanx

Second metacarpal
Extensor digitorum t

First lumbrical m

Second dorsal interosseous m


Adductor pollicis m, transverse head
Adductor pollicis m, oblique head
Flexor pollicis brevis m, superficial
Flexor pollicis brevis m, deep
Opponens pollicis m Second metacarpal
Abductor pollicis brevis m Trapezoid
Flexor pollicis longus t
Flexor retinaculum
Flexor carpi radialis t Scaphoid
UPPER EXTREMITY:  MRI OF THE HAND  209

Figure 8.2.9

Long finger, distal phalanx

Long finger, middle phalanx

Long finger, proximal phalanx

Second lumbrical m Third metacarpal

Second dorsal interosseous m

Adductor pollicis m, transverse head


Extensor digitorum t
Palmar aponeurosis Adductor pollicis m, oblique head
Third metacarpal

Flexor retinaculum Capitate

Flexor digitorum superficialis t


Flexor digitorum profundus t

Figure 8.2.10

Long finger, distal phalanx


A5 pulley Distal interphalangeal joint
Volar plate

Flexor digitorum profundus t Long finger, middle phalanx


A4 pulley
Proximal interphalangeal joint
Volar plate
A3 pulley
Extensor digitorum t
C1 pulley

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

Flexor digitorum profundus and superficialis tt


Palmar aponeurosis Adductor pollicis m, oblique head

Opponens digiti minimi m Third metacarpal


Third carpometacarpal joint
Capitate
Flexor retinaculum
210  UPPER EXTREMITY:  MRI OF THE HAND

Figure 8.2.11

Long finger, distal phalanx


Volar plate

Long finger, middle phalanx


Flexor digitorum profundus t
Proximal interphalangeal joint
Volar plate
A3 pulley

C1 pulley

A2 pulley
Long finger, proximal phalanx
Metacarpophalangeal joint
Volar plate
Extensor digitorum t

Third metacarpal

Adductor pollicis m, transverse head

Flexor digitorum profundus and superficialis tt

Opponens digiti minimi m Fourth metacarpal

Hamate
Flexor retinaculum

Figure 8.2.12

Long finger, middle phalanx

Palmar digital a, proper

Long finger, proximal phalanx

Third metacarpal head


Extensor digitorum t

Third lumbrical m

Third dorsal interosseous m

Second palmar interosseous m


Flexor digitorum profundus and superficialis tt

Opponens digiti minimi m Fourth metacarpal

Hook of hamate Hamate

Flexor digitorum profundus t Triquetrum


Ulnar n
UPPER EXTREMITY:  MRI OF THE HAND  211

Figure 8.2.13
Nail

Palmar digital a, proper

Ring finger, proximal phalanx

Volar plate
Fourth metacarpal head
Flexor digitorum profundus and superficialis tt
Extensor digitorum t

Third palmar interosseous m

Opponens digiti minimi m

Fifth metacarpal
Flexor digiti minimi brevis m
Hamate

Flexor carpi ulnaris t Triquetrum


Pisiform

Figure 8.2.14

Ring finger, distal phalanx


Distal interphalangeal joint
Flexor digitorum profundus t

Flexor digitorum superficialis t


Ring finger, middle phalanx
Proximal interphalangeal joint
Volar plate

Ring finger, proximal phalanx


Flexor digitorum profundus and superficialis tt

Metacarpophalangeal joint
Volar plate
Fourth metacarpal head
Extensor digitorum t

Fourth dorsal interosseous m


Third palmar interosseous m

Opponens digiti minimi m

Fifth metacarpal

Flexor digiti minimi m


Abductor digiti minimi m
Extensor carpi ulnaris t
212  UPPER EXTREMITY:  MRI OF THE HAND

Figure 8.2.15

Ring finger, distal phalanx

Ring finger, middle phalanx


Flexor digitorum profundus Proximal interphalangeal joint
and superficialis tt

Volar plate

Ring finger, proximal phalanx


Fourth metacarpal head
Fourth lumbrical m
Extensor digitorum and extensor
digiti minimi tt
Flexor digitorum
profundus and superficialis tt Third palmar interosseous m
Fourth dorsal interosseous m

Opponens digiti minimi m


Fifth metacarpal
Flexor digiti minimi m
Extensor carpi ulnaris t
Abductor digiti minimi m

Figure 8.2.16

Small finger, proximal phalanx Metacarpophalangeal joint


Flexor digitorum
profundus and superficialis tt Extensor expansion (hood)
Volar plate sesamoid Extensor digitorum and
extensor digiti minimi tt

Flexor digiti minimi m Fifth metacarpal head

Opponens digiti minimi m

Abductor digiti minimi m


UPPER EXTREMITY:  MRI OF THE HAND  213

Figure 8.2.17

Small finger, middle phalanx


Proximal interphalangeal joint
Volar plate
Flexor digitorum profundus t
Flexor superficialis t

Small finger, proximal phalanx


Extensor expansion (hood)
Flexor digitorum profundus
and superficialis tt Fifth metacarpal head
Volar plate

Abductor digiti minimi m

Figure 8.2.18

Small finger, distal phalanx


Distal interphalangeal joint
Volar plate

Small finger, middle phalanx


Flexor digitorum and superficialis tt Proximal interphalangeal joint
Volar plate

Small finger, proximal phalanx

Abductor digiti minimi m


214  UPPER EXTREMITY:  MRI OF THE HAND

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

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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
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minimi m
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UPPER EXTREMITY:  MRI OF THE HAND  217

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and fourth metacarpals
Trapezoid
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Extensor digitorum tt Extensor digiti
minimi t
Radius
Ulna
218  UPPER EXTREMITY:  MRI OF THE HAND

Figure 8.3.9

Extensor expansions (hoods)

Second dorsal interosseous m

Extensor digitorum tt

Radius Ulna
II
Section

Lower Extremity
This page intentionally left blank
9
Chapter

MRI of the Hip


222  LOWER EXTREMITY:  MRI OF THE HIP

Table 9-1.  Muscles of the Hip


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Obturator internus Pelvic surface of the pubic rami near Medial side of the greater Nerve to the obtura-
the obturator foramen, pelvic surface trochanter in front of the tor internus, from
of the ischium between the foramen trochanteric fossa of the the lumbosacral
and the greater sciatic notch, deep sur- femur trunk, and first and
face of the obturator internus fascia, second sacral
fibrous arch that surrounds the foramen
for obturator vessels and nerve, most
of the pelvic surface of the obturator
membrane except the lower part
Obturator externus Lateral surface of the pubic and ischial Trochanteric fossa Obturator
rami, where they surround the obturator
membrane, lateral surface of the obturator
membrane
Gemellus superior Outer surface of the ischial spine and After union with the tendon By a small nerve,
edge of the lesser sciatic notch of the obturator internus, branch of the nerve
inserts into the medial side to obturator inter-
of the greater trochanter in nus or branch of the
front of the trochanteric fossa nerve to the quadra-
tus femoris
Gemellus inferior Upper part of the inner border of the By union with the tendon of the By a small branch of
tuberosity of the ischium, sacrotuberous obturator internus or with the the nerve to the
ligament, and edge of the lesser sciatic tendon onto the greater trochan- quadratus femoris
notch ter below the obturator internus
muscle
Quadratus femoris Upper part of the outer border of The inferior dorsal angle of the Lumbosacral trunk
the tuberosity of the ischium greater trochanter and first sacral
Psoas major By a series of thick fasciculi from the in- The lesser trochanter of the Branches from L1
tervertebral discs and bodies between T12 femur (often), L2, L3,
and L5, from the bodies of L1 to L4, and and L4
from slender fascicles from the ventral
surfaces of the transverse processes of the
lumbar vertebrae
Iliacus Iliac crest, iliolumbar ligament, iliac fossa, Lateral surface of the psoas ten- Femoral and L1
anterior sacroiliac ligaments, often from don (above the inguinal ligament) to L4
the ala of the sacrum, and from the onto the femur immediately dis-
ventral border of the ilium between the tal to the lesser trochanter; the
two anterior spines lateral portion arises from the
ventral border of the ilium and is
attached to the tendon of the rec-
tus femoris and the capsule of the
hip joint
Tensor fasciae latae Anterior superior iliac spine and anterior Muscle fibers pass distally in par- Superior gluteal
part of the external lip of the iliac crest allel array, unite with the tendon,
and join the iliotibial tract about
one third of the way down the
thigh
Gluteus medius Ventral three fourths of the iliac crest, Onto the posterosuperior angle Superior gluteal
outer surface of the ilium between the and the external surface of the (L4, L5, S1)
anterior and posterior gluteal lines, and greater trochanter
from the investing fascia
LOWER EXTREMITY:  MRI OF THE HIP  223

Table 9-1.  Muscles of the Hip—cont’d


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Piriformis Lateral part of the ventral surface of S2, Onto the anterior and inner parts S1 or S2 or from
S3, and S4, posterior border of the greater of the upper border of the greater a loop between
sciatic notch, from the sacrotuberous trochanter S1 and S2
ligament near the sacrum
Gluteus maximus Dorsal fifth of the outer lip of the iliac Into the iliotibial tract, gluteal tu- Inferior gluteal by
crest, ilium dorsal to the posterior gluteal berosity of the femur, adjacent two branches from
line, thoracolumbar fascia between the part of the tendinous origin of the sacral plexus
posterior superior spine of the ilium and the vastus lateralis (separately or as a
the side of the sacrum, lateral parts of united nerve)
S4, S5, and coccygeal vertebrae, and from
the back of the sacrotuberous ligament
Gluteus minimus Outer surface of the ilium between the Onto the anterior border of the Superior gluteal
anterior and inferior gluteal lines, from greater trochanter of the femur from a branch that
the septum between the gluteus minimus supplies the tensor
and the gluteus medius near the anterior fasciae latae
superior, iliac spine and the capsule of
the hip joint
Biceps femoris, Medial facet on the posterior surface of By a tendon that extends to the Tibial part of the
long head the ischial tuberosity and sacrotuberous head of the fibula sciatic
ligament
Semitendinosus Distal margin of the ischial tuberosity and By a triangular tendinous expan- Sciatic or directly
from the tendon common to it and the sion into the proximal part of the from the lumbosa-
long head of the biceps femoris medial surface of the tibia behind cral plexus by two
and distal to the insertion of the nerves: from S1
gracilis and S2 and from
L5 and S1
Semimembranosus Lateral facet on the posterior surface of Posterior aspect of the medial Sciatic branch (also
the ischial tuberosity tibial condyle supplies the adductor
magnus)
224  LOWER EXTREMITY:  MRI OF THE HIP

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

Figure 9.1.2 Iliopsoas m Rectus


abdominis m
Sartorius m
Internal oblique
and transversus
Tensor fasciae abdominis mm
latae m
Iliopsoas t

Iliotibial band
Gluteus
minimus m External iliac
vessels
Gluteus
medius m
Obturator
Ilium internus m

Rectum

Internal iliac
vessels

Sacrum

Gluteus maximus m Piriformis m


LOWER EXTREMITY:  MRI OF THE HIP  225

Figure 9.1.3 Iliopsoas m Rectus


abdominis m
Sartorius m
Iliopsoas t

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 maximus m Piriformis m

Figure 9.1.4 Iliopsoas m Rectus


abdominis m
Sartorius m
Rectus femoris t, Iliopsoas t
straight head
Tensor fasciae External iliac a
latae m
External iliac v

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

Figure 9.1.5 Iliopsoas m


Rectus
Sartorius m abdominis m
Rectus
femoris t Iliopsoas t
Tensor
fasciae
latae m
Capsule
Gluteus of hip joint
minimus m
Femoral head
Iliotibial band
Gluteus Ilium
medius m Obturator
internus m

Gluteus
medius t Sciatic n
Piriformis m
Inferior gluteal
a and v
Gluteus Rectum
maximus m

Sacrum

Figure 9.1.6 Iliopsoas t

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

Figure 9.1.7 Iliopsoas t

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

Figure 9.1.8 Iliopsoas m Femoral n


Sartorius m Lymph node
Rectus femoris t Common femoral a
Rectus femoris m Common femoral v
Tensor fasciae Pectineus m
latae m Superior pubic ramus
Anterior
Iliopsoas t acetabular wall
Obturator n and vessels
Acetabular fossa
Gluteus minimus m
Femoral head
Iliotibial band Obturator internus m
Posterior
acetabular wall
Sciatic n
Ischial spine
Gluteus medius m
Rectum
Coccygeus m
Gluteus minimus t
Gluteus maximus m Sacrotuberous lig

Greater Obturator Inferior


trochanter internus t gluteal a
228  LOWER EXTREMITY:  MRI OF THE HIP

Figure 9.1.9 Sartorius m


Femoral a,
deep
Spermatic
cord

Rectus femoris m Femoral a, superficial


Common femoral v
Tensor fasciae
latae m Pectineus m
Superior pubic ramus
Iliopsoas m
Iliopsoas t

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

Gluteus maximus m Sacrotuberous lig

Femoral Sciatic n
neck

Figure 9.1.10 Sartorius m Iliopsoas t

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

Figure 9.1.11 Sartorius m

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

Figure 9.1.12 Iliopsoas 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

Figure 9.1.13 Greater saphenous v

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

Figure 9.1.14 Femoral v, superficial

Lymph node Greater saphenous v


Sartorius m
Lymph node
Rectus femoris m
Tensor fasciae Adductor longus m
latae m
Femoral v, superficial
Iliopsoas m Adductor brevis m
Vastus lateralis m Pectineus m
Adductor magnus m
Iliotibial band Inferior pubic ramus
Vastus intermedius m
Calcar femorale
Obturator internus m
Lesser trochanter

Quadratus femoris m Ischial tuberosity

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

Figure 9.1.15 Greater


saphenous v
Sartorius m
Rectus Lymph node
femoris m
Femoral vessels,
Tensor fasciae superficial
latae m
Adductor longus m
Vastus
intermedius m Femoral vessels, deep
Vastus Adductor brevis m
lateralis m Adductor magnus m

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

Figure 9.1.16 Sartorius m Greater


saphenous v
Rectus
femoris m Lymph node
Tensor fasciae
latae m Femoral vessels,
superficial
Adductor longus m
Vastus Femoral vessels, deep
intermedius m
Vastus Adductor brevis m
lateralis m
Gracilis m

Iliotibial band Adductor magnus 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

Figure 9.1.17 Greater


saphenous v

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

Figure 9.1.18 Greater


saphenous v
Rectus Sartorius m
femoris m Femoral vessels,
superficial
Vastus Adductor longus m
intermedius m
Vastus
lateralis m Adductor brevis m
Gracilis m

Femoral vessels,
deep
Femur Adductor magnus m

Iliotibial band Semimembranosus t


Sciatic n Semitendinosus t
Biceps Semitendinosus m
femoris t,
long head
Biceps femoris m,
long head
Gluteus
maximus m
LOWER EXTREMITY:  MRI OF THE HIP  233

SAGITTAL
Figure 9.2.1

Gluteus Gluteus
medius m maximus m

Tensor fasciae
latae m

Iliotibial band artery = a


arteries = aa
vein = v
veins = vv
muscle = m
muscles = mm
Vastus tendon = t
lateralis m tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone

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

Tensor fasciae Gluteus


latae m maximus 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

Figure 9.2.5 Ilium

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

Figure 9.2.6 Ilium


Anterior
superior
iliac spine

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

Figure 9.2.7 Ilium


Anterior
superior Gluteus
iliac spine medius m
Gluteus Gluteus
minimus m maximus m

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

Figure 9.2.9 Iliopsoas m


Gluteus
Ilium maximus m
Gluteus
minimus m
Sartorius m Gluteus
medius m
Rectus Rectus femoris t,
femoris t reflected head
Piriformis t
Femoral head
Obturator internus
and gemelli tt
Obturator
externus t
Iliopsoas m
Greater trochanter
Medial femoral
Quadratus
circumflex
femoris m
vessels
Sciatic n
Rectus Adductor
femoris m magnus m
Gluteus maximus m
Vastus
intermedius m

Semitendinosus m

Femoral neck

Figure 9.2.10 Iliopsoas m Gluteus


medius m
Gluteus
minimus m Gluteus
maximus m
Anterior
inferior
iliac spine Piriformis m
Rectus
femoris t, Piriformis t
straight head Obturator
Iliopsoas m internus t
Obturator
Femoral head internus m

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

Figure 9.2.11 Gluteus


medius m

Iliopsoas m
Gluteus
Anterior minimus m
inferior
iliac spine Gluteus
maximus m

Acetabular roof Piriformis 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

Figure 9.2.12 Gluteus


medius m

Iliopsoas m
Gluteus
minimus m
Gluteus
Acetabular roof maximus m

Piriformis m

Iliopsoas t Femoral head

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

Figure 9.2.13 Iliopsoas m Gluteus


medius m

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

Figure 9.2.14 Gluteus


medius m
Gluteus
Iliopsoas m maximus m
Gluteus
Anterior minimus m
acetabular wall
Piriformis 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

Figure 9.2.15 Ilium


Iliopsoas m
Iliopsoas t
Piriformis m

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

Figure 9.2.16 Ilium

Iliopsoas m Superior gluteal


vessels

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

Figure 9.2.17 Ilium


Iliopsoas m
Gluteal vessels,
superior
Greater
sciatic notch
External iliac
vessels Piriformis m
Sciatic n
Quadrilateral Gluteal vessels,
plate inferior
Gemellus m,
superior
Gluteus
maximus m
Pectineus m Obturator
internus m
Obturator
externus m
Ischium

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

Figure 9.2.19 Sacrum


Ilium

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

Figure 9.3.2 Sartorius m Inguinal lig

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

Figure 9.3.3 Anterior


superior
iliac spine Iliopsoas m

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

Figure 9.3.4 Gluteus


medius m Iliac wing Iliopsoas 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

Lateral femoral Obturator


circumflex vessels externus m
Pectineus m

Adductor
brevis m

Vastus Vastus Deep Adductor Gracilis m


lateralis m intermedius m femoral longus m
vessels
LOWER EXTREMITY:  MRI OF THE HIP  245

Figure 9.3.5 Gluteus


medius m
Gluteus
minimus m Ilium Iliacus m Psoas 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

Vastus Femoral Iliopsoas m Adductor


lateralis m diaphysis longus m

Figure 9.3.6 Gluteus


medius m
Gluteus
minimus m Ilium Iliopsoas m
External
iliac vessels

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

Femoral Vastus Adductor


diaphysis intermedius m magnus m
246  LOWER EXTREMITY:  MRI OF THE HIP

Figure 9.3.7 Gluteus


medius m
Gluteus
minimus m
Acetabular
roof Iliopsoas m
External
iliac vessels

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

Vastus Greater Lesser Adductor


lateralis m trochanter trochanter magnus m

Figure 9.3.8 Gluteus


medius m
Gluteus
minimus m
Obturator
externus t

Quadrilateral
plate

Gluteus
minimus t

Iliotibial Obturator
band internus m

Greater
trochanter
Obturator
externus m

Ischium

Vastus Quadratus Adductor


lateralis m femoris m magnus m
LOWER EXTREMITY:  MRI OF THE HIP  247

Figure 9.3.9 Gluteus


medius m
Gluteus
minimus m
Greater
sciatic foramen Ilium
Sacroiliac
joint

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

Figure 9.3.10 Gluteus


medius m
Gluteus
medius m Ilium Sacrum

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

Gluteus Biceps Semitendinosus t Semitendinosus m


maximus m femoris m,
long head
248  LOWER EXTREMITY:  MRI OF THE HIP

Figure 9.3.11 Gluteus


maximus m
Gluteal a,
superior Ilium Sacrum

Sacroiliac
joint

Piriformis m

Gluteal a,
inferior

Rectum

Levator ani m

Obturator
internus m

Semitendinosus m

Gluteus
maximus m

Figure 9.3.12 Gluteus


maximus m Ilium
Sacroiliac
joint Sacrum

Piriformis m

Rectum

Levator ani m

Gluteus
maximus m
LOWER EXTREMITY:  MRI OF THE HIP  249

Figure 9.3.13 Sacrum

Piriformis m

Lateral
sacral
crest

Gluteus
maximus m
10
Chapter

MR Arthrography of the Hip


LOWER EXTREMITY:  MR ARTHROGRAPHY OF THE HIP  251

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

Figure 10.1.2 Rectus


femoris t Iliopsoas t Femoral a

Femoral v

Anterior
labrum
Iliofemoral lig

Femoral
head
Posterior
labrum

Sacrotuberous lig

Gluteus
medius t
252  LOWER EXTREMITY:  MR ARTHROGRAPHY OF THE HIP

Figure 10.1.3 Femoral a Femoral v

Rectus
femoris t
Iliopsoas t
Anterior
Iliofemoral lig labrum

Ligamentum
Posterior teres
labrum femoris

Gluteus
medius t

Sacrotuberous lig

Figure 10.1.4 Iliopsoas t Femoral a

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

Figure 10.1.5 Iliopsoas t

Rectus
femoris t

Iliofemoral lig

Gluteus Anterior
minimus t labrum

Ischiofemoral lig Ligamentum


teres femoris
Acetabular
fossa

Posterior
labrum

Sacrotuberous lig

Gluteus
medius t

Figure 10.1.6 Rectus


femoris t Iliopsoas 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

Ischiofemoral lig Posterior


labrum
254  LOWER EXTREMITY:  MR ARTHROGRAPHY OF THE HIP

Figure 10.1.7 Sartorius t Iliopsoas t Femoral a

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

Ischiofemoral lig Obturator


internus t

Figure 10.1.8 Iliofemoral lig


Rectus Iliopsoas t
femoris t (iliacus part)
Iliopsoas t
(psoas part) Femoral a

Femoral v

Transverse
acetabular lig
Femoral
neck Ligamentum
teres femoris
Greater Acetabular
trochanter fossa

Posterior
labrum

Sacrotuberous lig

Zona Ischiofemoral lig Obturator


orbicularis internus t
LOWER EXTREMITY:  MR ARTHROGRAPHY OF THE HIP  255

Figure 10.1.9 Rectus Iliopsoas t Iliopsoas t


femoris t (iliacus part) (psoas part)

Iliofemoral lig
Transverse
acetabular lig

Acetabular
fossa
Greater
trochanter

Sacrotuberous lig

Zona Ischiofemoral lig


orbicularis

Figure 10.1.10 Iliopsoas t Iliopsoas t


(iliacus part) (psoas part)

Rectus
femoris t

Iliofemoral lig

Femoral
neck

Greater Ischiofemoral lig


trochanter

Ischium

Zona Sacrotuberous lig


orbicularis
256  LOWER EXTREMITY:  MR ARTHROGRAPHY OF THE HIP

Figure 10.1.11 Iliopsoas t Iliopsoas t


(iliacus part) (psoas part)

Femoral a
Rectus
femoris t

Femoral v

Iliofemoral lig

Inferior articular
recess

Ischium

Zona
orbicularis Sacrotuberous lig

Figure 10.1.12 Femoral a

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

Figure 10.2.2 Anterior labrum Ilium

Acetabular roof
Femoral head
Posterior labrum

Obturator
Iliofemoral lig internus t
Ischiofemoral lig

Zona orbicularis
258  LOWER EXTREMITY:  MR ARTHROGRAPHY OF THE HIP

Figure 10.2.3 Ilium

Acetabular roof

Posterior labrum
Anterior
labrum
Femoral
head

Iliofemoral lig

Iliopsoas t Obturator
internus t
Ischiofemoral lig

Zona orbicularis

Figure 10.2.4 Acetabular roof

Anterior
labrum
Obturator
internus t
Iliofemoral lig
Posterior labrum

Ischiofemoral lig
LOWER EXTREMITY:  MR ARTHROGRAPHY OF THE HIP  259

Figure 10.2.5 Acetabular roof Ilium

Anterior
acetabular
wall

Posterior
acetabular
Anterior wall
labrum
Obturator
Femoral head internus t

Posterior labrum
Iliopsoas t

Ischiofemoral lig

Iliofemoral lig

Figure 10.2.6 Anterior


acetabular
wall Acetabular roof Ilium

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

Figure 10.2.7 Acetabular roof Ilium

Anterior
acetabular
wall

Femoral
Iliopsoas t head

Anterior inferior Obturator


labrum internus t

Posterior inferior
labrum

Figure 10.2.8 ,OLXP

,OLRSVRDVW /LJDPHQWXP
WHUHVIHPRULV

2EWXUDWRU
LQWHUQXVW

7UDQVYHUVH
DFHWDEXODUOLJ
,VFKLXP
LOWER EXTREMITY:  MR ARTHROGRAPHY OF THE HIP  261

Figure 10.2.9 Ilium

Ligamentum
Femoral teres femoris
vessels

Obturator
Femoral
internus t
head

Transverse Ischium
acetabular lig

Figure 10.2.10 Ilium

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

Superior Anterior superior


articular labrum
recess

Iliofemoral lig Transverse


acetabular lig
LOWER EXTREMITY:  MR ARTHROGRAPHY OF THE HIP  263

Figure 10.3.3
Ilium

Superior
Iliofemoral lig labrum

Ligamentum
teres femoris

Transverse
acetabular lig

Ischium

Iliofemoral lig

Figure 10.3.4 Superior


articular recess Ilium

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

Iliofemoral lig Superior


labrum

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

MRI of the Thigh


268  LOWER EXTREMITY:  MRI OF THE THIGH

Table 11-1.  Muscles of the Thigh


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Sartorius Anterior superior iliac spine and Medial surface of the tibia; near the Femoral
adjacent area below tuberosity and neighboring fascia
Rectus femoris Straight head: anterior inferior iliac Through the patellar ligament to the Femoral
spine; reflected head: posterosuperior tibial tuberosity
surface of the rim of the acetabulum
Vastus lateralis Shaft of the femur along the anteroin- Proximal border of the patella, front Femoral
ferior margin of the greater trochanter, of the lateral condyle of the tibia and
above the gluteal tuberosity, and the fascia of the leg
upper half of the linea aspera
Vastus medialis Medial lip of the linea aspera and Upper two thirds of the medial margin Femoral
the distal half of the intertrochanteric and proximal margin of the patella,
line, and the aponeurosis of the ten- medial condyle of the tibia, and investing
dons of insertion of the adductor deep fascia of the leg with the tendons
muscles of vastus intermedius, lateralis, and rec-
tus, and through the patellar ligament
onto the front of the tibial tuberosity
Vastus Distal half of the lateral margin of the Proximal margin and deep surface of Femoral
intermedius linea aspera and its lateral bifurcation the patella, aponeurosis of the vastus
and from the anterolateral part of the lateralis, medially and laterally to the
shaft of the femur tendons of vastus medialis and lateralis,
to the patellar ligament and onto the
tibial tuberosity
Gracilis Medial margin of inferior ramus of By an expanded tendinous process onto Anterior division
the pubis and the pubic end of the the tibia below the medial condyle of the obturator
inferior ramus of the ischium
Pectineus Pectineal line, pectineal fascia, and Upper half of the pectineal line behind Femoral, also from
anterior margin of the obturator lesser trochanter the accessory
sulcus, and from the pubofemoral obturator and/or
ligament obturator
Adductor Pubic tubercle to symphysis pubis Middle third of the linea aspera Anterior division of
longus the obturator; also,
occasionally, branch
from the femoral
Adductor Medial part of the outer surface Distal two thirds of the pectineal Anterior (or poste-
brevis of the inferior ramus of the pubis line and the upper one third of the rior) branch of the
linea aspera obturator
Adductor Inferior ramus of the pubis Medial side of the gluteal ridge and Posterior branch of
magnus the superior part of the linea aspera by the obturator and a
a tendon from the distal three fourths branch from the
of the linea aspera and the adductor sciatic
tubercle at the distal end of the medial
supracondylar ridge
Biceps femoris From the lateral lip of the linea aspera Head of the fibula in front of the apex, Peroneal part of
of the femur, from the middle of the partially onto the lateral condyle of the the sciatic
shaft to the bifurcation of the linea tibia, and into the fascia of the leg
aspera proximal two thirds of the
supracondylar ridge, and lateral
intermuscular septum
LOWER EXTREMITY:  MRI OF THE THIGH  269

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

7HQVRU 5HFWXV )HPRUDOD


Figure 11.1.2 IDVFLDHODWDHP IHPRULVP 6DUWRULXVP VXSHUILFLDO

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

Figure 11.1.3 Tensor


fasciae latae m
Rectus
femoris m
Femoral
a and v, deep Sartorius m

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

Biceps Semitendinosus m Semimembranosus t


femoris t

Figure 11.1.4 Rectus Vastus


femoris m medialis 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

Biceps Semitendinosus m Semimembranosus t


femoris t
LOWER EXTREMITY:  MRI OF THE THIGH  271

Figure 11.1.5 5HFWXV


IHPRULVP
'HHSIDVFLD
RIWKLJK

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

Figure 11.1.6 9DVWXV


ODWHUDOLVP
5HFWXV
IHPRULVP

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

Figure 11.1.7 Vastus


intermedius m
Nutrient a,
femur Femur
Rectus
femoris m

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

Semitendinosus m Hamstring Semimembranosus t


fascia

Figure 11.1.8 Vastus


intermedius m Femur
Rectus
femoris 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

Semitendinosus m Hamstring Semimembranosus t


fascia
LOWER EXTREMITY:  MRI OF THE THIGH  273

Figure 11.1.9 Vastus


intermedius m
Femoral v,
superficial
Rectus
femoris 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

Figure 11.1.10 9DVWXV


ODWHUDOLVP
5HFWXV
IHPRULVP

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

Figure 11.1.11 Femur


Femoral v,
superficial
Rectus
femoris m

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

Semitendinosus m Deep fascia

Figure 11.1.12 Femur


Vastus
intermedius m
Femoral v,
superficial
Rectus
femoris 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

Figure 11.1.13 Femur


Vastus
intermedius m
Adductor
magnus m
Rectus
femoris m

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

Figure 11.1.14 Vastus


intermedius t
Rectus
femoris t

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

Figure 11.1.15 Femur


Vastus
intermedius t
Rectus
femoris t

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

Figure 11.1.16 Femur


Rectus
femoris t

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
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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

Figure 11.2.2 *UHDWHU


WURFKDQWHU *OXWHXV
PD[LPXVP

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

Figure 11.2.3 Greater


trochanter

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

Figure 11.2.4 Femur

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

Figure 11.2.5 Tensor


fasciae Quadratus
latae m femoris m

Gluteus
maximus m

Vastus
lateralis m

Femur

Vastus
intermedius m

Biceps femoris m,
short head

Biceps femoris m,
long head

Semitendinosus m

Semimembranosus m

Figure 11.2.6 )HPRUDO


QHFN
4XDGUDWXV
IHPRULVP

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

Figure 11.2.7 Lesser


trochanter

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

Figure 11.2.8 Femoral


neck
Quadratus
femoris m

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

Vastus Deep femoral


intermedius m vessels

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

Figure 11.2.11 Iliopsoas m Quadratus


femoris m
Gluteus
Sartorius m maximus m

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

Figure 11.2.12 Iliopsoas m Obturator


Lymph node externus m
Gluteus
maximus m
Sartorius 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

Figure 11.2.13 Iliopsoas m


Obturator
externus m

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

Figure 11.2.14 Femoral a


Obturator
externus m
Gluteus
maximus 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

Figure 11.2.15 Femoral v


Obturator
externus m
Gluteus
maximus m
Ischium
Pectineus m

Adductor
brevis m

Adductor
brevis m

Adductor
magnus m

Gracilis m
Sartorius m

Greater
saphenous v

Figure 11.2.16 Pubis Obturator


externus m

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

Figure 11.2.17 Pubis


Obturator
Obturator
internus m
externus m Gluteus
maximus m

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

Figure 11.3.2 Rectus femoris m


Tensor fasciae
latae m Sartorius m

Greater
Rectus
saphenous v
femoris t

Vastus
lateralis m

Rectus femoris m
LOWER EXTREMITY:  MRI OF THE THIGH  287

Figure 11.3.3 Femoral a Femoral v

Greater
Tensor fasciae saphenous v
latae m

Sartorius m

Rectus femoris t

Vastus
lateralis m

Rectus femoris m

Rectus femoris t

Figure 11.3.4 Iliopsoas m


Femoral
vessels
Tensor fasciae
latae m

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

Figure 11.3.5 Iliopsoas m


Tensor fasciae
latae m

Superficial
femoral v

Greater
saphenous v

Sartorius m

Vastus
intermedius m
Vastus
lateralis m
Vastus medialis m

Femur

Figure 11.3.6 Superior


pubic ramus

Greater
trochanter
Pubic
symphysis

Femoral vessels, Adductor


deep longus m

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

Figure 11.3.7 Adductor


brevis m
Greater
trochanter

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

Figure 11.3.8 Adductor


brevis m

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

Figure 11.3.12 Conjoined t of


semitendinosus m and biceps
femoris m, long head

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

Figure 11.3.13 Conjoined t of


Ischium
semitendinosus m
and biceps
femoris m,
long head Adductor magnus t

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

MRI of the Knee


LOWER EXTREMITY:  MRI OF THE KNEE  295

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

Figure 12.1.2 Quadriceps t

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

Lesser Popliteal v Popliteal a Semitendinosus m and t Semimembranosus m


saphenous v
296  LOWER EXTREMITY:  MRI OF THE KNEE

Figure 12.1.3 Quadriceps t Femur

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

Figure 12.1.4 Patella, upper pole Quadriceps t


Medial patellar
retinaculum

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

Lesser Popliteal Semitendinosus t Semimembranosus m Semimembranosus t


saphenous v vessels
LOWER EXTREMITY:  MRI OF THE KNEE  297

Figure 12.1.5 Patella


Articular
cartilage
Medial patellar
retinaculum

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

Biceps femoris t Sartorius m

Common
peroneal n
Gracilis t

Communicating
peroneal n
Lesser Tibial n Popliteal Semitendinosus t Semimembranosus t
saphenous n vessels

Figure 12.1.6 Lateral patellar


retinaculum Patella
Articular
cartilage
Medial patellar,
facet
Medial patellar
retinaculum

Lateral patellar,
facet

Iliotibial
band
Synovial
Gastrocnemius m,
space
medial head

Lateral femoral Femoral


condyle trochlea
Plantaris m
Intercondylar
Gastrocnemius m, fossa
lateral 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

Lesser Tibial n Popliteal Semitendinosus t Semimembranosus t


saphenous v vessels
298  LOWER EXTREMITY:  MRI OF THE KNEE

Figure 12.1.7 Patella Patellar t

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

Biceps femoris t Sartorius m

Common
peroneal n Gracilis t

Communicating
peroneal n
Lesser Tibial n Semitendinosus t Semimembranosus t
saphenous v

Figure 12.1.8 Femoral


trochlea Infrapatellar fat pad Patellar t
Posterior
cruciate lig
Medial patellar
retinaculum
Anterior
cruciate lig

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

Figure 12.1.9 Anterior Infrapatellar fat pad Patellar t


Posterior
cruciate lig
transverse
meniscal lig

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

Popliteal Tibial n Gastrocnemius m, Semimembranosus t


vessels medial head

Figure 12.1.10 Lateral patellar


retinaculum Patellar t
Infrapatellar Posterior
fat pad cruciate lig

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

Plantaris m Gastrocnemius m, Tibial n Gastrocnemius m,


lateral head medial head
300  LOWER EXTREMITY:  MRI OF THE KNEE

Figure 12.1.11 Patellar t


Infrapatellar
fat pad
Iliotibial
band

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

Soleus m Gastrocnemius m, Popliteal Tibial n Plantaris m Gastrocnemius m,


lateral head vessels medial head

Figure 12.1.12 Tibialis


anterior m Patellar t Tibial tubercle

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

Gastrocnemius m, Lesser Tibial n Gastrocnemius m,


lateral head saphenous v medial head
LOWER EXTREMITY:  MRI OF THE KNEE  301

Figure 12.1.13 Tibialis Tibialis


anterior m posterior m Patellar t Tibial tubercle Tibia

Extensor Pes
digitorum anserinus
longus m

Popliteus m

Peroneus
longus m

Fibula
Greater
Common saphenous v
peroneal n

Soleus m
Plantaris t

Gastrocnemius m, Lesser Tibial n Gastrocnemius m,


lateral head saphenous v medial head

Figure 12.1.14 Tibialis Tibialis


anterior m posterior m Tibial tubercle Tibia

Extensor
digitorum
longus m

Peroneus
longus m
Popliteus m

Fibula Tibial n
Common
peroneal n

Popliteal
vessels

Soleus m

Gastrocnemius m, Lesser Plantaris t Gastrocnemius m,


lateral head saphenous v medial head
302  LOWER EXTREMITY:  MRI OF THE KNEE

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

Figure 12.2.3 Biceps femoris m,


short head

Gastrocnemius m,
lateral head

Common
peroneal n

Lateral femoral Plantaris m


condyle
Popliteus t
Lateral
meniscus,
anterior horn
Lateral meniscus,
Gerdy’s
posterior horn
tubercle
Proximal
tibiofibular joint

Lateral Fibular
tibial plateau head

Extensor digitorum Peroneus Soleus m


longus m longus m

Figure 12.2.4 Femur


Biceps femoris m,
short head
Biceps femoris m,
long 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

Extensor digitorum Soleus m


longus m
304  LOWER EXTREMITY:  MRI OF THE KNEE

Figure 12.2.5 Femur Plantaris m

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

Tibialis Tibia Tibialis Fibula


anterior m posterior m

Figure 12.2.6 Femur

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

Tibia Lateral meniscus,


posterior horn
LOWER EXTREMITY:  MRI OF THE KNEE  305

Figure 12.2.7 Femur Tibial n

Quadriceps t

Synovial space Plantaris m

Gastrocnemius m,
lateral head
Patella

Articular
cartilage Lateral meniscus,
posterior horn

Infrapatellar
fat pad

Patellar tendon

Lateral meniscus,
anterior horn
insertion (root)

Tibia Popliteus m Soleus m

Figure 12.2.8 Femur Popliteal v

Synovial space
Tibial n
Quadriceps t

Patella
Lateral meniscus,
posterior horn

Gastrocnemius m

Infrapatellar
fat pad

Patellar tendon

Anterior Tibia Popliteus m Soleus m


cruciate lig
306  LOWER EXTREMITY:  MRI OF THE KNEE

Figure 12.2.9 Femur Semimembranosus m

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

Tibial Tibia Popliteus m Soleus m Gastrocnemius m


tuberosity

Figure 12.2.10 Semimembranosus m

Popliteal a

Quadriceps t

Synovial space Gastrocnemius m,


medial head

Patella Blumensaat’s
line

Posterior
cruciate lig
Lesser
Infrapatellar saphenous v
fat pad

Transverse
meniscal lig

Popliteus m Soleus m Gastrocnemius m


LOWER EXTREMITY:  MRI OF THE KNEE  307

Figure 12.2.11
Vastus
medialis m Semimembranosus m

Quadriceps t

Synovial space Femur

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

Figure 12.2.13 Semimembranosus m

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

Figure 12.2.14 Semimembranosus 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

Figure 12.2.17 Vastus


medialis m
Sartorius m

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

Lateral Medial patellar


patellar retinaculum
retinaculum
Patella
Lateral
femoral
condyle

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

Figure 12.3.2 Lateral femoral


condyle
Femoral
trochlea

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

Figure 12.3.3 Femur

Vastus
medialis m

Iliotibial
band

Lateral
femoral
condyle Medial femoral
condyle
Lateral
patellar
retinaculum

Infrapatellar Medial patellar


fat pad retinaculum

Patellar
tendon

Figure 12.3.4 Femur

Vastus
medialis m

Iliotibial
band

Lateral
patellar
retinaculum
Medial
Infrapatellar patellar
fat pad retinaculum

Patellar
tendon
LOWER EXTREMITY:  MRI OF THE KNEE  313

Figure 12.3.5 Vastus


lateralis m Vastus
medialis m

Iliotibial
band

Lateral Medial femoral


femoral condyle
condyle

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

Figure 12.3.7 Femur

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

Figure 12.3.8 Vastus


lateralis m
Vastus
medialis m

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

Figure 12.3.9 Femur

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

Figure 12.3.10 Intercondylar


notch

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

Figure 12.3.11 Intercondylar


notch

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

Figure 12.3.12 Biceps femoris,


short head
Vastus
medialis m

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

Anterior Tibial Posterior


cruciate lig eminence cruciate lig
LOWER EXTREMITY:  MRI OF THE KNEE  317

Figure 12.3.13 Biceps


femoris m Popliteal vessels

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

Figure 12.3.14 Biceps


femoris m Tibial n Popliteal vessels

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

Lateral meniscus, Medial meniscus,


posterior horn posterior horn

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

Figure 12.3.15 Biceps


femoris m Tibial n Popliteal vessels

Sartorius m

Gastrocnemius m,
lateral head
Gastrocnemius m,
medial head
Plantaris m

Medial femoral
condyle
Lateral femoral
condyle

Fibular (lateral)
collateral lig
Sartorius t

Fibular head Gracilis t

Peroneus
longus m Semitendinosus t

Extensor
digitorum
longus m
Tibialis
posterior m

Popliteus m Tibia Gastrocnemius m,


medial head

Figure 12.3.16 Biceps


femoris m
Common
peroneal n Tibial n

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

Popliteus m Medial tibial Gastrocnemius m,


plateau medial head
LOWER EXTREMITY:  MRI OF THE KNEE  319

Figure 12.3.17 Common


peroneal n Semimembranosus 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

Figure 12.3.18 Semimembranosus 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

