Triceps brachii tendon: anatomic-MR imaging study in cadavers with histologic correlation

Objective The purpose of this cadaveric study was to describe the normal MR anatomy of the triceps brachii tendon (TBT) insertion, to correlate the findings with those seen in anatomic sections and histopathologic analysis, and to review triceps tendon injuries. Materials and methods Twelve cadaveri...

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Veröffentlicht in:Skeletal radiology 2009-02, Vol.38 (2), p.171-175
Hauptverfasser: Belentani, Clarissa, Pastore, Daniel, Wangwinyuvirat, Mani, Dirim, Berna, Trudell, Debra J., Haghighi, Parviz, Resnick, Donald
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container_end_page 175
container_issue 2
container_start_page 171
container_title Skeletal radiology
container_volume 38
creator Belentani, Clarissa
Pastore, Daniel
Wangwinyuvirat, Mani
Dirim, Berna
Trudell, Debra J.
Haghighi, Parviz
Resnick, Donald
description Objective The purpose of this cadaveric study was to describe the normal MR anatomy of the triceps brachii tendon (TBT) insertion, to correlate the findings with those seen in anatomic sections and histopathologic analysis, and to review triceps tendon injuries. Materials and methods Twelve cadaveric elbows were used according to institution guidelines. T1-weighted spin-echo MR images were acquired in three planes. Findings on MR imaging were correlated with those derived from anatomic and histologic study. Results On MR images, the TBT had a bipartite appearance as it inserted on olecranon in all specimens. The insertion of the medial head was deeper than that of the long and lateral heads and was mainly muscular at its insertion, with a small amount of the tendon blending with the muscle distally, necessitating histologic analysis to determine if there was tendon blending with the muscle at the site of insertion and if the medial head inserted together with the common tendon or as a single unit. At histopathologic analysis, the three heads of the triceps tendon had a common insertion on the olecranon. The bipartite aspect of the tendon that was identified in the MR images was not seen by histologic study, indicating that there was a union of the medial and common tendons just before they inserted into bone. Conclusion TBT has a bipartite appearance on MR images and inserts on olecranon as a single unit.
doi_str_mv 10.1007/s00256-008-0605-6
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Materials and methods Twelve cadaveric elbows were used according to institution guidelines. T1-weighted spin-echo MR images were acquired in three planes. Findings on MR imaging were correlated with those derived from anatomic and histologic study. Results On MR images, the TBT had a bipartite appearance as it inserted on olecranon in all specimens. The insertion of the medial head was deeper than that of the long and lateral heads and was mainly muscular at its insertion, with a small amount of the tendon blending with the muscle distally, necessitating histologic analysis to determine if there was tendon blending with the muscle at the site of insertion and if the medial head inserted together with the common tendon or as a single unit. At histopathologic analysis, the three heads of the triceps tendon had a common insertion on the olecranon. The bipartite aspect of the tendon that was identified in the MR images was not seen by histologic study, indicating that there was a union of the medial and common tendons just before they inserted into bone. Conclusion TBT has a bipartite appearance on MR images and inserts on olecranon as a single unit.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-008-0605-6</identifier><identifier>PMID: 18985338</identifier><identifier>CODEN: SKRADI</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Cadaver ; Elbow - anatomy &amp; histology ; Fascia - anatomy &amp; histology ; Female ; Humans ; Imaging ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Muscle, Skeletal - anatomy &amp; histology ; Nuclear Medicine ; Orthopedics ; Osteoarticular system. Muscles ; Pathology ; Radiodiagnosis. Nmr imagery. 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Materials and methods Twelve cadaveric elbows were used according to institution guidelines. T1-weighted spin-echo MR images were acquired in three planes. Findings on MR imaging were correlated with those derived from anatomic and histologic study. Results On MR images, the TBT had a bipartite appearance as it inserted on olecranon in all specimens. The insertion of the medial head was deeper than that of the long and lateral heads and was mainly muscular at its insertion, with a small amount of the tendon blending with the muscle distally, necessitating histologic analysis to determine if there was tendon blending with the muscle at the site of insertion and if the medial head inserted together with the common tendon or as a single unit. At histopathologic analysis, the three heads of the triceps tendon had a common insertion on the olecranon. The bipartite aspect of the tendon that was identified in the MR images was not seen by histologic study, indicating that there was a union of the medial and common tendons just before they inserted into bone. Conclusion TBT has a bipartite appearance on MR images and inserts on olecranon as a single unit.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Elbow - anatomy &amp; histology</subject><subject>Fascia - anatomy &amp; histology</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - anatomy &amp; histology</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Osteoarticular system. Muscles</subject><subject>Pathology</subject><subject>Radiodiagnosis. Nmr imagery. 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Materials and methods Twelve cadaveric elbows were used according to institution guidelines. T1-weighted spin-echo MR images were acquired in three planes. Findings on MR imaging were correlated with those derived from anatomic and histologic study. Results On MR images, the TBT had a bipartite appearance as it inserted on olecranon in all specimens. The insertion of the medial head was deeper than that of the long and lateral heads and was mainly muscular at its insertion, with a small amount of the tendon blending with the muscle distally, necessitating histologic analysis to determine if there was tendon blending with the muscle at the site of insertion and if the medial head inserted together with the common tendon or as a single unit. At histopathologic analysis, the three heads of the triceps tendon had a common insertion on the olecranon. The bipartite aspect of the tendon that was identified in the MR images was not seen by histologic study, indicating that there was a union of the medial and common tendons just before they inserted into bone. Conclusion TBT has a bipartite appearance on MR images and inserts on olecranon as a single unit.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18985338</pmid><doi>10.1007/s00256-008-0605-6</doi><tpages>5</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Biological and medical sciences
Cadaver
Elbow - anatomy & histology
Fascia - anatomy & histology
Female
Humans
Imaging
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging - methods
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Muscle, Skeletal - anatomy & histology
Nuclear Medicine
Orthopedics
Osteoarticular system. Muscles
Pathology
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radiology
Scientific Article
Tendons - anatomy & histology
title Triceps brachii tendon: anatomic-MR imaging study in cadavers with histologic correlation
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