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Anatomie en Radiologische Anatomie: LP8 radiologie samenvatting
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LP8 radiologie samenvatting
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LP8 RADIOLOGIECT Schouder: 4
- Licht schuin met rug naar plaat. Scapula recht tegen plaat
o Om gleno-humeraal gewricht te kunnen zien
- Rug helemaal recht tegen plaat
o Om acromio-claviculair gewricht te zien
- Licht schuin met buik tegen plaat.
o Ruimte voor m supraspinatus
o Positie humerus tov glenoid?
- Al liggend: om zwaartekracht uit te schakelen
o Supraspinatus sterk genoeg? Zoniet dan kruipt humerus tot (bijna) tegen
acromion
, CT Schouderblad: 2
- AP
o Glenoid + scapula hals
- Axiaal (schuin met buik tegen plaat, humerus uit beeld)
o hele scapula-blad
CT Clavicula
- AP met lichte inclinatie van stralenbundel
MR Schouder Gleno-humeraal Gewricht
- Lage SI
o Labrum glenoidale (=fibreus
kraakbeen: kraakbeen rijk aan
collageen)
o Corticaal bot (want daar zitten
geen protonen in)
o Pezen (want daar zitten geen
protonen in: biceps longus,
subscapulari, infraspinatus
o Rood beenmerg van glenoid
(donker grijs)
o Geel beenmerg in epifyse van
humerus (licht grijs
! hyalein kraakbeen: wel hogere intensiteit
- Hoge SI
o In gleno-humerale gewrichtsruimte (synoviaal vocht?)
Gadolinium-contrast MR Gleno-humeraal gewricht
- Goed om pees biceps longus te zien (geen vocht in sulcus
intertubercularis/gewricht?)
Dubbel contrast (jodium + lucht) CT Gleno-humeraal
gewricht
- Goed om labrum aflijning te bekijken
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