Tibialis posterior Soleus m Gastrocnemius m,


vessels medial head
320  LOWER EXTREMITY:  MRI OF THE KNEE

Figure 12.3.19 Semimembranosus m Semimembranosus t

Biceps
femoris m Gracilis
m and t

Sartorius m
Gastrocnemius m, Tibial n
lateral head
Semimembranosus t

Semitendinosus t

Common Popliteal vessels


peroneal n

Gastrocnemius m,
medial head

Fibular head

Peroneus
longus m

Soleus m
13
Chapter

MRI of the Leg


322  LOWER EXTREMITY:  MRI OF THE LEG

Table 13-1.  Muscles of the Leg


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Tibialis anterior Distal part of the lateral condyle Medial surface of the first Branch from the com-
of the tibia, lateral surface of the cuneiform and the base of the mon peroneal and
proximal half of the shaft of the first metatarsal another from the
tibia, adjacent interosseous mem- deep peroneal
brane, overlying fascia near the
condyle of the tibia, and intermus-
cular septum between it and the
extensor digitorum longus
Extensor digitorum Lateral condyle of the tibia, anterior Each tendon, located on the dorsal By two branches of
longus crest of the fibula intermuscular surface of the toe to which it goes, the deep peroneal
membrane between it and the tibia- divides into three fasciculi: the in-
lis anterior, lateral margin of the in- termediate, attached to the dorsum
terosseous membrane, the septum of the base of the middle phalanx;
between it and the peroneus longus, and two lateral, which converge
and fascia of the leg near the tibial to the dorsum of the base on the
origin distal phalanx. The margins of
each tendon are bound to the
sides of the back of the proximal
phalanx
Peroneus tertius Distal one third of the anterior Onto the base of the fifth The more distal nerve
surface of the fibula, neighboring metatarsal and often onto to the extensor digito-
interosseous membrane, and anterior the base of the fourth rum supplies this mus-
intermuscular septum cle (deep peroneal)
Extensor hallucis Middle half of the anterior surface At the base of the dorsal aspect Deep peroneal
longus of the fibula near the interosseous of the great toe
crest and distal half of the interosse-
ous membrane
Peroneus longus Proximal two thirds of the lateral Inferior surface of the first cunei- Usually, the common
surface of the fibula form and on the adjacent part peroneal, sometimes
of the inferolateral border and partially by superficial
the base of the first metatarsal peroneal
Peroneus brevis Middle one third of the lateral sur- Dorsal aspect of the tuberosity Superficial peroneal or
face of the fibula, from the septum of the fifth metatarsal a branch to peroneus
that separate it from the anterior longus
and posterior groups of muscles
Popliteus Facet at the anterior end of the Proximal lip of the popliteal line Tibial: a branch that
groove on the lateral aspect of the of the tibia and the shaft of the arises independently,
femoral condyle tibia proximal to this line or with the nerve to
the posterior tibial
muscle
Flexor digitorum Popliteal line, medial side of the Onto the bases of the terminal Tibial: in company with
longus second quarter of the dorsal surface phalanges of the second to fourth nerves to other muscles
of the tibia, fibrous septum between toes of this group
the muscle and the tibialis fascia
posterior, and the covering its
proximal extremity
Flexor hallucis Distal two thirds of the posterior Onto the base of the terminal Tibial: often in com-
longus surface of the fibula, the septa be- phalanx of the great toe pany with the nerve to
tween it and the tibialis posterior, the flexor digitorum
and peroneal muscles longus or other muscles
of this group
LOWER EXTREMITY:  MRI OF THE LEG  323

Table 13-1.  Muscles of the Leg—cont’d


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Tibialis posterior Lateral half of the popliteal line and The tendon divides into two parts: Tibial: in company with
lateral half of the middle one third the deep part becomes attached nerves to other muscles
of the posterior surface of the tibia, primarily to the tubercle of the of this group
medial side of the head and part of navicular bone, and usually to the
the body of the fibula next to the first cuneiform; the superficial
interosseous membrane in the proxi- part attaches to the third cunei-
mal two thirds, the entire proximal form and the base of the fourth
and lateral portion of the lateral part metatarsal, and also, in part, to the
of the posterior surface of the inter- second cuneiform, to the capsule
osseous membrane, and the septum of the naviculocuneiform joint, to
between its proximal portion and the sulcus of the cuboid, and usu-
the long flexor muscles ally also to the origin of the short
flexor of the big toe and base of
the second metatarsal; slip may
extend to other structures
Gastrocnemius Medial head: posterior surface of Via the Achilles tendon onto the Sciatic, tibial part
the medial condyle of the femur posterior surface of the calcaneus
above the articular surface; lateral
head: a facet on the proximal part
of the posterolateral surface of the
lateral condyle of the femur
Soleus By a fibular head from the back of Via the calcaneal tendon onto the Sciatic, tibial part
the head and the proximal one third posterior surface of the calcaneus
of the posterior surface of the shaft
of the fibula; intermuscular septum
between it and the peroneus longus,
by a tibial head from the popliteal
line and the middle one third of the
medial border of the tibia
Plantaris Distal part of the lateral line of the Via a flat narrow tendon running Sciatic, tibial part
bifurcation of the linea aspera, in along the medial edge of the
close association with the lateral Achilles tendon to the posterior
head of the gastrocnemius surface of the calcaneus
324  LOWER EXTREMITY:  MRI OF THE LEG

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

Figure 13.1.2 Tibialis


anterior m
Tibialis
posterior m
Tibialis posterior
vessels Tibia

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

Gastrocnemius m, Tibial n Lesser Sural n Soleus m


lateral head saphenous v
LOWER EXTREMITY:  MRI OF THE LEG  325

Figure 13.1.3 Tibialis anterior Tibialis


a and v anterior m
Tibialis
posterior m Tibia

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

Gastrocnemius m, Lesser Sural n Plantaris t


lateral head saphenous v

Figure 13.1.4 Interosseous Tibialis Tibialis Tibialis


membrane anterior m posterior m posterior t Tibia

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

Gastrocnemius m, Lesser Sural n Plantaris t


lateral head saphenous v
326  LOWER EXTREMITY:  MRI OF THE LEG

Figure 13.1.5 Tibialis


anterior Tibialis Tibialis Tibialis Peroneal
vessels anterior m posterior m posterior t Tibia vessels Tibial n

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

Gastrocnemius m, Lesser Sural n Soleus m


lateral head saphenous v

Figure 13.1.6 Anterior Tibialis


crural anterior Tibialis Tibialis Peroneal Tibialis
septum vessels anterior m posterior t Tibia vessels posterior m

Extensor
digitorum
longus m

Extensor Flexor digitorum


digitorum longus m
longus t and t
Crural fascia
Peroneus
brevis m Greater
saphenous v

Peroneus
longus m Tibialis posterior
vessels
Superficial
peroneal n Gastrocnemius m,
medial head

Fibula
Interosseous
membrane

Flexor
hallucis
longus m Tibial n

Gastrocnemius m, Gastrocnemius Lesser Sural n Soleus m


lateral head aponeurosis saphenous v
LOWER EXTREMITY:  MRI OF THE LEG  327

Figure 13.1.7 Tibialis


anterior Tibialis Tibialis Interosseous Tibialis Tibialis Peroneal
vessels anterior t anterior m membrane posterior t Tibia posterior m vessels

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

Gastrocnemius m, Lesser Soleus m Tibialis posterior


lateral head saphenous v vessels

Figure 13.1.8 Tibialis


anterior Interosseous
Tibialis
posterior Peroneal
m and t membrane Tibia m and t vessels

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

Gastrocnemius m, Lesser Medial sural Soleus m Tibialis posterior


lateral head saphenous v cutaneous n vessels
328  LOWER EXTREMITY:  MRI OF THE LEG

Figure 13.1.9 Tibialis


anterior
Tibialis
posterior
m and t Tibia 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

Gastrocnemius m, Tibial n Lesser Soleus m Medial sural Tibialis posterior


lateral head saphenous v cutaneous n vessels

Figure 13.1.10 7LELDOLV 7LELDOLV


)OH[RU
GLJLWRUXP
DQWHULRU SRVWHULRU ORQJXV
PDQGW PDQGW 7LELD &UXUDOIDVFLD PDQGW

([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

*DVWURFQHPLXVP /HVVHU 6XUDOQ 6ROHXVP


ODWHUDOKHDG VDSKHQRXVY
LOWER EXTREMITY:  MRI OF THE LEG  329

Figure 13.1.11 Tibialis


anterior
Tibialis
posterior
Flexor
digitorum
m and t m and t Tibia Crural fascia longus m and t

Extensor
digitorum
longus
m and t

Tibialis Greater
anterior saphenous v
vessels

Peroneus Tibialis posterior


brevis vessels
m and t
Fibula Tibial n
Peroneus
longus
m and t
Gastrocnemius m,
Flexor medial head
hallucis
longus m

Lesser Sural n Soleus m


saphenous v

Figure 13.1.12 Tibialis Tibialis


Flexor
digitorum
anterior posterior longus
m and t m and t Tibia Crural fascia m and t
Peroneal
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

Lesser Soleus m Achilles t


saphenous v
330  LOWER EXTREMITY:  MRI OF THE LEG

Figure 13.1.13 Tibialis Tibialis


Flexor
digitorum
anterior Interosseous posterior longus
Extensor m and t membrane m and t Tibia Crural fascia m and t
digitorum
longus t

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

Figure 13.1.14 Tibialis Tibialis


Flexor
digitorum
anterior Interosseous posterior longus
Extensor m and t membrane Tibia m and t Crural fascia m and t
digitorum
longus
m and 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

Flexor hallucis Soleus m Achilles t


longus m
LOWER EXTREMITY:  MRI OF THE LEG  331

Figure 13.1.15 Tibialis


Flexor
digitorum
Tibialis Tibialis Interosseous posterior longus
anterior m anterior t membrane Tibia m and t m and t
Extensor
digitorum
longus t

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

Flexor hallucis Flexor hallucis Achilles t


longus t longus m

Figure 13.1.16 Tibialis


Tibialis Tibialis Interosseous posterior Greater
Extensor anterior m anterior t membrane Tibia m and t saphenous v
digitorum
longus m
and t

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 hallucis Soleus t Soleus m Achilles t


longus
m and t
332  LOWER EXTREMITY:  MRI OF THE LEG

Figure 13.1.17 Extensor


hallucis Tibialis Tibialis
longus anterior Interosseous posterior Crural Greater
Extensor m and t m and t membrane Tibia m and t fascia saphenous v
digitorum
longus
m and t

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 hallucis Soleus Achilles t


longus m and t m and t

Figure 13.1.18 Extensor


hallucis Tibialis Tibialis
longus anterior Interosseous posterior Greater
Extensor m and t m and t membrane Tibia m and t saphenous v
digitorum
longus
m and t

Flexor
digitorum
longus
m and t
Fibula

Peroneus Tibialis posterior


brevis vessels
m and t
Tibial n

Peroneus
longus
m and t

Flexor hallucis Soleus m Achilles t


longus m and t
LOWER EXTREMITY:  MRI OF THE LEG  333

Figure 13.1.19 Extensor


hallucis Tibialis Tibialis
longus anterior Interosseous posterior Greater
Extensor m and t m and t membrane Tibia m and t saphenous v
digitorum
longus
m and t

Flexor
digitorum
Fibula longus
m and t

Peroneus Tibialis posterior


brevis vessels
m and t
Tibial n

Plantaris t

Peroneus
longus
m and t

Flexor hallucis Soleus m Achilles t


longus m and t

Figure 13.1.20 Extensor Tibialis Tibialis Tibialis


Extensor hallucis longus anterior anterior posterior Greater
digitorum m and t m and t vessels Tibia m and t saphenous v
longus
m and t

Peroneal
vessels
Flexor
digitorum
longus
m and t
Interosseous
membrane

Fibula Tibialis posterior


Peroneus vessels
brevis
m and t Tibial n

Plantaris t

Peroneus
longus
m and t

Flexor hallucis Achilles t


longus m and t
334  LOWER EXTREMITY:  MRI OF THE LEG

SAGITTAL
Figure 13.2.1

3HURQHXV
ORQJXVP *DVWURFQHPLXVP
3HURQHXV ODWHUDOKHDG
ORQJXVW

6ROHXVP

DUWHU\ D
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PXVFOHV PP
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WHQGRQV WW
QHUYH Q
QHUYHV QQ
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OLJDPHQWV OLJV
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ERQH

Figure 13.2.2 Biceps


femoris t

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

Figure 13.2.3 Lateral tibial


plateau

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

Figure 13.2.4 Lateral tibial


plateau
Proximal tibiofibular
joint

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

Figure 13.2.5 Infrapatellar


(Hoffa’s) Lateral tibial
Proximal
tibiofibular
fat pad plateau joint

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

Figure 13.2.6 Infrapatellar


(Hoffa’s)
fat pad Popliteus m

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

Figure 13.2.7 Lateral tibial


plateau

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

Figure 13.2.8 Infrapatellar


(Hoffa’s) Tibial
fat pad eminence
Gastrocnemius m,
medial head
Popliteal a
Patellar lig Popliteus m

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

Figure 13.2.9 ,QIUDSDWHOODU


+RIIDҋV 3RVWHULRU
IDWSDG FUXFLDWHOLJ
*DVWURFQHPLXVP
3DWHOODUOLJ PHGLDOKHDG
3RSOLWHDOYHVVHOV

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7LELD

*DVWURFQHPLXV
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7LELDOLV
SRVWHULRUP 6ROHXVP

7LELDOLV $FKLOOHVW
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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

Figure 13.2.12 Knee joint,


medial compartment

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

Figure 13.2.13 Medial


femoral condyle

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

Figure 13.3.3 ,OLRWLELDO


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0HGLDO
EDQG
IHPRUDO
/DWHUDOIHPRUDO FRQG\OH
FRQG\OH
/DWHUDOWLELDO 7LELDO PHGLDO
SODWHDX FROODWHUDOOLJ

*HUG\ҋV
WXEHUFOH 0HGLDOWLELDO
SODWHDX

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7LELDOLV PHGLDOKHDG
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([WHQVRU
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([WHQVRU
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([WHQVRU VDSKHQRXVY
GLJLWRUXP
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PDOOHROXV
&DOFDQHXV

Figure 13.3.4 Posterior cruciate lig


Medial
Lateral femoral femoral
condyle condyle
Intercondylar
notch Medial tibial
Lateral tibial plateau
plateau
Tibia
Tibialis Gastrocnemius m,
anterior m medial head

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

Figure 13.3.6 %LFHSV 3RSOLWHDOD


0HGLDO
IHPRUDOFRQG\OH
IHPRULVP
/DWHUDOIHPRUDO
FRQG\OH *UHDWHU
%LFHSV VDSKHQRXVY
IHPRULVW
/DWHUDOWLELDO
SODWHDX
)LEXODU 0HGLDO
KHDG WLELDOSODWHDX
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ORQJXVP

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3HURQHXV
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ORQJXVP

)OH[RUKDOOXFLV
ORQJXVW
$FKLOOHVW

&DOFDQHXV
LOWER EXTREMITY:  MRI OF THE LEG  345

Figure 13.3.7 6HPLPHPEUDQRVXVP

%LFHSV 6DUWRULXVP
IHPRULVW *UDFLOLVW

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YHVVHOV
)LEXODU
KHDG
3HURQHXV
ORQJXVP
6ROHXVP

)LEXOD
*DVWURFQHPLXVP
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ORQJXVPDQGW

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ORQJXVP

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/HVVHU
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$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

MRI of the Ankle


LOWER EXTREMITY:  MRI OF THE ANKLE  349

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

Figure 14.1.2 Extensor hallucis Extensor hallucis


longus m longus t
Deep
peroneal n
Tibialis
anterior t

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

Peroneus Flexor retinaculum


brevis m

Flexor hallucis
longus t

Lesser Sural n Achilles t Flexor Soleus m


saphenous v hallucis
longus m
350  LOWER EXTREMITY:  MRI OF THE ANKLE

Figure 14.1.3 Tibialis


Extensor hallucis Extensor hallucis
longus m longus t
Deep
peroneal n
Tibialis
anterior t
anterior a
and vv
Extensor
digitorum
longus t

Extensor
digitorum
longus m

Greater
saphenous v
Peroneal a Tibia
and v Tibialis posterior t

Superior Flexor digitorum


extensor longus t and m
retinaculum
Fibula
Peroneus Tibialis posterior
longus t a and vv
Peroneus
brevis t
Tibial n
Peroneus
brevis m
Flexor
retinaculum
Flexor hallucis
longus t

Lesser Sural n Achilles t Flexor Soleus m


saphenous v hallucis
longus m

Figure 14.1.4 Extensor hallucis Extensor hallucis Tibialis


Inferior
extensor
longus m longus t anterior t retinaculum

Extensor
digitorum
longus t
Tibialis
anterior a
and v
Extensor
digitorum Greater
longus m saphenous v

Fibular notch Tibia


Tibialis posterior t

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

Lesser Sural n Achilles t Soleus m Flexor


saphenous v hallucis
longus m
LOWER EXTREMITY:  MRI OF THE ANKLE  351

Figure 14.1.5 Extensor hallucis Extensor hallucis Tibialis


longus m longus t anterior t
Fibular
notch

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

Lesser Achilles t Flexor Soleus m


saphenous v hallucis
longus m

Figure 14.1.6 Extensor hallucis Extensor hallucis Tibialis


Inferior
extensor
longus m longus t anterior t retinaculum

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

Lesser Achilles t Flexor Soleus m


saphenous v hallucis
longus m
352  LOWER EXTREMITY:  MRI OF THE ANKLE

Figure 14.1.7 Extensor hallucis


longus t
Tibialis
anterior t
Ankle joint
(tibiotalar)

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

Lesser Achilles t Flexor Soleus m


saphenous v hallucis
longus m

Figure 14.1.8 Extensor hallucis


longus t
Tibialis
anterior 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

Lesser Kager’s Achilles t Flexor Plantaris t


saphenous v triangle hallucis
longus m
LOWER EXTREMITY:  MRI OF THE ANKLE  353

Figure 14.1.9 Navicular


Tibialis
anterior 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

Lesser Kager’s Achilles t Flexor Plantaris t Flexor


saphenous v triangle hallucis hallucis
longus m longus t

Figure 14.1.10 Navicular

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

Figure 14.1.11 Middle


cuneiform Navicular
Talonavicular
joint

Extensor
digitorum Tibialis
brevis m posterior t

Talar head Deltoid lig,


tibionavicular
Inferior and anterior
extensor tibiotalar
retinaculum parts

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

Lesser Kager’s Achilles t Plantaris t Talus,


saphenous v triangle posterior
process

Figure 14.1.12 Middle


cuneiform Navicular
Medial
cuneiform

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

Lesser Kager’s Achilles t Talocalcaneal joint,


saphenous v triangle posterior facet
LOWER EXTREMITY:  MRI OF THE ANKLE  355

Figure 14.1.13 Medioplantar


Middle calcaneonavicular Medial
cuneiform lig cuneiform

Lateral Tibialis
cuneiform posterior t,
cuneiform slip

Extensor Tibialis
digitorum posterior t
brevis m

Cuboid Flexor digitorum


Calcaneus, longus t
anterior
process Sustentaculum
tali
Calcaneofibular
lig

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

Kager’s Achilles t Plantaris t Calcaneus


triangle

Figure 14.1.14 Tibialis posterior t,


Inferoplantar
calcaneonavicular
cuneiform slip (spring) lig

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

Calcaneal Achilles t Calcaneus


tuberosity
356  LOWER EXTREMITY:  MRI OF THE ANKLE

Figure 14.1.15 Plantar


cuneocuboid lig

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

Calcaneal Achilles t Calcaneus


tuberosity

Figure 14.1.16 Fifth metatarsal


Fifth tarsometatarsal Plantar
joint cuneocuboid lig

Cuboid
Flexor
digitorum
longus t
Flexor hallucis
longus t
Calcaneocuboid
joint Abductor
hallucis m

Calcaneus,
Quadratus
anterior process
plantae m

Peroneus Medial plantar


longus n and vessels
and peroneus
brevis tt

Lateral plantar
n and vessels

Calcaneal Achilles t Calcaneus


tuberosity
LOWER EXTREMITY:  MRI OF THE ANKLE  357

Figure 14.1.17 Fifth metatarsal


Plantar
calcaneocuboid lig

Cuboid

Peroneus Abductor
brevis t hallucis m

Peroneus Quadratus
longus t plantae m

Medial plantar
n and vessels

Lateral plantar
n and vessels

Calcaneal Achilles t Calcaneus


tuberosity

Figure 14.1.18 Fifth metatarsal

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

Figure 14.1.19 Base of fifth


metatarsal

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

Figure 14.2.2 Extensor digitorum


longus t
Extensor hallucis
longus t
Tibialis
anterior t

Extensor digitorum Tibialis


longus and extensor anterior m
hallucis longus mm
Extensor
retinaculum
Greater
saphenous v
Extensor
retinaculum

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

Figure 14.2.3 Extensor digitorum


longus t
Extensor hallucis
longus t

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

Figure 14.2.4 Extensor digitorum Extensor hallucis Tibialis


longus t longus t anterior t

Deep
peroneal n
Peroneus
tertius m Tibialis
anterior a

Superficial Extensor hallucis


peroneal n longus m
Anterior inferior
tibiofibular lig
Tibia,
Fibula, medial malleolus
lateral malleolus
Talar dome
Posterior
talofibular lig
Tibialis
Peroneus
posterior t
longus t
Flexor digitorum
Peroneus longus t
brevis t Flexor
Lesser retinaculum
saphenous v
Tibialis
posterior a
Peroneus
Tibial n
brevis m

Flexor hallucis
longus t

Calcaneus Talus, posterior


process
LOWER EXTREMITY:  MRI OF THE ANKLE  361

Figure 14.2.5 Extensor


digitorum
Extensor
hallucis
Extensor
hallucis Tibialis
longus t longus m longus t anterior 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

Calcaneus Subtalar joint,


posterior facet

Figure 14.2.6 Extensor


digitorum
Extensor
hallucis
Extensor
hallucis Tibialis
longus t longus m longus t anterior t

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

Figure 14.2.7 Extensor digitorum


longus t
Extensor hallucis
longus m
Extensor hallucis
longus t

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

Figure 14.2.8 Extensor


digitorum Extensor Tibialis anterior a and
Extensor
hallucis
longus t retinaculum deep peroneal n longus t

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

Flexor Lateral plantar


digitorum vessels and n
brevis m
LOWER EXTREMITY:  MRI OF THE ANKLE  363

Figure 14.2.9 Extensor


digitorum
Extensor
hallucis
longus tt longus t

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

Flexor Lateral plantar


digitorum vessels and n
brevis m

Figure 14.2.10 Extensor


digitorum Lateral
Extensor
hallucis
longus tt cuneiform longus t

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

Figure 14.2.11 Extensor


digitorum Lateral
Extensor
hallucis
Extensor
hallucis
longus tt cuneiform brevis m longus t

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

Figure 14.3.3 Extensor


digitorum
longus m

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

Figure 14.3.4 Tibia


Ankle
joint
Extensor
digitorum Flexor
longus m hallucis
longus m
Tibial Lesser
plafond saphenous v

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

Figure 14.3.5 Extensor digitorum


longus m Tibia
Ankle
joint
Flexor hallucis
longus m

Extensor Soleus m
digitorum
longus t
Achilles t
Tibial plafond

Talar dome Kager’s


triangle
Talus,
lateral process

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

Figure 14.3.6 Extensor


hallucis Tibia
Ankle
joint
Flexor hallucis
longus m
longus m
Extensor
digitorum Soleus m
longus t
Tibialis anterior
vessels
Tibial plafond

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

Plantar Abductor digiti Plantar fascia,


calcaneocuboid lig minimi m lateral cord
368  LOWER EXTREMITY:  MRI OF THE ANKLE

Figure 14.3.7 Extensor hallucis


longus t
Tibial
plafond Tibia
Ankle
joint
Flexor hallucis
longus m

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

Plantar Abductor digiti Long Plantar fascia,


calcaneocuboid lig minimi m plantar lig lateral cord

Figure 14.3.8 Tibial


plafond Tibia
Flexor hallucis
longus m

Extensor
hallucis
longus t

Extensor
digitorum Flexor
longus t hallucis
longus t

Talar head Talar dome


Extensor
digitorum
brevis m
Navicular

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

Abductor digiti Quadratus Plantar Flexor Plantar fascia,


minimi m plantae m calcaneocuboid digitorum medial cord
lig brevis m
LOWER EXTREMITY:  MRI OF THE ANKLE  369

Figure 14.3.9 Tibial


plafond Tibia

Tibialis
anterior t

Extensor Tibial n and


hallucis tibialis
longus t posterior
vessels
Talar head
Talar dome
Talonavicular Accessory
joint flexor
digitorum
Navicular longus m

Anterior Flexor
subtalar joint hallucis
longus t
Lateral
cuneiform Talar body

Posterior
subtalar
Base of fourth joint
metatarsal
Cuboid
Calcaneus

Calcaneal
tuberosity

Quadratus Middle Flexor Plantar fascia,


plantae m subtalar digitorum medial cord
joint brevis m

Figure 14.3.10 Tibial


plafond Tibia
Tibialis
anterior t Tibialis
posterior t
Extensor Flexor
hallucis t digitorum
longus t
Tibial n and
tibialis posterior
Talar head vessels
Talonavicular
joint Talus
Accessory
Navicular flexor
digitorum
longus m
Middle
cuneiform Flexor hallucis
longus t

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

Figure 14.3.11 Anterior


tibiotalar lig
Greater
saphenous v
Tibia, medial
malleolus

Tibialis
posterior t
Tibialis Flexor digitorum
anterior t longus t
Posterior
tibiotalar lig

Navicular Tibial n and


tibialis posterior
vessels
Navicular
cuneiform
joint Talus

Medial and lateral


plantar vessels
Middle and nn
cuneiform
Calcaneus,
sustentaculum
tali
Inferoplantar
calcaneonavicular Medial calcaneal
(spring) lig vessels and n

Abductor
hallucis m

Flexor Plantar Middle Flexor


digitorum fascia, subtalar hallucis
brevis m medial joint longus t
cord

Figure 14.3.12 Tibiocalcaneal lig


Tibia, medial
malleolus

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

Flexor Plantar fascia, Flexor hallucis


digitorum medial cord longus t
brevis m
LOWER EXTREMITY:  MRI OF THE ANKLE  371

Figure 14.3.13 Tibia, medial


malleolus

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

Flexor Plantar fascia,


digitorum medial cord
brevis m
372  LOWER EXTREMITY:  MRI OF THE ANKLE

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

Figure 14.4.2 Extensor hallucis


longus m
Tibialis
anterior t
Extensor hallucis
longus t

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

Abductor digiti Plantar Lateral plantar Plantar


minimi m calcaneocuboid a and n aponeurosis,
lig medial cord
LOWER EXTREMITY:  MRI OF THE ANKLE  373

Figure 14.4.3 Extensor hallucis


longus 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

Abductor digiti Plantar Plantar


minimi m calcaneocuboid lig aponeurosis,
medial cord

Figure 14.4.4 Tibialis


anterior
Tibia

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

Peroneus Medial plantar


brevis t a and n

Quadratus
plantae m
Flexor digitorum
Peroneus brevis m
longus t

Abductor digiti Plantar Plantar aponeurosis,


minimi m calcaneocuboid lig medial cord
374  LOWER EXTREMITY:  MRI OF THE ANKLE

Figure 14.4.5 Tibia


Ankle
joint
Greater
saphenous v

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

Calcaneus Flexor hallucis


longus t
Extensor
Abductor
digitorum
hallucis m
brevis m

Peroneus
brevis t
Quadratus
plantae m
Lesser
saphenous v
Flexor digitorum
Peroneus brevis m
longus t

Abductor digiti Plantar Plantar aponeurosis,


minimi m calcaneocuboid lig medial cord

Figure 14.4.6 Tibia


Ankle
joint
Extensor
digitorum
longus m Tibia,
medial
Tibial malleolus
plafond
Deltoid lig,
tibiocalcaneal
Talar fibers
dome Tibialis
Talar posterior t
body
Middle subtalar Flexor digitorum
joint 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

Abductor digiti Plantar Plantar Plantar


minimi m aponeurosis, calcaneocuboid lig aponeurosis,
lateral cord medial cord
LOWER EXTREMITY:  MRI OF THE ANKLE  375

Figure 14.4.7 Tibia


Ankle
joint
Extensor
digitorum
longus m Tibia,
medial
Tibial malleolus
plafond
Deltoid lig,
deep portion

Talar dome Tibialis


posterior t
Talar body
Calcaneus,
Middle subtalar sustentaculum tali
joint
Flexor digitorum
Talocalcaneal longus t
lig
Lateral plantar
n and vessels
Calcaneus

Peroneus Flexor hallucis


brevis t longus t

Lesser Abductor
saphenous v hallucis m
Peroneus
longus t Quadratus
plantae m

Long Flexor digitorum


plantar lig brevis m

Abductor digiti Plantar Plantar Plantar


minimi m aponeurosis, calcaneocuboid lig aponeurosis,
lateral cord medial cord

Figure 14.4.8 Extensor


Tibia
Ankle
joint
digitorum
longus m
Tibia,
Tibial medial
plafond malleolus

Fibula, lateral Tibialis


malleolus posterior t
Deltoid lig,
deep portion
Talar dome
Flexor retinaculum

Talar Flexor digitorum


body longus t
Calcaneus,
sustentaculum
tali
Peroneus Flexor hallucis
brevis t longus t

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

Abductor digiti Long Plantar Plantar


minimi m plantar lig aponeurosis, calcaneocuboid lig
lateral cord
376  LOWER EXTREMITY:  MRI OF THE ANKLE

Figure 14.4.9 Tibia


Ankle
joint

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

Abductor digiti Plantar Plantar Plantar aponeurosis,


minimi m aponeurosis, calcaneocuboid lig medial cord
lateral cord

Figure 14.4.10 Tibia


Ankle
joint

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

Abductor digiti Plantar Plantar Plantar aponeurosis,


minimi m calcaneocuboid lig aponeurosis, medial cord
lateral cord
LOWER EXTREMITY:  MRI OF THE ANKLE  377

Figure 14.4.11 Ankle


joint Tibia

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

Abductor digiti Plantar aponeurosis


minimi m

Figure 14.4.12 Posterior


Tibia intermalleolar lig
Posterior inferior
tibiofibular lig

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

Abductor digiti Plantar aponeurosis


minimi m
378  LOWER EXTREMITY:  MRI OF THE ANKLE

Figure 14.4.13 Peroneus


brevis m
Peroneus brevis t
Flexor hallucis
longus m
Peroneus longus t
Posterior inferior Flexor hallucis
tibiofibular lig longus t
Accessory flexor
Talus digitorum longus m
Fibula, lateral Flexor hallucis
malleolus longus t
Posterior
Peroneus subtalar joint
brevis t
Accessory flexor
digitorum longus m
Peroneus
longus t
Quadratus
Peroneus plantae m
quartus m and t

Retrotrochlear
eminence

Calcaneus

Flexor digitorum
brevis m

Abductor digiti Plantar aponeurosis


minimi m

Figure 14.4.14 Peroneus


brevis m

Peroneus Flexor hallucis


longus t longus m

Peroneus
brevis t
Accessory flexor
digitorum longus m
Peroneus
quartus m

Lesser
saphenous v
Quadratus
plantae m

Calcaneus

Lateral Plantar aponeurosis


calcaneal
tubercle
LOWER EXTREMITY:  MRI OF THE ANKLE  379

Figure 14.4.15 Peroneus


Tibial n and
tibialis posterior a
brevis m

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

Figure 14.4.17 Soleus m

Kager’s
triangle Achilles t

Calcaneus

Figure 14.4.18

Achilles t

Calcaneus
15
Chapter

MRI of the Foot


382  LOWER EXTREMITY:  MRI OF THE FOOT

Table 15-1.  Muscles of the Foot


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Extensor Distal part of the lateral As the fiber bundles extend distally, they Deep peroneal
digitorum brevis and superior surfaces of become grouped into four bellies. Those fibers
the calcaneus and the apex of the most medial and largest belly are
of the inferior extensor known as extensor hallucis brevis. The tendon
retinaculum of this muscle inserts onto the base of the first
metatarsal. The remaining fiber bundles have
more variable insertions. The second toe fibers
usually insert onto the middle dorsal aspect of
the base of the proximal phalanx and are
often united with the long extensor tendon.
The three more lateral tendons are usually
fused with the lateral margins of the corre-
sponding long extensor tendons near the bases
of the respective middle phalanges and usually
extend to the bases of the corresponding
proximal phalanges.
Flexor Medial process of the tuber Tendons of the short (brevis) flexors pass Surface near the
digitorum calcanei, posterior third of superficial to those of the long flexor into medial edge of the
the plantar aponeurosis, the osteofibrous canals on the flexor surface muscle
and medial and lateral of the digits. On the proximal phalanx of
intermuscular septa each toe, the tendon of the short flexor
divides and forms an opening through
which the tendon of the long flexor passes.
The tendons of the short flexor insert onto
the base of the middle phalanx
Quadratus Two heads: a small lateral The two heads are separated at their origin by Lateral plantar nerve
plantae (flexor and a large medial one. a short triangular space. The heads fuse to branch that passes
accessorius) (1) Lateral head arises form a single belly, but the fiber bundles of obliquely across the
from an elongated tendon each head are separately inserted. From the superficial surface of
from the lateral process of lateral head, the fibers insert into the lateral the muscle, parallel
the tuberosity of the calca- margin of the flexor tendon. The medial head with the tendon of
neus and from the lateral inserts as an aponeurosis into the deep surface the flexor digitorum
margin of the long plantar of the flexor tendon longus
ligament. (2) Medial head
originates from the medial
surface of the calcaneus in
front of the tuberosity and
from adjacent ligaments
Lumbricals Three lateral lumbricals Fiber bundles of each muscle converge on Three lateral lumbri-
arise from the adjacent both sides of a tendon that becomes free near cals are usually sup-
sides of the digital tendons the metatarsophalangeal joint and is inserted plied by branches of
of the flexor digitorum onto the medial side of the proximal phalanx the deep ramus of the
longus. The first lumbrical of the appropriate toe. A tendinous expansion lateral plantar nerve.
arises on the medial margin is inserted into the aponeurosis of the exten- Medial lumbrical is
of the second toe sor muscle supplied by the first
common plantar digital
branch of the medial
plantar nerve. This
nerve may supply the
two more medial mus-
cles, or the medial
muscles may receive
a double nerve supply
LOWER EXTREMITY:  MRI OF THE FOOT  383

Table 15-1.  Muscles of the Foot—cont’d


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Abductor Medial border of the Along with the tendon of the medial belly Branch of the medial
hallucis medial process of the of flexor brevis onto the base of the proximal plantar
tuber calcanei, flexor phalanx of the great toe
retinaculum, and plantar
aponeurosis
Flexor hallucis From the plantar surface The medial and lateral sides of the base of the Branch from the
brevis of the lateral cuneiform proximal phalanx of the great toe medial plantar or first
and cuboid bones plantar digital. Rarely,
the lateral body may
receive a branch from
the lateral plantar
Adductor Tuberosity of the cuboid By a flat tendon that inserts in common with Branch of the deep
hallucis, oblique and sheath of the tendon that of the flexor brevis onto the lateral part ramus of the lateral
head of the peroneus longus, the of the plantar surface of the base of the proxi- plantar
plantar calcaneocuboid lig- mal phalanx, and by a slip into the aponeuro-
ament, the third cunei- sis of the long extensor muscle on the back
form, and bases of the sec- of the great toe
ond and third metatarsals
Adductor hallucis, Joint capsules of the third, By a common tendon that splits and passes on Branch from the deep
transverse head fourth, and fifth metatarso- each side of the tendon of the oblique head ramus of the lateral
phalangeal joints and the and is inserted into the sheath on the tendon plantar
deep transverse metatarsal of the long flexor of the great toe
ligaments
Abductor digiti Lateral and medial pro- Onto the lateral surface of the proximal Lateral plantar
minimi cesses of the tuber calcanei phalanx of the little toe and the
and lateral and plantar sur- metatarsophalangeal capsule
faces of the body of the
bone in front of these,
lateral intermuscular sep-
tum, deep surface of the
lateral plantar fascia, and
fibrous band extending
from the calcaneus to the
lateral side of the base of
the fifth metatarsal
Flexor digiti Sheath of the peroneus By short tendinous bands onto the base of Branch from the super-
minimi brevis longus, tuberosity of the the proximal phalanx of the little toe, the ficial ramus of the
cuboid, and base of the capsule of the corresponding joint, and the lateral plantar
fifth metatarsal aponeurosis on the dorsal surface of the toe
Opponens digiti An inconstant muscle, it Onto the lateral surface of the fifth metatarsal Branch from the nerve
minimi may arise from the sheath to the flexor brevis and
of the peroneus longus and the superficial ramus of
the tuberosity of the the lateral plantar
cuboid by a thin tendon
that passes over the tuber-
osity of the fifth metatarsal
Continued
384  LOWER EXTREMITY:  MRI OF THE FOOT

Table 15-1.  Muscles of the Foot—cont’d


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Interosseous, Each of the three lateral The first and second interosseous muscles Deep branch of the
dorsal dorsal interosseous muscles onto each side of the base of the proximal lateral plantar. The in-
arises from the sides of the phalanx of the second toe; the third and terosseous muscles of
shaft and the plantar sur- fourth onto the lateral side of the bases of the the fourth interspace
face of the bases of the proximal phalanges of the third and fourth are usually supplied
metatarsals, bounding the toes. Each tendon adheres to the capsule of by a branch from the
space in which each lies, the adjacent joint superficial ramus of
from the fascia covering it the lateral plantar
dorsally, and from the fi-
brous prolongations from
the long plantar ligament.
The first (medial) has a
similar origin, except that
its medial origin is by a
tendinous slip from the
peroneus longus tendon
and, occasionally, by fiber
bundles from the medial
side of the proximal end
of the first metatarsal
Interosseous, The plantar interosseous Onto a tubercle on the medial side of the base Lateral plantar
plantar muscle arises from the of the proximal phalanx of the digit to which
proximal third of the me- it goes
dial plantar surface of the
shaft, from the base of
the metatarsal on which
it lies, and from the fascial
expansions of the long
plantar ligament
LOWER EXTREMITY:  MRI OF THE FOOT  385

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

Second First metatarsal


metatarsal head

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

Calcaneus Flexor digitorum


longus t
388  LOWER EXTREMITY:  MRI OF THE FOOT

Figure 15.1.7 Great toe,


proximal
phalanx
Second
metatarsal
head
Third First
metatarsal metatarsal
head
Dorsal
interosseous m
Adductor
hallucis m,
oblique head
Flexor hallucis
brevis m,
medial head
Flexor hallucis
brevis m,
Peroneus longus t lateral head

Base of fourth
metatarsal Abductor
hallucis t

Cuboid Abductor
hallucis m
Flexor
hallucis
longus t

Calcaneus

Figure 15.1.8 Fifth toe,


Great toe,
proximal phalanx
proximal phalanx
Third metatarsal Second metatarsal
head head
Fourth metatarsal First metatarsal
head head

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

Figure 15.1.9 Third, fourth,


and fifth toes,
Great toe
proximal phalanx
proximal
phalanges Second
metatarsal head
Fourth Third metatarsal
metatarsal head
head First metatarsal
head
Adductor
hallucis m,
transverse head

Plantar Flexor hallucis


interosseous mm brevis m,
medial head
Flexor hallucis
brevis m,
lateral head
Fifth metatarsal Adductor
hallucis m,
oblique head
Quadratus
plantae m

Cuboid
Peroneus
brevis t Medial plantar nn
and vessels
Peroneus
longus t

Figure 15.1.10 Second


metatarsal
head
Third Lateral
metatarsal sesamoid
head
Medial
Fourth sesamoid
metatarsal
head Flexor
digitorum
longus tt
Flexor
hallucis
longus t
Flexor digiti
minimi m

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

Lateral cuneiform Quadratus


plantae m
Peroneus
Base of third longus t
metatarsal
Base of fourth
metatarsal

Plantar
interosseous
and lumbrical mm

Fourth metatarsal Flexor t of


head fourth digit,
flexor digitorum tt,
long and short

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

Dorsal Adductor hallucis m,


interosseous m oblique head

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

Base of second Quadratus


metatarsal plantae m
Base of third
metatarsal Flexor digitorum
brevis m
Adductor
hallucis m,
oblique head
Extensor digitorum Dorsal
longus t interosseous m

Plantar
interosseous m
Adductor
hallucis m,
Third metatarsal transverse head
head

Flexor digitorum t
of third digit, long
Third toe, and short
proximal phalanx

Figure 15.2.8 Talar neck


Calcaneus

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

Figure 15.2.9 Calcaneus,


sustentaculum tali

Talar head Quadratus


plantae m

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

Figure 15.2.10 Middle Calcaneus,


subtalar joint sustentaculum tali
Talar head
Extensor Flexor hallucis
digitorum t longus t

Navicular

Middle cuneiform Flexor


digitorum
longus t
Abductor
Medial cuneiform hallucis m

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

Figure 15.2.11 Calcaneus,


sustentaculum tali
Medial plantar
n and vessels
Talus

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

Extensor tt, Second


short and long metatarsophalangeal
joint
Fourth
proximal Third
phalanx metatarsophalangeal
Fifth joint
proximal
phalanx
Flexor hallucis
longus t

