Book Review| Volume 20, ISSUE 6, P672-673, July 2004

Imaging of the Shoulder: Techniques and Applications

      This text is the first edition by Drs. Baert and Sartor, with contributions from several other authors. It is a continuation of other texts pertaining to specific anatomy and includes coverage of both imaging modalities and techniques specific to pathologic conditions of the shoulder.
      The section on imaging techniques covers plain radiography, arthrography and bursography, computed tomography (CT), magnetic resonance imaging (MRI) ultrasound, and interventional procedures. Each section highlights key points to guide the radiologist and orthopedic surgeon through techniques, applications, and specific nuances. Plain radiography has diagrammatic representation of patient positioning and examples of proper views to confirm the techniques. Arthrography is covered in all its formats, including plain films, CT, and MRI. These sections cover both techniques and results, with an emphasis on cross-sectional anatomy. Supportive cadaveric sections within the CT portion further elucidate anatomy. Also helpful is the MRI section, which includes techniques to improve imaging quality in the presence of orthopedic implants and motion artifacts.
      Ultrasound has increasing applicability in shoulder imaging and requires thorough knowledge of anatomy. This section is well designed, with correlative MRI anatomy to show normal and pathologic conditions.
      The clinical section on shoulder pathology is well divided into congenital and developmental disorders, trauma, rotator cuff, instability, postoperative shoulder, arthritis, infection, osteonecrosis, tumors, and brachial plexus. Also included is a discussion on future developments. This section is an impressive array of 3-dimensional techniques, virtual endoscopy, and the use of virtual reality and kinematics.
      As an academic shoulder surgeon, I have found this text to be readable, clinically relevant, and exceedingly useful to my practice. The authors should be commended on their organization and thoroughness in this new text.