MR Elbow

 

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This page demonstrates the templates as a synoptic and hierarchical report, with the initial view showing only the template title and the major section headers of the report. By clicking on the section headers it is possible to drill into the content of the template.

Report
Procedure
MRI [ ______ ]
Elbow
Right
Left
Clinical Information
[ ______ ]
Comparison
None [ ______ ]
[ ______ ]
Findings
Joint effusion
None [ ______ ]
Small [ ______ ]
Moderate [ ______ ]
Large [ ______ ]
Medial compartment
Ulnar collateral ligament
Normal [ ______ ]
Thickening
None [ ______ ]
Mild [ ______ ]
Moderate [ ______ ]
Severe [ ______ ]
Partial-thickness tear
Humeral attachment [ ______ ]
Ulnar attachment [ ______ ]
Full-thickness tear [ ______ ]
Common flexor tendon
Normal [ ______ ]
Tendinosis [ ______ ]
Tear
Partial-thickness
Low-grade [ ______ ]
High-grade [ ______ ]
Full-thickness [ ______ ]
[ ______ ]
Medial epicondyle
Normal [ ______ ]
Enthesophyte [ ______ ]
Bone-marrow edema [ ______ ]
Soft-tissue edema [ ______ ]
Lateral compartment
Radial collateral ligament
Normal [ ______ ]
Thickened [ ______ ]
Sprain
Grade 1 [ ______ ]
Grade 2 [ ______ ] //Partial-thickness tear
Grade 3 [ ______ ] //Full-thickness tear
[ ______ ]
Lateral ulnar collateral ligament
Normal [ ______ ]
Thickened [ ______ ]
Sprain
Grade 1 [ ______ ]
Grade 2 [ ______ ] //Partial-thickness tear
Grade 3 [ ______ ] //Full-thickness tear
[ ______ ]
Common extensor tendon
Normal [ ______ ]
Tendinosis [ ______ ]
Tear
Partial-thickness
Low-grade [ ______ ]
High-grade [ ______ ]
Full-thickness [ ______ ]
[ ______ ]
Lateral epicondyle
Normal [ ______ ]
Enthesophyte [ ______ ]
Bone-marrow edema [ ______ ]
Soft-tissue edema [ ______ ]
Posterior compartment
Triceps
Normal [ ______ ]
Tendinosis [ ______ ]
Tear
Partial-thickness
Low-grade [ ______ ]
High-grade [ ______ ]
Full-thickness [ ______ ]
[ ______ ]
Olecranon
Normal [ ______ ]
Enthesophyte [ ______ ]
Fracture [ ______ ]
Bursitis
None [ ______ ]
Mild [ ______ ]
Moderate [ ______ ]
Severe [ ______ ]
Anterior compartment
Biceps
Normal [ ______ ]
Tendinosis [ ______ ]
Tear
Partial-thickness
Low-grade [ ______ ]
High-grade [ ______ ]
Full-thickness [ ______ ]
[ ______ ]
Brachialis
Normal [ ______ ]
Tendinosis [ ______ ]
Tear
Partial-thickness
Low-grade [ ______ ]
High-grade [ ______ ]
Full-thickness [ ______ ]
[ ______ ]
Bicipitoradial bursa [ ______ ]
Normal [ ______ ]
Bursitis
None [ ______ ]
Mild [ ______ ]
Moderate [ ______ ]
Severe [ ______ ]
Radio-capitellar joint
Normal [ ______ ]
[ ______ ]
Ulno-humeral joint
Normal [ ______ ]
[ ______ ]
Proximal radio-ulnar joint
Normal [ ______ ]
[ ______ ]
Bones
//other than subarticular marrow
Normal [ ______ ]
[ ______ ]
Muscles
Normal [ ______ ]
[ ______ ]
Anconeus epitrochlearis muscle present [ ______ ]
Vessels
Normal [ ______ ]
[ ______ ]
Nerves
Normal
"Cubital tunnel normal, retinaculum intact"
[ ______ ]
Intra-articular bodies
None [ ______ ]
[ ______ ]
Impression
[ ______ ]
Recommendation
[ ______ ]