Flexor
digitorum
longus and
brevis tt
400  LOWER EXTREMITY:  MRI OF THE FOOT

Figure 15.3.3

Extensor
hallucis
longus t

Extensor tt, First


second, third, and metatarsophalangeal
fourth digits joint
Second
metatarsal head

Fourth Medial sesamoid


metatarsophalangeal Third
joint metatarsal head
Little toe,
proximal phalanx Flexor hallucis
longus t
Lateral sesamoid

Flexor tt,
second–fifth digits

Figure 15.3.4 Second metatarsal head

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

Figure 15.3.6 Second metatarsal


Extensor hallucis
longus t

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

Figure 15.3.7 Plantar and dorsal


interosseous mm

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

Fifth Flexor hallucis


metatarsal longus t

Adductor
hallucis m,
transverse
head

Figure 15.3.8 Second


metatarsal
Plantar
interosseous mm
Extensor hallucis
longus t

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

Figure 15.3.9 Second


Plantar
interosseous Adductor hallucis m,
metatarsal mm oblique head

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

Figure 15.3.10 Plantar


interosseous m
Extensor hallucis
longus t

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

Figure 15.3.11 Adductor hallucis m, Extensor hallucis


oblique head longus t

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

Adductor hallucis m, Extensor hallucis


oblique head longus t
Second
metatarsal
First metatarsal
Extensor tt
Flexor hallucis
brevis m
Abductor
Third hallucis m
metatarsal Abductor
hallucis t
Fourth metatarsal Flexor digitorum
Dorsal longus tt
interosseous m Flexor hallucis
Plantar longus t
interosseous m
Medial plantar
Fifth metatarsal
a and n
Abductor digiti Plantar
minimi m and t aponeurosis,
medial cord
Flexor digiti
minimi m
Flexor digitorum
Lateral plantar brevis m and t
a and n
Intermetatarsal
ligs
LOWER EXTREMITY:  MRI OF THE FOOT  405

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

Figure 15.3.14 Extensor hallucis


longus t

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

Abductor digiti Flexor digitorum


minimi m and t brevis m and t
Lateral plantar Quadratus
a and n plantae m
406  LOWER EXTREMITY:  MRI OF THE FOOT

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

Peroneus Flexor digitorum


longus t brevis m and t
Base of fifth Plantar
metatarsal aponeurosis

Abductor digiti Flexor digitorum


minimi m and t longus t
Quadratus
plantae m

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

Plantar Flexor digitorum


aponeurosis, brevis m and t
lateral cord
Quadratus
Abductor digiti plantae m
minimi m

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
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III
Section

Spine and Back


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16
Chapter

MRI of the Thoracic Spine


412  SPINE AND BACK:  MRI OF THE THORACIC SPINE

Table 16-1.  Muscles of the Back


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Trapezius Medial third of the superior nuchal Lateral third of the posterior Accessory and cervical
line, external occipital protuberance, surface of the clavicle, medial plexus
ligamentum nuchae, spinous processes side of the acromion, and upper
of the seventh cervical and thoracic border of the spine of the
vertebrae, and corresponding supraspi- scapula
nous ligaments
Rhomboideus Spinous processes and corresponding Medial border of the scapula below Dorsal scapular
major supraspinous ligaments of the first the scapular spine
four thoracic vertebrae
Rhomboideus Spinous processes of the sixth and Medial margin of the scapula above Dorsal scapular
minor seventh cervical vertebrae the scapular spine
Levator scapulae Posterior tubercles of the transverse Superior angle of the scapula Dorsal scapular
processes of the four upper cervical
vertebrae
Serratus posterior From spinous processes of the two Onto the lateral side of the angles First to fourth
superior lower cervical and two upper thoracic of the second to fifth ribs intercostal
vertebrae
Serratus posterior With latissimus dorsi, from the Onto the lower borders of the last Ninth to twelfth
inferior spinous processes of the two four ribs intercostal
lower thoracic and two upper
lumbar vertebrae
Serratus anterior From the center of the lateral aspect Superior and inferior angles and Long thoracic from
of the first eight or nine ribs intervening medial margin of the brachial plexus
scapula
Deltoid Lateral third of the clavicle, lateral Lateral margin of the proximal half Axillary from fifth
border of the acromion process, lower of the humeral shaft and sixth cervical
border of the scapular spine nerves through
brachial plexus
Latissimus dorsi Spinous processes of the lower five With teres major, onto the Thoracodorsal
or six thoracic and lumbar vertebrae, medial border of the bicipital
median ridge of the sacrum, and groove of the humerus
outer lip of the iliac crest
Infraspinatus Infraspinous fossa of the scapula Middle facet of the greater Suprascapular from
tuberosity of the humerus fifth to sixth cervical
Supraspinatus Supraspinous fossa of the scapula Greater tuberosity of the humerus Suprascapular from
fifth to sixth cervical
Teres major Inferior angle and lower third of the Medial border of the bicipital Lower subscapular
border of the scapula groove of the humerus from fifth and sixth
cervical
Teres minor Upper two thirds of the lateral border Lower facet of the greater tuberosity Axillary from fifth and
of the scapula of the humerus sixth cervical
Spinalis capitis Rarely a separate muscle; it arises Inserts with the semispinalis capitis Branches of the dorsal
with the semispinalis capitis from on the occiput primary divisions of the
the upper thoracic spinous process spinal nerves
Spinalis cervicis Spinous processes of the sixth and Spinous processes of the axis and Dorsal branches of
seventh cervical vertebrae the third cervical vertebra cervical
Spinalis thoracis Spinous processes of the upper Spinous processes of the middle Dorsal branches of
lumbar and two lower thoracic and upper thoracic vertebrae thoracic and upper
vertebrae lumbar
SPINE AND BACK:  MRI OF THE THORACIC SPINE  413

Table 16-1.  Muscles of the Back—cont’d


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Iliocostalis Angles of the upper six ribs Transverse processes of the middle Dorsal branches of
cervicis cervical vertebrae upper thoracic
Iliocostalis Medial side of the angles of the lower Angles of the upper six ribs Dorsal branches of
thoracis six ribs thoracic
Iliocostalis With erector spinae, from the sacrum, Angles of the lower six ribs Dorsal branches of tho-
lumborum ilium, and spines of the lumbar racic and lumbar nerves
vertebrae
Longissimus From the transverse processes of the Onto the mastoid process Dorsal branches of
capitis upper thoracic and transverse and cervical
articular processes of the lower
and middle cervical vertebrae
Longissimus Transverse processes of the upper Transverse processes of the middle Dorsal branches of
cervicis thoracic vertebrae and upper cervical vertebrae lower cervical and
upper thoracic
Longissimus With the iliocostalis and from the By lateral slips onto most or all of Dorsal branches of
thoracis transverse processes of the lower the ribs between the angles and the thoracic and lumbar
thoracic vertebrae tubercles and onto the tips of the
transverse processes of the upper
lumbar vertebrae, and by medial
slips into the accessory processes of
the upper lumbar and transverse
processes of the thoracic vertebrae
Splenius capitis From the ligamentum nuchae of the Lateral half of the superior nuchal Dorsal branches of
last four cervical vertebrae and the line and mastoid process second to sixth cervical
supraspinous ligament of first and
second thoracic vertebrae
Splenius cervicis From the supraspinous ligament and Posterior tubercles of the transverse Dorsal branches of
the spinous processes of the third to processes of the first and second fourth to eighth
fifth thoracic vertebrae (sometimes third) cervical vertebrae cervical
Semispinalis Transverse processes of the five or six Occipital bone between the supe- Dorsal branches
capitis upper thoracic and articular processes rior and inferior nuchal lines of cervical
of the four lower cervical vertebrae
Semispinalis Transverse processes of the second Spinous processes of the axis Dorsal branches of
cervicis to fifth thoracic vertebrae and the third to fifth cervical cervical and thoracic
vertebrae
Semispinalis Transverse processes of the fifth Spinous processes of the first four Dorsal branches of
thoracis to eleventh thoracic vertebrae thoracic and fifth and seventh cervical and thoracic
cervical vertebrae
Multifidus From the sacrum, the sacroiliac liga- Onto the spinous processes of all Dorsal branches of
ment, mammillary processes of the the vertebrae, up to and including spinal
lumbar vertebrae, transverse processes the axis
of the thoracic vertebrae, and articular
processes of the last four cervical
vertebrae
Rotatores Primarily developed in the thoracic Into the root of the spinous pro- Dorsal branches of
region from the transverse processes cesses of the next two or three spinal
of the vertebrae vertebrae above
Interspinales Tubercle of the spinous process Tubercle of the spinous process Dorsal branches of
cervicis of the cervical vertebrae of the next superior vertebra cervical
Continued
414  SPINE AND BACK:  MRI OF THE THORACIC SPINE

Table 16-1.  Muscles of the Back—cont’d


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Interspinales Often poorly developed or absent Spinous processes of thoracic Dorsal branches
thoracis between the spinous processes of vertebrae of thoracic
the thoracic vertebrae
Interspinales Superior margin of the lumbar Inferior margin of the next Dorsal branches
lumborum spinous processes superior spinous process of lumbar
Intertransversarii Anterior tubercle of the cervical Anterior tubercle of the next Ventral branch of
anteriores cervicis transverse process superior transverse process cervical
Intertransversarii Transverse processes of the lumbar Next superior transverse process Ventral branches
laterales lumbar vertebrae of lumbar
Intertransversarii Transverse processes of the thoracic Next superior transverse process Dorsal branches
thoracis vertebrae of thoracic
SPINE AND BACK:  MRI OF THE THORACIC SPINE  415

AXIAL
Figure 16.1.1
Azygos v Aorta

Costotransverse
foramen Accessory
hemiazygos v
Costovertebal
joint
T6 vertebra
Sixth transverse
process Head of sixth rib

Neck of sixth rib


Sixth rib

Angle of sixth rib


Rhomboid
major m Costotransverse
joint

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

Figure 16.1.2 Azygos v T6 vertebra Aorta

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

Figure 16.1.3 Azygos v


Esophagus
T9 Vertebra
Basivertebral Thoracic duct
Aorta
plexus Hemiazygos v

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

Figure 16.1.4 T10 Vertebra


Azygos v
Thoracic
duct
Aorta Hemiazygos v

Costovertebral joint
T10 Pedicle Tenth rib, head

Tenth rib, neck


Costotransverse
foramen Tenth rib, tubercle

Tenth rib, angle

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

Brachial plexus roots Trapezius 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

Figure 16.2.2 Erector spinae m

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

Accessory hemiazygos v Intercostal neurovascular


bundle formation

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

Esophagus Erector spinae spinalis m


Trapezius m
Pedicle
Zygapophyseal (facet) joint

Inferior articulating
process (facet) Epidural fat in lateral
neuroforamen
Superior articulating
process (facet)
Transversospinalis mm
Vertebral facets for
costovertebral joints
Trapezius m

Thoracic segmental Dorsal n root ganglion


vertebral vessels

Thoracolumbar fascia, posterior part

Spinal nerve

Erector spinae
longissimus m

Thoracolumbar fascia, posterior part


SPINE AND BACK:  MRI OF THE THORACIC SPINE  419

Figure 16.2.5
Spinalis thoracis m

Trapezius m

Esophagus Lateral recess

Epidural vessels

Thoracic vertebra
Epidural fat in
neuroforamen

Zygapophyseal (facet) joint

Thoracic pedicle
Inferior articulating process
Dorsal n root ganglion (facet)

Superior articulating process


(facet)
Thoracic spinal n

Erector spinae
Thoracic pars interarticularis

Figure 16.2.6
Interspinous lig

Spinous process

Supraspinous lig

Subarachnoid space

Anterior longitudinal lig


Spinal cord

Posterior longitudinal lig

Posterior epidural space


Thoracic intervertebral disc

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

Figure 16.3.2 7UDSH]LXVP

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SPINE AND BACK:  MRI OF THE THORACIC SPINE  421

Figure 16.3.3 Cervical erector spinae and


transversospinalis mm
Levator scapulae m
Trapezius m

Supraspinatus m

Spinous process
Infraspinatus m
Costotransverse
Subscapularis m joint
Teres minor m
Transverse process

Teres major m
Inferior scapula

Thoracic lamina Latissimus dorsi m

Serratus
anterior m

Thoracic Tubercle of rib


transversospinalis m

Costotransverse
joint

Thoracic erector spinae mm

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422  SPINE AND BACK:  MRI OF THE THORACIC SPINE

Figure 16.3.5 Spinous process Trapezius m Supraspinatus m

Serratus Scapular spine


posterior
superior m
Deltoid m

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

Interspinous lig Spinous process

Figure 16.3.6 Descending branches of superficial


cervical a and v and branches of
subtrapezial plexus
from accessory n Trapezius m

Scapular
spine

Infraspinatus m

Rhomboid Teres minor m


minor 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

Figure 16.3.7 Trapezius m

Scapular spine
Rhomboid
major m

Infraspinatus
and teres
minor mm
Serratus
posterior
superior mm Trapezius m

Subscapularis m Teres major m

Spinous process

Supraspinous lig
Trapezius m
17
Chapter

MRI of the Lumbar Spine


SPINE AND BACK:  MRI OF THE LUMBAR SPINE  425

AXIAL
Figure 17.1.1 ,QIHULRU
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Figure 17.1.2 Inferior


vena cava

Aorta

L3-4 disc
Psoas m

Epidural v
Quadratus
lumborum m Facet joint

L3 n root

Ligamentum
flavum
Thecal sac and joint
capsule

Lamina

Spinous Thoracolumbar Multifidus m Longissimus m Iliocostalis


process fascia, posterior part lumborum m
426  SPINE AND BACK:  MRI OF THE LUMBAR SPINE

Figure 17.1.3 Right common Right common


iliac v iliac a
Left common
iliac v
Left common
iliac a

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

Figure 17.1.4 Right common Right common


iliac v iliac a
Left common
iliac v
Left common
iliac a

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

Figure 17.1.5 Right external


iliac a
Right internal Sympathetic
iliac a trunk L5 vertebra Basivertebral v

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

Figure 17.1.6 Right external


iliac v
Right internal
iliac a L5-S1 disc

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

Longissimus Multifidus m L5 spinous L5 lamina


lumborum m process
428  SPINE AND BACK:  MRI OF THE LUMBAR SPINE

Figure 17.1.7 5LJKWH[WHUQDO


LOLDFD
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Figure 17.1.8 Psoas m


Internal
iliac a
Internal
iliac v
Lumbosacral
trunk S1 vertebra

Iliacus m

Sacroiliac joint

S1 n root
Sacrum
S2 n root
Thecal sac

Gluteus Ilium
maximus m

Posterior Dorsal Multifidus and


sacroiliac lig lumbosacral iliocostalis
fascia lumborum mm
SPINE AND BACK:  MRI OF THE LUMBAR SPINE  429

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

Figure 17.2.2 Eleventh rib

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

Figure 17.2.3 Eleventh rib

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

Figure 17.2.4 Eleventh rib

Kidney

Twelfth rib

Inferior vena
cava

Longissimus
thoracis m
Psoas m

L3 transverse
process

Multifidus m

Thoracolumbar fascia,
Iliolumbar a posterior part

Lumbosacral trunk

Internal iliac a Gluteus maximus m

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

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7KRUDFROXPEDU
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/SHGLFOH /LQIHULRUIDFHW

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&RPPRQLOLDFY

6QURRW
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GLVF

/QURRW 6QURRW

Figure 17.2.6 Basivertebral


venous plexus

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

Anterior S1 vertebral body


longitudinal lig
432  SPINE AND BACK:  MRI OF THE LUMBAR SPINE

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

Figure 17.3.2 Azygos v

Right renal a
Left renal a

Left renal v

Inferior vena Aorta


cava

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

Figure 17.3.3 Inferior Aorta


vena cava
Crus of
left diaphragm

Lumbar
vertebral
a and v

Psoas m

L4-5
annulus
fibrosus
Nucleus
pulposus
L5 vertebra
Iliacus m

Iliac vessels

Ilium

Figure 17.3.4 Aorta

Crus of Crus of
right left diaphragm
diaphragm

Lumbar
vertebral
a and v
Psoas m

Iliacus m L5 vertebra

Obturator n Ilium

Iliolumbar a L5-S1 disc

Superior gluteal S1 vertebra


a and v

Gluteus
minimus m

Inferior gluteal Gluteal a,


a and v trunk
434  SPINE AND BACK:  MRI OF THE LUMBAR SPINE

Figure 17.3.5 Crus of


right diaphragm Crus of
left diaphragm

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

Superior gluteal Inferior gluteal


vessels vessels
SPINE AND BACK:  MRI OF THE LUMBAR SPINE  435

Figure 17.3.7
T12 vertebra Crus of diaphragm

T12-L1 T12-L1 nucleus


annulus pulposus
fibrosus

L2 pedicle
Psoas m
L2 n, spinal
ganglion

Intertransversarius m
Quadratus
lumborum m Cauda equina

Iliolumbar lig Iliac crest

L5 transverse L5 n
process
Lumbosacral trunk
Gluteus
medius m
Ilium
Sacroiliac joint,
nonarticular Sacrum
Sacroiliac joint,
articular

Superior gluteal Inferior gluteal


vessels vessels

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

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,OLRFRVWDOLV
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ZDOOP

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6XSHULRUJOXWHDO 3LULIRUPLVP ,QIHULRU 6Q


YHVVHOV JOXWHDOYHVVHO

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

Superior gluteal Sacral Piriformis m


vessel, branch promontory
SPINE AND BACK:  MRI OF THE LUMBAR SPINE  437

Figure 17.3.11

/RQJLVVLPXV
OXPERUXPP 7ZHOIWKULE

0XOWLILGXVP

,OLRFRVWDOLV
OXPERUXPPP
/SRVWHULRU
VSLQRXVSURFHVV

/SRVWHULRU
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3RVWHULRULOLXP
,QWHURVVHRXV
VDFURLOLDFOLJ

*OXWHXV
PD[LPXVP
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6DFURLOLDFMRLQW
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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

Figure 18.1.2 Left


Left
subclavian a,
Trachea subclavian v distal

Right
common
carotid a
Right
subclavian a
Left
clavicle
Esophagus
Scapula

Left common Left subclavian a,


carotid a proximal
THORAX:  CT OF THE THORAX  443

Figure 18.1.3 Right brachiocephalic a Manubrium

Right
Left
brachiocephalic v
brachiocephalic v

Left common
carotid a

Left
subclavian a

Trachea Esophagus

Figure 18.1.4 Left brachiocephalic v Manubrium

Right internal
thoracic
(mammary) a

Right
brachiocephalic v Right
brachiocephalic a

Trachea Aortic arch

Esophagus
444  THORAX:  CT OF THE THORAX

Figure 18.1.5 Left internal thoracic


(mammary) v
Left internal thoracic
(mammary) a

Ascending
Superior
aortic arch
vena cava
Tracheal carina

Descending
Right aortic arch
scapula

Arch of Esophagus
azygos v

Figure 18.1.6 Right internal


thoracic a and v
Ascending
aorta Sternum

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

Figure 18.1.7 Ascending aorta

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

Azygos v Descending aorta

Figure 18.1.8

Pericardium

Right Pulmonary
coronary a trunk

Right Ascending
atrium aorta

Left atrium

Esophagus Inferior left


pulmonary v
Aorta
446  THORAX:  CT OF THE THORAX

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
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ULJKW
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VHSWXP
$QWHULRU
SDSLOODU\P
OHIWYHQWULFOH

/HIWYHQWULFOH

(VRSKDJXV

'HVFHQGLQJDRUWD
THORAX:  CT OF THE THORAX  447

Figure 18.1.11 5LJKW


YHQWULFOH
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/HIW
YHQWULFOH

3HULFDUGLXP
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DRUWD

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Figure 18.1.12 Xiphoid Pericardium

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

Figure 18.1.13 Diaphragm Pericardium

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
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OREH
/HIW
SXOPRQDU\Y

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PXVFOH P
PXVFOHV PP
WHQGRQ W
WHQGRQV WW
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6WRPDFK /HIW 3RVWHULRU OLJDPHQW OLJ
NLGQH\ GLDSKUDJP OHIW OLJDPHQWV OLJV
QHUYH
YHVVHOV
ERQH
Figure 18.2.1B

Left upper
lobe a
Left upper
lobe v
Left pulmonary a

Left lower lobe 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

Main Left mainstem


pulmonary a bronchus

Left atrial Superior left


appendage pulmonary v
Pulmonary Inferior left
outflow tract pulmonary v
Descending
Right ventricle thoracic
aorta

Interventricular septum Left ventricle

Figure 18.2.3 Left common carotid a Left subclavian a

Left
brachiocephalic v

Aortic arch

Main pulmonary a

Pulmonary Left atrium


outflow tract
Aortic root

Right ventricle

Esophagus
Descending
Liver aorta

Superior Celiac a
mesenteric a
THORAX:  CT OF THE THORAX  451

Figure 18.2.4 Left brachiocephalic v Trachea

Manubrium Esophagus
Spinal cord

Sternum Ascending
aorta
Right
pulmonary a
Aortic root

Left atrium

Xiphoid Left ventricle

Right
ventricle

Abdominal
aorta

Figure 18.2.5 Right common carotid a

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

Right atrium Pulmonary v,


right lower lobe

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

Right ventricle Left ventricle artery = a


arteries = aa
vein = v
veins = vv
muscle = m
Liver mm
muscles =
Stomach tendon = t
tendons = tt
nerve = n
Gallbladder nerves = nn
neck ligament = lig
ligaments = ligs
nerve &
vessels
bone

Hepatic flexure Second portion


of colon of duodenum

Figure 18.3.2 5LJKWFODYLFXODU


KHDG
5LJKW
MXJXODUY
7K\URLGULJKWDQG
OHIWOREHV

5LJKW
/HIW
VXEFODYLDQY
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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

Figure 18.3.3A 5LJKWFRPPRQ


FDURWLGD 7UDFKHD
/HIWFRPPRQ
FDURWLGD

5LJKW
VXEFODYLDQY
/HIWMXJXODUY
/HIWVXEFODYLDQY
5LJKW /HIW
EUDFKLRFHSKDOLFY EUDFKLRFHSKDOLFY
5LJKW /HIWFRPPRQ
EUDFKLRFHSKDOLFD FDURWLGDRULJLQ
$RUWLFDUFK

6XSHULRU
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/HIWFLUFXPIOH[D

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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

Figure 18.3.4 5LJKW


EUDFKLRFHSKDOLFD 7UDFKHD

5LJKW
VXEFODYLDQY
5LJKW /HIWFRPPRQ
EUDFKLRFHSKDOLFY FDURWLGD
$RUWLFDUFK

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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

Figure 18.3.6A Tracheal


carina Esophagus
Aortic
arch

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

Figure 18.3.6B Right mainstem


bronchus Trachea
Left mainstem
bronchus

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

Figure 18.3.8 Pedicle


of vertebra Spinal cord
Pedicle
of vertebra

Head
Head of rib of rib

Nerve
Nerve roots roots

Neural Neural
foramina foramina

Right
hemidiaphragm Left
hemidiaphragm
19
Chapter

MRI of the Heart


460  THORAX:  MRI OF THE HEART

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

Figure 19.1.2 Sternum

Superior
vena cava Ascending
aorta

Carina Left lung

Right lung Descending


aorta
THORAX:  MRI OF THE HEART  461

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

Figure 19.1.4 Right internal


mammary a and v
Left internal
mammary a and v

Ascending Pulmonic valve


aorta
Superior
vena cava
Left superior
Right pulmonary v
pulmonary a
Left mainstem
bronchus
Right
mainstem
bronchus Descending
aorta

Azygos v Esophagus
462  THORAX:  MRI OF THE HEART

Figure 19.1.5 Sternum


Left internal
mammary a and v

Right atrial Pulmonary


appendage outflow tract

Aortic root
Superior
vena cava
Left ventricle
Right middle
pulmonary v Left atrium

Right inferior Left inferior


pulmonary v pulmonary v

Aorta

Thoracic Spinal
vertebral cord
body

Figure 19.1.6 Sternum

Right
ventricle Intraventricular
septum

Right Left ventricle


coronary a

Right atrium Aortic outflow


tract

Mitral valve
Left atrium
Circumflex a
Esophagus
Aorta
Azygos v

Right lung, Left lung,


lower lobe lower lobe
THORAX:  MRI OF THE HEART  463

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

Right ventricle Left ventricle


myocardium

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

Figure 19.2.4 Trachea

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

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Internal mammary
vessels

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aorta
Pulmonary a
Right lung

Aortic root
Pulmonary
outflow tract
Right atrium

Right Left ventricle


ventricle
Cardiac
septum

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

Vertebral Left lung


body

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

Table 20-1.  Muscles of the Abdominal Wall


MUSCLE ORIGIN INSERTION NERVE SUPPLY
Rectus abdominis Crest and symphysis of the Xiphoid process and fifth to Branches of the lower
pubis seventh costal cartilages thoracic
External oblique Fifth to twelfth ribs Anterior half of the iliac crest, Ventral branches of the
(obliquus externus inguinal ligament, and anterior lower thoracic
abdominis) layer of the sheath of the rectus
abdominis
Internal oblique Tenth to twelfth ribs and Iliac fascia deep to the lateral part Lower thoracic
(obliquus internus sheath of the rectus abdominis; of the inguinal ligament, the ante-
abdominis) some fibers from the inguinal rior half of the iliac crest, and the
ligament terminate in the falx lumbar fascia
inguinalis
Transversus abdominis Seventh to twelfth costal carti- Xiphoid cartilage and linea alba Lower thoracic
lages, lumbar fascia, iliac crest, and through the falx inguinalis,
and inguinal ligament pubic tubercle, and pecten
ABDOMEN:  CT OF THE ABDOMEN  475

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

Right lung Latissimus


dorsi m
Iliocostalis m
artery = a
arteries = aa
vein = v
Longissimus Multifidus m Intercostal Left lung veins = vv
dorsi m vessels muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
bone

Figure 20.1.2 Liver, left


medial superior Left portal v,
Liver, left
lateral inferior
subsegment Left umbilical subsegment
(segment IVa) hepatic a portion (segment III)
Left portal v
(p III)
Middle
hepatic v Left hepatic v

Liver, right Liver, left lateral


portal v superior
(p VIII) subsegment
Right anterior (segment II)
superior Left portal v
subsegment (p II)
(segment VIII)
Stomach
Right
hepatic v Ligamentum
venosum,
fissure
Inferior vena
cava Liver caudate
lobe (segment I)
Right posterior
superior
subsegment Spleen
(segment VII)

Left lung

Right Right Right Right crus of Aorta


portal v lung adrenal diaphragm
(p VII) gland
476  ABDOMEN:  CT OF THE ABDOMEN

Figure 20.1.3 Liver, left


medial
Liver, left
lateral inferior
segment Ligamentum subsegment Left Portal v,
(segment IV) teres, fissure (segment III) hepatic v bifurcation

Left
hepatic a

Middle hepatic v Ligamentum


venosum,
Right portal v fissure
(p VIII)

Stomach
Right portal v

Right hepatic v
Spleen

Liver, right
posterior
superior
subsegment
(segment VII)

Inferior vena cava

Right Crus of Caudate Aorta Left


adrenal diaphragm lobe adrenal
gland (segment I) gland

Figure 20.1.4 5LJKW


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ABDOMEN:  CT OF THE ABDOMEN  477

Figure 20.1.5 External Ligamentum Common Linea


Rectus
abdominis Celiac
oblique m teres, fissure hepatic a alba m trunk Stomach

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

Iliocostalis Longissimus Multifidus Right Left


m dorsi m m adrenal adrenal
gland gland

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478  ABDOMEN:  CT OF THE ABDOMEN

Figure 20.1.7 Splenoportal confluence

Liver, left lateral


Main inferior
Duodenum pancreatic subsegment Pancreas
bulb duct (segment III) body Stomach
Liver, left
medial inferior
subsegment
(segment IVb)
Gallbladder

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

Right kidney, Inferior Aorta Quadratus


renal pelvis vena cava lumborum m

Right kidney, Right kidney, Right crus of


renal cortex renal medulla diaphragm

Figure 20.1.8 Stomach


Superior Superior
mesenteric mesenteric
Rectus Transversus
Stomach abdominis abdominis
antrum v a body m m

Pancreas, External
head oblique m
Internal
oblique m
Spleen

Gallbladder

Colon,
hepatic flexure
Colon,
splenic flexure

Duodenum,
second portion

Small bowel,
jejunum

Right kidney

Right Inferior Aorta Lumbar v Left Left


renal v vena cava renal v kidney
ABDOMEN:  CT OF THE ABDOMEN  479

Figure 20.1.9 Liver, lateral segment

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

Hepatic flexure Left renal v

Inferior vena
cava

Left kidney

Right kidney, Psoas m Aorta Left Quadratus


renal pelvis gonadal v lumborum m

Figure 20.1.10 Duodenum,


Mesentery and
mesenteric
third portion Stomach vessels

Transverse Left gonadal v


colon

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

Superior Right Aorta Iliocostalis Psoas m Quadratus


lumbar gonadal v and lumborum m
triangle longissimus
dorsi mm
480  ABDOMEN:  CT OF THE ABDOMEN

Figure 20.1.11 Umbilicus Inferior mesenteric a

Transverse
colon

Small bowel,
Small bowel,
ileum
jejunum

Ascending Descending
colon colon

Small bowel
Right gonadal v mesentery and
mesenteric
vessels

Latissimus
dorsi m

Inferior Aortic Left Quadratus


vena cava bifurcation gonadal v lumborum m

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ABDOMEN:  CT OF THE ABDOMEN  481

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
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veins = vv
muscle = m
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mesentery nerve = n
and vessels nerves = nn
ligament = lig
ligaments = ligs
nerve &
vessels
Rectus bone
abdominis m

Iliacus m Ilium Gluteus Quadratus


medius m lumborum m

Figure 20.2.2 Splenic v


Right
ventricle
Left
ventricle
Left
lung
Stomach
fundus
Rib
Pancreas,
tail Intercostal
vessels
and mm

Costal
cartilage Spleen

Liver, Splenic a
lateral
segment
Latissimus
dorsi m
Stomach
body

Small bowel, Longissimus


jejunum dorsi m

Small bowel
mesentery
and
mesenteric
vessels

Iliocostalis m
Transverse
colon

Renal hilum, Psoas m Left Ilium Quadratus


renal a, and renal v kidney lumborum m
482  ABDOMEN:  CT OF THE ABDOMEN

Figure 20.2.3 5LJKW


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ABDOMEN:  CT OF THE ABDOMEN  483

Figure 20.2.5 /HIWJDVWULFD

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Figure 20.2.6 Splenic a Left ventricle

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

Figure 20.2.7 /LYHUFDXGDWHOREH 5LJKWDWULXP 5LJKWOXQJ

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Figure 20.2.8 Proper


hepatic a
Left
portal v
Main
portal v
Liver,
caudate lobe
Superior
pancreaticoduodenal v

Diaphragm Crus of diaphragm

Left portal v, Right renal a


umbilical portion

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

Transverse Small Right Right


colon bowel external common
iliac a iliac v
ABDOMEN:  CT OF THE ABDOMEN  485

Figure 20.2.9 Right internal Left


Liver, right
anterior Right Proper
Liver,
posterior
mammary a portal v segment portal v hepatic a segment

Diaphragm Right adrenal


gland

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

Figure 20.2.10 Right


Liver, anterior
superior subsegment
lung (segment VIII)

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

Figure 20.2.11 Liver, right anterior


superior subsegment Right
Liver, right posterior
superior subsegment
(segment VIII) lung (segment VII)

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

Figure 20.2.12 Right portal v,


Liver, right anterior
superior subsegment Right
anterior branch (segment VIII) lung
Liver, right
posterior
superior
subsegment
(segment VII)
Liver, right
anterior
inferior
subsegment Liver, right
(segment V) posterior
inferior
Gallbladder subsegment
body (segment VI)

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

Figure 20.3.2 /LYHUOHIWSRUWDOY


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488  ABDOMEN:  CT OF THE ABDOMEN

Figure 20.3.3 Liver, left lobe, Left Left


Liver, left lobe,
lateral superior
medial segment hepatic portal Right subsegment Left Liver, left lobe,
Liver, right lobe, (segment IV) a v ventricle (segment II) ventricle lateral inferior
anterior superior subsegment
subsegment (segment III)
(segment VIII)
Stomach
Liver, right lobe,
anterior inferior
subsegment Left gastric a
(segment IV)
Transverse
Gallbladder colon
body

Gastrocolic
Gastroduodenal a trunk

Superior
mesenteric v
Pancreas, neck

Small bowel, Small bowel,


ileum jejunum

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

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ABDOMEN:  CT OF THE ABDOMEN  489

Figure 20.3.5 Liver, right lobe,


anterior superior Liver, left lobe, Liver, Common
subsegment medial segment Left left lobe, hepatic a
(segment VIII) (segment IV) portal v lateral segment Celiac trunk

Main portal v Stomach

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
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colon Transversus
abdominis m
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vena cava colon

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490  ABDOMEN:  CT OF THE ABDOMEN

Figure 20.3.7 Common


hepatic a
Superior Celiac Left Right
mesenteric a trunk gastric a ventricle
Ligamentum
venosum
Left
ventricle Liver,
lateral
segment

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

Figure 20.3.8 /LYHU


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ABDOMEN:  CT OF THE ABDOMEN  491

Figure 20.3.9 Inferior


vena cava,
suprahepatic Gastroesophageal Stomach
Splenic v Splenic a portion junction fundus
Right portal v
(p VIII)

Short gastric
a and v

Right
hepatic v
Colon,
Liver, splenic
posterior flexure
segment

Right portal v, Small bowel,


posterior jejunum
branch

Crus of
diaphragm Left renal v

Right kidney,
renal pelvis
Left kidney,
inferior pole

Aorta

Quadratus Pancreas, L3 vertebral Psoas m


lumborum m tail body

Figure 20.3.10 Right


adrenal
Left
adrenal Stomach
gland Aorta gland fundus Splenic v

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 Left crus of


diaphragm diaphragm
492  ABDOMEN:  CT OF THE ABDOMEN

Figure 20.3.11 Right


Left
adrenal Left Stomach Short
lung gland Aorta lung fundus gastric v

Right crus of
diaphragm
Spleen
Liver,
right lobe,
posterior
segment Splenic v

Splenic a

Right adrenal Pancreas,


gland tail

Descending
colon
Right kidney

Quadratus
lumborum m

Gluteus
Left crus of Left kidney, Left kidney, Ilium medius m
diaphragm renal medulla renal cortex

Figure 20.3.12 Right lung


Left lung

Spleen

Liver,
right lobe,
posterior
segment Left kidney

External
oblique m

Twelfth rib

Iliocostalis m

Spinous
process

Longissimus
Multifidus m dorsi m
21
Chapter

MRI of the Abdomen


494  ABDOMEN:  MRI OF THE ABDOMEN

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

Figure 21.1.2 Middle


hepatic v
Liver, left lobe,
medial segment
Ligamentum
venosum

Liver,
caudate Costal
lobe cartilage

Liver, Liver, left lobe,


right lobe, lateral segment
anterior Heart
segment
Inferior Diaphragm
vena cava
Stomach fundus
Azygos v Gastroesophageal
junction
Crus of
diaphragm
Spleen
Right Left adrenal
hepatic v gland
Left lung
Serratus
anterior m
Rib

Latissimus Liver, right Longissimus Multifidus m Spinal Spinal Aorta


dorsi m lobe, posterior thoracis m canal cord
segment
ABDOMEN:  MRI OF THE ABDOMEN  495

Figure 21.1.3 Ligamentum


venosum
Left portal v,
umbilical
segment
Liver,
left lobe, Liver, left
medial lobe
segment lateral
Liver, segment
right lobe,
anterior Heart
segment
Liver, caudate
lobe Stomach
fundus
Right portal v,
branch Left adrenal
gland
Azygos v
Spleen
Right adrenal
gland
Latissimus
Liver, dorsi m
right lobe,
posterior Serratus
segment anterior m
Longissimus
m
Crus of Multifidus m Spinal Spinal Inferior Aorta
diaphragm cord canal vena cava

Figure 21.1.4 Left portal v,


umbilical segment
Inferior
vena cava

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

Right Longissimus Multifidus Spinal Spinal Crus of Aorta


adrenal thoracis m m canal cord diaphragm
gland
496  ABDOMEN:  MRI OF THE ABDOMEN

Figure 21.1.5 Liver, left lobe,


medial segment
Left portal v,
branch
Liver, left lobe,
lateral segment Left gastric a

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

Inferior Right adrenal Multifidus Longissimus Aorta


vena cava gland m m

Figure 21.1.6 Hepatic a


Xiphoid
process
Liver, left lobe,
lateral segment
Left
gastric a

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

Right Left kidney


adrenal
gland
Latissiumus
Liver, dorsi m
right lobe,
posterior
segment Serratus
anterior m
Right
kidney,
upper pole Spleen

Iliocostalis Longissimus Multifidus Diaphragm Hemiazygos v Aorta


lumborum m thoracis m m
ABDOMEN:  MRI OF THE ABDOMEN  497

Figure 21.1.7 Liver, left lobe,


medial segment
Ligamentum
teres, fissure
Liver, left lobe,
lateral segment
Right adrenal
gland
Left
gastric a

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

Figure 21.1.8 Liver, left lobe,


medial segment
Ligamentum
teres, fissure
Liver, left lobe,
lateral segment
Common
hepatic a
Celiac
trunk

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

Right Renal sinus


kidney
Left kidney

Erector Longissimus Inferior Multifidus Diaphragm Aorta


spinae m m vena cava m
498  ABDOMEN:  MRI OF THE ABDOMEN

Figure 21.1.9 Liver, left lobe,


medial segment
Ligamentum
teres, fissure
Liver, left lobe,
lateral segment

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

Figure 21.1.10 Liver, left lobe, Pancreas


medial segment head
Rectus
abdominis m
Liver, left lobe,
lateral segment
Transverse
abdominis m

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

Inferior Iliocostalis Left Longissimus Multifidus Diaphragm Aorta Left


vena lumborum m, renal m m adrenal gland
cava Erector v
spinae m
ABDOMEN:  MRI OF THE ABDOMEN  499

Figure 21.1.11 Liver, left lobe,


medial segment
Superior
mesenteric a
Liver, left lobe,
lateral segment
Stomach,
antrum

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

Right Iliocostalis Longissimus Multifidus Diaphragm Aorta


renal a lumborum m m
m

Figure 21.1.12 Pancreas,


Pancreas,
uncinate Rectus Liver, left lobe,
head process abdominis m lateral segment Stomach, antrum

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

Inferior Iliocostalis Right Multifidus Longissimus Diaphragm Aorta


vena lumborum m, renal a m m
cava Erector
spinae m
500  ABDOMEN:  MRI OF THE ABDOMEN

Figure 21.1.13 Colon,


hepatic flexure
Superior
mesenteric a Linea alba
Liver, left lobe,
lateral segment

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

Iliocostalis Longissimus Right Multifidus Inferior Left


lumborum m, m renal v m vena renal v
Erector cava
spinae m

Figure 21.1.14 Linea alba

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

Iliocostalis Longissimus Inferior Multifidus Aorta


lumborum m, m vena cava m
Erector
spinae m
ABDOMEN:  MRI OF THE ABDOMEN  501

Figure 21.1.15 Duodenum, third portion

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

Iliocostalis Inferior Longissimus Multifidus Aorta Psoas m


lumborum m, vena cava m m
Erector
spinae m

Figure 21.1.16 Superior


mesenteric a Linea alba

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

Iliocostalis Inferior Longissimus Multifidus Psoas m Quadratus Aorta


lumborum m, vena m m lumborum m
Erector cava
spinae m
502  ABDOMEN:  MRI OF THE ABDOMEN

SAGITTAL
Figure 21.2.1

Left breast

Left lung

Heart
Splenic vessels
Spleen

Colon, Pancreas, tail


splenic flexure
Left kidney
Small bowel

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

Heart Left lung

Spleen

Stomach, fundus Splenic a


Splenic v
Pancreas, tail
Small bowel
Left kidney

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

Liver, left lobe, Splenic a


lateral segment
Left adrenal
gland
Stomach, fundus
Pancreas, tail Left renal v
Left kidney

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

Liver, left lobe,


lateral segment
Stomach, fundus
Splenic a Left adrenal gland
Pancreas, body
Splenic v
Left kidney
Left renal v
Left renal a
Transverse
colon
Longissimus
Small bowel thoracis m

Psoas m

Rectus
abdominis m

Figure 21.2.6

Aorta
Heart

Gastroesophageal
Liver, left lobe, junction
lateral segment

Pancreas, body Splenic a


Splenic v
Stomach, body
Left renal v
Transverse Left renal a
colon

Small bowel
Longissimus
thoracis m
Mesenteric
vessels
Rectus
abdominis m
Left common
iliac vessels
ABDOMEN:  MRI OF THE ABDOMEN  505

Figure 21.2.7

Heart Left hemidiaphragm

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

Heart Spinal cord


Esophagus

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

Linea alba Multifidus m

Small bowel

Vertebral body

Erector spinae mm
506  ABDOMEN:  MRI OF THE ABDOMEN

Figure 21.2.9

Heart

Spinal canal (CSF)


