International Day of Radiology 2019 Theme: Sports Imaging &
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The International Day of Radiology is celebrated on 8th November every year, & the theme for this year will be Sports Imaging: highlighting the role imaging plays in the detection, diagnosis, prognosis and treatment of sports-related injuries.

To mark the occasion we are discussing a recent case of cricket injury. As known popularly, the upper arm is put through a wide range of motion at high speed during bowling, so it is not surprising that shoulder pains and strains are reasonably common in the sport.

One such example is Mahmdullah, a star of the Bangladeshi cricket team, who has gradually adapted his game to become almost exclusively a batsman due to shoulder injuries. The overarm throwing motion used to deliver the ball in cricket means bowlers have a particularly high risk of shoulder injuries.

In April 2019 he was diagnosed with a “grade 3 tear”(separation of the ligaments) of the shoulder, based on MRI examinations, forcing him to stop bowling altogether for the 2019 Cricket World Cup.

A grade 3 shoulder tear refers to the complete separation of the ligaments that hold together the acromioclavicular joint, which connects the upper part of the shoulder to the collarbone. Such a tear is easy to spot due to physical deformity, but it can happen in so many different ways that an MRI examination is always essential in order for a radiologist to assess and describe the damage.

In cases of shoulder injury, it is important to evaluate the soft tissue structures with MRI. Widening of the joint space, fluid build-up within the joint and swelling in the acromioclavicular joint are signs of ligament injury. The MR image depicted here, in the coronal plane, shows a clear sign of acromioclavicular ligament injury (arrow). The accumulated fluid in the joint shows up bright white on MRI.

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