Muscle pathology

Playlist contributed by Jeremy Jones

MRI findings in muscle pathology can be split into one of three broad categories:

  • oedema, e.g. trauma, infection, inflammation
  • fatty deposition, e.g. atrophy
  • mass, e.g. haematoma, abscess, tumour, vascular malformation

The functional unit in skeletal muscle is the muscle fibre which is surrounded by a thin layer of connective tissue, the endomysium, and a network of capillaries.

20–80 muscle fibres are grouped together to form a fascicle which is surrounded by perimysium. Larger vessels run between the fascicles. Each muscle is formed by a collection of fascicles surrounded by a thick connective tissue layer, the epimysium, that condenses at the end of the muscles to form tendons.

Pathology in muscle can be split into three broad groups (oedema, atrophy and masses). This selection of cases has covered some common and not-so-common muscle pathology.