Sternum

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

Liver, left lobe,


lateral segment

Duodenum, third
portion
Spinal canal
Stomach, body

Transverse colon Right renal a

Multifidus m

Small bowel
Vertebral body

Umbilicus Intervertebral disc

Sacrum
ABDOMEN:  MRI OF THE ABDOMEN  507

Figure 21.2.11

Heart

Liver, caudate lobe

Inferior vena cava


Liver, left lobe,
lateral segment Ligamentum
venosum,
fissure

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

Liver, left lobe,


lateral segment

Proper hepatic a Inferior vena cava

Portal v (main)

Stomach, body Pancreas, head


Transverse
colon Right renal a
Duodenum,
third portion
Rectus Vertebral body
abdominis m, Erector spinae mm
tendinous
intersection
Small bowel Intervertebral disc

Rectus Vertebral pedicle


abdominis m
Right common iliac
vessels
Tendinous
intersection

Sacrum
508  ABDOMEN:  MRI OF THE ABDOMEN

Figure 21.2.13 Liver, left lobe,


medial segment

Hepatic aa Right lung

Liver, caudate lobe

Left portal v

Main portal v Right adrenal


gland
Liver, left lobe,
lateral segment
Right kidney
Stomach, antrum
Right renal v
Pancreas, head
Right renal a
Transverse colon
Inferior vena cava

Duodenum, Erector spinae mm


third portion
Small bowel
Psoas m
Rectus
abdominis m

Sacrum

Figure 21.2.14

Right lung
Duodenum bulb

Liver, left lobe,


medial segment
Liver, right lobe
Ligamentum teres,
fissure
Right portal v
Liver, left lobe,
lateral segment Right renal v
Stomach, antrum
Right kidney
Pancreas, head Right renal a

Transverse colon Common bile duct


Right renal pelvis
Duodenum,
Right ureter
third portion
Rectus abdominis m,
tendinous intersection Erector spinae mm

Small bowel
Psoas m
ABDOMEN:  MRI OF THE ABDOMEN  509

Figure 21.2.15

Right lung

Liver, right lobe


Liver, left lobe,
medial segment Right portal v

Duodenum,
Gallbladder second
portion

Pancreas, head Right kidney


Renal sinus
Transverse colon

Rectus
abdominis m

Small bowel Iliocostalis


lumborum m

Cecum
Psoas m

Ilium

Iliacus m

Figure 21.2.16

Right lung

Liver, left lobe,


medial segment Liver, right lobe,
posterior segment

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

Right breast Glandular tissue


in left breast
Ligamentus
teres,
fissure
Liver, Liver, left lobe,
left lobe, lateral segment
medial
segment
Stomach, body
Gallbladder
Colon, splenic
Colon, flexure
hepatic
flexure Internal and
external
Transverse oblique mm
colon
Loops of
Rectus small bowel
abdominis m,
tendinous
intersection

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

Right lung Left lung

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

Figure 21.3.7 Splenic a

Left lung

Right lung Heart


Common
hepatic a Liver,
left lobe,
Middle lateral
hepatic v segment
Liver,
right lobe Left gastric a
Stomach,
Gallbladder fundus
Pancreas, body
Bulb of Spleen
duodenum
Pancreas, head Superior
mesenteric a
Jejunum
Descending
colon
Ascending
Aorta
colon
External
Inferior vena oblique m
cava Transversus
abdominus m
Internal
oblique m
Psoas m
Iliacus m

Main portal v

Figure 21.3.8

Left lung

Right lung Heart


Middle
Liver, left lobe,
hepatic v
lateral segment
Liver,
right lobe Diaphragm

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

Spinal canal Sacrum

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

Spinal canal Sacrum


516  ABDOMEN:  MRI OF THE ABDOMEN

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

Renal pelvis Renal pelvis

Psoas m

Quadratus
lumborum m

Iliocostalis
lumborum m

Gluteus
medius m

Ilium

Spinal canal Sacrum

Figure 21.3.14

Right lung Left lung

Serratus Thoracic spine


anterior m vertebral body
Right
adrenal Crus of
gland diaphragm
Liver, Spleen
right lobe Latissimus
dorsi m
Right Left kidney
kidney

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
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VI
Section

Pelvis
This page intentionally left blank
22
Chapter

CT of the Male Pelvis


522  PELVIS:  CT OF THE MALE PELVIS

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

Figure 22.1.2 External


oblique m Ileocolic a
Rectus Linea
abdominis m alba
Small bowel mesentery
and mesenteric vessels
Small bowel
loops

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

Right common Right common Iliocostalis and Left common


iliac v iliac a longissimus dorsi mm iliac v
PELVIS:  CT OF THE MALE PELVIS  523

Figure 22.1.3 Ascending


colon
Small bowel,
ileum
Sigmoid
colon
Linea Rectus
alba abdominis m
Left
ureter
Descending
colon

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

Right internal S1 n root Thecal Erector Sacrum Sacroiliac joint


iliac a sac spinae mm

Figure 22.1.4 Terminal


ileum
Rectus
abdominis m
Linea
alba
Inferior epigastric
a and v
Sigmoid
colon
Linea
semilunaris

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

Right internal Sacrum Piriformis m Left internal


iliac vv iliac a
524  PELVIS:  CT OF THE MALE PELVIS

Figure 22.1.5 Cecum


Rectus
abdominis m
Linea
alba
Inferior epigastric
a and v
Linea Sigmoid
semilunaris colon

Appendix

Iliopsoas m

Right external
iliac a

Gluteus
minimus m

Right external
Gluteus
iliac v
medius m

Right ureter

Right internal Gluteus


iliac a and v maximus m

Rectosigmoid Piriformis m Sigmoid


junction mesocolon

Figure 22.1.6 Cecum


Rectus Linea
abdominis m alba
Inferior epigastric
a and v
Linea
semilunaris

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

Right internal Rectum Sigmoid Piriformis m


iliac a and v colon
PELVIS:  CT OF THE MALE PELVIS  525

Figure 22.1.7 Cecum


Urinary
bladder
Rectus
abdominis m
Left external
iliac v
Left external
iliac a Iliopsoas 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

Ureterovesicular Rectum Seminal Ischial Obturator


junction vesicle spine a and v

Figure 22.1.8 Urinary


bladder
Rectus
abdominis m
Left common Left common
femoral v femoral a Iliopsoas m
Sartorius m
Rectus
femoris m
Tensor
fasciae
latae m
Acetabular
fossa
Gluteus
medius m
Femoral
head Gluteus
minimus m

Greater
Gluteus
trochanter
maximus m

Seminal vesicle Rectum Coccyx Obturator Superior


and prostate internus m gemellus m
526  PELVIS:  CT OF THE MALE PELVIS

Figure 22.1.9 Spermatic


cord
Rectus
abdominis m
Left common Left common
femoral v femoral a Iliopsoas m
Sartorius m
Urinary
bladder Rectus
femoris 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

Prostate Levator Coccyx Rectum Obturator


ani m internus m

Figure 22.1.10 Spermatic Symphysis


Left common
femoral a and v,
cord pubis Penis Pectineus m bifurcation

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

Ischiorectal Anal Levator Obturator


fossa canal ani m internus m
PELVIS:  CT OF THE MALE PELVIS  527

Figure 22.1.11 Spermatic


Penis,
corpus
Penis,
corpus Adductor Adductor
cord cavernosum spongiosum longus t brevis m Pectineus m
Sartorius 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

Pubic ramus Membranous Anal Common Gluteus


urethra canal hamstring t maximus m

Figure 22.1.12 Adductor


Penis,
corpus Spermatic Adductor
brevis m cavernosum cord longus m Pectineus 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

Figure 22.2.2 Psoas m

Small bowel Sacroiliac


joint

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

Superior pubic Adductor brevis Obturator Ischial Obturator


ramus and magnus mm externus m tuberosity internus m
PELVIS:  CT OF THE MALE PELVIS  529

Figure 22.2.3 Left ureter


Left common
iliac a
Iliac
bifurcation
Left common
iliac v

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

Figure 22.2.4 Aortic


bifurcation
Iliocostalis and
longissimus dorsi mm

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

Pubic bone Ischiorectal


fossa
Penis

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

Figure 22.2.5 5LJKWFRPPRQ


LOLDFD
,QIHULRU
YHQDFDYD
/YHUWHEUDO
ERG\
6SLQRXV
SURFHVV
7KHFDO
VDF

/6
8PELOLFXV LQWHUYHUWHEUDO
GLVF

6DFUXP

6PDOOERZHO
(UHFWRU
VSLQDHPP
6LJPRLG
FRORQ
5HFWRYHVLFDO
IRVVD
5HFWXV
DEGRPLQLVP

5HFWXP
8ULQDU\
EODGGHU
&RFF\[
6\PSK\VLV
SXELV
$QXV

3HQLVFRUSXV %XOERI %XOERVSRQJLRVXVP 3URVWDWH


FDYHUQRVXP SHQLV
PELVIS:  CT OF THE MALE PELVIS  531

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

Figure 22.3.2 Terminal


ileum
Transversus
abdominis m
Internal
oblique m

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

Adductor Penis Femoral v


longus m
532  PELVIS:  CT OF THE MALE PELVIS

Figure 22.3.3 6PDOOERZHO


LOHXP ,OHRFROLFY
7UDQVYHUVH
FRORQ
6PDOOERZHO
MHMXQXP
7UDQVYHUVXV
DEGRPLQLVP
,QWHUQDO
REOLTXHP

([WHUQDO
REOLTXHP

$VFHQGLQJ
FRORQ 'HVFHQGLQJ
FRORQ

,OLXP $QWHULRU
VXSHULRU
LOLDFVSLQH
&HFXP

)HPRUDOQ
,OLRSVRDVP

7HQVRU
IDVFLDH
ODWDHP
5HFWXV
IHPRULVP

6LJPRLG 3XELF 3HQLV 6\PSK\VLV 3HFWLQHXVP )HPRUDOY


FRORQ ERQH SXELV

Figure 22.3.4 Ascending


colon
Right
ureter
Common
iliac a
Aortic
bifurcation
Inferior
mesenteric v
Left
ureter
Small bowel,
jejunum
Superior
mesenteric a Transversus
abdominis m
Internal
oblique m
External
External oblique m
iliac a Sigmoid
colon

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

Urinary Small bowel, Penis Adductor Superior Pectineus m


bladder ileum longus m pubic ramus
PELVIS:  CT OF THE MALE PELVIS  533

Figure 22.3.5 /HIWFRPPRQ


LOLDFY
,QIHULRU
YHQDFDYD
,QIHULRU
PHVHQWHULFD
/HIWFRPPRQ
LOLDFD
'HVFHQGLQJ 7UDQVYHUVXV
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5LJKW
FRPPRQ
LOLDFY
,QWHUQDO
6LJPRLG REOLTXHP
FRORQ
([WHUQDO
6PDOO REOLTXHP
ERZHO ,OLXP
LOHXP
3VRDVP
*OXWHXV
PLQLPXVP ,OLDFXVP

*OXWHXV /HIWH[WHUQDO
PHGLXVP LOLDFY
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IHPRUDO
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6XSHULRUSXELF 8ULQDU\ 3HQLV 2EWXUDWRU $GGXFWRU 3HFWLQHXVP 5HFWXV


UDPXV EODGGHU H[WHUQXVP EUHYLVP IHPRULVP

Figure 22.3.6 L4 vertebral


body
L5 vertebral
body Psoas m

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

Figure 22.3.7 Sigmoid


colon
Internal iliac
a and v Psoas m
L4 vertebral
body
L5 vertebral
body
Transversus
abdominis m
Seminal Internal
vesicle oblique m
External
oblique m
Urinary
bladder Iliac crest

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

Figure 22.3.8 Quadratus


lumborum m
Internal iliac
a and v
Sigmoid
colon Sacrum Psoas m

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

Figure 22.3.9 Thecal


sac
Quadratus
lumborum m Sacrum
Internal iliac
a and v
S1 n root
and sacral
Sacroiliac
foramen
joint

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

Figure 22.3.10 Multifidus m


Iliocostalis and
longissimus dorsi mm

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

Ischium Levator Distal rectum Ischiorectal Quadratus


ani m and anus fossa femoris m
536  PELVIS:  CT OF THE MALE PELVIS

Figure 22.3.11 Sigmoid colon Multifidus m


Spinous
process

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

CT of the Female Pelvis


538  PELVIS:  CT OF THE FEMALE PELVIS

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

Figure 23.1.2 Linea Rectus Linea


Inferior
epigastric
semilunaris abdominis m alba a and 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

Uterus Sacrum Left Piriformis m Left internal


ovary iliac a and v
PELVIS:  CT OF THE FEMALE PELVIS  539

Figure 23.1.3 Sigmoid


colon
Linea
alba
Rectus
abdominis m
Linea
semilunaris
Inferior
epigastric
a and v

Iliopsoas m

Right external Ilium


iliac a

Gluteus
minimus m

Gluteus
medius m

Right external Gluteus


iliac v maximus m

Piriformis m Rectosigmoid Sacrum Uterus Left Left internal


colon ovary iliac a and v

Figure 23.1.4 Linea Rectus


Inferior
Sigmoid Linea epigastric Round
semilunaris abdominis m colon alba a and v lig Sartorius m
Right external
iliac a

Iliopsoas m
Right external
iliac v Anterior inferior
iliac spine

Gluteus
Ilium minimus m

Gluteus
medius m

Right ovary

Gluteus
maximus m

Piriformis m Sacrum Rectum Uterus Left Left


internal ovary
iliac a and v
540  PELVIS:  CT OF THE FEMALE PELVIS

Figure 23.1.5 Inferior Right


epigastric external Rectus Linea Uterine
vessels iliac v abdominis m alba a and v Iliopsoas m
Sartorius 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

Uterus Uterosacral lig Coccyx Rectum

Figure 23.1.6 Ischiorectal Urinary Rectus


Left Left
common common
fossa bladder abdominis m femoral v femoral a Sartorius m

Iliopsoas m

Iliopsoas m Rectus
femoris m

Acetabular Tensor fasciae


fossa latae m
Anterior
acetabular wall

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

Obturator Levator ani and Coccyx Rectum Uterine


internus m coccygeus mm cervix
PELVIS:  CT OF THE FEMALE PELVIS  541

Figure 23.1.7 Right common Rectus


Pubis,
superior
femoral v abdominis m ramus Pectineus m Sartorius m Iliopsoas 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

Vagina Rectum Ischiorectal Obturator Ischium


fossa internus m

Figure 23.1.8 Left Left


superficial deep
Pubic Pubic femoral femoral
symphysis bone Pectineus m a and v a and v Sartorius m
Right common
femoral a and v Rectus
femoris m
Iliopsoas m

Retropubic Tensor fasciae


space latae m
of Retzius Vastus
lateralis m
Urethra
Iliotibial tract

Femur

Quadratus
femoris m

Sciatic n

Obturator Gluteus
externus m maximus m

Ischial
tuberosity

Obturator Vagina Anal Levator Ischiorectal


internus m canal ani m fossa
542  PELVIS:  CT OF THE FEMALE PELVIS

Figure 23.1.9 Left


superficial
Left
deep
Mons femoral femoral Rectus
Urethra pubis a and v a and v Sartorius m femoris m

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

Ischial and Vagina, Anal Puborectalis m Ischiorectal


pubic rami vestibule canal fossa
PELVIS:  CT OF THE FEMALE PELVIS  543

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

Figure 23.2.2 Rectus


abdominis m
Small bowel,
ileum Psoas m Iliocostalis m Sacrum

Right external Right


iliac a internal
iliac a

Right external
iliac v

Urinary bladder
Piriformis m

Superior pubic
ramus Right ovary
Gluteus
maximus m
Pectineus m

Obturator
externus m

Adductor Adductor Ischial Obturator Ischiorectal


brevis m magnus m ramus internus m fossa
544  PELVIS:  CT OF THE FEMALE PELVIS

Figure 23.2.3 Rectus


abdominis m
Small bowel,
ileum Psoas m
Iliocostalis
lumborum m

Right external
iliac a Right
common
iliac v

Right Right internal


gonadal v iliac a and v

Right ovary

Piriformis m
Sigmoid colon

Urinary bladder
Parametrium
Inferior pubic
ramus Levator
ani m
Obturator
externus m Gluteus
maximus m

Pectineus and Obturator Ischial Ischiocavernosus m Ischiorectal


adductor brevis mm internus m ramus fossa

Figure 23.2.4 Small


bowel
Superior
mesenteric a and v
Right common Thecal
iliac a sac Multifidus m

Right
Sigmoid common
colon iliac v
L5 vertebral
body

Rectus
abdominis m
Sacrum

Uterine
body

Urinary
bladder

Pubis

Vagina Uterine cervix Anal canal Rectum


PELVIS:  CT OF THE FEMALE PELVIS  545

Figure 23.2.5 Small


bowel
Aortic
bifurcation
Left common
iliac v
L4 vertebral
body

Rectus
abdominis m Thecal sac
Uterine Multifidus m
fundus

Uterine
body Sacrum

Sigmoid
colon

Urinary
bladder Coccyx

Pubic
symphysis Rectum

Urethra Vagina Uterine Anal


cervix canal
546  PELVIS:  CT OF THE FEMALE PELVIS

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

Right common Iliopsoas m


femoral v

Urinary Symphysis Superior Rectus


bladder pubis pubic ramus femoris m
PELVIS:  CT OF THE FEMALE PELVIS  547

Figure 23.3.3 Sigmoid


colon
Small bowel
mesentery
Small bowel,
jejunum
Descending
colon

Ileocecal
valve

Ilium
Cecum

Appendix Iliacus m
Right external Gluteus
iliac a medius m

Right external Psoas m


iliac v

Iliopsoas m
Superior
pubic ramus
Tensor
fasciae
latae m

Deep femoral Urinary Clitoris Adductor Pectineus m Rectus


a and v bladder longus m femoris m

Figure 23.3.4 Ascending


Superior
mesenteric Small bowel, Descending Transversus
colon a and v jejunum colon abdominis m

Small bowel Internal


mesentery oblique 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

Superior Pubic Adductor Pectineus m Rectus


pubic ramus symphysis longus m femoris m
548  PELVIS:  CT OF THE FEMALE PELVIS

Figure 23.3.5 Ascending


colon
Ileocolic
a and v
Right common Small bowel, Descending Transversus
iliac a jejunum colon abdominis m

Inferior External
mesenteric a oblique m
Internal
oblique m
Cecum Gluteus
medius m
Psoas m

Ilium Left external


iliac a and v
Iliacus m Gluteus
minimus m
Acetabulum Iliopsoas m

Vastus
Femoral head intermedius m

Urinary Tensor fasciae


bladder latae m

Vastus
lateralis m

Superior Sigmoid Obturator Adductor brevis Pectineus m


pubic ramus colon externus m and adductor
magnus mm

Figure 23.3.6 Cecum


Inferior
vena cava
Aortic
bifurcation
Inferior
mesenteric a
Small bowel,
jejunum
Sigmoid
colon

Right Iliac crest


ureter
Urinary
Right bladder
common
iliac a Gluteus
Psoas m medius 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

Adductor brevis Ischiocavernosus m Bulbospongiosus m Superior Pectineus m


and adductor pubic ramus
magnus mm
PELVIS:  CT OF THE FEMALE PELVIS  549

Figure 23.3.7 Inferior


vena cava
Aortic
bifurcation
Left common
iliac v
Left common Sigmoid
iliac a colon

Ascending Iliac crest


colon
Acetabulum
Right common Gluteus
iliac v medius m
Psoas m
Gluteus
minimus m
Iliacus m
Femoral head
Right external
Femoral neck
iliac v
Greater
Urinary trochanter
bladder

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

Figure 23.3.8 Ascending


colon
L4 vertebral
body
Left common
iliac v Left ovary

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

Obturator Vagina Inferior Adductor brevis Pectineus m


externus m pubic ramus and adductor
magnus mm
550  PELVIS:  CT OF THE FEMALE PELVIS

Figure 23.3.9 L4 vertebral body L5 vertebral body


Left common
iliac v

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

Obturator Inferior pubic Urogenital Vagina Adductor


externus m ramus diaphragm magnus m

Figure 23.3.10 L4 vertebral


body
L5 vertebral
body
L5-S1
intervertebral disc

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

Obturator Quadratus Urogenital Vagina Ischium


internus t femoris m diaphragm
and gemelli mm
PELVIS:  CT OF THE FEMALE PELVIS  551

Figure 23.3.11 Quadratus


Ilium lumborum m Psoas m Thecal sac Sacrum
Sacroiliac
joint

Left internal
Gluteus iliac a and v
medius m

Uterine
body
Gluteus
maximus m
Piriformis m

Obturator Uterine cervix


internus and vagina
and superior
gemellus mm
Levator
ani m
Inferior
gemellus m

Obturator
internus m

Quadratus Ischium Ischiorectal Anal canal Rectum


femoris m fossa

Figure 23.3.12 Longissimus


dorsi m Multifidus m

Ilium
Gluteus
medius m
Sacroiliac
joint
Gluteus
maximus m

Piriformis m S1 n root

Inferior gluteal
a and v

Levator ani m

Ischiorectal Anal canal Rectum


fossa
24
Chapter

MRI of the Male Pelvis


PELVIS:  MRI OF THE MALE PELVIS  553

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

Figure 24.1.2 Linea alba

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

Sacral thecal sac

Figure 24.1.4 Linea alba


Inferior
epigastric
vessels
Linea
semilunaris
Abdominal Rectus
wall mm abdominis m
Small bowel Sigmoid
colon
External
iliac a Iliopsoas m
Gluteus
medius m
External
iliac v
Gluteus
Sciatic n and minimus m
superior Ilium
gluteal a
Gluteus
Piriformis m maximus m

Sacrum

Erector
spinae mm
tendinous
aponeurosis
PELVIS:  MRI OF THE MALE PELVIS  555

Figure 24.1.5 Linea alba


Obliterated
umbilical aa
Inferior
epigastric
vessels Rectus
abdominis m
External iliac a Anterolateral
External iliac v abdominal wall
Anterior inferior Iliopsoas m
iliac spine
Vas deferens Innominate bone
Small bowel Gluteus
minimus m
Obturator and Gluteus
inferior gluteal medius m
vessels Piriformis m
Gluteus
maximus m
Sigmoid colon
Rectum
Sacrum

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

Figure 24.1.8 Pectineus m


Lymph node
Sartorius m

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

Figure 24.1.9 Pubic


Spermatic
cord
symphysis
Pectineus m

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

Figure 24.1.10 Spermatic


cord
Greater Pectineus m
saphenous v
Sartorius m
Rectus
Superficial femoris m
femoral a Tensor fasciae
latae m
Profunda
femoris a Iliopsoas m
Vastus
Femoral v lateralis m
IIiotibial band Obturator
externus m
Femur

Ischio- Obturator
cavernosus m internus m

Gluteus
maximus m

Urethra, Quadratus
prostatic femoris m
segment

Rectum Ischial tuberosity Sciatic n


558  PELVIS:  MRI OF THE MALE PELVIS

Figure 24.1.11 Penis, corpus


cavernosum

Adductor
Spermatic
brevis m
cord
Greater Pectineus m
saphenous v

Lymph node Sartorius m


Rectus femoris m
Superficial
femoral a Tensor fasciae
Profunda latae m
femoris a
Femoral v
Iliopsoas m
Tunica
albuginea Vastus lateralis m
Penis, corpus Femur
spongiosum Lesser trochanter
Quadratus
femoris m
Gluteus maximus m

Semimembranosus t
Ischio-
cavernosus m
Conjoined t,
semitendinosus m,
and biceps femoris m
Anal canal Adductor Ischium
magnus m

Figure 24.1.12 Testis


Corpus
cavernosum,
penis
Greater
saphenous v
Corpus
Adductor spongiosum,
longus m penis
Superficial Rectus
femoral femoris m
a and v
Vastus
lateralis m
Adductor Sartorius m
brevis m Vastus
intermedius m
Adductor
magnus m Femur
Sciatic n

Gluteus
maximus m

Semimembranosus t Gracilis m Semitendinosus m Biceps femoris


m and t, long head
PELVIS:  MRI OF THE MALE PELVIS  559

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

Obturator Adductor Semimembranosus t Semitendinosus m


externus m magnus m

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

Adductor Ischial ramus


magnus m
PELVIS:  MRI OF THE MALE PELVIS  561

Figure 24.2.5
Erector
spinae mm
Psoas m
External iliac v

External iliac a Ilium


Small bowel
Sacrum
Rectus
abdominis m Piriformis m

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

Figure 24.2.6 Erector


spinae mm
External Psoas m
iliac v
External
iliac a
Sacrum
Small bowel

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

Figure 24.2.7 Psoas m


Erector
spinae mm
Common
iliac a Internal iliac v
Internal
iliac a Sacrum
Small bowel
Piriformis m

Rectus Seminal vesicle


abdominis m Rectum
Sigmoid
colon Levator ani m
Superior
pubic ramus Gluteus
maximus m
Urinary
bladder Obturator
Spermatic internus m
cord Penis, corpus
Adductor cavernosum, and
brevis m ischiocavernosus mm
Adductor
longus m Ischial ramus
Testis
Gracilis m

Obturator
externus m

Figure 24.2.8
Erector
spinae mm
Common Internal iliac a
iliac a Internal iliac v

Small bowel Sacrum


Rectus
abdominis m
Seminal
vesicle Gluteus
maximus m
Sigmoid colon
Rectum
Urinary
bladder
Levator ani
Pubic bone and coccygeus mm
Obturator Obturator
externus internus m
and adductor
brevis mm Penis, corpus
cavernosum
Spermatic
cord

Testis
PELVIS:  MRI OF THE MALE PELVIS  563

Figure 24.2.9 L4 n root


Erector
Common spinae mm
iliac a
L5 vertebral body
Common
iliac v S1 n root and
sacral foramen
Sacrum
Small bowel Internal iliac v

Rectus Sigmoid colon


abdominis m
Rectum
Urinary
bladder Levator ani and
Pubis coccygeus mm

Seminal vesicle

Prostate gland
Testis

Penis, corpus
cavernosum

Figure 24.2.10 Inferior


vena cava
Erector
spinae mm
Common
iliac a L5 vertebral body
S1 n root and
sacral foramen

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

Small bowel Sacrum

Sigmoid colon
Rectus
abdominis m Rectum

Urinary Coccyx
bladder
Pubis Seminal vesicle

Penis Prostate gland

Anus

Penis, corpus
spongiosum
Testis

Figure 24.2.12 Common Thecal sac


iliac a
L4 spinous
process

Intervertebral
disc
Small bowel
Sacrum

Erector spinae mm,


common tendinous
insertion
Rectus
abdominis m Sigmoid colon
Urinary Seminal vesicle
bladder
Coccyx
Pubic
symphysis

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

Suspensory lig artery = a


arteries = aa
vein = v
Penis, corpus veins = vv
cavernosum muscle = m
muscles = mm
tendon = t
Urethra
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs
Testis nerve &
vessels
bone

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

Figure 24.3.3 Anterolateral


abdominal
wall mm
Descending colon

Cecum and Ilium


ascending colon
Iliacus m
Gluteus
minimus m
External iliac v Tensor fasciae
latae m
External iliac a
Rectus femoris t,
Urinary bladder straight head
Iliopsoas m
Pubic symphysis
Superior pubic
Lateral femoral ramus
circumflex vessels
Rectus femoris m
Penis, corpus
cavernosum Pectineus m
Penis, corpus
spongiosum
Adductor
longus m

Vastus lateralis m

Vastus
intermedius m

Superficial
femoral vessels

Figure 24.3.4 Abdominal wall mm

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

Figure 24.3.5 Abdominal


wall mm

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

Penis, corpus Gracilis m


spongiosum
568  PELVIS:  MRI OF THE MALE PELVIS

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

Figure 24.3.8 Psoas 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

Figure 24.3.10 Erector spinae mm


Multifidus m

Gluteus medius m

Sacroiliac joint

Sacrum

Sigmoid Gluteus maximus m


colon Piriformis m

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

Anus Semimembranosus m Semitendinosus m

Figure 24.3.12

Erector
spinae mm
Ilium

Sacrum

Gluteus
maximus m

Coccyx

Semitendinosus m
25
Chapter

MRI of the Female Pelvis


572  PELVIS:  MRI OF THE FEMALE PELVIS

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

Figure 25.1.2 Iliacus m Psoas m


External iliac Loops of
vessels
Rectus
small bowel abdominis m
Descending
colon

Anterior
superior iliac
spine

Gluteus minimus m

Gluteus medius m

Superior gluteal vessels

Gluteus maximus m

Rectum Piriformis m
PELVIS:  MRI OF THE FEMALE PELVIS  573

Figure 25.1.3 Myometrium, Rectus Uterine


peripheral zone abdominus m fundus Left ovary
External iliac
vessels Iliopsoas m

Ilium

Endometrial Gluteus
canal minimus m
Gluteus
medius m

Sciatic n Myometrium,
junctional zone
Piriformis m
Gluteus
maximus m

Rectum Loops of small bowel

Figure 25.1.4 Right


Myometrium,
peripheral Rectus
ovary zone abdominis m Left ovary

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

Rectum Internal os, cervix


574  PELVIS:  MRI OF THE FEMALE PELVIS

Figure 25.1.5 Rectus Urinary bladder, Urinary bladder,


Sartorius m Iliopsoas m abdominis m lumen muscular wall

Anterior
Obturator n inferior
and iliac spine
vessels

Ilium
Obturator
internus m
Endocervical
canal

Gluteus Gluteus Sciatic n Rectum Cervical stroma Gluteus


medius m minimus m maximus m

Figure 25.1.6 Femoral vessels


Urinary bladder,
lumen
Urinary bladder,
muscular wall

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

Ischiorectal Rectum Vagina Gluteus


fossa maximus m
PELVIS:  MRI OF THE FEMALE PELVIS  575

Figure 25.1.7 Urethra


Urinary Femoral
bladder Pectineus m vessels Sartorius m

Iliopsoas m

Rectus
femoris m
Tensor fasciae
latae m
Gluteus
medius m
Femoral head
Greater
trochanter Obturator
internus m
Quadratus
femoris m
Sciatic n

Levator ani m Rectum Vagina Ischium Gluteus


maximus m

Figure 25.1.8 Pectineus m


Adductor
brevis m Urethra Vagina
Femoral Rectus
vessels Sartorius m femoris m

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

Anus Ischium Conjoined t of


semitendinosus
and biceps
femoris mm
576  PELVIS:  MRI OF THE FEMALE PELVIS

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

Urinary bladder, Parametrium


muscular wall
Rectum

Vagina
Urinary bladder,
lumen

Pubis
Anus

Figure 25.2.6

L5 vertebral Spinal canal


body

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

Uterus Small bowel


Urinary bladder,
muscular wall Vagina,
posterior fornix
Urinary bladder, Endocervical canal
lumen

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

Great Clitoris and Adductor


saphenous v frenulum longus 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

Gracilis m Vagina Vastus lateralis and


intermedius mm
PELVIS:  MRI OF THE FEMALE PELVIS  583

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

Acromioclavicular lig. Adductor magnus m. (Continued) Annular lig.


oblique sagittal view, of shoulder, 52 coronal view axial view, of elbow, 119, 120
superior, oblique sagittal view, of shoulder of female pelvis CT, 548, 549, 550 oblique coronal, of elbow, 138, 139
arthrogram, 76, 77 of female pelvis MRI, 582, 583 oblique sagittal view, of elbow, 126, 128
Acromion of hip, 246, 247 Anterior bands
ABER view, of shoulder arthrogram, 84, 85, 86, 87 of male pelvis CT, 533, 534 ABER view, of shoulder arthrogram, 86, 87
angle of, oblique coronal view of shoulder, 62, 63 of male pelvis MRI, 567, 568, 569 axial view
axial view of thigh, 290, 291 of elbow, 118
of pectoral girdle and chest wall, 5 origin, insertion, and nerve supply of, 268t of shoulder arthrogram, 71
of shoulder, 36, 37 sagittal view coronal view, of arm, 107
coronal view of female pelvis CT, 543 oblique coronal view, of shoulder arthrogram, 80
of arm, 108, 109, 110 of female pelvis MRI, 576, 577 oblique sagittal view
of pectoral girdle and chest wall, 26, 27, 28, 29 of hip, 236, 237, 238, 239, 240, 241, 242 of elbow, 132
oblique coronal view of male pelvis CT, 528 of shoulder arthrogram, 75
of shoulder, 59, 60, 61, 62 of male pelvis MRI, 559, 560 Anus
of shoulder arthrogram, 78, 79, 80, 81, 82, 83 of thigh, 279, 280, 281, 282, 283, 284, 285 axial view, of female pelvis MRI, 575
oblique sagittal view Adductor magnus m., ischiocondylar (hamstring) coronal view
of shoulder, 49, 50, 51, 52 part of female pelvis MRI, 584
of shoulder arthrogram, 72, 73, 74, 75, 76, 77 coronal view, of male pelvis MRI, 569 of male pelvis CT, 535
sagittal view sagittal view of male pelvis MRI, 568, 569, 570
of arm, 102, 103, 104 of female pelvis MRI, 576 sagittal view
of pectoral girdle and chest wall, 15, 16 of male pelvis MRI, 560 of female pelvis MRI, 578
Adductor aponeurosis, sagittal view, of hand, 205, Adductor magnus t. of male pelvis CT, 530
205, 206 axial view, of knee, 295, 296, 297 of male pelvis MRI, 564
Adductor brevis m. coronal view Aorta
axial view of knee, 316 axial view
of female pelvis CT, 542 of thigh, 292 of abdomen CT, 475, 476, 477, 478, 479
of female pelvis MRI, 575 sagittal view of abdomen MRI, 494, 495, 496, 497, 498, 499,
of hip, 229, 230, 231, 232 of knee, 309 500, 501
of male pelvis CT, 527 of thigh, 282 of heart MRI, 462, 463
of male pelvis MRI, 558 Adductor pollicis brevis m., origin, insertion, and of lumbar spine, 425
of thigh, 269, 270, 270, 271 nerve supply of, 197t of thoracic spine, 415, 416
coronal view Adductor pollicis m. of thorax CT, 445, 448
of female pelvis CT, 548, 549 axial view coronal view
of female pelvis MRI, 582 of hand, 199, 200, 201, 202 of abdomen CT, 488, 489, 490, 491, 492
of hip, 244, 245, 246 sagittal view of abdomen MRI, 512, 513, 514, 515, 516
of male pelvis CT, 533, 534 of hand, 206, 207 of lumbar spine, 432, 433
of male pelvis MRI, 566, 567, 568 Adductor pollicis m., oblique head sagittal view
of thigh, 289, 290 coronal view, of hand, 215, 216 of abdomen CT, 483
origin, insertion, and nerve supply of, 268t sagittal view of abdomen MRI, 504, 505
sagittal view of hand, 208, 209 of thoracic spine, 418
of female pelvis CT, 543, 544 Adductor pollicis m., transverse head Aorta, abdominal
of female pelvis MRI, 576, 577 coronal view, of hand, 215, 216 coronal view, of thorax CT, 454, 455
of hip, 238, 239, 240, 241, 242 sagittal view sagittal view
of male pelvis CT, 528, 529 of hand, 208, 209, 210 of heart MRI, 465
of male pelvis MRI, 559, 560, 561, 562 Adductor pollicis t., axial view, of hand, 202 of thorax CT, 451
of thigh, 283, 284, 285 Adductor tubercle, sagittal view, of knee, 309 Aorta, ascending
Adductor canal, axial view, of thigh, 275 Adrenal gland axial view
Adductor hallucis m., oblique head axial view of heart MRI, 460, 461
axial view, of foot, 387, 388, 389 of abdomen CT, 476, 477 of pectoral girdle and chest wall, 9, 10, 11
coronal view, of foot, 403, 404, 405 of abdomen MRI, 494, 495, 496, 497, 498 of thorax CT, 444, 445
origin, insertion, and nerve supply of, 382–384t coronal view coronal view
sagittal view, of foot, 393, 394, 395, 396 of abdomen CT, 491, 492 of heart MRI, 467, 468
Adductor hallucis m., transverse head of abdomen MRI, 515, 516 of pectoral girdle and chest wall, 26
axial view, of foot, 389 sagittal view sagittal view
coronal view, of foot, 401, 402, 403 of abdomen CT, 482, 485 of heart MRI, 465
origin, insertion, and nerve supply of, 382–384t of abdomen MRI, 503, 504, 508 of thorax CT, 451
sagittal view, of foot, 393, 394 Adrenal v., axial view, of abdomen CT, 476 Aorta, descending
Adductor longus m. Anal canal axial view
axial view axial view of heart MRI, 460, 461
of hip, 229, 230, 231, 232 of female pelvis CT, 541, 542 of thorax CT, 444, 445, 446, 447
of male pelvis CT, 527 of male pelvis CT, 526, 527 coronal view, of heart MRI, 469
of male pelvis MRI, 558 of male pelvis MRI, 558 sagittal view
of thigh, 269, 270, 271, 272, 273, 274 coronal view of abdomen CT, 482
coronal view of female pelvis CT, 551 of heart MRI, 464
of female pelvis CT, 547 of female pelvis MRI, 583 of thorax CT, 450
of female pelvis MRI, 581 of male pelvis CT, 536 Aortic arch
of hip, 243, 244, 245 of male pelvis MRI, 569 axial view
of male pelvis CT, 531, 532 sagittal view, of female pelvis CT, 544, 545 of heart MRI, 460
of male pelvis MRI, 566, 567 Anastomotic vv., sagittal view, of foot, 397, 398 of thorax CT, 443, 444
of thigh, 288, 289, 290 Anconeus m. coronal view
origin, insertion, and nerve supply of, 268t axial view of heart MRI, 468
sagittal view of elbow, 115, 116, 117, 118, 119, 120, 121, 122, of thorax CT, 453, 454, 455
of female pelvis MRI, 576, 577 123, 124 sagittal view
of hip, 239, 240, 241, 242 of forearm, 146, 147 of heart MRI, 464, 465
of male pelvis MRI, 559, 560, 561, 562 coronal view, of forearm, 168 of thorax CT, 450, 451
of thigh, 282, 283, 285 oblique coronal view, of elbow, 140, 141, 142 Aortic bifurcation
Adductor longus t., axial view, of male pelvis CT, oblique sagittal view, of elbow, 126, 127, 128 axial view, of abdomen CT, 480
527 origin, insertion, and nerve supply of, coronal view
Adductor magnus m. 144–145t of abdomen CT, 488
axial view sagittal view, of forearm, 160, 161 of female pelvis CT, 548, 549
of hip, 230, 231, 232 Ankle joint of male pelvis CT, 532
of male pelvis CT, 527 axial view, of ankle, 352 sagittal view
of male pelvis MRI, 558 coronal view, of ankle, 374, 375, 376, 377 of female pelvis CT, 545
of thigh, 269, 270, 271, 272, 273, 274, 275 sagittal view, of ankle, 366, 367, 368 of male pelvis CT, 529
Index  587

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

Biceps brachii t., short head Brachial a. (Continued) Brachioradialis m. (Continued)


ABER view, of shoulder arthrogram, 84 oblique sagittal view, of elbow, 130 sagittal view
axial view sagittal view of arm, 98, 99
of pectoral girdle and chest wall, 7, 8, 9 of arm, 102 of elbow, 125, 126, 127, 128
of shoulder, 42, 43, 44 of elbow, 130 of forearm, 156
of shoulder arthrogram, 70, 71 Brachial a., deep Brachioradialis t., axial view, of forearm, 150, 151,
oblique coronal view axial view, of pectoral girdle and chest wall, 11, 13 153, 154, 155
of shoulder, 58, 59 coronal view, of pectoral girdle and chest wall, 29 Breast
of shoulder arthrogram, 78, 79 oblique coronal view, of shoulder, 60, 62 coronal view, of abdomen MRI, 510, 511, 512
oblique sagittal view sagittal view, of pectoral girdle and chest wall, 16 sagittal view, of abdomen MRI, 502
of shoulder, 50 Brachial neurovascular bundle Bronchus
of shoulder arthrogram, 74 axial view, of pectoral girdle and chest wall, 11, 12, 13 axial view
Biceps femoris m. coronal view of heart MRI, 461
axial view, of thigh, 271, 272, 273, 274, 275, 276 of arm, 107, 108 of pectoral girdle and chest wall, 10
coronal view of pectoral girdle and chest wall, 29 of thorax CT, 444
of knee, 317, 318, 319, 320 sagittal view, of pectoral girdle and chest wall, 16 coronal view, of thorax CT, 456
of leg, 344 Brachial plexus sagittal view
of male pelvis MRI, 569, 570 coronal view, of pectoral girdle and chest wall, 27, 28 of heart MRI, 464, 465
origin, insertion, and nerve supply of, 268t oblique sagittal view, of shoulder, 53, 55 of thorax CT, 449, 450
sagittal view, of knee, 302 sagittal view Bulbospongiosus m.
Biceps femoris m., long head of pectoral girdle and chest wall, 19, 20, 21 coronal view
axial view of thoracic spine, 417 of female pelvis CT, 548, 549
of hip, 230, 232 Brachial v. of male pelvis CT, 534, 535
of knee, 295 axial view sagittal view, of male pelvis CT, 530
of male pelvis MRI, 558 of arm, 94, 95, 96, 97
of thigh, 272, 273, 274, 275, 276 coronal view
coronal view of arm, 105, 107, 108 C
of hip, 244, 247 of pectoral girdle and chest wall, 28 C1 pulley, sagittal view, of hand, 209, 210
of thigh, 291, 292, 293 sagittal view, of arm, 102 C5-6 disc level, axial view, of pectoral girdle and
origin, insertion, and nerve supply of, 222–223t Brachialis m. chest wall, 4
sagittal view axial view C7 vertebral body, axial view, of pectoral girdle and
of knee, 303 of arm, 92, 93, 94, 95, 96, 97 chest wall, 5
of thigh, 277, 278, 279 of elbow, 115, 116, 117, 118, 119, 120, 121 Calcaneal tubercle
Biceps femoris m., short head coronal view axial view, of ankle, 355, 356
axial view of arm, 105, 106, 107, 108 lateral, coronal view, of ankle, 378, 379
of knee, 295, 296, 297, 298 of elbow, 136, 137, 138, 139 Calcaneal tuberosity
of thigh, 273, 274, 275, 276 oblique coronal, of elbow, 136, 137, 138, 139 axial view, of ankle, 355, 356, 357, 358
coronal view oblique sagittal view, of elbow, 125, 126, 127, 128, sagittal view, of ankle, 366, 367, 368, 369
of knee, 316, 319 129, 130, 131, 132 Calcaneal vessels, medial, sagittal view, of ankle, 370
of thigh, 290 origin, insertion, and nerve supply of, 91t Calcaneocuboid joint
sagittal view sagittal view axial view, of ankle, 356, 363
of knee, 302, 303 of arm, 98, 99, 100, 101, 102 coronal view, of ankle, 373
of thigh, 277, 278 of elbow, 125, 126, 127, 128, 129, 130, 131, 132 oblique axial view, of ankle, 363
Biceps femoris t. of forearm, 160 sagittal view, of foot, 393
axial view Brachialis t. Calcaneocuboid lig., plantar
of knee, 295, 296, 297, 298, 299, 300 axial view axial view, of ankle, 355, 357
of thigh, 269, 270 of arm, 96, 97 coronal view, of ankle, 372, 373, 374, 375, 376
coronal view of elbow, 115, 116, 117, 118, 119, 120, 121 sagittal view
of knee, 317, 318, 319 oblique coronal, of elbow, 136 of ankle, 367, 368
of leg, 344, 345 sagittal view, of arm, 100, 101 of foot, 393
of male pelvis CT, 536 Brachiocephalic a. Calcaneofibular lig., axial view, of ankle, 354, 355
of male pelvis MRI, 569 axial view Calcaneonavicular (spring) lig.
sagittal view of pectoral girdle and chest wall, 7, 8 inferoplantar
of knee, 302 of thorax CT, 443 axial view, of ankle, 355
of leg, 334 coronal view, of thorax CT, 453, 454, 455 coronal view, of ankle, 372, 373
of male pelvis CT, 528 sagittal view, of thorax CT, 452 oblique axial view, of ankle, 362
Biceps femoris t., long head, axial view Brachiocephalic trunk sagittal view, of ankle, 370
of hip, 232 coronal view, of pectoral girdle and chest wall, 26 medioplantar, axial view, of ankle, 355
of male pelvis MRI, 558 sagittal view, of heart MRI, 465 plantar, oblique axial view, of ankle, 362
Biceps m., short head, and coracobrachialis m., Brachiocephalic v. superomedial, coronal view, of ankle, 373
conjoined tendon of, 7, 41 axial view Calcaneus
Bicipital aponeurosis, axial view, of elbow, 118, 119, 120 of pectoral girdle and chest wall, 7, 8, 9 axial view
Bicipital (intertubercular) groove, axial view of thorax CT, 443 of ankle, 355, 356, 357
of shoulder, 41 coronal view of foot, 386, 387, 388
of shoulder arthrogram, 70, 71 of heart MRI, 468 coronal view
Bile duct, common of pectoral girdle and chest wall, 26, 27 of ankle, 373, 374, 375, 376, 377, 378, 379,
axial view of thorax CT, 453, 454, 455 380
of abdomen CT, 477 sagittal view of leg, 342, 343, 344
of abdomen MRI, 498, 499, 500 of heart MRI, 465 oblique axial view, of ankle, 360, 361, 362
coronal view of pectoral girdle and chest wall, 23 sagittal view
of abdomen CT, 488 of thorax CT, 450, 451, 452 of ankle, 366, 367, 368, 369, 370
of abdomen MRI, 513, 514 Brachioradialis m. of foot, 392, 393, 394, 395, 396
sagittal view axial view Calcar femorale
of abdomen CT, 484 of arm, 95, 96, 97 axial view, of hip, 229, 230, 231
of abdomen MRI, 508 of elbow, 115, 116, 117, 118, 119, 120, 121, 122, coronal view, of hip, 246
Blumensaat’s line, sagittal view, of knee, 306 123, 124 Capitate
Brachial a. of forearm, 146, 147, 148, 149, 150, 152 coronal view, of hand, 215, 216, 217
axial view coronal view sagittal view, of hand, 209
of arm, 92, 93, 94, 95, 96, 97 of arm, 105, 106, 107, 108, 109 Capitellum
of elbow, 115, 117, 118, 119 of elbow, 134, 135, 136, 137, 138, 139, 140, axial view, of elbow, 117, 118, 119
coronal view 141 oblique coronal, of elbow, 138, 139
of arm, 105, 108 of forearm, 164, 165, 166, 167 oblique sagittal view, of elbow, 126, 127,
of pectoral girdle and chest wall, 28 oblique coronal, of elbow, 134, 135, 136, 137, 138, 128, 129
oblique coronal view 139, 140, 141 sagittal view
of elbow, 136 oblique sagittal view, of elbow, 125, 126, 127, 128 of arm, 99, 100
of shoulder, 59, 60 origin, insertion, and nerve supply of, 144–145t of elbow, 126, 127, 128, 129
Index  589

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

Colon, descending (Continued) Coracoacromial lig. (Continued) Coronoid process


coronal view oblique sagittal view axial view, of elbow, 119, 120
of abdomen CT, 489, 491, 492 of shoulder, 50, 51 oblique coronal, of elbow, 138, 139
of abdomen MRI, 512, 513, 514, 515 of shoulder arthrogram, 73, 74, 75 oblique sagittal view, of elbow, 129, 130
of female pelvis CT, 547, 548 sagittal view, of pectoral girdle and chest wall, 16, 17 sagittal view
of female pelvis MRI, 581 Coracobrachialis m. of arm, 100, 101
of male pelvis CT, 531, 532, 533 and biceps m., short head, conjoined tendon of, 7, 41 of elbow, 129, 130
of male pelvis MRI, 566 axial view Corpus cavernosum
sagittal view of arm, 92 axial view
of abdomen CT, 481 of pectoral girdle and chest wall, 7, 8, 9, 10, 11, 12, 13 of male pelvis CT, 527
of abdomen MRI, 502, 503 of shoulder, 41, 42, 43, 44, 45 of male pelvis MRI, 558
of male pelvis CT, 528 coronal view coronal view
Colon, hepatic flexure of arm, 106, 107 of male pelvis CT, 531, 534
axial view of pectoral girdle and chest wall, 25, 26, 27, 28, 29 of male pelvis MRI, 565, 566
of abdomen CT, 478, 479 oblique coronal view, of shoulder, 57, 58, 59, 60, 61, 62 sagittal view
of abdomen MRI, 499, 500 oblique sagittal view of male pelvis CT, 529, 530
coronal view of shoulder, 50, 51, 52 of male pelvis MRI, 562, 563
of abdomen CT, 488, 489, 490 of shoulder arthrogram, 75 Corpus spongiosum
of abdomen MRI, 510, 511 origin, insertion, and nerve supply of, 91t axial view
of thorax CT, 453 sagittal view of male pelvis CT, 527
sagittal view of arm, 102, 103, 104 of male pelvis MRI, 558
of abdomen CT, 486 of pectoral girdle and chest wall, 16, 17 coronal view
of abdomen MRI, 509 Coracobrachialis t. of male pelvis CT, 531, 534
of thorax CT, 452 ABER view, of shoulder arthrogram, 84 of male pelvis MRI, 565, 566, 567
Colon, rectosigmoid axial view sagittal view, of male pelvis MRI, 564
axial view, of female pelvis CT, 539 of pectoral girdle and chest wall, 7 Costal cartilage
coronal view of shoulder, 42, 43, 44 axial view
of female pelvis MRI, 583 of shoulder arthrogram, 70, 71 of abdomen CT, 475
of male pelvis CT, 535 oblique coronal view of abdomen MRI, 494
sagittal view, of female pelvis MRI, 579 of shoulder, 57 coronal view
Colon, sigmoid of shoulder arthrogram, 78, 79 of abdomen CT, 487
axial view oblique sagittal view, of shoulder arthrogram, 74 of abdomen MRI, 510
of female pelvis CT, 538, 539, 540 Coracoclavicular lig. of pectoral girdle and chest wall, 24
of female pelvis MRI, 572 axial view, of shoulder, 39 sagittal view
of male pelvis CT, 523, 524 conoid portion of abdomen CT, 481
of male pelvis MRI, 554, 555 axial view, of shoulder, 38, 39 of pectoral girdle and chest wall, 21, 22, 23
coronal view oblique coronal view, of shoulder, 56, 57 Costochondral cartilage
of abdomen CT, 487 oblique sagittal view, of shoulder, 54, 55 axial view, of pectoral girdle and chest wall, 9
of abdomen MRI, 512 trapezoid portion coronal view, of heart MRI, 467
of female pelvis CT, 547, 548, 549, 550 axial view, of shoulder, 38, 39 Costoclavicular lig., coronal view, of pectoral girdle
of male pelvis CT, 532, 533, 534, 536 oblique coronal view, of shoulder, 57 and chest wall, 25
of male pelvis MRI, 566, 567, 568, 569 oblique sagittal view Costotransverse foramen, axial view, of thoracic spine,
sagittal view of shoulder, 53, 54 415, 416
of abdomen CT, 482, 483 of shoulder arthrogram, 76, 77 Costotransverse joint
of female pelvis CT, 544, 545 Coracohumeral lig. axial view
of female pelvis MRI, 578 axial view of pectoral girdle and chest wall, 6
of male pelvis CT, 528, 529, 530 of shoulder, 39, 40 of thoracic spine, 415, 416
of male pelvis MRI, 561, 562, 563, 564 of shoulder arthrogram, 68 coronal view
Colon, splenic flexure oblique coronal view of pectoral girdle and chest wall, 31, 32
axial view of shoulder, 57, 58, 59 of thoracic spine, 421
of abdomen CT, 478, 479 of shoulder arthrogram, 78 sagittal view, of thoracic spine, 417, 418
of abdomen MRI, 496, 497, 498 oblique sagittal view Costovertebral joint
coronal view of shoulder, 48, 49, 50, 51, 52 axial view
of abdomen CT, 488, 489, 490, 491 of shoulder arthrogram, 74 of pectoral girdle and chest wall, 6, 8, 13
of abdomen MRI, 511, 512 sagittal view, of pectoral girdle and chest wall, 17 of thoracic spine, 415
sagittal view, of abdomen MRI, 502 Coracoid process coronal view
Colon, transverse ABER view, of shoulder arthrogram, 84 of pectoral girdle and chest wall, 32
axial view axial view of thoracic spine, 420
of abdomen CT, 479, 480 of pectoral girdle and chest wall, 6, 7 sagittal view, of thoracic spine, 418
of abdomen MRI, 498, 499, 500, 501 of shoulder, 39, 40, 41 Cotyloid notch, 261
coronal view of shoulder arthrogram, 67, 68, 69, 70 Crista, coronal view, of foot, 400, 401
of abdomen CT, 487, 488 base Cruciate lig., anterior
of abdomen MRI, 510, 511 oblique coronal view, of shoulder arthrogram, 78 axial view, of knee, 298
of male pelvis CT, 531, 532 oblique sagittal view, of shoulder, 53 coronal view
sagittal view coronal view, of pectoral girdle and chest wall, 25, of knee, 315, 316
of abdomen CT, 481, 482, 483, 484, 485 26, 27 of leg, 343
of abdomen MRI, 503, 504, 505, 506, 507, 508, 509 oblique coronal view sagittal view, of knee, 305, 306
Conjoined t. of shoulder, 57, 58 Cruciate lig., posterior
of coracobrachialis m. and biceps m., short head, 7, 41 of shoulder arthrogram, 78 axial view, of knee, 298, 299
of semitendinosus m. and biceps femoris m., long head oblique sagittal view coronal view
axial view of shoulder, 50, 51, 52 of knee, 315, 316, 317
of female pelvis MRI, 575 of shoulder arthrogram, 75, 76, 77 of leg, 343, 344
of hip, 230, 231, 232 sagittal view, of pectoral girdle and chest wall, 17 sagittal view
of male pelvis MRI, 558 tip, oblique sagittal view, of shoulder arthrogram, 74 of knee, 306, 307
coronal view, of thigh, 291, 292 Coronary a., axial view of leg, 338
sagittal view, of male pelvis MRI, 559 of heart MRI, 462, 463 Crural fascia, axial view, of leg, 324, 325, 326, 327,
Conus medullaris of thorax CT, 445, 448 328, 329, 330, 332
coronal view, of thoracic spine, 420 Coronary sinus, axial view, of heart MRI, 463 Crural septum
sagittal view Coronoid fossa anterior, axial view, of leg, 326, 327
of lumbar spine, 431 axial view, of elbow, 115, 116 posterior, axial view, of leg, 329, 330, 331
of thoracic spine, 419 oblique coronal, of elbow, 139 Cubital tunnel retinaculum, axial view, of elbow, 116, 117
Coracoacromial lig. oblique sagittal view, of elbow, 129, 130 Cubital v., median
axial view sagittal view axial view, of elbow, 115, 116, 117, 118
of shoulder, 38, 39, 40 of arm, 101, 102 oblique coronal, of elbow, 134, 135, 136, 137
of shoulder arthrogram, 68, 69 of elbow, 129, 130 oblique sagittal view, of elbow, 129, 130
Index  591

Cubital v., median (Continued) Deltoid t. Duodenum, third portion (Continued)


sagittal view coronal view, of arm, 110, 111 sagittal view
of elbow, 129, 130 oblique coronal view, of shoulder, 62 of abdomen CT, 482, 483, 484
of forearm, 156 Deltoid tuberosity of abdomen MRI, 505, 506, 507, 508
Cuboid axial view, of arm, 92 Dura mater, coronal view, of thoracic spine, 420
axial view coronal view, of arm, 109
of ankle, 355, 356, 357 sagittal view, of pectoral girdle and chest wall, 14, 15
of foot, 386, 387, 388, 389 Deltopectoral triangle E
coronal view axial view, of shoulder, 42, 43, 44, 45 Endocervical canal
of ankle, 372, 373 oblique sagittal view, of shoulder, 50 axial view, of female pelvis MRI, 574
of foot, 406, 407 Diaphragm coronal view, of female pelvis MRI, 582, 583
oblique axial view, of ankle, 363, 364 axial view sagittal view, of female pelvis MRI, 579
sagittal view of abdomen MRI, 494, 496, 497, 498, 499, 500 Endometrial canal
of ankle, 366, 367, 368, 369 of thorax CT, 448 axial view, of female pelvis MRI, 573
of foot, 391, 392, 393, 394 coronal view coronal view, of female pelvis MRI, 581, 582
Cuboid sulcus, sagittal view, of ankle, 367 of abdomen CT, 487, 489 sagittal view, of female pelvis MRI, 579
Cuneiform, lateral of abdomen MRI, 513, 514, 515 Epicondyle, lateral
axial view sagittal view axial view, of elbow, 116, 117, 118
of ankle, 354, 355 of abdomen CT, 481, 483, 484, 485 coronal view
of foot, 385, 386, 387 of thorax CT, 449, 452 of arm, 107, 108
coronal view, of foot, 405, 406, 407 urogenital of elbow, 139, 140, 141
oblique axial view, of ankle, 363, 364 coronal view, of female pelvis CT, 550 oblique coronal, of elbow, 139, 140, 141
sagittal view sagittal view, of male pelvis CT, 529 oblique sagittal view, of elbow, 126
of ankle, 368, 369 Diaphragm, crus Epicondyle, medial
of foot, 392, 393, 394 axial view axial view, of elbow, 116, 117
Cuneiform, medial of abdomen CT, 476, 477, 478 coronal view
axial view of abdomen MRI, 494, 495 of arm, 106, 107
of ankle, 355 coronal view of elbow, 139, 140
of foot, 385, 386, 387 of abdomen CT, 490, 491, 492 oblique coronal, of elbow, 139, 140
coronal view, of foot, 405, 406 of abdomen MRI, 516 oblique sagittal view, of elbow, 131, 132
oblique axial view, of ankle, 363, 364 of lumbar spine, 433, 434, 435 sagittal view
sagittal view of thoracic spine, 420 of arm, 103
of ankle, 370, 371 sagittal view, of abdomen CT, 483, 484, 485 of elbow, 131, 132
of foot, 395, 396, 397 Digital a., palmar Epidural fat
Cuneiform, middle axial view, of hand, 201, 204 coronal view
axial view coronal view, of hand, 215, 216 of lumbar spine, 435, 436
of ankle, 354, 355 sagittal view of thoracic spine, 420
of foot, 385, 386 of hand, 210, 211 sagittal view, of thoracic spine, 418, 419
coronal view, of foot, 405, 406 of wrist, 181, 182 Epidural space, posterior, sagittal view, of thoracic
oblique axial view, of ankle, 363, 364 Digital n., palmar, axial view, of hand, 204 spine, 419
sagittal view Digital neurovascular structures, axial view, of hand, 204 Epidural v., axial view, of lumbar spine, 425, 426
of ankle, 369, 370 Digital v. Epidural vessels
of foot, 394, 395 dorsal, axial view, of hand, 204 coronal view, of lumbar spine, 434
Cuneiform joint, sagittal view, of ankle, 370 palmar, axial view, of hand, 204 sagittal view, of thoracic spine, 419
Cuneocuboid lig. Distal phalanx Epigastric a., inferior
plantar, axial view, of ankle, 356 index finger, sagittal view, 206, 207, 208 axial view
sagittal view, of ankle, 368 long finger, sagittal view, 209, 210 of female pelvis CT, 538, 539
Cystic duct, axial view, of abdomen MRI, 497 ring finger, sagittal view, 211, 212 of male pelvis CT, 524
small finger, sagittal view, 213 coronal view
thumb of abdomen CT, 487
D coronal view, 216 of female pelvis CT, 546
Deltoid lig. sagittal view, 205 of male pelvis CT, 531
axial view, of ankle, 352, 353, 354 Dorsal nerve root ganglion, sagittal view, of thoracic sagittal view, of male pelvis CT, 528
coronal view, of ankle, 373, 374, 375, 376 spine, 418, 419 Epigastric v., inferior
oblique axial view, of ankle, 361 Dorsal ramus n. and vessels, coronal view, of lumbar axial view
sagittal view, of ankle, 371 spine, 434, 436 of female pelvis CT, 538, 539
Deltoid m. Duodenal bulb of male pelvis CT, 524
anterior axial view coronal view
axial view, of pectoral girdle and chest wall, 6, 7, 8 of abdomen CT, 478 of abdomen CT, 487
coronal view, of pectoral girdle and chest wall, 24 of abdomen MRI, 498 of female pelvis CT, 546
axial view coronal view of male pelvis CT, 531
of arm, 92 of abdomen CT, 487 sagittal view, of male pelvis CT, 528
of pectoral girdle and chest wall, 6, 7, 8, 9, 10, of abdomen MRI, 512, 513 Epigastric vessels, inferior
11, 12, 13 sagittal view, of abdomen MRI, 508 axial view
of shoulder, 37, 38, 39, 40, 41, 42, 43, 44, 45 Duodenojejunal junction, axial view, of abdomen of female pelvis CT, 540
of shoulder arthrogram, 67, 68, 69, 70 MRI, 501 of male pelvis MRI, 554, 555
coronal view Duodenum coronal view, of male pelvis MRI, 565
of arm, 105, 106, 108, 109, 110, 111, 112, 113 axial view, of abdomen CT, 477 sagittal view, of abdomen CT, 485
of pectoral girdle and chest wall, 25, 26, 27, 28, sagittal view, of thorax CT, 451 Epitrochlear lymph node, oblique coronal, of elbow, 138
29, 30, 31, 32, 33 Duodenum, second portion Erector spinae m.
of thoracic spine, 422 axial view axial view
middle, axial view, of pectoral girdle and chest wall, 6 of abdomen CT, 478, 479 of abdomen MRI, 495, 497, 498, 499, 500, 501
oblique coronal view of abdomen MRI, 498, 499, 500, 501 of male pelvis CT, 523
of shoulder, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65 coronal view of male pelvis MRI, 553, 554
of shoulder arthrogram, 79, 80, 81, 82, 83 of abdomen CT, 489, 490 of pectoral girdle and chest wall, 8, 10, 11, 12, 13
oblique sagittal view of abdomen MRI, 513, 514 of thoracic spine, 415, 416
of shoulder, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55 of thorax CT, 453 coronal view
of shoulder arthrogram, 72, 73, 74, 75 sagittal view of female pelvis MRI, 583, 584
origin, insertion, and nerve supply of, 35t, of abdomen CT, 485 of male pelvis MRI, 569, 570
412–414t of abdomen MRI, 509 of pectoral girdle and chest wall, 32, 33
posterior, axial view, of pectoral girdle and chest Duodenum, third portion of thoracic spine, 421, 422
wall, 6, 7 axial view sagittal view
sagittal view of abdomen CT, 479 of abdomen MRI, 503, 505, 507, 508
of arm, 98, 99, 100, 101, 102, 103, 104 of abdomen MRI, 500, 501 of female pelvis MRI, 576, 577
of pectoral girdle and chest wall, 14, 15, 16, 17, 18 coronal view, of abdomen CT, 489 of male pelvis CT, 530
592  Index

Erector spinae m. (Continued) Extensor carpi ulnaris t. (Continued) Extensor digitorum t.


of male pelvis MRI, 560, 561, 562, 563, 564 of forearm, 164, 165, 166 axial view
of pectoral girdle and chest wall, 23 of hand, 216, 217 of elbow, 118, 119
of thoracic spine, 417, 418, 419 oblique coronal, of elbow, 139 of forearm, 151, 152, 153, 154, 155
Esophagus sagittal view, of hand, 211, 212 of hand, 198, 199, 200, 201, 202, 203, 204
axial view Extensor digiti minimi m. coronal view, of hand, 217, 218
of abdomen CT, 475 axial view sagittal view
of abdomen MRI, 494 of elbow, 122, 123, 124 of foot, 391, 395
of heart MRI, 460, 461, 462, 463 of forearm, 146, 147, 148, 149, 150, 151 of hand, 207, 208, 209, 210, 211, 212
of pectoral girdle and chest wall, 5 coronal view, of forearm, 168 Extensor expansion (hood)
of thoracic spine, 416 oblique sagittal view, of elbow, 126, 127 axial view, of hand, 203, 204
of thorax CT, 442, 443, 445, 446, 447, 448 origin, insertion, and nerve supply of, 144–145t coronal view, of hand, 216, 217, 218
coronal view Extensor digiti minimi t. sagittal view, of hand, 205, 205, 206, 212, 213
of abdomen MRI, 515 axial view Extensor hallucis brevis m., oblique axial view, of
of thorax CT, 455, 456 of elbow, 118, 119, 120, 121, 122 ankle, 364
sagittal view of forearm, 151, 152, 153, 154, 155 Extensor hallucis longus m.
of abdomen CT, 483 of hand, 198, 199, 200, 201, 202, 203 axial view
of abdomen MRI, 505 coronal view of ankle, 349, 350, 351
of thoracic spine, 418, 419 of elbow, 139 of leg, 331, 332, 333
of thorax CT, 450, 451 of hand, 217 coronal view
Extensor carpi radialis brevis m. oblique coronal, of elbow, 139 of ankle, 372, 373
axial view oblique sagittal view, of elbow, 126 of leg, 342, 343
of elbow, 116, 117, 118, 119, 120, 121, 122, 123, sagittal view oblique axial view, of ankle, 359, 360, 361, 362
124 of elbow, 126 origin, insertion, and nerve supply of, 322–323t
of forearm, 146, 147, 148, 149, 150, 151 of forearm, 159, 160 sagittal view, of ankle, 367
coronal view of hand, 212 Extensor hallucis longus t.
of elbow, 136, 137, 138, 139 Extensor digitorum, origin, insertion, and nerve axial view
of forearm, 166, 167, 168, 169 supply of, 382–384t of ankle, 349, 350, 351, 352
oblique coronal, of elbow, 136, 137, 138, 139 Extensor digitorum brevis m. of foot, 385, 386, 387
oblique sagittal view, of elbow, 125, 126, 127 axial view of leg, 331, 332, 333
origin, insertion, and nerve supply of, 144–145t of ankle, 353, 354, 355, 356 coronal view
sagittal view of foot, 386, 387 of ankle, 372
of elbow, 125, 126, 127 coronal view of foot, 399, 400, 401, 402, 403, 404, 405, 406,
of forearm, 156, 157, 158 of ankle, 372, 373, 374 407
Extensor carpi radialis brevis t. of foot, 405, 406 of leg, 342, 343
axial view oblique axial view, of ankle, 362, 363, 364 oblique axial view, of ankle, 359, 360, 361, 362,
of forearm, 151, 152, 153, 154 sagittal view 363, 364
of hand, 198 of ankle, 366, 367, 368 sagittal view
coronal view of foot, 391, 392, 393 of ankle, 368, 369
of forearm, 167 Extensor digitorum longus m. of foot, 396, 397
of hand, 217 axial view Extensor indicis m.
Extensor carpi radialis longus m. of ankle, 349, 350, 351 axial view
axial view of knee, 300, 301 of forearm, 153, 154, 155
of arm, 95, 96, 97 of leg, 324, 325, 326, 327, 328, 329, 330, 331, coronal view, of forearm, 165, 166
of elbow, 115, 116, 117, 118, 119, 120, 121, 123, 124 332, 333 origin, insertion, and nerve supply of,
of forearm, 146, 147, 148, 149, 150 coronal view 144–145t
coronal view of ankle, 373, 374, 375 sagittal view, of forearm, 160
of arm, 108 of foot, 407 Extensor indicis t.
of elbow, 134, 135, 136, 137, 138, 139, 140, 141 of knee, 315, 316, 317, 318 axial view
of forearm, 167, 168, 169 of leg, 342, 343 of forearm, 155
oblique coronal, of elbow, 134, 135, 136, 137, 138, oblique axial view, of ankle, 359, 360 of hand, 198, 199, 200, 201, 202, 203, 204
139, 140, 141 origin, insertion, and nerve supply of, 322–323t sagittal view, of forearm, 160
oblique sagittal view, of elbow, 125, 126, 127 sagittal view Extensor pollicis brevis m.
origin, insertion, and nerve supply of, 144–145t of ankle, 366, 367, 368 axial view
sagittal view of knee, 303 of forearm, 151, 152, 153, 154, 155
of arm, 98 of leg, 334, 335, 336 coronal view, of forearm, 166
of elbow, 125, 126, 127 Extensor digitorum longus t. origin, insertion, and nerve supply of, 144–145t
of forearm, 156, 157 axial view sagittal view, of forearm, 158, 159
Extensor carpi radialis longus t. of ankle, 349, 350, 351, 352, 353 Extensor pollicis brevis t.
axial view of leg, 326, 327, 328, 329, 330, 331, axial view
of forearm, 150, 151, 152, 153, 154 332, 333 of forearm, 154, 155
of hand, 198 coronal view of hand, 198, 199, 200
coronal view of ankle, 372 coronal view, of hand, 214, 215, 216
of forearm, 167 of foot, 406, 407 sagittal view, of forearm, 158
of hand, 217 of leg, 342 Extensor pollicis longus m.
sagittal view, of forearm, 157 oblique axial view, of ankle, 359, 360, 361, 362, axial view, of forearm, 147, 148, 149, 150, 151, 152,
Extensor carpi ulnaris m. 363, 364 153, 154
axial view sagittal view coronal view, of forearm, 166, 167
of elbow, 121, 122, 123, 124 of ankle, 367, 368 origin, insertion, and nerve supply of, 144–145t
of forearm, 146, 147, 148, 149, 150, 151, 152, of foot, 393, 394, 395 sagittal view, of forearm, 159, 160
153, 154, 155 of leg, 334, 335, 336 Extensor pollicis longus t.
coronal view Extensor digitorum m. axial view
of elbow, 139, 140, 141 axial view of forearm, 155
of forearm, 166, 167, 168, 169 of elbow, 120, 121, 122, 123, 124 of hand, 198, 199, 200, 201, 202
oblique coronal view, of elbow, 139, 140, 141 of forearm, 146, 147, 148, 149, 150, 151, 152, coronal view
oblique sagittal view, of elbow, 126, 127, 128 153 of forearm, 166
origin, insertion, and nerve supply of, 144–145t coronal view of hand, 216, 217
sagittal view of elbow, 137, 138, 139 Extensor retinaculum
of elbow, 126, 127, 128 of forearm, 167, 168, 169 axial view, of ankle, 349, 350, 354
of forearm, 160, 161 oblique coronal, of elbow, 137, 138, 139 oblique axial view, of ankle, 359, 362, 363
Extensor carpi ulnaris t. oblique sagittal view, of elbow, 125, 126, 127 Extensor t.
axial view origin, insertion, and nerve supply of, 144–145t, common
of elbow, 118, 119, 120 382–384t axial view, of elbow, 118
of forearm, 154, 155 sagittal view oblique coronal, of elbow, 139, 140
coronal view of elbow, 125, 126, 127 coronal view, of foot, 399, 401, 402, 403,
of elbow, 139 of forearm, 158, 159, 160, 161 404, 405
Index  593

F Femoral circumflex vessels Femoral v. (Continued)


Facet joint lateral coronal view
axial view, of lumbar spine, 425 axial view, of hip, 228 of female pelvis MRI, 580
sagittal view, of thoracic spine, 418, 419 coronal view, of male pelvis MRI, 566 of male pelvis CT, 531, 532
Falciform lig. sagittal view, of hip, 234, 235, 236 of thigh, 287, 290
axial view, of abdomen CT, 477 medial sagittal view, of thigh, 284
coronal view, of abdomen CT, 487 axial view, of hip, 228, 230 Femoral v., common
sagittal view, of abdomen CT, 485 coronal view, of male pelvis MRI, 566 axial view
Fat pad, anterior sagittal view, of hip, 237, 239, 240 of female pelvis CT, 540, 541
axial view, of elbow, 115, 116 Femoral condyle of hip, 226, 227, 228
oblique sagittal view, of elbow, 129 lateral of male pelvis CT, 525, 526
sagittal view axial view, of knee, 297, 298 of male pelvis MRI, 556, 557
of arm, 101, 102 coronal view coronal view
of elbow, 129 of knee, 311, 312, 313, 314, 315, 316, 317, of female pelvis CT, 546
Fat pad, infrapatellar 318 of hip, 243, 244
axial view, of knee, 298, 299, 300 of leg, 343, 344 of male pelvis MRI, 565
coronal view sagittal view, of knee, 302, 303, 304 sagittal view, of hip, 239
of knee, 311, 312 medial Femoral v., deep
of leg, 342 axial view, of knee, 297, 298 axial view
sagittal view coronal view of female pelvis CT, 541, 542
of knee, 304, 305, 306, 307 of knee, 312, 313, 314, 315, 316, 317, 318 of thigh, 269, 270, 271, 272
of leg, 336, 337, 338 of leg, 343, 344 coronal view
Fat pad, posterior sagittal view of female pelvis CT, 547
axial view, of elbow, 115 of knee, 308, 309, 310 of male pelvis CT, 532
oblique sagittal view, of elbow, 128, 129 of leg, 340 sagittal view, of hip, 235
sagittal view of thigh, 281 Femoral v., superficial
of arm, 101, 102 Femoral cortex axial view
of elbow, 128, 129 anterior, coronal view, of thigh, 287 of female pelvis CT, 541, 542
Femoral a. medial, sagittal view, of thigh, 280 of hip, 230
axial view posterior, coronal view, of thigh, 289 of male pelvis MRI, 558
of hip, 229, 230 Femoral diaphysis of thigh, 270, 271, 272, 273, 274, 275
of hip arthrogram, 251, 252, 254, 256 axial view, of thigh, 269 coronal view, of thigh, 288
coronal view coronal view, of hip, 245 sagittal view, of male pelvis CT, 528
of female pelvis MRI, 580 sagittal view, of hip, 235, 236 Femoral vessels
of male pelvis CT, 531 Femoral head axial view, of female pelvis MRI, 574, 575
of thigh, 287, 290 axial view common, sagittal view, of male pelvis MRI, 559
sagittal view, of thigh, 283 of female pelvis CT, 540 coronal view
Femoral a., common of female pelvis MRI, 574, 575 of female pelvis MRI, 581
axial view of hip, 226, 227, 228 of thigh, 287
of female pelvis CT, 540, 541 of hip arthrogram, 251 sagittal view
of hip, 226, 227 of male pelvis CT, 525 of hip, 240
of male pelvis CT, 525, 526 of male pelvis MRI, 555, 556 of hip arthrogram, 261
of male pelvis MRI, 556, 557 coronal view of male pelvis MRI, 559
coronal view of female pelvis CT, 548, 549, 550 Femoral vessels, deep
of female pelvis CT, 546 of female pelvis MRI, 581, 582 axial view, of hip, 231, 232
of hip, 243, 244 of hip, 245, 246 coronal view
of male pelvis MRI, 565 of hip arthrogram, 262, 265 of hip, 244
sagittal view of male pelvis CT, 533, 534 of thigh, 288, 289
of female pelvis CT, 543 of male pelvis MRI, 566, 567, 568 sagittal view
of hip, 240 sagittal view of hip, 238
of male pelvis CT, 528 of hip, 237, 239, 240 of thigh, 281, 282
Femoral a., deep of hip arthrogram, 257, 258, 259, 260, 261 Femoral vessels, superficial
axial view of male pelvis MRI, 559 axial view, of hip, 231, 232
of female pelvis CT, 541, 542 Femoral lig., head coronal view
of hip, 228 coronal view, of male pelvis MRI, 567 of male pelvis MRI, 566
of male pelvis CT, 527 sagittal view, of male pelvis MRI, 559 of thigh, 288, 289
of thigh, 269, 270, 271, 272 Femoral n. sagittal view
coronal view axial view, of hip, 227 of hip, 238
of female pelvis CT, 547 coronal view of thigh, 281, 282, 283
of hip, 244 of female pelvis MRI, 580 Femur
of male pelvis CT, 532 of male pelvis CT, 532 axial view
sagittal view Femoral neck of female pelvis CT, 541, 542
of hip, 235 axial view of female pelvis MRI, 575
of male pelvis CT, 528 of female pelvis CT, 541 of hip, 229, 231, 232
of thigh, 279 of hip, 228, 229 of knee, 295, 296, 297
Femoral a., superficial of hip arthrogram, 254, 256 of male pelvis CT, 526, 527
axial view of male pelvis MRI, 557 of male pelvis MRI, 557, 558
of female pelvis CT, 541, 542 coronal view of thigh, 269, 271, 272, 273, 274, 275, 276
of hip, 228 of female pelvis CT, 548, 549 coronal view
of male pelvis CT, 527 of female pelvis MRI, 582 of female pelvis MRI, 582
of male pelvis MRI, 557, 558 of hip, 246 of knee, 312, 313, 315
of thigh, 269, 270, 271, 272, 273, 274, 275 of hip arthrogram, 263, 264, 265 of leg, 342, 343
coronal view, of thigh, 288, 289 of male pelvis CT, 534 of male pelvis CT, 535
sagittal view, of male pelvis CT, 528 sagittal view of male pelvis MRI, 567
Femoral circumflex a. of hip, 237 of thigh, 288, 289
lateral of hip arthrogram, 257 sagittal view
axial view, of male pelvis CT, 527 of thigh, 280 of knee, 303, 304, 305, 306, 307
coronal view, of male pelvis CT, 533 Femoral shaft, axial view, of thigh, 270 of thigh, 278, 279, 280, 281
medial Femoral trochlea Fibula
axial view, of male pelvis CT, 527 axial view, of knee, 297, 298 axial view
coronal view, of male pelvis CT, 533, 534 coronal view, of knee, 311 of ankle, 349, 350, 351
sagittal view, of male pelvis CT, 528 Femoral v. of knee, 301
Femoral circumflex v. axial view of leg, 324, 325, 326, 327, 328, 329, 330, 331,
lateral, coronal view, of male pelvis CT, 533, 534 of hip, 228, 229, 230 332, 333
medial, coronal view, of male pelvis CT, of hip arthrogram, 251, 252, 254, 256 coronal view
533, 534 of male pelvis MRI, 557, 558 of ankle, 376, 377
594  Index

Fibula (Continued) Flexor carpi ulnaris m. (Continued) Flexor digitorum superficialis m.


of leg, 342, 343, 344, 345 origin, insertion, and nerve supply of, 144–145t axial view
oblique axial view, of ankle, 359, 360, 361 sagittal view of elbow, 118, 119, 120, 121, 122, 123, 124
sagittal view of elbow, 131, 132, 133 of forearm, 146, 147, 148, 149, 150, 151, 152,
of ankle, 365, 366 of forearm, 160, 161 153, 154, 155
of knee, 304 Flexor carpi ulnaris t. coronal view
of leg, 336 axial view, of forearm, 150, 153, 154, 155 of elbow, 135, 136, 137, 138, 139, 140
Fibular head sagittal view of forearm, 162, 163, 164, 165, 166
axial view, of knee, 300 of forearm, 158, 159 oblique coronal
coronal view of hand, 211 of elbow, 135, 136, 137, 138, 139, 140
of knee, 318, 319, 320 Flexor digiti minimi brevis m. oblique sagittal view, of elbow, 130, 131, 133
of leg, 344, 345 axial view origin, insertion, and nerve supply of, 144–145t
sagittal view of hand, 198, 199, 200, 201, 202 sagittal view
of knee, 302, 303 coronal view, of foot, 405 of elbow, 130, 131, 133
of leg, 334, 335, 336 origin, insertion, and nerve supply of, 197t, of forearm, 156, 157, 158, 159, 160
Fibular (lateral) collateral lig. 382–384t Flexor digitorum superficialis t.
axial view, of knee, 298, 299, 300 sagittal view, of hand, 211 axial view
coronal view Flexor digiti minimi m. of forearm, 148, 155
of knee, 317, 318, 319 axial view, of foot, 389, 390 of hand, 198, 199, 200, 201, 202, 203, 204
of leg, 344 coronal view coronal view
sagittal view, of knee, 302 of foot, 402, 404 of forearm, 163
Fibular notch, axial view, of ankle, 350, 351 of hand, 215 of hand, 214, 215
Fibular shaft, sagittal view, of leg, 335 sagittal view sagittal view, of hand, 208, 209, 210, 211, 212, 213
Finger, index of foot, 391, 392 Flexor digitorum t., sagittal view
distal phalanx, sagittal view, 207, 208 of hand, 211, 212 of fourth toe, 393
middle phalanx, sagittal view, 207 Flexor digitorum brevis m. of second toe, 395
proximal phalanx axial view of third toe, 394
coronal view, 216, 217 of ankle, 358 Flexor hallucis brevis m.
sagittal view, 206, 207, 208 of foot, 389, 390 coronal view, of foot, 405
sagittal view, 206, 208 coronal view origin, insertion, and nerve supply of, 382–384t
Finger, long of ankle, 372, 373, 374, 375, 376, 377, 378 sagittal view, of foot, 396, 397, 398
distal phalanx, sagittal view, 209, 210 of foot, 404, 405, 406, 407 Flexor hallucis brevis m., lateral head
middle phalanx oblique axial view, of ankle, 362, 363, 364 axial view, of foot, 388, 389
coronal view, 215 sagittal view coronal view, of foot, 402, 403, 404
sagittal view, 209, 210 of ankle, 368, 369, 370, 371 Flexor hallucis brevis m., medial head
proximal phalanx of foot, 394, 395 axial view, of foot, 387, 388, 389
coronal view, 216, 217 Flexor digitorum brevis t., coronal view, of foot, 399, coronal view, of foot, 402, 403, 404
sagittal view, 209, 210 402, 403, 404, 405, 406, 407 Flexor hallucis longus fascia
Finger, ring Flexor digitorum longus m. axial view, of ankle, 353
distal phalanx, sagittal view, 211, 212 axial view oblique axial view, of ankle, 360
middle phalanx of ankle, 349, 350 Flexor hallucis longus m.
coronal view, 215 of leg, 326, 327, 329, 330, 331, 332, 333 axial view
sagittal view, 211, 212 coronal view, of leg, 343, 344 of ankle, 349, 350, 351, 352, 353
proximal phalanx origin, insertion, and nerve supply of, 322–323t of leg, 325, 326, 327, 328, 329, 330, 331, 332,
coronal view, 216, 217 sagittal view, of leg, 338 333
sagittal view, 211, 212 Flexor digitorum longus t. coronal view
Finger, small axial view of ankle, 378, 379
distal phalanx, sagittal view, 213 of ankle, 349, 350, 351, 352, 353, 354, 355, 356 of leg, 344, 345
middle phalanx of foot, 387, 388, 389 oblique axial view, of ankle, 359
coronal view, 215, 216 of leg, 326, 327, 329, 330, 331, 332, 333 origin, insertion, and nerve supply of, 322–323t
sagittal view, 213 coronal view sagittal view
proximal phalanx of ankle, 372, 373, 374, 375, 376, 377 of ankle, 366, 367, 368
coronal view, 215, 216 of foot, 399, 402, 403, 404, 405, 406, 407 of leg, 336, 337, 338
sagittal view, 212, 213 of leg, 343 Flexor hallucis longus t.
Flexor carpi radialis m. oblique axial view, of ankle, 360, 361, 362, 363, 364 axial view
axial view sagittal view of ankle, 349, 350, 351, 352, 353, 355, 356
of elbow, 119, 120, 121, 122, 123, 124 of ankle, 370, 371 of foot, 387, 388, 389, 390
of forearm, 146, 147, 148, 149, 150, 151 of foot, 395 of leg, 327, 331, 332, 333
coronal view of leg, 338 coronal view
of elbow, 134, 135, 136, 137 Flexor digitorum m., origin, insertion, and nerve of ankle, 372, 373, 374, 376, 377, 378
of forearm, 162, 163, 164, 165 supply of, 382–384t of foot, 399, 400, 401, 402, 404, 405, 406, 407
oblique coronal, of elbow, 134, 135, 136, 137 Flexor digitorum profundus m. of leg, 344
oblique sagittal view, of elbow, 129, 130, 131, 132 axial view oblique axial view, of ankle, 359, 360, 361, 363, 364
origin, insertion, and nerve supply of, 144–145t of elbow, 119, 120, 121, 122, 123, 124 sagittal view
sagittal view of forearm, 146, 147, 148, 149, 150, 151, 152, of ankle, 368, 369, 370
of arm, 103, 104 153, 154, 155 of foot, 395, 396, 397, 398
of elbow, 129, 130, 131, 132 coronal view of leg, 338, 339
of forearm, 156, 157, 158 of elbow, 137, 138, 139, 140, 141, 142 Flexor hallucis t., oblique axial view, of ankle, 363
Flexor carpi radialis t. of forearm, 162, 163, 164, 165, 166 Flexor pollicis brevis m.
axial view oblique coronal, of elbow, 137, 138, 139, 140, axial view
of forearm, 150, 151, 152, 153, 154, 155 141, 142 of hand, 198, 199, 200, 201
coronal view oblique sagittal view, of elbow, 129, 130, 131, 132 coronal view, of hand, 214, 215
of forearm, 165 origin, insertion, and nerve supply of, 144–145t deep, sagittal view, of hand, 207, 208
of hand, 214 sagittal view origin, insertion, and nerve supply of, 197t
sagittal view, of hand, 208 of elbow, 129, 130, 131, 132 sagittal view, of hand, 206
Flexor carpi ulnaris m. of forearm, 157, 158, 159, 160, 161 superficial, sagittal view, of hand, 207, 208
axial view Flexor digitorum profundus t. Flexor pollicis longus m.
of elbow, 118, 119, 120, 121, 122, 123, 124 axial view axial view, of forearm, 148, 149, 150, 151, 152,
of forearm, 146, 147, 148, 149, 151, 152, 153, of forearm, 155 153, 155
154, 155 of hand, 198, 199, 200, 201, 202, 203, 204, 208 coronal view, of forearm, 165, 166, 167
coronal view coronal view origin, insertion, and nerve supply of, 144–145t
of elbow, 138, 139, 140, 141 of forearm, 162, 163, 164, 165 sagittal view, of forearm, 157, 158
of forearm, 162, 163, 164 of hand, 215 Flexor pollicis longus t.
of hand, 214 sagittal view axial view
oblique coronal, of elbow, 138, 139, 140, 141 of forearm, 157 of forearm, 155
oblique sagittal view, of elbow, 131, 132, 133 of hand, 207, 208, 209, 210, 211, 212, 213 of hand, 198, 199, 200, 201, 202, 203
Index  595

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

Gluteal v., superior Gluteus minimus m. (Continued) Greater trochanter (Continued)


axial view, of hip, 224 of male pelvis CT, 523, 524, 525, 526 of hip, 246, 247
coronal view of male pelvis MRI, 555, 556, 557 of hip arthrogram, 265, 266
of lumbar spine, 433, 435 coronal view of male pelvis CT, 534, 535
of male pelvis CT, 536 of female pelvis CT, 548, 549, 550 of male pelvis MRI, 568
sagittal view, of hip, 242 of female pelvis MRI, 581, 582 of thigh, 288, 289
Gluteal vessels, inferior of hip, 244, 245, 246, 247 sagittal view
axial view, of male pelvis MRI, 555 of lumbar spine, 433 of hip, 234, 235, 236, 237
coronal view of male pelvis CT, 533, 534, 535 of thigh, 277, 278
of female pelvis MRI, 583 of male pelvis MRI, 566, 567, 568 Greater tuberosity of humerus
of lumbar spine, 434, 435, 436 origin, insertion, and nerve supply of, 222–223t ABER view, of shoulder arthrogram, 85, 86, 87, 88
sagittal view, of hip, 241 sagittal view, of hip, 233, 234, 235, 236, 237, 238, 239 axial view
Gluteal vessels, superior Gluteus minimus t. of pectoral girdle and chest wall, 6, 8
axial view, of female pelvis MRI, 572 axial view of shoulder, 39, 40, 41
coronal view of hip, 227, 228 of shoulder arthrogram, 68, 69, 70, 71
of female pelvis MRI, 583 of hip arthrogram, 253 coronal view
of lumbar spine, 434, 435, 436 sagittal view, of hip, 234, 235 of arm, 107, 108, 109
sagittal view, of hip, 240, 241 Gonadal v. of pectoral girdle and chest wall, 26, 27, 28
Gluteus maximus m. axial view, of abdomen CT, 479, 480 oblique coronal view
axial view coronal view of shoulder, 60, 61, 62
of female pelvis CT, 538, 539, 540, 541, 542 of abdomen CT, 490 of shoulder arthrogram, 79, 80, 81, 82
of female pelvis MRI, 572, 573, 574, 575 of female pelvis CT, 550 oblique sagittal view
of hip, 224, 225, 226, 227, 228, 229, 230, 231, 232 sagittal view of shoulder, 46, 47
of lumbar spine, 428 of abdomen CT, 482, 485 of shoulder arthrogram, 72
of male pelvis CT, 523, 524, 525, 526, 527 of female pelvis CT, 544 sagittal view
of male pelvis MRI, 554, 555, 557, 558 Gracilis m. of arm, 100
of thigh, 269, 270, 271 axial view of pectoral girdle and chest wall, 14
coronal view of hip, 231, 232
of female pelvis CT, 550, 551 of knee, 295
of female pelvis MRI, 583, 584 of male pelvis MRI, 558 H
of hip, 247, 248, 249 of thigh, 269, 270, 271, 272, 273, 274, 275, 276 Hamate
of lumbar spine, 429, 435, 436 coronal view coronal view, of hand, 216, 217
of male pelvis CT, 535, 536 of female pelvis MRI, 582 sagittal view, of hand, 210, 211
of male pelvis MRI, 569, 570 of hip, 244, 245, 246 Hamate, hook
of thigh, 290, 291, 292 of knee, 320 coronal view, of hand, 214, 215
origin, insertion, and nerve supply of, 222–223t of male pelvis MRI, 566, 567 sagittal view, of hand, 210
sagittal view of thigh, 290, 291, 292, 293 Hamstring fascia, axial view, of thigh, 272, 273
of abdomen MRI, 502, 509 origin, insertion, and nerve supply of, 268t Hamstring t., common, axial view
of female pelvis CT, 543, 544 sagittal view of female pelvis CT, 542
of female pelvis MRI, 576, 577 of male pelvis MRI, 561, 562 of hip, 229
of hip, 233, 234, 235, 236, 237, 238, 239, 240, of thigh, 282, 283, 284, 285 of male pelvis CT, 527
241, 242 Gracilis t. Heart
of lumbar spine, 430 axial view, of knee, 295, 296, 297, 298, 299, 300 axial view
of male pelvis CT, 528, 529 coronal view of abdomen CT, 475
of male pelvis MRI, 559, 560, 561, 562 of knee, 317, 318, 319, 320 of abdomen MRI, 494, 495
of thigh, 277, 278, 279, 280, 281, 282, 283, 284, of leg, 345 coronal view, of abdomen MRI, 511, 512, 513,
285 sagittal view, of knee, 309, 310 514, 515
Gluteus medius m. Greater saphenous v. sagittal view, of abdomen MRI, 502, 503, 504, 505,
axial view axial view 506, 507
of female pelvis CT, 538, 539, 540, 541 of ankle, 349, 350, 351, 352, 353 Hemiazygos v.
of female pelvis MRI, 572, 573, 574, 575 of hip, 229, 230, 231, 232 axial view
of hip, 224, 225, 226, 227, 228, 229 of knee, 295, 296, 297, 298, 299, 300, 301 of abdomen MRI, 496
of lumbar spine, 426, 427, 429 of leg, 324, 325, 326, 327, 328, 329, 330, 331, of thoracic spine, 416
of male pelvis CT, 522, 523, 524, 525, 526 332, 333 of thorax CT, 447, 448
of male pelvis MRI, 553, 554, 555, 556, 557 of male pelvis MRI, 557, 558 coronal view, of thoracic spine, 420
coronal view of thigh, 269, 272, 275, 276 sagittal view, of thoracic spine, 418
of abdomen CT, 492 coronal view Hemidiaphragm
of abdomen MRI, 514, 515, 516 of ankle, 372, 373, 374 coronal view, of thorax CT, 457, 458
of female pelvis CT, 546, 547, 548, 549, 550, 551 of female pelvis MRI, 581 sagittal view, of abdomen MRI, 505
of female pelvis MRI, 581, 582, 583 of foot, 407 Hepatic a.
of hip, 244, 245, 246, 247 of hip, 243 axial view
of lumbar spine, 434, 435, 436 of knee, 316, 317 of abdomen CT, 476, 477
of male pelvis CT, 531, 532, 533, 534, 535 of leg, 343, 344 of abdomen MRI, 496, 497
of male pelvis MRI, 566, 567, 568, 569 of male pelvis MRI, 565 coronal view, of abdomen CT, 488
origin, insertion, and nerve supply of, 222–223t of thigh, 286, 287, 288, 289, 290, 291 sagittal view
sagittal view oblique axial view, of ankle, 359, 360, 361, 362 of abdomen CT, 484, 485
of abdomen CT, 481 sagittal view of abdomen MRI, 508
of abdomen MRI, 502, 503, 509 of ankle, 370 Hepatic a., common
of female pelvis CT, 543 of hip, 239, 240 axial view
of hip, 233, 234, 235, 236, 237, 238, 239 of leg, 340, 341 of abdomen CT, 477
of lumbar spine, 429 of male pelvis MRI, 559 of abdomen MRI, 497
of male pelvis CT, 528 of thigh, 284, 285 coronal view
of male pelvis MRI, 559 Greater sciatic foramen, coronal view, of hip, 247 of abdomen CT, 489, 490
Gluteus medius t. Greater sciatic notch, sagittal view, of hip, 241 of abdomen MRI, 513
axial view Greater trochanter sagittal view
of female pelvis CT, 540 axial view of abdomen CT, 484
of hip, 226, 227 of female pelvis CT, 541 of abdomen MRI, 506
of hip arthrogram, 251, 252, 253 of female pelvis MRI, 574, 575 Hepatic a., proper
coronal view, of male pelvis MRI, 568 of hip, 227, 228 coronal view, of abdomen CT, 489
sagittal view, of hip, 236 of hip arthrogram, 254, 255 sagittal view
Gluteus minimus m. of male pelvis CT, 525 of abdomen CT, 484, 485
axial view of male pelvis MRI, 556 of abdomen MRI, 507
of female pelvis CT, 538, 539, 540 coronal view Hepatic cyst, axial view, of abdomen MRI, 496
of female pelvis MRI, 572, 573, 574 of female pelvis CT, 548, 549, 550 Hepatic duct, common, sagittal view, of abdomen
of hip, 224, 225, 226 of female pelvis MRI, 582, 583 CT, 485
Index  597

Hepatic v. Humeral head (Continued) Iliac a., common (Continued)


axial view posterior sagittal view
of abdomen CT, 475, 476, 477 ABER view, of shoulder arthrogram, 88, 89 of abdomen CT, 482, 483, 484
of abdomen MRI, 494 oblique coronal view, of shoulder arthrogram, 83 of abdomen MRI, 507
coronal view sagittal view of female pelvis CT, 544
of abdomen CT, 488, 491 of arm, 100, 101, 102, 103 of lumbar spine, 431
of abdomen MRI, 513, 515 of pectoral girdle and chest wall, 14, 15, 16 of male pelvis CT, 529, 530
Hepatic v., middle Humeral lig., transverse, axial view, of shoulder, 40 of male pelvis MRI, 562, 563, 564
axial view Humeral metaphysis, oblique sagittal view, of Iliac a., external
of abdomen CT, 475, 476, 477 shoulder, 47 axial view
of abdomen MRI, 494 Humeral physis, oblique sagittal view, of shoulder, of female pelvis CT, 538, 539, 540
coronal view 46, 47, 48 of hip, 225
of abdomen CT, 488, 490 Humeral surgical neck of lumbar spine, 427, 428
of abdomen MRI, 513 ABER view, of shoulder arthrogram, 85, 86, 87 of male pelvis CT, 523, 524, 525
Hepatoduodenal lig., coronal view, of abdomen CT, axial view of male pelvis MRI, 554, 555
488 of pectoral girdle and chest wall, 8 coronal view
Hilum, posterior, coronal view, of heart MRI, 469 of shoulder arthrogram, 71 of female pelvis CT, 547, 548
Hip oblique coronal view of hip, 245
coronal view, of male pelvis MRI, 566, 567 of shoulder, 61, 62 of lumbar spine, 432
sagittal view of shoulder arthrogram, 81, 82 of male pelvis CT, 532
of female pelvis CT, 543 oblique sagittal view, of shoulder arthrogram, 73, 74 of male pelvis MRI, 566
of male pelvis CT, 528 Humerus sagittal view
Hip capsule axial view of abdomen CT, 484
axial view, 226 of arm, 92, 93, 94, 95, 96, 97 of female pelvis CT, 543, 544
coronal view, 582 of pectoral girdle and chest wall, 9 of male pelvis CT, 528
Humeral circumflex a., anterior of shoulder, 42, 43, 44 of male pelvis MRI, 560, 561
oblique coronal view, of shoulder, 59, 60 coronal view Iliac a., internal
oblique sagittal view, of shoulder, 48, 49, 50, 52 of arm, 109 axial view
sagittal view, of pectoral girdle and chest wall, 15 of elbow, 139, 140 of female pelvis CT, 538, 539
Humeral circumflex a., posterior of shoulder, 63 of lumbar spine, 427, 428
axial view of shoulder arthrogram, 83 of male pelvis CT, 523, 524
of pectoral girdle and chest wall, 8, 9 oblique coronal view of male pelvis MRI, 553, 554
of shoulder, 44, 45 of elbow, 139, 140 coronal view
coronal view of shoulder, 63 of female pelvis CT, 550, 551
of arm, 110 of shoulder arthrogram, 83 of male pelvis CT, 533, 534, 535
of pectoral girdle and chest wall, 15 oblique sagittal view of male pelvis MRI, 567
oblique coronal view, of shoulder, 59, 60, 61, 62, 63, 64 of elbow, 127, 128, 130 sagittal view
oblique sagittal view, of shoulder, 49, 50, 51, 52 of shoulder, 48, 49 of female pelvis CT, 543, 544
sagittal view sagittal view of lumbar spine, 430
of arm, 102, 103 of arm, 100, 101 of male pelvis CT, 529
of pectoral girdle and chest wall, 29 of elbow, 127, 128, 130 of male pelvis MRI, 562
Humeral circumflex vessels of shoulder, 48, 49 Iliac bifurcation, sagittal view, of male pelvis CT, 529
oblique sagittal view, of shoulder arthrogram, 75, spiral groove, coronal view, of arm, 109 Iliac circumflex v., superficial, coronal view, of hip, 243
76 Humphrey’s lig. Iliac circumflex vessels, superficial, coronal view, of
posterior axial view, of knee, 298 male pelvis MRI, 565
oblique coronal view, of shoulder arthrogram, 83 coronal view, of knee, 317 Iliac crest
oblique sagittal view, of shoulder arthrogram, 78 sagittal view, of knee, 307 axial view
Humeral diaphysis of abdomen CT, 480
ABER view, of shoulder arthrogram, 86, 87 of lumbar spine, 426
axial view I of male pelvis CT, 522
of pectoral girdle and chest wall, 10, 12 Ileocecal valve of male pelvis MRI, 553
of shoulder, 45 axial view, of male pelvis CT, 523 coronal view
coronal view coronal view of female pelvis CT, 546, 547, 548, 549, 550
of arm, 107, 108 of abdomen CT, 488 of female pelvis MRI, 580, 581
of pectoral girdle and chest wall, 28, 29, 30, 31 of female pelvis CT, 547 of lumbar spine, 435, 436
oblique coronal view Ileocolic a. of male pelvis CT, 534
of shoulder, 62 axial view, of male pelvis CT, 522 of male pelvis MRI, 565
of shoulder arthrogram, 83 coronal view, of female pelvis CT, 548 sagittal view
oblique sagittal view Ileocolic v., coronal view of abdomen CT, 486
of shoulder, 50 of female pelvis CT, 548 of hip, 236
of shoulder arthrogram, 75 of male pelvis CT, 532 of male pelvis CT, 528
sagittal view, of pectoral girdle and chest wall, 15 Ileum Iliac spine, anterior inferior
Humeral epiphysis, oblique sagittal view, of shoulder, axial view axial view
46, 47, 49, 50, 51 of abdomen CT, 479, 480 of female pelvis CT, 539
Humeral head of female pelvis CT, 538 of female pelvis MRI, 574
ABER view, of shoulder arthrogram, 85, 86, 87, 88 of male pelvis CT, 523 of hip, 225
articular cartilage, 40 coronal view of male pelvis CT, 523, 524
axial view of abdomen CT, 487, 488 of male pelvis MRI, 555
of elbow, 123 of female pelvis CT, 546 coronal view, of hip, 244
of pectoral girdle and chest wall, 6, 7 of male pelvis CT, 531, 532, 533 sagittal view, of hip, 235, 236, 237
of shoulder, 39, 40, 41 sagittal view, of female pelvis CT, 543, 544 Iliac spine, anterior superior
of shoulder arthrogram, 67, 68, 69 Iliac a., common axial view
of thorax CT, 442 axial view of female pelvis CT, 538
coronal view of abdomen CT, 480 of female pelvis MRI, 572
of arm, 107, 108, 109, 110 of lumbar spine, 426 of male pelvis CT, 523
of pectoral girdle and chest wall, 26, 27, 28 of male pelvis CT, 522 of male pelvis MRI, 554
medial, sagittal view, of pectoral girdle and chest of male pelvis MRI, 553 coronal view
wall, 16 coronal view of female pelvis CT, 546
oblique coronal view of abdomen CT, 488 of female pelvis MRI, 580
of shoulder, 59, 60, 61, 62, 63 of abdomen MRI, 512 of hip, 244
of shoulder arthrogram, 79, 80, 81 of female pelvis CT, 548, 549 of male pelvis CT, 531, 532
oblique sagittal view of female pelvis MRI, 581 sagittal view, of hip, 235, 236
of elbow, 132, 133 of lumbar spine, 432 Iliac v., common
of shoulder, 48, 49, 50 of male pelvis CT, 532, 533 axial view
of shoulder arthrogram, 72, 73, 74, 75 of male pelvis MRI, 566, 567 of abdomen CT, 480
598  Index

Iliac v., common (Continued) Iliacus m. (Continued) Iliotibial band


of lumbar spine, 426, 427 of abdomen MRI, 502, 503, 509 axial view
of male pelvis CT, 522, 523 of female pelvis CT, 543 of female pelvis MRI, 575
of male pelvis MRI, 553 of lumbar spine, 429 of hip, 224, 225, 226, 227, 228, 229, 230, 231, 232
coronal view of male pelvis CT, 528 of knee, 295, 296, 297, 298, 299, 300
of abdomen CT, 488 of male pelvis MRI, 559, 560 of male pelvis MRI, 557
of female pelvis CT, 549, 550 Iliocostalis cervicis m., origin, insertion, and nerve of thigh, 269, 270, 271, 272, 273, 274, 275, 276
of lumbar spine, 432 supply of, 412–414t coronal view
of male pelvis CT, 533 Iliocostalis lumborum m. of hip, 245, 246, 247
sagittal view axial view of knee, 312, 313, 314, 315, 316, 317
of abdomen CT, 483, 484 of abdomen MRI, 495, 496, 498, 499, 500, 501 of leg, 342, 343
of female pelvis CT, 544, 545 of lumbar spine, 425, 426, 427, 428 of male pelvis MRI, 568, 569
of lumbar spine, 431 coronal view of thigh, 290
of male pelvis CT, 529 of abdomen MRI, 516, 517 sagittal view
of male pelvis MRI, 563 of lumbar spine, 429, 436, 437 of hip, 233, 234
Iliac v., external origin, insertion, and nerve supply of, 412–414t of thigh, 277
axial view sagittal view Iliotibial tract
of female pelvis CT, 538, 539, 540 of abdomen MRI, 503, 509 axial view
of hip, 225 of female pelvis CT, 544 of female pelvis CT, 541, 542
of lumbar spine, 428 of lumbar spine, 429 of hip, 229
of male pelvis CT, 524, 525 Iliocostalis m. of male pelvis CT, 527
of male pelvis MRI, 554, 555 axial view coronal view
coronal view of abdomen CT, 475, 477, 479, 480 of female pelvis CT, 548, 549
of female pelvis CT, 547, 548, 549 of male pelvis CT, 522 of thigh, 289
of hip, 245 of male pelvis MRI, 553 Ilium
of male pelvis CT, 532, 533 coronal view axial view
of male pelvis MRI, 566 of abdomen CT, 492 of female pelvis CT, 538, 539
sagittal view of male pelvis CT, 535, 536 of female pelvis MRI, 572, 573, 574
of female pelvis CT, 543 sagittal view of hip, 224, 225, 226
of male pelvis MRI, 560, 561 of abdomen CT, 481, 482, 483, 486 of lumbar spine, 426, 427, 428, 429
Iliac v., internal of female pelvis CT, 543 of male pelvis MRI, 553
axial view of male pelvis CT, 529 coronal view
of female pelvis CT, 538, 539 Iliocostalis thoracis m. of abdomen CT, 492
of lumbar spine, 427, 428 axial view, of thoracic spine, 415, 416 of abdomen MRI, 515, 516
of male pelvis CT, 524 origin, insertion, and nerve supply of, 412–414t of female pelvis CT, 547, 548, 549, 551
of male pelvis MRI, 553, 554 sagittal view, of thoracic spine, 417 of female pelvis MRI, 582, 583
coronal view Iliofemoral lig. of hip, 245, 247, 248
of female pelvis CT, 550, 551 axial view, of hip arthrogram, 251, 252, 253, 254, of hip arthrogram, 262, 263, 264, 265, 266
of male pelvis CT, 533, 534, 535 255, 256 of lumbar spine, 432, 433, 434, 435, 437
sagittal view coronal view, of hip arthrogram, 262, 263, 264, of male pelvis CT, 532, 533
of female pelvis CT, 544 265, 266 of male pelvis MRI, 566, 568, 570
of male pelvis CT, 529 sagittal view, of hip arthrogram, 257, 258, 259 sagittal view
of male pelvis MRI, 562, 563 Iliohypogastric n., coronal view, of female pelvis MRI, 580 of abdomen CT, 481
Iliac vessels, common, sagittal view Iliolumbar a. of abdomen MRI, 502, 503, 509
of abdomen MRI, 504, 507 axial view, of lumbar spine, 428 of female pelvis CT, 543
of female pelvis MRI, 577, 578 coronal view, of lumbar spine, 433 of female pelvis MRI, 576
Iliac vessels, coronal view, of lumbar spine, 433 sagittal view, of lumbar spine, 430 of hip, 235, 236, 237, 240, 241, 242
Iliac vessels, external Iliolumbar lig. of hip arthrogram, 257, 258, 259, 260, 261
axial view axial view, of lumbar spine, 426 of lumbar spine, 430
of female pelvis MRI, 572, 573 coronal view, of lumbar spine, 435 of male pelvis MRI, 559, 560, 561
of hip, 224 transverse part, sagittal view, of lumbar spine, 429 Inferior articular recess, 256
coronal view, of hip, 245, 246 Iliolumbar v., axial view, of lumbar spine, 428 Inferior vena cava
sagittal view Iliolumbar vessels axial view
of hip, 241 axial view, of lumbar spine, 427 of abdomen CT, 475, 476, 477, 478, 479, 480
of male pelvis MRI, 560 iliac branches, coronal view, of lumbar spine, 434 of abdomen MRI, 494, 495, 496, 497, 498, 499,
Iliac vessels, internal Iliopsoas m. 500, 501
axial view axial view of heart MRI, 463
of female pelvis MRI, 572 of female pelvis CT, 538, 539, 540, 541, 542 of lumbar spine, 425
of hip, 224 of female pelvis MRI, 573, 574, 575 of male pelvis CT, 522
coronal view of hip, 224, 225, 226, 227, 228, 229, 230 of thorax CT, 447
of female pelvis MRI, 582 of male pelvis CT, 523, 524, 525, 526, 527 coronal view
of male pelvis MRI, 568, 569 of male pelvis MRI, 554, 555, 556, 557, 558 of abdomen CT, 488, 489, 490, 491
sagittal view coronal view of abdomen MRI, 513, 514, 515
of female pelvis MRI, 576 of female pelvis CT, 546, 547, 548, 549 of female pelvis CT, 548, 549
of male pelvis MRI, 560, 561 of female pelvis MRI, 581 of lumbar spine, 432, 433
Iliac wing, coronal view, of hip, 244 of hip, 244, 245, 246 of male pelvis CT, 533
Iliacus, axial view, of male pelvis CT, 523 of lumbar spine, 432 of thorax CT, 455, 456
Iliacus m. of male pelvis CT, 531, 532, 533 sagittal view
axial view of male pelvis MRI, 565, 566 of abdomen CT, 484
of female pelvis CT, 538 of thigh, 287, 288 of abdomen MRI, 507, 508
of female pelvis MRI, 572 sagittal view of heart MRI, 466
of lumbar spine, 426, 428, 429 of female pelvis CT, 543 of lumbar spine, 430, 431
of male pelvis MRI, 553, 554 of hip, 236, 237, 240, 241 of male pelvis CT, 530
coronal view of lumbar spine, 429 of male pelvis MRI, 563
of abdomen CT, 490 of male pelvis CT, 528 of thorax CT, 451, 452
of abdomen MRI, 513 of male pelvis MRI, 559 Infraglenoid tubercle
of female pelvis CT, 546, 547, 548, 549, 550 of thigh, 281, 282, 283 ABER view, of shoulder arthrogram, 89
of female pelvis MRI, 580, 581, 582 Iliopsoas t. axial view, of shoulder arthrogram, 71
of hip, 245 axial view oblique sagittal view
of lumbar spine, 432, 433, 434 of hip, 224, 225, 226, 227, 228, 229, 230 of shoulder, 52
of male pelvis CT, 532, 533, 534 of hip arthrogram, 251, 252, 253, 254, 255, 256 of shoulder arthrogram, 77
of male pelvis MRI, 566, 567, 568 coronal view, of hip, 245, 246 Infrahyoid m.
origin, insertion, and nerve supply of, 222–223t sagittal view axial view, of pectoral girdle and chest wall, 4
sagittal view of hip, 238, 239, 240 coronal view, of pectoral girdle and chest
of abdomen CT, 481 of hip arthrogram, 258, 259, 260 wall, 25
Index  599

Infrapatellar fat pad Intercostal v. Interosseous m., palmar


axial view, of knee, 298, 299, 300 axial view, of thorax CT, 447 1st
coronal view coronal view axial view, of hand, 200, 202, 203
of knee, 311, 312 of pectoral girdle and chest wall, 30, 31 coronal view, of hand, 216
of leg, 342 of thoracic spine, 420 2nd
sagittal view sagittal view axial view, of hand, 201, 202
of knee, 304, 305, 306, 307 of abdomen CT, 482 coronal view, of hand, 216
of leg, 336, 337, 338 of thoracic spine, 417 sagittal view
Infraspinatus m. Intercostal vessels of hand, 210
ABER view, of shoulder arthrogram, 87, 88 axial view of wrist, 185
axial view of abdomen CT, 475 3rd
of pectoral girdle and chest wall, 6, 7, 8, 9, 10 of thoracic spine, 415 axial view, of hand, 199, 200, 201, 202
of shoulder, 38, 39, 40, 41, 42, 43 coronal view, of pectoral girdle and chest wall, coronal view, of hand, 216
of shoulder arthrogram, 67, 68, 69 31, 32 sagittal view
coronal view sagittal view, of abdomen CT, 481 of hand, 211, 212
of arm, 110, 111, 112, 113 Intercuneiform lig. of wrist, 185
of pectoral girdle and chest wall, 29, 30, 31, 32, 33 axial view, of foot, 386 axial view, of hand, 200, 201
of thoracic spine, 420, 421, 422, 423 coronal view, of foot, 405 Interosseous m., plantar
oblique coronal view Interlobar a. axial view, of foot, 388, 389
of shoulder, 61, 62, 63, 64 axial view, of thorax CT, 445 coronal view, of foot, 401, 402, 403, 404
of shoulder arthrogram, 81, 82, 83 coronal view, of thorax CT, 454, 456, 457 origin, insertion, and nerve supply of, 382–384t
oblique sagittal view Intermalleolar lig., posterior, coronal view, of ankle, sagittal view, of foot, 392, 393, 395, 396
of shoulder, 50, 51, 52, 53, 54, 55 377 Interosseous membrane
of shoulder arthrogram, 75, 76, 77 Intermetatarsal lig. axial view
origin, insertion, and nerve supply of, 35t, 412–414t axial view, of foot, 387 of ankle, 349
sagittal view coronal view, of foot, 404 of forearm, 149, 150, 151, 152
of arm, 100, 101, 102, 103, 104 Intermuscular septum, lateral of leg, 325, 326, 327, 330, 331, 332, 333
of pectoral girdle and chest wall, 14, 15, 16, 17, axial view oblique sagittal view, of elbow, 128
18, 19, 20 of elbow, 118, 119 Interosseous n., anterior
Infraspinatus t. of thigh, 270 axial view
ABER view, of shoulder arthrogram, 86, 87 oblique coronal, of elbow, 139 of elbow, 119, 120, 121
axial view sagittal view, of thigh, 277, 278 of forearm, 147, 148, 149, 150, 151, 152, 153,
of shoulder, 39, 40, 41 Interosseous a., anterior 154
of shoulder arthrogram, 67, 68 axial view coronal view
oblique coronal view of elbow, 118, 119, 122, 123, 124 of elbow, 138, 139
of shoulder, 61, 62, 63, 64 of forearm, 146, 148, 149, 150, 151, 152, of forearm, 165, 166
of shoulder arthrogram, 81, 82, 83 153, 154 oblique coronal, of elbow, 138, 139
oblique sagittal view coronal view oblique sagittal view, of elbow, 129
of shoulder, 47, 48, 49, 50 of elbow, 138, 139 sagittal view
of shoulder arthrogram, 72, 73, 74, 75, 76, 77 of forearm, 165, 166, 168 of elbow, 129
sagittal view oblique coronal, of elbow, 138, 139 of forearm, 158
of arm, 102 oblique sagittal view, of elbow, 129 Interosseous n., posterior
of pectoral girdle and chest wall, 16 sagittal view axial view, of forearm, 147, 148, 149, 150, 151,
Inguinal lig., coronal view of elbow, 129 152, 153, 154
of female pelvis CT, 546 of forearm, 158, 159 coronal view
of hip, 243 Interosseous a., common of elbow, 139
Inguinal lymph nodes axial view of forearm, 168, 169
coronal view of elbow, 123, 124 oblique coronal, of elbow, 139
of female pelvis CT, 546 of forearm, 146 oblique sagittal view, of elbow, 127
of female pelvis MRI, 580 oblique coronal, of elbow, 137, 138 sagittal view
of male pelvis CT, 531 sagittal view, of forearm, 159 of elbow, 127
of male pelvis MRI, 565 Interosseous a., oblique coronal, of elbow, 138 of forearm, 159, 160
sagittal view, of male pelvis CT, 528 Interosseous a., posterior Interosseous sacroiliac lig.
Innominate bone, axial view, of male pelvis MRI, 555, 556 axial view coronal view, of lumbar spine, 436, 437
Intercarpal lig., coronal view, of hand, 216 of elbow, 124 sagittal view, of lumbar spine, 430
Interclavicular lig., coronal view, of pectoral girdle and of forearm, 147, 148, 149, 150, 155 Interosseous t., coronal view
chest wall, 25 coronal view, of forearm, 168, 169 of foot, 399
Intercondylar eminence, coronal view, of knee, 315, 316 oblique sagittal view, of elbow, 127 of hand, 216
Intercondylar fossa, axial view, of knee, 297, 298 sagittal view Interosseous v., posterior, sagittal view, of forearm,
Intercondylar notch of elbow, 127 159
coronal view of forearm, 158, 159, 160 Interosseous vessels, posterior, oblique coronal, of
of knee, 315, 316 Interosseous m. elbow, 139
of leg, 343 axial view, of hand, 204 Interphalangeal joint
Intercostal a. origin, insertion, and nerve supply of, 197t distal, sagittal view, of hand, 207, 208, 209, 211
coronal view Interosseous m. dorsal proximal, sagittal view, of hand, 207, 208, 209,
of pectoral girdle and chest wall, 30, 31 1st 210, 211, 212, 213
of thoracic spine, 420, 421 axial view, of hand, 199, 200, 202, 203 sagittal view, of hand, 205
sagittal view coronal view, of hand, 216, 217 Interspinales cervicis m., origin, insertion, and nerve
of abdomen CT, 482 sagittal view, of hand, 205, 206, 207 supply of, 412–414t
of thoracic spine, 417 2nd Interspinales lumborum m., origin, insertion, and
Intercostal m. axial view, of hand, 199, 200, 201, 202, 203 nerve supply of, 412–414t
axial view coronal view, of hand, 216, 217, 218 Interspinales thoracis m.
of abdomen CT, 477 sagittal view, of hand, 208, 209 axial view, of thoracic spine, 416
of pectoral girdle and chest wall, 12 3rd origin, insertion, and nerve supply of, 412–414t
coronal view axial view, of hand, 200, 201, 202, 203 sagittal view, of thoracic spine, 419
of pectoral girdle and chest wall, 24, 31, 33 coronal view, of hand, 216, 217 Interspinous lig.
of thoracic spine, 420, 421 sagittal view, of hand, 210 coronal view, of thoracic spine, 422
sagittal view 4th sagittal view
of abdomen CT, 481 axial view, of hand, 199, 200, 201, 202, 203 of lumbar spine, 431
of pectoral girdle and chest wall, 20, 21, 22 coronal view, of hand, 216, 217 of thoracic spine, 419
Intercostal n. sagittal view, of hand, 211, 212 Intertransversarii anteriores cervicis m., origin,
coronal view, of thoracic spine, 420, 421 axial view, of foot, 385, 386, 387, 388 insertion, and nerve supply of, 412–414t
sagittal view, of thoracic spine, 417 coronal view, of foot, 401, 402, 403, 404 Intertransversarii laterales lumbar m., origin, insertion,
Intercostal neurovascular bundle, sagittal view origin, insertion, and nerve supply of, and nerve supply of, 412–414t
of pectoral girdle and chest wall, 21, 23 382–384t Intertransversarii thoracis m., origin, insertion, and
of thoracic spine, 418 sagittal view, of foot, 391, 392, 393, 394, 395 nerve supply of, 412–414t
600  Index

Intertransversarius m. Ischium (Continued) Kidney (Continued)


coronal view, of lumbar spine, 435 of hip, 246, 247 coronal view
sagittal view, of thoracic spine, 418 of hip arthrogram, 263, 264, 265 of abdomen CT, 491, 492
Intertrochanteric crest, coronal view of male pelvis CT, 535 of abdomen MRI, 515, 516, 517
of female pelvis MRI, 583 of male pelvis MRI, 569 of lumbar spine, 436
of male pelvis MRI, 568 of thigh, 291, 292 of thoracic spine, 420
Interventricular septum sagittal view of thorax CT, 457
axial view, of thorax CT, 446, 447 of female pelvis CT, 543 sagittal view
sagittal view, of thorax CT, 449, 450 of female pelvis MRI, 576 of abdomen CT, 485, 486
Intervertebral disc of hip, 240, 241, 242 of abdomen MRI, 508, 509
coronal view, of pectoral girdle and chest wall, 30 of hip arthrogram, 260, 261 right inferior pole
sagittal view of male pelvis MRI, 560 axial view, of abdomen CT, 479
of abdomen MRI, 506, 507 of thigh, 283, 284 coronal view
of heart MRI, 465 of abdomen CT, 490
of male pelvis MRI, 564 J of lumbar spine, 434
of thoracic spine, 419 right superior pole
Jejunum
Intraventricular septum, axial view, of heart MRI, 462 axial view, of abdomen CT, 476, 477
axial view
Ischial ramus sagittal view, of abdomen CT, 485
of abdomen CT, 478, 479, 480
axial view right upper pole, axial view, of abdomen MRI, 496
of abdomen MRI, 497, 498, 499, 500, 501
of female pelvis CT, 542 sagittal view, of lumbar spine, 430
coronal view
of male pelvis CT, 527
of abdomen CT, 487, 489, 490, 491
coronal view
of male pelvis CT, 534
of abdomen MRI, 511, 512, 513, 514, 515 L
of female pelvis CT, 546, 547, 548
of male pelvis MRI, 568 L1
of male pelvis CT, 532
sagittal view transverse process, 436
sagittal view, of abdomen CT, 481
of female pelvis CT, 543, 544 vertebra, 434
Joint capsule
of male pelvis MRI, 560, 561, 562 L2
axial view, of lumbar spine, 425
Ischial spine, axial view nerve, 435
coronal view
of female pelvis MRI, 574 pedicle, 435
of hand, 216
of hip, 227 spinal ganglion, 435
of hip, 582
of hip arthrogram, 253 spinous process, 437
oblique sagittal view, of shoulder arthrogram, 75
of male pelvis CT, 525 vertebra, 425
Jugular v.
of male pelvis MRI, 556 vertebral body, 490
axial view, of thorax CT, 442
Ischial tuberosity L3
coronal view, of thorax CT, 453, 454
axial view nerve, 434
Jugular v., anterior
of female pelvis CT, 541 nerve root, 425
axial view, of pectoral girdle and chest wall, 6, 7
of hip, 228, 229, 230 pedicle, 434
coronal view, of pectoral girdle and chest wall, 25
of male pelvis CT, 526, 527 spinous process, 431
sagittal view, of pectoral girdle and chest wall, 22, 23
of male pelvis MRI, 557 transverse process, 430
Jugular v., external
coronal view vertebral body, 491
axial view, of pectoral girdle and chest wall, 6
of male pelvis CT, 536 L3–4 disc, 425
coronal view, of pectoral girdle and chest wall,
of male pelvis MRI, 569 L4
26, 27
sagittal view dorsal ramus of spinal n., 434
sagittal view, of pectoral girdle and chest wall, 20, 21
of male pelvis CT, 528, 529 inferior facet, 426, 427
Jugular v., internal
of male pelvis MRI, 559 nerve, 434
axial view, of pectoral girdle and chest wall, 6
Ischioanal fossa, coronal view, of female pelvis MRI, 583 nerve root, sagittal view, 563
coronal view, of pectoral girdle and chest wall, 26
Ischiocavernosus m. spinous process, 426, 427, 564
sagittal view, of pectoral girdle and chest wall, 23
axial view vertebral body
of male pelvis CT, 527 coronal view, 533, 534, 549, 550
of male pelvis MRI, 557, 558 K sagittal view, 530, 545, 564
coronal view Kager’s triangle L4–5
of female pelvis CT, 548, 549 axial view, of ankle, 352, 353, 354, 355 annulus fibrosus, 431
of male pelvis CT, 534, 535 coronal view, of ankle, 379, 380 facet joint, 427
of male pelvis MRI, 568 sagittal view, of ankle, 367, 368 intervertebral disc, 579
sagittal view Kidney nucleus pulposus, 431, 433
of female pelvis CT, 544 left L4–5 disc, 426
of male pelvis CT, 529 axial view L5
of male pelvis MRI, 561, 562 of abdomen CT, 477, 478, 479 inferior facet, 431
Ischiofemoral lig. of abdomen MRI, 496, 497, 498, 499, 500, 501 lamina, 427
axial view, of hip arthrogram, 252, 253, 254, 255 of lumbar spine, 429 laminar arch, 435
coronal view, of hip arthrogram, 266 coronal view lateral recess, 426, 427
sagittal view, of hip arthrogram, 257, 258, 259 of abdomen CT, 491, 492 nerve, 427, 434, 435
Ischiorectal fossa of abdomen MRI, 515, 516, 517 nerve root, 431
axial view of lumbar spine, 435 pars interarticularis, 431
of female pelvis CT, 540, 541, 542 of thoracic spine, 420 pedicle, 426, 427, 431
of female pelvis MRI, 574 of thorax CT, 457 spinal ganglion, 427
of male pelvis CT, 526 sagittal view spinous process, 427, 428, 436, 437
coronal view of abdomen MRI, 502, 503, 504 superior facet, 426, 427, 431
of female pelvis CT, 551 of heart MRI, 464 transverse process, 435
of male pelvis CT, 535, 536 of thoracic spine, 417 vertebra, 426, 427, 433
of male pelvis MRI, 568 of thorax CT, 449 vertebral body
sagittal view sagittal view, of abdomen CT, 481 axial view, 553
of female pelvis CT, 543, 544 left inferior pole coronal view, 533, 534, 550, 567, 582
of male pelvis CT, 529 axial view, of abdomen CT, 479 sagittal view, 544, 563, 578, 579
Ischium coronal view, of abdomen CT, 491 L5–S1
axial view left superior pole articular facet, 427
of female pelvis CT, 541 axial view, of abdomen CT, 476, 477 facet joint, 428
of female pelvis MRI, 575 sagittal view, of abdomen CT, 482 intervertebral disc
of hip, 228 left upper pole, axial view, of abdomen MRI, axial view, 427
of hip arthrogram, 255, 256 496 coronal view, 433, 550, 582
of male pelvis MRI, 557, 558 right sagittal view, 431, 530, 578, 579
of thigh, 269 axial view Labium majus pudendi, coronal view, of female pelvis
coronal view of abdomen CT, 477, 478, 479 MRI, 581
of female pelvis CT, 550, 551 of abdomen MRI, 497, 498, 499, 500, 501 Labium minus pudendi, coronal view, of female pelvis
of female pelvis MRI, 583 of lumbar spine, 429 CT, 549
Index  601

Labrum, anterior Lesser saphenous v. (Continued) Ligamentum venosum


ABER view, of shoulder arthrogram, 85, 86, 87, 88 coronal view axial view, of abdomen MRI, 495
axial view of ankle, 374, 375, 378, 379 coronal view, of abdomen CT, 490
of hip arthrogram, 251, 252, 253, 254 of leg, 345 fissure
of shoulder, 41 oblique axial view, of ankle, 359, 360, 362 axial view, of abdomen CT, 476
of shoulder arthrogram, 67, 68, 69, 70 sagittal view sagittal view, of abdomen MRI, 507
oblique sagittal view, of shoulder arthrogram, 75, 76 of ankle, 365, 366 sagittal view, of abdomen CT, 483
sagittal view, of hip arthrogram, 257, 258, 260 of knee, 306 Linea alba
Labrum, anterior superior, coronal view, of hip Lesser trochanter axial view
arthrogram, 262, 263 axial view of abdomen CT, 477
Labrum, inferior of hip, 231 of abdomen MRI, 500, 501
ABER view, of shoulder arthrogram, 87, 88 of male pelvis CT, 527 of female pelvis CT, 538, 539, 540
axial view, of shoulder, 43 of male pelvis MRI, 558 of male pelvis CT, 522, 523, 524
coronal view, of hip arthrogram, 266 of thigh, 269 of male pelvis MRI, 553, 554, 555
oblique coronal view, of shoulder, 60 coronal view sagittal view, of abdomen MRI, 505, 506
sagittal view, of hip arthrogram, 260 of female pelvis MRI, 583 Linea aspera, axial view, of thigh, 272
Labrum, oblique coronal view, of shoulder of hip, 246 Linea semilunaris, axial view
arthrogram, 79, 80, 81 of hip arthrogram, 266 of female pelvis CT, 538, 539
Labrum, posterior of male pelvis CT, 534 of male pelvis CT, 523, 524
ABER view, of shoulder arthrogram, 86, 87, 88 of male pelvis MRI, 568 of male pelvis MRI, 554
axial view of thigh, 290 Lisfranc lig.
of hip arthrogram, 251, 252, 253, 254 sagittal view axial view, of foot, 386
of shoulder, 41, 42 of hip, 237, 238 coronal view, of foot, 405
of shoulder arthrogram, 67, 68, 69, 70, 71 of thigh, 280, 281 Liver
coronal view, of hip arthrogram, 265, 266 Lesser tuberosity of humerus axial view
oblique coronal view, of shoulder arthrogram, 82 ABER view, of shoulder arthrogram, 84 of abdomen CT, 476, 477, 478, 479
oblique sagittal view axial view of abdomen MRI, 494, 495, 496, 497, 498, 499,
of shoulder, 52 of pectoral girdle and chest wall, 8 500, 501
of shoulder arthrogram, 76 of shoulder, 41, 42 of heart MRI, 463
sagittal view, of hip arthrogram, 257, 258, 259, 260 of shoulder arthrogram, 69, 70 of thorax CT, 447, 448
Labrum, superior coronal view coronal view
ABER view, of shoulder arthrogram, 85 of arm, 106, 107 of abdomen CT, 487, 488, 489, 490, 491, 492
axial view, of shoulder arthrogram, 67 of pectoral girdle and chest wall, 25, 26 of abdomen MRI, 510, 511, 512, 513, 514, 516, 517
coronal view, of hip arthrogram, 263, 264, 265 oblique coronal view of heart MRI, 467, 468, 469
oblique coronal view, of shoulder, 59, 60, 61 of shoulder, 59 of thoracic spine, 420
oblique sagittal view of shoulder arthrogram, 78, 79 of thorax CT, 453, 455, 457
of shoulder, 52 oblique sagittal view sagittal view
of shoulder arthrogram, 75 of shoulder, 48 of abdomen CT, 481, 482, 483, 484, 485, 486
sagittal view, of hip arthrogram, 257 of shoulder arthrogram, 73, 74 of abdomen MRI, 503, 504, 505, 506, 507, 508, 509
Lamina, axial view, of lumbar spine, 425 sagittal view of heart MRI, 464, 465, 466
Laryngeal n., recurrent, axial view, of thorax CT, 442 of arm, 101, 102 of thorax CT, 450, 451, 452
Lateral meniscus of pectoral girdle and chest wall, 15 Longissimus capitis m., origin, insertion, and nerve
anterior horn, sagittal view, of knee, 303, 304, 305 Levator ani m. supply of, 412–414t
body axial view Longissimus cervicis m., origin, insertion, and nerve
coronal view, of knee, 315, 317 of female pelvis CT, 540, 541 supply of, 412–414t
sagittal view, of knee, 302 of female pelvis MRI, 575 Longissimus dorsi m.
coronal view, of knee, 315 of male pelvis CT, 526 axial view
posterior horn of male pelvis MRI, 557 of abdomen CT, 475, 477, 479, 480
coronal view, of knee, 317 coronal view of male pelvis CT, 522
sagittal view, of knee, 303, 304, 305 of female pelvis CT, 551 coronal view
sagittal view, of knee, 303 of female pelvis MRI, 583, 584 of abdomen CT, 492
Lateral recess, sagittal view, of thoracic spine, 419 of hip, 248 of female pelvis CT, 551
Latissimus dorsi m. of male pelvis CT, 535, 536 of male pelvis CT, 535, 536
axial view of male pelvis MRI, 568, 569, 570 sagittal view
of abdomen CT, 475, 479, 480 sagittal view of abdomen CT, 481, 482, 483, 484, 485, 486
of abdomen MRI, 494, 495, 496, 497, 498, 501 of female pelvis CT, 544 of male pelvis CT, 529
of pectoral girdle and chest wall, 9, 10, 11, 12, 13 of female pelvis MRI, 577 Longissimus lumborum m.
of shoulder, 45 of male pelvis CT, 529 axial view
coronal view of male pelvis MRI, 561, 562, 563 of lumbar spine, 425, 426, 427
of abdomen MRI, 516, 517 Levator costae m., coronal view, of pectoral girdle and of male pelvis MRI, 553
of arm, 108, 109, 110, 111, 112, 113 chest wall, 32 coronal view, of lumbar spine, 435, 436, 437
of pectoral girdle and chest wall, 27, 28, 29, 30, Levator scapulae m. Longissimus thoracis m.
31, 32, 33 axial view, of pectoral girdle and chest wall, 6 axial view
of thoracic spine, 420, 421, 422 coronal view of abdomen MRI, 494, 495, 496, 497, 498, 499,
oblique coronal view, of shoulder, 60, 61, 62, 63, of pectoral girdle and chest wall, 28, 29, 30, 31 500, 501
64, 65 of thoracic spine, 421 of thoracic spine, 415, 416
oblique sagittal view, of shoulder, 51, 52, 53, 54, 55 origin, insertion, and nerve supply of, 412–414t coronal view
origin, insertion, and nerve supply of, 35t, sagittal view, of pectoral girdle and chest wall, 21, 22 of abdomen MRI, 517
412–414t Ligamentum flavum of thoracic spine, 422
sagittal view axial view, of lumbar spine, 425, 428 origin, insertion, and nerve supply of, 412–414t
of abdomen CT, 481, 482, 486 sagittal view sagittal view
of arm, 102, 103, 104 of lumbar spine, 431 of abdomen MRI, 504
of pectoral girdle and chest wall, 16, 17, 18, 19, of thoracic spine, 419 of lumbar spine, 429, 430
20, 21, 22 Ligamentum teres Longitudinal lig., anterior, sagittal view
Latissimus dorsi t. coronal view, of abdomen CT, 487 of lumbar spine, 431
axial view fissure of thoracic spine, 419
of pectoral girdle and chest wall, 10 axial view Longitudinal lig., posterior, sagittal view
of shoulder, 44, 45 of abdomen CT, 476, 477 of lumbar spine, 431
coronal view, of arm, 108 of abdomen MRI, 497, 498 of thoracic spine, 419
oblique sagittal view, of shoulder, 49, 50, 51 coronal view, of abdomen MRI, 510, 511 Longus colli m., axial view, of pectoral girdle and
sagittal view, of arm, 102, 103 sagittal view, of abdomen MRI, 508 chest wall, 6
Lesser saphenous v. sagittal view, of abdomen CT, 485 Lumbar a.
axial view Ligamentum teres femoris axial view, of lumbar spine, 425
of ankle, 349, 350, 351, 352, 353, 354 axial view, of hip arthrogram, 252, 253, 254 coronal view, of lumbar spine, 432
of knee, 295, 296, 297, 298, 300, 301 coronal view, of hip arthrogram, 263, 264, 265 Lumbar plexus, coronal view, of female pelvis CT,
of leg, 324, 325, 326, 327, 328, 329 sagittal view, of hip arthrogram, 260, 261 550
602  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

Metacarpal (Continued) Metatarsal head (Continued) Neural foramina


5th 4th coronal view, of thorax CT, 458
axial view, of hand, 198, 199 axial view, of foot, 388, 389 sagittal view
sagittal view, of hand, 211, 212 coronal view, of foot, 400 of abdomen MRI, 505
Metacarpal a., palmar, axial view, of hand, 199, 200, sagittal view, of foot, 393 of heart MRI, 465
201 5th Neuroforamen, lateral, sagittal view, of thoracic spine,
Metacarpal base axial view, of foot, 390 418, 419
1st, coronal view, of hand, 214 coronal view, of foot, 400, 401 Neurovascular bundle
2nd, coronal view, of hand, 216, 217 sagittal view, of foot, 391 axial view, of pectoral girdle and chest wall, 12
3rd, coronal view, of hand, 216, 217 Metatarsophalangeal joint sagittal view, of pectoral girdle and chest wall, 17
4th, coronal view, of hand, 216, 217 1st, coronal view, of foot, 399, 400 Nutrient a., axial view, of thigh, 272
5th, coronal view, of hand, 216 2nd, coronal view, of foot, 399
Metacarpal head 3rd, coronal view, of foot, 399
2nd, axial view, of hand, 204 4th, coronal view, of foot, 400 O
3rd Middle phalanx Oblique m., external
axial view, of hand, 204 index finger, sagittal view, 207 axial view
sagittal view, of hand, 210 long finger of abdomen CT, 477, 478, 480
4th, sagittal view, of hand, 211, 212 coronal view, 215 of abdomen MRI, 498, 499
5th sagittal view, 209, 210 of male pelvis CT, 522, 523
coronal view, of hand, 216 ring finger of male pelvis MRI, 553
sagittal view, of hand, 212, 213 coronal view, 215 coronal view
Metacarpophalangeal joint sagittal view, 211, 212 of abdomen CT, 487, 489, 490, 492
axial view, of hand, 201 small finger of abdomen MRI, 511, 512, 513, 514
sagittal view, of hand, 205, 206, 207, 208, 209, coronal view, 215, 216 of female pelvis CT, 547, 548
210, 211, 212 sagittal view, 213 of male pelvis CT, 531, 532, 533, 534
Metatarsal Mitral valve, axial view, of heart MRI, 462 origin, insertion, and nerve supply of, 474t
1st Mitral valve plane Oblique m., internal
axial view, of foot, 386, 387 axial view, of thorax CT, 446 axial view
coronal view, of foot, 401, 402, 403, 404 coronal view, of thorax CT, 455 of abdomen CT, 478, 480
sagittal view, of foot, 397 Moderator band, axial view, of thorax CT, 446 of hip, 224
2nd Mons pubis of male pelvis CT, 522, 523
axial view, of foot, 386, 387 axial view, of female pelvis CT, 542 of male pelvis MRI, 553
coronal view, of foot, 401, 402, 403, 404, 405 coronal view coronal view
sagittal view, of foot, 394, 395 of female pelvis CT, 546 of abdomen CT, 487, 489, 490
3rd of female pelvis MRI, 580 of abdomen MRI, 511, 512, 513, 514, 515
axial view, of foot, 387, 388 Multifidus m. of female pelvis CT, 547, 548
coronal view, of foot, 401, 402, 403, 404, 405 axial view of female pelvis MRI, 580
sagittal view, of foot, 393 of abdomen CT, 475, 477, 480 of hip, 243
4th of abdomen MRI, 494, 495, 496, 497, 498, 499, of male pelvis CT, 531, 532, 533, 534
axial view, of foot, 388 500, 501 origin, insertion, and nerve supply of, 474t
coronal view, of foot, 401, 402, 403, 404, 405 of lumbar spine, 425, 426, 427, 428 sagittal view, of abdomen CT, 481
sagittal view, of foot, 392 of pectoral girdle and chest wall, 4, 5 Obturator a.
5th of thoracic spine, 415 axial view, of male pelvis CT, 525
axial view coronal view coronal view, of male pelvis CT, 534
of ankle, 356, 357 of abdomen CT, 492 sagittal view, of hip, 242
of foot, 389 of abdomen MRI, 517 Obturator externus m.
coronal view, of foot, 401, 402, 403, 404, 405 of female pelvis CT, 551 axial view
sagittal view, of foot, 391 of lumbar spine, 436, 437 of female pelvis CT, 541, 542
Metatarsal base of male pelvis CT, 535, 536 of female pelvis MRI, 575
1st of male pelvis MRI, 569 of hip, 228, 229
axial view, of foot, 385, 387 of pectoral girdle and chest wall, 28, 30 of male pelvis CT, 526, 527
sagittal view, of foot, 395, 396 origin, insertion, and nerve supply of, 412–414t of male pelvis MRI, 557
2nd sagittal view coronal view
axial view, of foot, 385 of abdomen CT, 484 of female pelvis CT, 548, 549, 550
sagittal view, of foot, 394 of abdomen MRI, 505, 506 of female pelvis MRI, 581, 582
3rd of female pelvis CT, 544, 545 of hip, 244, 245, 246, 247
axial view, of foot, 386 of lumbar spine, 429, 430, 431 of male pelvis CT, 533, 534, 535
sagittal view Musculocutaneous n., axial view of male pelvis MRI, 566, 567, 568
of ankle, 369 of arm, 93 origin, insertion, and nerve supply of, 222–223t
of foot, 392, 393, 394 of elbow, 115, 116 sagittal view
4th Myometrium of female pelvis CT, 543, 544
axial view, of foot, 387, 388 junctional zone of female pelvis MRI, 576, 577
sagittal view axial view, of female pelvis MRI, 573 of hip, 239, 240, 241, 242
of ankle, 367, 368, 369 coronal view, of female pelvis MRI, 581, 582 of male pelvis CT, 528, 529
of foot, 391, 392, 393 sagittal view, of female pelvis MRI, 579 of male pelvis MRI, 559, 560, 561, 562
5th peripheral zone of thigh, 282, 283, 284, 285
axial view axial view, of female pelvis MRI, 573 Obturator externus t.
of ankle, 357, 358 coronal view, of female pelvis MRI, 581, 582 axial view
of foot, 388, 390 sagittal view, of female pelvis MRI, 579 of hip, 228
coronal view, of foot, 406 of hip arthrogram, 253
sagittal view coronal view
of ankle, 367, 368 N of hip, 246, 247
of foot, 391 Nail, sagittal view, of hand, 211 of hip arthrogram, 266
Metatarsal head Navicular sagittal view, of hip, 236, 237
1st axial view Obturator foramen, sagittal view
axial view, of foot, 388, 389 of ankle, 353, 354 of hip, 242
coronal view, of foot, 400 of foot, 385, 386 of male pelvis MRI, 560
sagittal view, of foot, 397, 398 coronal view Obturator internus m.
2nd of ankle, 372 axial view
axial view, of foot, 388, 389 of foot, 407 of female pelvis CT, 540, 541
coronal view, of foot, 400 oblique axial view, of ankle, 363 of female pelvis MRI, 573, 574, 575
sagittal view, of foot, 395, 396 sagittal view of hip, 225, 226, 227, 228, 229
3rd of ankle, 368, 369, 370, 371 of male pelvis CT, 524, 525, 526
axial view, of foot, 388, 389 of foot, 394, 395, 396, 397 of male pelvis MRI, 555, 556, 557
coronal view, of foot, 400 Navicular tuberosity, sagittal view, of foot, 397 coronal view
sagittal view, of foot, 394 Nerve root, coronal view, of thorax CT, 458 of female pelvis CT, 548, 549, 550, 551
604  Index

Obturator internus m. (Continued) Opponens digiti minimi m. Pancreas (Continued)


of female pelvis MRI, 581, 582, 583 axial view, of hand, 198, 199, 200, 201 sagittal view
of hip, 245, 246, 247 coronal view of abdomen CT, 482, 483
of male pelvis CT, 533, 534, 535 of foot, 402, 405 of abdomen MRI, 504, 505, 506
of male pelvis MRI, 567, 568, 569 of hand, 214, 215, 216 head
origin, insertion, and nerve supply of, 222–223t origin, insertion, and nerve supply of, 197t, axial view
sagittal view 382–384t of abdomen CT, 478
of female pelvis CT, 543, 544 sagittal view, of hand, 209, 210, 211, 212 of abdomen MRI, 498, 499, 500, 501
of female pelvis MRI, 576, 577 Opponens pollicis brevis m., axial view, of hand, 198, coronal view
of hip, 236, 237, 238, 239, 240, 241, 242 199, 200 of abdomen CT, 488, 489
of male pelvis CT, 528, 529 Opponens pollicis m. of abdomen MRI, 512, 513, 514
of male pelvis MRI, 560, 561, 562 coronal view, of hand, 214 of thorax CT, 453
of thigh, 285 origin, insertion, and nerve supply of, 197t sagittal view
Obturator internus t. sagittal view, of hand, 206, 207, 208 of abdomen CT, 484, 485
axial view Os, internal, axial view, of female pelvis MRI, 573 of abdomen MRI, 507, 508, 509
of female pelvis CT, 540 Ovary neck
of hip, 227, 228 axial view axial view, of abdomen CT, 477
of hip arthrogram, 254 of female pelvis CT, 538, 539 coronal view, of abdomen CT, 488
of male pelvis CT, 526 of female pelvis MRI, 573 sagittal view, of abdomen CT, 483
of male pelvis MRI, 556 coronal view tail
coronal view of female pelvis CT, 549, 550 axial view
of female pelvis CT, 550 of female pelvis MRI, 582 of abdomen CT, 478
of female pelvis MRI, 583 sagittal view of abdomen MRI, 497, 498
of hip arthrogram, 266 of female pelvis CT, 543, 544 coronal view
of male pelvis CT, 535 of female pelvis MRI, 576 of abdomen CT, 490, 491, 492
of male pelvis MRI, 569 of abdomen MRI, 514, 515, 516
sagittal view sagittal view
of hip, 237 P of abdomen CT, 481
of hip arthrogram, 257, 258, 259, 260, 261 Palmar aponeurosis of abdomen MRI, 502, 503
Obturator n. axial view Pancreatic duct
axial view of hand, 198, 199, 200, 201 axial view, of abdomen CT, 478
of female pelvis CT, 541 of wrist, 179 coronal view
of female pelvis MRI, 574 coronal view, of hand, 214 of abdomen CT, 489
of hip, 227 sagittal view of abdomen MRI, 512
of lumbar spine, 428 of hand, 209 Pancreaticoduodenal v., superior, sagittal view, of
of male pelvis CT, 526 of wrist, 183, 184 abdomen CT, 484
coronal view Palmar arch, deep Papillary m., anterior
of hip, 245 axial view axial view, of thorax CT, 446
of lumbar spine, 433 of hand, 198, 199 coronal view, of thorax CT, 453
of male pelvis CT, 533 of wrist, 179 Papillary m., left ventricular, coronal view, of thorax
sagittal view coronal view, of hand, 215, 216 CT, 454
of female pelvis MRI, 576 sagittal view, of wrist, 180, 181, 182, 183, 184, 185 Papillary m., posterior
of hip, 242 Palmar arch, sagittal view, of wrist, 181, 184, 185 axial view, of thorax CT, 447
of male pelvis CT, 528 Palmar arch, superficial sagittal view, of thorax CT, 449
Obturator v. axial view, of hand, 198, 200 Parametrium, sagittal view
axial view, of male pelvis CT, 525 coronal view, of hand, 214 of female pelvis CT, 544
coronal view, of male pelvis CT, 534 sagittal view, of wrist, 181, 184, 185 of female pelvis MRI, 577, 578
sagittal view, of hip, 242 Palmar digital a., common, sagittal view of, 181, 182 Patella
Obturator vessels Palmar v., sagittal view, of wrist, 183 axial view, of knee, 297, 298
axial view Palmaris brevis m. coronal view, of knee, 311
of female pelvis CT, 541 axial view, of hand, 198, 199 sagittal view, of knee, 303, 304, 305, 306, 307
of female pelvis MRI, 574 coronal view upper pole, axial view, of knee, 296
of hip, 227 of hand, 214 Patellar facet
of male pelvis CT, 526 of wrist, 189 lateral, axial view, of knee, 297
sagittal view, of female pelvis MRI, 576 origin, insertion, and nerve supply of, 197t medial, axial view, of knee, 297
Olecranon sagittal view, of wrist, 185, 186, 187 Patellar lig.
axial view, of elbow, 116, 117, 118, 119 Palmaris longus m. coronal view, of knee, 311, 312, 313
coronal view, of arm, 108, 109 axial view sagittal view
oblique coronal view, of elbow, 140, 141, 142 of elbow, 118, 119, 120, 122, 123, 124 of knee, 304, 305, 306
oblique sagittal view, of elbow, 129, 131 of forearm, 146, 147, 148, 149, 150 of leg, 336, 337, 338
sagittal view, of arm, 101, 102 coronal view, of forearm, 162 Patellar retinaculum
Olecranon fossa oblique coronal, of elbow, 135, 136, 137 coronal view, of knee, 311
axial view, of elbow, 115, 116, 118 oblique sagittal view, of elbow, 132, 133 lateral
coronal view, of arm, 108 origin, insertion, and nerve supply of, 144–145t axial view, of knee, 296, 297, 299
oblique coronal, of elbow, 140 sagittal view, of forearm, 159, 160 coronal view, of knee, 311, 312, 313
oblique sagittal view, of elbow, 129, 130 Palmaris longus t. medial
sagittal view, of arm, 101, 102 axial view axial view, of knee, 296, 297, 298
Omental vessels of forearm, 151, 152, 153, 154, 155 coronal view, of knee, 311, 312, 313, 314
coronal view, of abdomen CT, 487 of wrist, 171, 172, 173, 174, 175, 176, 177, 178 sagittal view, of knee, 308
sagittal view, of abdomen CT, 483, 484 coronal view Patellar t., axial view, of knee, 298, 299, 300, 301
Omentum of forearm, 162, 163, 164 Pectineus m.
coronal view, of abdomen CT, 487 of hand, 214 axial view
sagittal view, of abdomen CT, 483, 484 of wrist, 189 of female pelvis CT, 541, 542
Omohyoid m., inferior sagittal view, of wrist, 183, 184 of female pelvis MRI, 575
axial view, of shoulder, 38 Pancreas of hip, 227, 228, 229, 230
coronal view, of pectoral girdle and chest wall, 26, axial view of male pelvis CT, 526, 527
27, 28 of abdomen CT, 477, 478 of male pelvis MRI, 556, 557, 558
oblique coronal view, of shoulder, 56, 57 of abdomen MRI, 496 of thigh, 269
sagittal view, of pectoral girdle and chest wall, 19, 20 body coronal view
Omohyoid t., inferior axial view of female pelvis CT, 547, 548, 549
axial view, of shoulder, 38, 39 of abdomen CT, 478 of female pelvis MRI, 580, 581
coronal view, of pectoral girdle and chest wall, 27 of abdomen MRI, 496, 497, 498 of hip, 244, 245
oblique coronal view, of shoulder, 57 coronal view of male pelvis CT, 532, 533, 534
sagittal view, of pectoral girdle and chest wall, of abdomen CT, 488, 489, 490 of male pelvis MRI, 566, 567
19, 20 of abdomen MRI, 512, 513, 514 origin, insertion, and nerve supply of, 268t
Index  605

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

Plantar fascia, lateral, sagittal view, of ankle, Popliteus t. Pronator teres t.


367, 368 axial view, of knee, 299 axial view
Plantar fascia, medial, sagittal view coronal view, of knee, 316, 317 of elbow, 124
of ankle, 368, 369, 370, 371 sagittal view, of knee, 303, 304 of forearm, 148, 149, 150
of foot, 394 Portacaval space, axial view, of abdomen CT, 477 coronal view, of forearm, 166, 167
Plantar fascia, sagittal view, of foot, 394 Portal v. oblique sagittal view, of elbow, 132, 133
Plantar lig., long axial view, of abdomen CT, 476, 477 Prostate gland
coronal view, of ankle, 374, 375 coronal view, of thorax CT, 454 axial view
sagittal view, of ankle, 368 left of male pelvis CT, 525, 526
Plantar n., lateral axial view of male pelvis MRI, 557
axial view, of ankle, 356, 357 of abdomen CT, 475 coronal view
coronal view of abdomen MRI, 496 of male pelvis CT, 534
of ankle, 372, 375 coronal view of male pelvis MRI, 567, 568
of foot, 404, 405 of abdomen CT, 488, 489 sagittal view
Plantar n., medial of abdomen MRI, 511, 512 of male pelvis CT, 530
axial view sagittal view of male pelvis MRI, 563, 564
of ankle, 356, 357 of abdomen CT, 484, 485 Proximal phalanx
of foot, 388, 389 of abdomen MRI, 508 2nd toe
coronal view umbilical portion coronal view, 399
of ankle, 372, 373 axial view, of abdomen CT, 476 sagittal view, 395, 396, 398
of foot, 404, 406, 407 axial view, of abdomen MRI, 495 3rd toe
sagittal view sagittal view, of abdomen CT, 484 axial view, 389
of ankle, 370, 371 main coronal view, 399
of foot, 396 axial view sagittal view, 394
Plantar vessels, lateral of abdomen CT, 476, 477 4th toe
axial view, of ankle, 356, 357 of abdomen MRI, 496, 497, 498 axial view, 389
oblique axial view, of ankle, 361, 362, 363, 364 coronal view coronal view, 399
sagittal view, of ankle, 370 of abdomen CT, 489 sagittal view, 392
Plantar vessels, medial of abdomen MRI, 513 5th toe
axial view sagittal view axial view, 388, 389
of ankle, 356, 357 of abdomen CT, 484 coronal view, 399
of foot, 388, 389 of abdomen MRI, 507, 508 sagittal view, 391
oblique axial view, of ankle, 361, 362, 363, 364 right axial view, of hand, 204
sagittal view anterior branch great toe
of ankle, 370, 371 axial view, of abdomen CT, 476, 477 axial view, 388, 389
of foot, 396 coronal view, of abdomen CT, 489 coronal view, 399
Plantaris m. sagittal view, of abdomen CT, 486 sagittal view, 397
axial view, of knee, 297, 298, 299, 300 axial view index finger
coronal view, of knee, 317, 318 of abdomen CT, 476 coronal view, 216, 217
origin, insertion, and nerve supply of, of abdomen MRI, 495, 496 sagittal view, 206, 207, 208
322–323t coronal view, of abdomen CT, 490, 491 little toe, coronal view, 400
sagittal view, of knee, 303, 304, 305, 306 posterior branch long finger
Plantaris t. axial view, of abdomen CT, 476, 477 coronal view, 216, 217
axial view coronal view, of abdomen CT, 491 sagittal view, 209, 210
of ankle, 352, 353, 354, 355 sagittal view, of abdomen CT, 486 ring finger
of knee, 301 sagittal view coronal view, 216, 217
of leg, 324, 325, 331, 333 of abdomen CT, 485 sagittal view, 211, 212
sagittal view, of knee, 307, 308 of abdomen MRI, 508, 509 small finger
Platysma m., axial view, of pectoral girdle and chest sagittal view, of thorax CT, 452 coronal view, 215, 216
wall, 4 Posterior bands sagittal view, 212, 213
Popliteal a. axial view, of elbow, 117 thumb
axial view oblique sagittal view axial view, 202, 203
of knee, 295, 296 of elbow, 132 coronal view, 216
of leg, 324 of shoulder arthrogram, 75 sagittal view, 205, 205
of thigh, 275, 276 Profunda brachii a. Psoas m.
coronal view axial view, of arm, 92, 93, 94, 95 axial view
of leg, 344 sagittal view, of arm, 101, 102 of abdomen CT, 479, 480
of thigh, 290 Profunda femoris a., axial view, of male pelvis MRI, of abdomen MRI, 501
sagittal view, of leg, 337 557, 558 of female pelvis CT, 538
Popliteal v. Pronator quadratus m. of female pelvis MRI, 572
axial view axial view, of forearm, 153, 154, 155 of lumbar spine, 425, 426, 427, 428, 429
of knee, 295, 296 coronal view, of forearm, 163, 164, 165 of male pelvis CT, 522, 523
of leg, 324 origin, insertion, and nerve supply of, of male pelvis MRI, 553, 554
of thigh, 275, 276 144–145t coronal view
coronal view, of thigh, 290 sagittal view, of forearm, 158, 159, 160 of abdomen CT, 489, 490, 491
Popliteal vessels Pronator teres m. of abdomen MRI, 513, 514, 515, 516
axial view, of knee, 296, 297, 298, 299, 300 axial view of female pelvis CT, 547, 548, 550, 551
coronal view of elbow, 115, 116, 117, 118, 119, 120, 121, 122, of female pelvis MRI, 581, 582
of knee, 317, 318, 319, 320 123, 124 of hip, 245
of leg, 345 of forearm, 146, 147, 148, 149 of lumbar spine, 432, 433, 434, 435, 436
of thigh, 289, 290 coronal view, of forearm, 163, 164, 165, 166, 167 of male pelvis CT, 532, 533, 534
sagittal view oblique coronal, of elbow, 134, 135, 136, 137, of male pelvis MRI, 566, 567, 568
of knee, 305, 306 138, 139 sagittal view
of leg, 338 oblique sagittal view, of elbow, 129, 130, 131, 132, of abdomen CT, 481, 482, 485, 486
of thigh, 278, 280 133 of abdomen MRI, 503, 504, 508, 509
Popliteus m. origin, insertion, and nerve supply of, of female pelvis CT, 543, 544
axial view 144–145t of female pelvis MRI, 576, 577
of knee, 299, 300, 301 sagittal view of lumbar spine, 430
of leg, 324, 325, 326 of arm, 103, 104 of male pelvis CT, 528
coronal view of forearm, 158 of male pelvis MRI, 560, 561, 562
of knee, 318, 319 Pronator teres m., deep head Psoas major m., origin, insertion, and nerve supply of,
of leg, 344 axial view 222–223t
origin, insertion, and nerve supply of, 322–323t of elbow, 121, 122, 123 Pubic bone
sagittal view of forearm, 146 axial view
of knee, 304, 305, 306, 307, 308 oblique coronal, of elbow, 138, 139 of female pelvis CT, 541
of leg, 336, 337, 338 oblique sagittal view, of elbow, 130, 131 of male pelvis CT, 526
Index  607

Pubic bone (Continued) Pulmonary a. (Continued) Quadratus lumborum m. (Continued)


coronal view, of male pelvis CT, 532 of pectoral girdle and chest wall, 11 of lumbar spine, 429
sagittal view of thorax CT, 444 of male pelvis CT, 528
of male pelvis CT, 529 coronal view Quadratus lumborum t., axial view, of lumbar spine,
of male pelvis MRI, 562 of heart MRI, 468 426
Pubic ramus of thorax CT, 455 Quadratus plantae m.
axial view sagittal view axial view
of female pelvis CT, 542 of heart MRI, 465 of ankle, 355, 356, 357
of male pelvis CT, 527 of thorax CT, 451 of foot, 388, 389
sagittal view, of female pelvis MRI, 577 sagittal view, of thorax CT, 449, 450, 451 coronal view
Pubic ramus, inferior Pulmonary outflow tract of ankle, 372, 373, 374, 375, 376, 377, 378, 379
axial view axial view of foot, 405, 406, 407
of female pelvis MRI, 575 of heart MRI, 462 oblique axial view, of ankle, 361, 362, 363, 364
of hip, 229, 230 of thorax CT, 446 origin, insertion, and nerve supply of, 382–384t
coronal view coronal view sagittal view
of female pelvis CT, 549, 550 of heart MRI, 467 of ankle, 368, 369
of hip, 246 of thorax CT, 453 of foot, 393, 394, 395
of male pelvis CT, 533, 534 sagittal view Quadriceps t.
sagittal view, of female pelvis CT, 544 of heart MRI, 464, 465 axial view, of knee, 295, 296
Pubic ramus, superior of thorax CT, 449, 450 coronal view
axial view Pulmonary trunk, axial view, of thorax CT, 445 of knee, 311
of female pelvis CT, 541 Pulmonary v. of thigh, 287
of hip, 227, 228 left sagittal view
coronal view axial view of knee, 304, 305, 306, 307
of female pelvis CT, 546, 547, 548 of heart MRI, 461, 462 of thigh, 281
of female pelvis MRI, 580, 581 of thorax CT, 445 Quadrilateral plate
of hip, 244, 245 coronal view axial view, of female pelvis CT, 540
of hip arthrogram, 262 of heart MRI, 468 coronal view, of hip, 246
of male pelvis CT, 532, 533 of thorax CT, 454, 456 sagittal view, of hip, 241
of male pelvis MRI, 566 sagittal view
of thigh, 288 of heart MRI, 464
sagittal view of thorax CT, 449, 450 R
of female pelvis CT, 543 middle, axial view, of heart MRI, 462 Radial a.
of female pelvis MRI, 576 right axial view
of hip, 242 axial view, of heart MRI, 462 of elbow, 119, 120, 121, 122, 123, 124
of male pelvis CT, 528, 529 coronal view, of thorax CT, 454, 457 of forearm, 147, 148, 149, 150, 151, 152, 153,
of male pelvis MRI, 560, 561, 562 sagittal view 154
Pubic symphysis of heart MRI, 466 of hand, 198
axial view of thorax CT, 452 coronal view
of female pelvis CT, 541 sagittal view, of heart MRI, 466 of forearm, 164, 165, 166
of male pelvis MRI, 557 segmental, sagittal view, of thorax CT, 449 of hand, 215, 216
coronal view Pulmonic valve, axial view, of heart MRI, 461 oblique coronal, of elbow, 134, 135, 136
of female pelvis CT, 547 oblique sagittal view, of elbow, 129
of female pelvis MRI, 581 sagittal view, of forearm, 156, 157
of male pelvis MRI, 565, 566 Q Radial collateral lig.
of thigh, 288 Quadrangular space axial view
sagittal view axial view, of pectoral girdle and chest wall, 8, 9 of elbow, 118, 119, 120
of female pelvis CT, 545 coronal view, of pectoral girdle and chest wall, of hand, 204
of female pelvis MRI, 579 28, 29 coronal view, of hand, 216, 217
of male pelvis MRI, 564 oblique coronal view, of shoulder, 62, 63 oblique coronal, of elbow, 138, 139
Pubis sagittal view, of arm, 101 oblique sagittal view, of elbow, 126
axial view, of male pelvis MRI, 557 Quadratus femoris m. sagittal view, of hand, 206
coronal view, of hip, 245 axial view Radial fossa
sagittal view of female pelvis CT, 541 oblique sagittal view, of elbow, 128
of female pelvis CT, 544 of female pelvis MRI, 575 sagittal view, of arm, 100
of female pelvis MRI, 578 of hip, 229, 230, 231 Radial head
of male pelvis MRI, 563, 564 of male pelvis CT, 522, 527 axial view, of elbow, 119, 120
of thigh, 284, 285 of male pelvis MRI, 557, 558 coronal view, of arm, 106, 107
Puborectalis m., axial view, of female pelvis coronal view oblique coronal, of elbow, 138, 139
CT, 542 of female pelvis CT, 550, 551 oblique sagittal view, of elbow, 126, 127, 128, 129
Pulmonary a. of female pelvis MRI, 582 sagittal view, of arm, 99, 100
coronal view of hip, 246, 247 Radial n.
of heart MRI, 467 of male pelvis CT, 535 axial view
of thorax CT, 453, 455 of male pelvis MRI, 569 of arm, 92, 93, 94, 95, 96
left of thigh, 291 of elbow, 115
axial view origin, insertion, and nerve supply of, 222–223t of pectoral girdle and chest wall, 11, 12, 13
of heart MRI, 461 sagittal view coronal view
of thorax CT, 444 of hip, 237, 238, 239 of arm, 109
coronal view, of thorax CT, 457 of male pelvis CT, 528 of pectoral girdle and chest wall, 29, 30, 31
sagittal view of thigh, 279, 280, 281, 282 oblique coronal view
of heart MRI, 464 Quadratus lumborum m. of elbow, 138, 139
of thorax CT, 449 axial view of shoulder, 60, 62
main of abdomen CT, 478, 479, 480 oblique sagittal view
axial view of abdomen MRI, 501 of elbow, 126
of heart MRI, 461 of lumbar spine, 425, 427 of shoulder, 52
of pectoral girdle and chest wall, 11 of male pelvis CT, 522 sagittal view
of thorax CT, 444, 445 coronal view of arm, 100, 101, 102
coronal view of abdomen CT, 491, 492 of pectoral girdle and chest wall, 16
of heart MRI, 468 of abdomen MRI, 515, 516 Radial n., deep
of thorax CT, 453, 454, 456 of female pelvis CT, 551 axial view
sagittal view of female pelvis MRI, 583 of elbow, 115, 116, 117, 118, 119, 120, 121, 122,
of heart MRI, 464 of lumbar spine, 429, 434, 435 123, 124
of thorax CT, 450 of male pelvis CT, 534, 535 of forearm, 146, 147
right sagittal view oblique coronal, of elbow, 136, 137, 138, 139, 140
axial view of abdomen CT, 481, 486 oblique sagittal view, of elbow, 127
of heart MRI, 461 of abdomen MRI, 502, 503 sagittal view, of forearm, 157, 158
608  Index

Radial n., superficial Rectus abdominis m. (Continued) Renal pelvis


axial view tendinous intersection axial view
of elbow, 115, 116, 117, 118, 119, 120, 121, 122, coronal view, of abdomen MRI, 511 of abdomen CT, 478, 479
123, 124 sagittal view, of abdomen MRI, 502, 503, 507, of abdomen MRI, 500
of forearm, 146, 147, 148, 149, 150, 151, 152, 508 coronal view
153, 154, 155 Rectus abdominis t., axial view, of male pelvis MRI, of abdomen CT, 491
coronal view, of forearm, 165, 166, 167 557 of abdomen MRI, 516
oblique coronal, of elbow, 136 Rectus femoris m. sagittal view
oblique sagittal view, of elbow, 127 axial view of abdomen CT, 485
Radial neck of female pelvis CT, 540, 541, 542 of abdomen MRI, 503, 508
axial view, of elbow, 121 of female pelvis MRI, 575 Renal sinus
oblique coronal, of elbow, 139 of hip, 226, 227, 228, 229, 230, 231, 232 axial view, of abdomen MRI, 497, 498
sagittal view, of forearm, 158 of male pelvis CT, 525, 526, 527 sagittal view, of abdomen MRI, 509
Radial notch of ulna, axial view, of elbow, 119 of male pelvis MRI, 556, 557, 558 Renal v.
Radial recurrent a. of thigh, 269, 270, 271, 272, 273, 274, 275 left
axial view, of elbow, 119, 120, 121 coronal view axial view
oblique coronal view, of elbow, 140 of female pelvis CT, 546, 547 of abdomen CT, 478, 479
Radial sesamoid of female pelvis MRI, 580 of abdomen MRI, 498, 499, 500
axial view, of hand, 201 of hip, 243, 244 coronal view
sagittal view, of hand, 206 of male pelvis CT, 531, 532, 533 of abdomen CT, 489, 490
Radial styloid, coronal view, of hand, 216 of male pelvis MRI, 565, 566 of abdomen MRI, 513, 514, 515
Radial tuberosity of thigh, 286, 287 of lumbar spine, 432
axial view, of elbow, 122 origin, insertion, and nerve supply of, 268t sagittal view
coronal view, of forearm, 166 sagittal view of abdomen CT, 482, 483
oblique coronal, of elbow, 138, 139 of hip, 233, 234, 235, 236, 237 of abdomen MRI, 503, 504, 505, 506
oblique sagittal view, of elbow, 128 of thigh, 279, 280, 281, 282, 283 right
sagittal view, of forearm, 158 Rectus femoris t. axial view
Radioscaphocapitate lig., coronal view, of hand, 215 axial view of abdomen CT, 478
Radioulnar joint, proximal, axial view, of elbow, 119 of hip, 226, 227, 228, 229 of abdomen MRI, 499, 500
Radioulnar lig., palmar of hip arthrogram, 251, 252, 253, 254, coronal view
coronal view, of wrist, 191 255, 256 of abdomen CT, 490
sagittal view, of wrist, 186 of thigh, 271, 276 of abdomen MRI, 515
Radius coronal view of thorax CT, 455
axial view, of elbow, 123, 124 of hip, 243 sagittal view
coronal view of thigh, 286, 287 of abdomen CT, 485
of forearm, 165, 166, 167, 168 sagittal view, of hip, 237 of abdomen MRI, 508
of hand, 215, 216, 217, 218 Rectus femoris t., reflected head sagittal view, of abdomen CT, 481
oblique coronal, of elbow, 136, 137, 138 axial view Retrobursal fat, coronal view, of knee, 311
oblique sagittal view, of elbow, 128 of hip, 225 Retropubic space of Retzius, axial view
sagittal view, of forearm, 157, 158, 159 of male pelvis CT, 525 of female pelvis CT, 541
Rectosigmoid junction, axial view, of male pelvis CT, of male pelvis MRI, 556 of male pelvis CT, 526
524 coronal view Retrotrochlear eminence
Rectovesical fossa, sagittal view, of male pelvis CT, 530 of female pelvis MRI, 580, 581 axial view, of ankle, 355, 356
Rectum of hip, 245 coronal view, of ankle, 378
axial view of male pelvis MRI, 566 Rhomboid major m.
of female pelvis CT, 539, 540, 541 sagittal view, of hip, 237 axial view
of female pelvis MRI, 572, 573, 574, 575 Rectus femoris t., straight head of pectoral girdle and chest wall, 7, 8, 9, 10,
of hip, 224, 225, 226, 227, 228 axial view 11, 12
of male pelvis CT, 524, 525, 526 of hip, 225 of thoracic spine, 415
of male pelvis MRI, 555, 556, 557 of male pelvis CT, 525 coronal view
coronal view coronal view of pectoral girdle and chest wall, 32, 33
of female pelvis CT, 551 of female pelvis MRI, 580, 581 of thoracic spine, 422
of hip, 248 of hip, 244 origin, insertion, and nerve supply of, 412–414t
of male pelvis CT, 535, 536 of male pelvis MRI, 566 sagittal view
of male pelvis MRI, 568, 569, 570 Renal a. of pectoral girdle and chest wall, 20, 21, 22, 23
sagittal view left of thoracic spine, 417
of female pelvis CT, 544, 545 axial view Rhomboid minor m.
of female pelvis MRI, 578 of abdomen CT, 478 axial view, of pectoral girdle and chest wall, 6
of male pelvis CT, 530 of abdomen MRI, 500 coronal view
of male pelvis MRI, 562, 563, 564 coronal view of pectoral girdle and chest wall, 32
Rectus abdominis m. of abdomen CT, 490 of thoracic spine, 421
axial view of abdomen MRI, 514, 515 origin, insertion, and nerve supply of, 412–414t
of abdomen CT, 475, 477, 478, 480 of lumbar spine, 432 sagittal view
of abdomen MRI, 498, 499 sagittal view of pectoral girdle and chest wall, 21, 22
of female pelvis CT, 538, 539, 540, 541 of abdomen CT, 482, 483 of thoracic spine, 417
of female pelvis MRI, 573, 574 of abdomen MRI, 503, 504 Rib
of hip, 224, 225, 226 right 1st, sagittal view, of thorax CT, 449
of male pelvis CT, 522, 523, 524, 525, 526 axial view, of abdomen MRI, 499 3rd, sagittal view, of pectoral girdle and chest wall, 23
of male pelvis MRI, 553, 554, 555, 556, 557 coronal view 6th, axial view, of thoracic spine, 415
coronal view of abdomen CT, 490 9th, axial view, of thoracic spine, 416
of abdomen CT, 487 of abdomen MRI, 514, 515 10th, axial view, of thoracic spine, 416
of abdomen MRI, 511 of lumbar spine, 432 11th, sagittal view, of lumbar spine, 429, 430
of female pelvis MRI, 580 sagittal view 12th
of hip, 243 of abdomen CT, 484, 485 coronal view
of male pelvis CT, 531 of abdomen MRI, 506, 507, 508 of abdomen CT, 492
of male pelvis MRI, 565 of lumbar spine, 431 of lumbar spine, 436, 437
origin, insertion, and nerve supply of, 474t sagittal view, of abdomen CT, 481 sagittal view, of lumbar spine, 429, 430
sagittal view Renal cortex angle, sagittal view, of thoracic spine, 417
of abdomen CT, 481, 482, 484, 485, 486 axial view, of abdomen CT, 478 axial view
of abdomen MRI, 502, 503, 504, 507, coronal view, of abdomen CT, 492 of abdomen CT, 475
508, 509 sagittal view, of abdomen CT, 486 of abdomen MRI, 494
of female pelvis CT, 543, 544, 545 Renal hilum, sagittal view, of abdomen CT, 481 of pectoral girdle and chest wall, 6, 8, 9, 10, 11, 13
of female pelvis MRI, 576, 577, 578, 579 Renal medulla coronal view
of hip, 241 axial view, of abdomen CT, 478 of pectoral girdle and chest wall, 27, 28, 30, 31, 33
of male pelvis CT, 528, 530 coronal view, of abdomen CT, 492 of thoracic spine, 421, 422
of male pelvis MRI, 561, 562, 563, 564 sagittal view, of abdomen CT, 486 of thorax CT, 457
Index  609

Rib (Continued) Sacrum Scapula (Continued)


head axial view body
coronal view, of thorax CT, 458 of female pelvis CT, 538, 539 ABER view, of shoulder arthrogram, 87, 88
sagittal view, of thoracic spine, 418 of female pelvis MRI, 572 axial view
neck, sagittal view, of thoracic spine, 418 of hip, 224, 225, 226 of pectoral girdle and chest wall, 7, 8, 9
oblique coronal view, of shoulder, 56, 57, 58 of lumbar spine, 428 of shoulder, 41, 42, 43, 44, 45
oblique sagittal view, of shoulder, 55 of male pelvis CT, 523 of shoulder arthrogram, 68, 69, 70
posterior of male pelvis MRI, 554, 555 coronal view, of pectoral girdle and chest wall,
coronal view, of pectoral girdle and chest wall, 32 coronal view 30, 31, 32
sagittal view of abdomen MRI, 516 oblique coronal view
of pectoral girdle and chest wall, 20, 21, 22, 23 of female pelvis CT, 551 of shoulder, 62
of thoracic spine, 417 of female pelvis MRI, 582, 583, 584 of shoulder arthrogram, 81
sagittal view of hip, 247, 248, 249 oblique sagittal view, of shoulder, 54, 55
of abdomen CT, 481 of lumbar spine, 435 sagittal view, of pectoral girdle and chest wall, 20
of pectoral girdle and chest wall, 18, 19, 20 of male pelvis CT, 534, 535 coronal view
tubercle of male pelvis MRI, 569, 570 of thoracic spine, 421
coronal view, of thoracic spine, 421 sagittal view of thorax CT, 457
sagittal view, of thoracic spine, 418 of abdomen MRI, 506, 507, 508 inferior
Rotator cuff interval of female pelvis CT, 543, 544, 545 axial view, of pectoral girdle and chest wall, 10, 11, 12
oblique coronal view, of shoulder arthrogram, 78 of female pelvis MRI, 576, 577, 578, 579 coronal view
oblique sagittal view of hip, 242 of pectoral girdle and chest wall, 32, 33
of shoulder, 48, 49, 50 of lumbar spine, 429, 430 of thoracic spine, 421
of shoulder arthrogram, 73, 74, 75 of male pelvis CT, 529, 530 sagittal view, of pectoral girdle and chest wall, 19, 20
Rotatores mm. of male pelvis MRI, 560, 561, 562, 563, 564 medial
axial view, of thoracic spine, 415 Sagittal band, axial view, of hand, 204 axial view, of pectoral girdle and chest wall, 12
origin, insertion, and nerve supply of, 412–414t Sartorius, coronal view, of male pelvis CT, 531 coronal view, of pectoral girdle and chest wall, 32
Rotatores thoracis mm., coronal view, of pectoral Sartorius m. sagittal view, of pectoral girdle and chest wall, 20
girdle and chest wall, 30 axial view neck
Round lig., axial view, of female pelvis CT, 539 of female pelvis CT, 539, 540, 541, 542 axial view, of shoulder, 43
of female pelvis MRI, 573, 574, 575 oblique sagittal view, of shoulder, 53
of hip, 224, 225, 226, 227, 228, 229, 230, 231, 232 oblique coronal view
S of knee, 295, 296, 297, 298, 299 of shoulder, 60, 62
S1 of male pelvis CT, 524, 525, 527 of shoulder arthrogram, 79
foramen, 431 of male pelvis MRI, 555, 556, 557, 558 sagittal view
nerve, 435, 436 of thigh, 269, 270, 271, 272, 273, 274, 275, 276 of pectoral girdle and chest wall, 17, 18, 19
nerve root, 427 coronal view of thorax CT, 449
axial view, 428, 523, 554 of female pelvis CT, 546 superior, coronal view, of pectoral girdle and chest
coronal view, 535, 551, 583 of female pelvis MRI, 580 wall, 30
sagittal view, 431, 529, 563 of hip, 243 Scapular a., dorsal, coronal view, of pectoral girdle
vertebra, 428, 433, 434 of knee, 317, 318, 319 and chest wall, 28, 29
vertebral body, 431 of leg, 345 Scapular circumflex a.
S2 of male pelvis MRI, 565 coronal view, of arm, 109
foramen, 431 of thigh, 286, 287, 288, 289, 290, 291 oblique coronal view, of shoulder, 59, 60, 61, 62,
nerve, 437 origin, insertion, and nerve supply of, 268t 63, 64
nerve root, 428, 431, 529 sagittal view oblique sagittal view, of shoulder, 53
Sacral ala of hip, 235, 236, 237, 238, 239 sagittal view, of arm, 104
axial view of knee, 309, 310 Scapular lig., superior transverse
of lumbar spine, 428 of thigh, 281, 282, 283, 284 axial view, of shoulder, 40
of male pelvis MRI, 554 Sartorius t. oblique coronal view, of shoulder, 61
coronal view, of lumbar spine, 437 axial view Scapular notch, coronal view, of pectoral girdle and
Sacral crest, lateral, coronal view, of hip, 249 of hip arthrogram, 254 chest wall, 28
Sacral foramen of knee, 300 Scapular spine
coronal view, of male pelvis CT, 535 coronal view, of knee, 317, 318 ABER view, of shoulder arthrogram, 85, 86
sagittal view Scalene m., anterior axial view
of male pelvis CT, 529 axial view, of pectoral girdle and chest wall, 6, 7 of pectoral girdle and chest wall, 6
of male pelvis MRI, 563 coronal view, of pectoral girdle and chest wall, 27 of shoulder, 37, 38, 39, 40
Sacral promontory, coronal view, of lumbar spine, 436 sagittal view of shoulder arthrogram, 67, 68
Sacroiliac joint of pectoral girdle and chest wall, 21, 22 coronal view
axial view of thoracic spine, 417 of arm, 111
of female pelvis CT, 538 Scalene m., middle of pectoral girdle and chest wall, 29, 30, 31
of female pelvis MRI, 572 axial view, of pectoral girdle and chest wall, 6 of thoracic spine, 421, 422, 423
of lumbar spine, 427, 428 coronal view, of pectoral girdle and chest wall, oblique coronal view
of male pelvis CT, 523 27, 28 of shoulder, 61, 62
of male pelvis MRI, 554 sagittal view of shoulder arthrogram, 80, 81, 82
coronal view of pectoral girdle and chest wall, 21, 22 oblique sagittal view, of shoulder, 52, 53, 54, 55
of female pelvis CT, 550, 551 of thoracic spine, 417 sagittal view, of pectoral girdle and chest wall, 17,
of female pelvis MRI, 583 Scalene m., posterior 18, 19
of hip, 247, 248 axial view, of pectoral girdle and chest wall, 4, 5 Schmorl node, coronal view, of lumbar spine, 434
of lumbar spine, 434, 435, 437 coronal view, of pectoral girdle and chest wall, 28 Sciatic n.
of male pelvis CT, 535, 536 sagittal view, of pectoral girdle and chest wall, 21, axial view
of male pelvis MRI, 569, 570 22 of female pelvis CT, 540, 541, 542
sagittal view Scaphoid of female pelvis MRI, 573, 574, 575
of male pelvis CT, 528 coronal view, of hand, 215, 216, 217 of hip, 225, 226, 227, 228, 229, 230, 231, 232
of male pelvis MRI, 560 sagittal view, of hand, 207, 208 of male pelvis CT, 525
Sacroiliac lig. Scaphoid tuberosity, coronal view, of hand, 214, 215 of male pelvis MRI, 554, 556, 557, 558
anterior, axial view, of lumbar spine, 427 Scapholunate lig., coronal view, of hand, 215, 216 of thigh, 269, 270, 271, 272, 273, 274
axial view, of lumbar spine, 428 Scaphotriquetral lig., palmar coronal view
posterior axial view, of wrist, 176 of female pelvis MRI, 583
axial view, of lumbar spine, 428 coronal view, of wrist, 191 of hip, 247
coronal view, of lumbar spine, 435, 436, 437 sagittal view, of wrist, 182, 183, 184, 185, 186 of lumbar spine, 435
Sacrospinous lig., axial view, of hip, 227 Scapula of male pelvis CT, 535
Sacrotuberous lig. ABER view, of shoulder arthrogram, 85 of thigh, 291
axial view axial view sagittal view
of hip, 227, 228 of pectoral girdle and chest wall, 10 of hip, 237, 238, 241
of hip arthrogram, 251, 252, 253, 254, 255, 256 of shoulder, 41, 45 of male pelvis MRI, 559, 560
sagittal view, of hip, 241 of thorax CT, 442, 444 of thigh, 279, 280
610  Index

Semimembranosus m. Semitendinosus t. (Continued) Soleus m.


axial view sagittal view axial view
of knee, 295, 296 of hip, 238, 239 of ankle, 349, 350, 351, 352
of male pelvis MRI, 558 of hip arthrogram, 259 of knee, 300, 301
of thigh, 269, 270, 271, 272, 273, 274, 275, 276 of knee, 308, 309, 310 of leg, 324, 325, 326, 327, 328, 329, 330, 331,
coronal view of leg, 340 332, 333
of knee, 319, 320 of male pelvis MRI, 559 coronal view
of leg, 345 Serratus anterior m. of ankle, 379, 380
of male pelvis MRI, 569, 570 axial view of knee, 319, 320
of thigh, 290, 291, 292, 293 of abdomen CT, 475 of leg, 342, 343, 344, 345, 346
origin, insertion, and nerve supply of, 222–223t of abdomen MRI, 494, 495, 496, 497 origin, insertion, and nerve supply of,
sagittal view of pectoral girdle and chest wall, 6, 7, 8, 9, 10, 322–323t
of knee, 306, 307, 308 11, 12, 13 sagittal view
of thigh, 279, 280, 281, 282 of shoulder, 39 of ankle, 367, 368
Semimembranosus t. coronal view of knee, 302, 303, 305, 306, 307, 308
axial view of abdomen MRI, 516, 517 of leg, 334, 335, 336, 337, 338, 339, 340
of female pelvis MRI, 575 of pectoral girdle and chest wall, 27, 28, 29, 30, Soleus t., axial view, of leg, 324, 330, 331, 332
of hip, 230, 231, 232 31, 32, 33 Spermatic cord
of knee, 295, 296, 297, 298, 299 of thoracic spine, 420, 421, 422 axial view
of male pelvis MRI, 558 oblique coronal view, of shoulder, 56, 57 of hip, 228
of thigh, 269, 270, 271, 272, 273 origin, insertion, and nerve supply of, 412–414t of male pelvis CT, 526, 527
coronal view sagittal view, of pectoral girdle and chest wall, 18, of male pelvis MRI, 557, 558
of female pelvis MRI, 583 19, 20, 21 coronal view
of knee, 318, 319, 320 Serratus posterior m. of hip, 243
of leg, 345 axial view of male pelvis CT, 531
of male pelvis CT, 536 of pectoral girdle and chest wall, 5 of male pelvis MRI, 565
of thigh, 291 of thoracic spine, 416 sagittal view
sagittal view sagittal view, of pectoral girdle and chest wall, 21 of male pelvis CT, 529
of hip, 239 Serratus posterior m., inferior of male pelvis MRI, 561, 562
of hip arthrogram, 259 coronal view, of thoracic spine, 422 Spinal canal
of knee, 308, 309 origin, insertion, and nerve supply of, 412–414t axial view, of abdomen MRI, 494, 495
of leg, 339, 340 sagittal view, of pectoral girdle and chest wall, 21, 22 coronal view, of abdomen MRI, 515, 516, 517
of male pelvis CT, 528 Serratus posterior m., superior sagittal view
of male pelvis MRI, 559 coronal view of abdomen MRI, 505, 506
of thigh, 280, 281, 282 of pectoral girdle and chest wall, 31 of female pelvis MRI, 578
Seminal vesicle of thoracic spine, 421, 422, 423 Spinal cord
axial view origin, insertion, and nerve supply of, 412–414t axial view
of male pelvis CT, 525 sagittal view, of pectoral girdle and chest wall, 21, 22 of abdomen MRI, 494, 495
of male pelvis MRI, 556 Sesamoid of heart MRI, 462
coronal view lateral of thoracic spine, 416
of male pelvis CT, 534, 535 axial view, of foot, 389 coronal view
of male pelvis MRI, 568, 569 coronal view, of foot, 400, 401 of abdomen MRI, 517
sagittal view sagittal view, of foot, 397 of pectoral girdle and chest wall, 31
of male pelvis CT, 529 medial of thoracic spine, 420
of male pelvis MRI, 561, 562, 563, 564 axial view, of foot, 389 of thorax CT, 457, 458
Semispinalis, axial view, of thoracic spine, 415 coronal view, of foot, 400, 401 sagittal view
Semispinalis capitis m. sagittal view, of foot, 398 of abdomen MRI, 505, 506
axial view, of pectoral girdle and chest wall, 6 radial of heart MRI, 465
coronal view, of pectoral girdle and chest wall, 28, axial view, of hand, 201 of thoracic spine, 419
29, 30, 31 sagittal view, of hand, 206 of thorax CT, 451
origin, insertion, and nerve supply of, 412–414t ulnar Spinal n., sagittal view, of thoracic spine, 418
sagittal view, of pectoral girdle and chest wall, 23 axial view, of hand, 201 Spinalis capitis m., origin, insertion, and nerve supply
Semispinalis cervicis m. sagittal view, of hand, 206 of, 412–414t
axial view, of pectoral girdle and chest wall, 4 volar plate Spinalis cervicis m., origin, insertion, and nerve supply
coronal view, of pectoral girdle and chest wall, 29 axial view, of hand, 204 of, 412–414t
origin, insertion, and nerve supply of, 412–414t coronal view, of hand, 215 Spinalis thoracis m.
Semispinalis thoracis m. sagittal view, of hand, 207 axial view, of thoracic spine, 415
axial view, of pectoral girdle and chest wall, 7, 8, Sinuses of Valsalva, sagittal view, of heart MRI, 465 coronal view
10, 11, 12 Small bowel of pectoral girdle and chest wall, 31
coronal view, of pectoral girdle and chest wall, 31, 33 axial view of thoracic spine, 422
origin, insertion, and nerve supply of, 412–414t of abdomen CT, 478, 479, 480 origin, insertion, and nerve supply of, 412–414t
Semitendinosus m. of female pelvis CT, 538 sagittal view, of thoracic spine, 419
axial view of male pelvis CT, 522, 523 Spinoglenoid notch
of hip, 230, 231, 232 of male pelvis MRI, 553, 554, 555 axial view
of knee, 295 coronal view of shoulder, 40
of male pelvis MRI, 558 of abdomen CT, 487, 488, 489, 490, 491 of shoulder arthrogram, 67, 68
of thigh, 269, 272, 273, 274, 275, 276 of female pelvis CT, 546, 547, 548 coronal view, of pectoral girdle and chest
coronal view of male pelvis CT, 531, 532 wall, 29
of female pelvis MRI, 583 loops oblique coronal view, of shoulder arthrogram, 80
of hip, 247, 248 axial view oblique sagittal view, of shoulder, 53
of male pelvis MRI, 569, 570 of female pelvis MRI, 572 Spinolaminal junction, sagittal view, of lumbar spine,
of thigh, 291, 292, 293 of male pelvis CT, 522 431
origin, insertion, and nerve supply of, 222–223t coronal view Spinous process
sagittal view of abdomen CT, 487 axial view
of hip, 237, 238, 239, 240 of abdomen MRI, 511 of lumbar spine, 425
of male pelvis MRI, 559 of female pelvis MRI, 581, 582, 583 of male pelvis MRI, 553
of thigh, 279, 280, 281, 282 of male pelvis MRI, 565 coronal view
Semitendinosus t. sagittal view, of female pelvis MRI, 576, 577, 578 of abdomen CT, 492
axial view sagittal view of abdomen MRI, 517
of hip, 232 of abdomen CT, 481, 483, 484, 485, 486 of male pelvis CT, 536
of knee, 295, 297, 298, 299, 300 of abdomen MRI, 502, 503, 504, 505, 506, 507, of pectoral girdle and chest wall, 33
of thigh, 269, 272, 273 508, 509 of thoracic spine, 421, 422
coronal view of female pelvis CT, 543, 544, 545 sagittal view
of hip, 247 of female pelvis MRI, 576, 579 of abdomen MRI, 506
of knee, 317, 318, 319, 320 of male pelvis CT, 528, 529, 530 of male pelvis CT, 530
of male pelvis MRI, 569 of male pelvis MRI, 559, 560, 561, 562, 563, 564 of thoracic spine, 419
Index  611

Spleen Sternum (Continued) Subscapular a.


axial view sagittal view axial view
of abdomen CT, 475, 476, 477, 478, 479 of abdomen CT, 483 of pectoral girdle and chest wall, 9
of abdomen MRI, 494, 495, 496, 497, 498, 499, 500 of abdomen MRI, 506 of shoulder, 44, 45
coronal view of heart MRI, 465 coronal view, of pectoral girdle and chest wall, 28
of abdomen CT, 491, 492 of thorax CT, 451 oblique coronal view, of shoulder, 58
of abdomen MRI, 512, 513, 514, 515, 516, 517 Stomach oblique sagittal view, of shoulder, 53, 54
of lumbar spine, 436 antrum Subscapular recess
of thoracic spine, 420 axial view oblique coronal view, of shoulder arthrogram, 78, 79
of thorax CT, 457 of abdomen CT, 478, 479 oblique sagittal view, of shoulder arthrogram, 77
sagittal view of abdomen MRI, 498, 499, 500 superior
of abdomen CT, 481, 482 coronal view axial view, of shoulder arthrogram, 69
of abdomen MRI, 502, 503 of abdomen CT, 487 oblique coronal view, of shoulder arthrogram, 78
of thoracic spine, 417 of abdomen MRI, 511 oblique sagittal view, of shoulder arthrogram,
of thorax CT, 449 sagittal view 76, 77
Splenic a. of abdomen CT, 482, 483 Subscapularis m.
axial view, of abdomen MRI, 497 of abdomen MRI, 508 ABER view, of shoulder arthrogram, 85, 86, 87, 88, 89
coronal view axial view, of abdomen CT, 475, 476, 477, 478, 479 axial view
of abdomen CT, 488, 489, 490, 491 body of heart MRI, 460
of abdomen MRI, 514, 515 axial view of pectoral girdle and chest wall, 6, 7, 8, 9, 10, 11
of thorax CT, 454 of abdomen CT, 477, 478, 479 of shoulder, 39, 40, 41, 42, 43, 44, 45
sagittal view of abdomen MRI, 496, 497, 498 of shoulder arthrogram, 67, 68, 69, 70
of abdomen CT, 481, 482, 483 coronal view coronal view
of abdomen MRI, 503, 504, 505 of abdomen CT, 487 of arm, 107, 108, 109, 110
Splenic hilum, sagittal view, of abdomen CT, 481 of abdomen MRI, 510, 511 of pectoral girdle and chest wall, 26, 27, 28, 29,
Splenic v. sagittal view 30, 31, 32
axial view of abdomen CT, 481 of thoracic spine, 420, 421, 422, 423
of abdomen CT, 476, 477, 478 of abdomen MRI, 504, 505, 506, 507 oblique coronal view
of abdomen MRI, 498 coronal view of shoulder, 56, 57, 58, 59, 60
coronal view of abdomen CT, 488, 489 of shoulder arthrogram, 78, 79, 80, 81
of abdomen CT, 489, 490, 491, 492 of thorax CT, 453 oblique sagittal view
of thorax CT, 454 fundus of shoulder, 51, 52, 53, 54, 55
sagittal view axial view of shoulder arthrogram, 76, 77
of abdomen CT, 481, 482, 483 of abdomen CT, 477 origin, insertion, and nerve supply of, 35t
of abdomen MRI, 503, 504, 505, 506 of abdomen MRI, 494, 495 sagittal view
Splenic vessels coronal view of arm, 103
axial view, of abdomen MRI, 495, 496 of abdomen CT, 491, 492 of pectoral girdle and chest wall, 15, 17, 18, 19
coronal view, of abdomen MRI, 515 of abdomen MRI, 511, 512, 513, 514, 515 Subscapularis t.
sagittal view, of abdomen MRI, 502 sagittal view ABER view, of shoulder arthrogram, 84, 85
Splenius capitis m. of abdomen CT, 481 axial view
axial view, of pectoral girdle and chest wall, 6, 7, 8 of abdomen MRI, 503, 504 of shoulder, 40, 41, 42
coronal view, of pectoral girdle and chest wall, 29, pylorus ring, coronal view, of abdomen MRI, 512 of shoulder arthrogram, 68, 69, 70
30, 31, 32 sagittal view coronal view, of arm, 106
origin, insertion, and nerve supply of, 412–414t of abdomen CT, 481, 482, 483 oblique coronal view
sagittal view, of pectoral girdle and chest wall, 22, 23 of thorax CT, 449 of shoulder, 58
Splenius cervicis m. Subarachnoid space, sagittal view, of thoracic spine, 419 of shoulder arthrogram, 78
axial view, of pectoral girdle and chest wall, 6, 7, 8 Subclavian a. oblique sagittal view
coronal view, of pectoral girdle and chest wall, 32 axial view of shoulder, 48, 49, 50, 51
origin, insertion, and nerve supply of, 412–414t of pectoral girdle and chest wall, 6 of shoulder arthrogram, 72, 73, 74, 75, 76, 77
sagittal view, of pectoral girdle and chest wall, 22, 23 of thorax CT, 442, 443 sagittal view, of pectoral girdle and chest wall, 15
Splenoportal confluence coronal view Subtalar joint, anterior
axial view, of abdomen CT, 478 of heart MRI, 468 coronal view, of ankle, 373
coronal view, of abdomen CT, 488 of pectoral girdle and chest wall, 27 sagittal view, of ankle, 368, 369
sagittal view, of abdomen CT, 483 of thorax CT, 454, 455 Subtalar joint, middle
Sternoclavicular joint sagittal view coronal view, of ankle, 374, 375
axial view, of pectoral girdle and chest wall, 8 of pectoral girdle and chest wall, 21, 22 oblique axial view, of ankle, 362
coronal view, of pectoral girdle and chest wall, 24, 25 of thorax CT, 449, 450 sagittal view
sagittal view, of pectoral girdle and chest wall, 23 Subclavian v. of ankle, 369, 370
Sternocleidomastoid m. axial view of foot, 395
axial view, of pectoral girdle and chest wall, 6 of pectoral girdle and chest wall, 7 Subtalar joint, posterior
coronal view, of pectoral girdle and chest wall, 25, of thorax CT, 442 coronal view, of ankle, 376, 377, 378
26, 27 coronal view oblique axial view, of ankle, 361
sagittal view, of pectoral girdle and chest wall, 23 of pectoral girdle and chest wall, 25, 26, 27 sagittal view, of ankle, 366, 367, 368, 369
Sternocleidomastoid m., clavicular head of thorax CT, 453, 454, 455 Subtrapezial plexus, coronal view, of thoracic spine, 422
axial view, of pectoral girdle and chest wall, 6 sagittal view Sulcus, posterior, axial view, of ankle, 354
sagittal view, of pectoral girdle and chest wall, 21, of pectoral girdle and chest wall, 21, 22 Superior vena cava
22, 23 of thorax CT, 449, 452 axial view
Sternocleidomastoid m., sternal head Subclavian vessels, coronal view, of heart MRI, 468 of heart MRI, 460, 461, 462
axial view, of pectoral girdle and chest wall, 6, 7, 8 Subclavius m. of pectoral girdle and chest wall, 9, 10, 11
coronal view, of pectoral girdle and chest wall, 25 axial view of thorax CT, 444, 445
Sternohyoid m. of pectoral girdle and chest wall, 7 coronal view
axial view, of pectoral girdle and chest wall, 6, 7, 8 of shoulder, 38, 39, 40 of pectoral girdle and chest wall, 26, 27
sagittal view, of pectoral girdle and chest wall, 22, 23 coronal view, of pectoral girdle and chest wall, 25, 26 of thorax CT, 454, 455
Sternothyroid m., axial view, of pectoral girdle and oblique coronal view, of shoulder, 56 sagittal view, of thorax CT, 451
chest wall, 7, 8 oblique sagittal view, of shoulder, 55 Supinator m.
Sternum origin, insertion, and nerve supply of, 35t axial view
axial view sagittal view, of pectoral girdle and chest wall, 18, of elbow, 120, 121, 122, 123, 124
of abdomen MRI, 494 19, 20, 21 of forearm, 146, 147, 148
of heart MRI, 460, 462, 463 Subcutaneous fat, coronal view, of abdomen MRI, coronal view
of pectoral girdle and chest wall, 9, 10, 11, 12, 13 510, 517 of forearm, 164, 165, 166, 167, 168
of thorax CT, 444, 446 Subcutaneous vessels, coronal view, of abdomen MRI, oblique coronal
coronal view 510 of elbow, 136, 137, 138, 139, 140
of abdomen CT, 487 Sublabral sulcus, oblique coronal view, of shoulder, 59 oblique sagittal view
of abdomen MRI, 510 Sublime process of elbow, 126, 127, 128
of heart MRI, 467 axial view, of elbow, 119, 120 origin, insertion, and nerve supply of, 144–145t
of pectoral girdle and chest wall, 24 oblique coronal, of elbow, 139 sagittal view, of forearm, 157, 158, 159
612  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

Teres minor t. (Continued) Thoracolumbar fascia Tibial plateau, medial (Continued)


oblique sagittal view axial view of knee, 313, 318
of shoulder, 48, 49, 50 of lumbar spine, 427 of leg, 343, 344
of shoulder arthrogram, 72, 73, 74, 75, 76 posterior part, 425, 426, 427, 428 sagittal view
sagittal view of thoracic spine, posterior part, 416 of knee, 308, 309
of arm, 102 sagittal view of leg, 339, 340
of pectoral girdle and chest wall, 15 of lumbar spine, 430, 431 Tibial tubercle
Testis posterior part, 429, 430 axial view
axial view, of male pelvis MRI, 558 of thoracic spine, 418 of ankle, 351
coronal view, of male pelvis MRI, 565 Thumb of knee, 300, 301
sagittal view, of male pelvis MRI, 561, 562, 563, distal phalanx of leg, 324
564 coronal view, 216 sagittal view, of leg, 336
Thecal sac sagittal view, 205 Tibial tuberosity
axial view interphalangeal joint, coronal view, 217 coronal view, of knee, 313
of lumbar spine, 425, 426, 427, 428 proximal phalanx sagittal view, of knee, 306
of male pelvis CT, 523 axial view, 202 Tibialis anterior a.
of male pelvis MRI, 553, 554 coronal view, 216 axial view
coronal view sagittal view, 205, 205, 206 of ankle, 349, 350, 351
of female pelvis CT, 551 Thyrocervical trunk, coronal view, of pectoral girdle of leg, 325
of female pelvis MRI, 583 and chest wall, 27 coronal view, of leg, 343, 344
of lumbar spine, 435 Thyroid oblique axial view, of ankle, 360, 361, 362
of male pelvis CT, 535 axial view Tibialis anterior m.
of thoracic spine, 420 of pectoral girdle and chest wall, 5 axial view
sagittal view of thorax CT, 442 of knee, 300, 301
of female pelvis CT, 544, 545 coronal view, of thorax CT, 453 of leg, 324, 325, 326, 327, 328, 329, 330, 331,
of lumbar spine, 431 Thyroid cartilage 332, 333
of male pelvis CT, 530 axial view, of pectoral girdle and chest wall, 4 coronal view
of male pelvis MRI, 564 coronal view, of pectoral girdle and chest wall, 25 of knee, 314, 315, 316
Thoracic a. Tibia of leg, 342, 343
lateral, oblique sagittal view, of shoulder, 55 axial view oblique axial view, of ankle, 359
segmental, coronal view, of thoracic spine, 420 of ankle, 349, 350, 351, 352 origin, insertion, and nerve supply of, 322–323t
Thoracic a., internal of knee, 300, 301 sagittal view
axial view of leg, 324, 325, 326, 328, 329, 331, 333 of knee, 303, 304
of pectoral girdle and chest wall, 10, 11, 12, 13 coronal view of leg, 334, 335, 336
of thorax CT, 443, 444 of ankle, 374, 375, 376, 377 Tibialis anterior t.
coronal view, of pectoral girdle and chest wall, 24, 25 of knee, 314, 315, 316, 317, 318 axial view
Thoracic duct, axial view, of thoracic spine, 416 of leg, 342, 343, 344 of ankle, 349, 350, 351, 352, 353
Thoracic lamina, coronal view, of thoracic spine, 421 distal, sagittal view, of leg, 336, 338 of foot, 385, 386
Thoracic n., lateral, oblique sagittal view, of shoulder, 55 oblique axial view, of ankle, 359, 360, 361 of leg, 327, 328, 329, 330, 331, 332, 333
Thoracic neurovascular bundle sagittal view coronal view
lateral, coronal view, of pectoral girdle and chest of ankle, 366, 367, 368, 369, 371 of ankle, 372
wall, 31 of knee, 303, 304, 305, 307, 309, 310 of foot, 405, 406, 407
long, coronal view, of pectoral girdle and chest wall, 31 of leg, 337, 338, 339 of leg, 342, 343
Thoracic pars interarticularis, sagittal view, of thoracic Tibial a., posterior, coronal view, of leg, 344 oblique axial view, of ankle, 359, 360, 361, 362,
spine, 419 Tibial condyle, medial, axial view, of knee, 300 363, 364
Thoracic pedicle Tibial cortex, coronal view, of leg, 342, 343 sagittal view
coronal view, of thoracic spine, 420 Tibial eminence, coronal view of ankle, 369, 370
sagittal view, of thoracic spine, 419 of knee, 316, 317 of foot, 396, 397
Thoracic spinal n. of leg, 337 of leg, 336, 337
coronal view, of thoracic spine, 420 Tibial (medial) collateral lig. Tibialis anterior v., axial view
sagittal view, of thoracic spine, 419 axial view, of knee, 298, 299 of ankle, 349, 350, 351
Thoracic v., internal coronal view of leg, 325
axial view of knee, 315, 316 Tibialis anterior vessels
of pectoral girdle and chest wall, 10, 11, 12, 13 of leg, 343 axial view, of leg, 324, 326, 327, 329, 330, 331,
of thorax CT, 444 Tibial n. 333
coronal view, of pectoral girdle and chest wall, 24, 25 axial view coronal view, of ankle, 373
Thoracic v., segmental, coronal view, of thoracic spine, of ankle, 349, 350, 351, 352, 353, 354, 355, 356 sagittal view
420 of knee, 295, 296, 297, 298, 299, 300, 301 of ankle, 367, 368
Thoracic vertebra of leg, 324, 325, 326, 327, 328, 329, 330, 331, of leg, 338
coronal view, of pectoral girdle and chest wall, 28 332, 333 Tibialis posterior a.
sagittal view, of thoracic spine, 419 of thigh, 275, 276 axial view, of ankle, 349, 350, 351, 352, 353
Thoracic vertebral body coronal view coronal view, of ankle, 379
axial view of ankle, 377, 379 oblique axial view, of ankle, 361
of heart MRI, 460, 462 of knee, 317, 318, 319, 320 Tibialis posterior m.
of pectoral girdle and chest wall, 9 of leg, 344 axial view
coronal view, of pectoral girdle and chest wall, 29, 30 of thigh, 290 of knee, 301
sagittal view, of heart MRI, 465 oblique axial view, of ankle, 359, 361 of leg, 324, 325, 326, 327, 328, 329, 330, 331,
Thoracic vertebral vessels sagittal view 332, 333
axial view, of thoracic spine, 415 of ankle, 369, 370 coronal view
sagittal view, of thoracic spine, 418 of knee, 305 of knee, 316, 317, 318
Thoracoacromial a. Tibial plafond of leg, 343, 344
axial view, of pectoral girdle and chest wall, 7 coronal view, of ankle, 374, 375, 376 origin, insertion, and nerve supply of, 322–323t
oblique coronal view, of shoulder, 56 sagittal view sagittal view
Thoracoacromial a., acromial branch of ankle, 366, 367, 368, 369 of knee, 304
axial view of leg, 337 of leg, 336, 337, 338
of pectoral girdle and chest wall, 6 Tibial plateau, lateral Tibialis posterior t.
of shoulder, 36, 37, 38 axial view, of knee, 299 additional slip
oblique coronal view, of shoulder, 57, 58 coronal view coronal view, of foot, 406, 407
Thoracoacromial a., clavicular branch of knee, 314, 315, 318, 319 oblique axial view, of ankle, 362, 363, 364
axial view, of shoulder, 36 of leg, 343, 344 axial view
oblique coronal view, of shoulder, 57, 58 sagittal view of ankle, 349, 350, 351, 352, 353, 354, 355
Thoracoacromial a., deltoid branch, axial view, of of knee, 302, 303, 304 of foot, 386
shoulder, 41 of leg, 335, 336, 337 of leg, 325, 326, 327, 328, 329, 330, 331, 332,
Thoracoacromial v., acromial branch, axial view, of Tibial plateau, medial 333
shoulder, 37, 38 axial view, of knee, 299 coronal view
Thoracodorsal a., oblique coronal view, of shoulder, 58 coronal view of ankle, 372, 373, 374, 375, 376
614  Index

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

Ventricle (Continued) Vertebral a. X


right axial view
Xiphoid process
axial view of pectoral girdle and chest wall, 4
axial view
of heart MRI, 462, 463 of thorax CT, 442
of abdomen MRI, 496
of thorax CT, 446, 447, 448 sagittal view, of lumbar spine, 431
of thorax CT, 446, 447
coronal view Vertebral body
coronal view
of abdomen CT, 487, 488, 490 axial view
of abdomen CT, 487
of heart MRI, 467, 468 of heart MRI, 460, 462
of abdomen MRI, 510
of thorax CT, 453 of pectoral girdle and chest wall, 9, 10, 11, 13
of heart MRI, 467
sagittal view coronal view
sagittal view
of abdomen CT, 481, 482 of abdomen MRI, 513, 514, 515
of heart MRI, 465
of heart MRI, 464, 466 of heart MRI, 468, 469
of thorax CT, 451
of thorax CT, 449, 450, 451 of pectoral girdle and chest wall, 29, 30
Ventricular cavity of thorax CT, 457
left sagittal view Z
coronal view, of heart MRI, 468 of abdomen MRI, 505, 506, 507
Zona articularis, coronal view, of hip
sagittal view, of heart MRI, 464 Vertebral v.
arthrogram, 266
right, sagittal view, of heart MRI, 465 axial view, of thorax CT, 442
Zona orbicularis
Ventricular myocardium, left sagittal view, of lumbar spine, 431
axial view, of hip arthrogram, 253, 254,
coronal view, of heart MRI, 468 Vertebral vessels, thoracic
255, 256
sagittal view, of heart MRI, 464 axial view, of thoracic spine, 415
coronal view, of hip arthrogram, 263, 264,
Ventricular outflow tract, right, sagittal view, of heart sagittal view, of thoracic spine, 418
265, 266
MRI, 464 Vestibule, axial view, of female pelvis CT, 542
sagittal view, of hip arthrogram, 257, 258
Ventricular papillary m., left, coronal view, of thorax Volar plate
Zygapophyseal (facet) joint, sagittal view, of thoracic
CT, 454 axial view, of hand, 202, 204
spine, 418, 419
Vertebra, thoracic coronal view, of hand, 214, 215, 216
coronal view, of pectoral girdle and chest wall, 28 sagittal view, of hand, 205, 207, 208, 209, 210,
sagittal view, of thoracic spine, 419 211, 212, 213
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