Overview

In this course you learn tips and tricks, relevant anatomy and important pathology in MSK Radiology, that will increase your confidence and speed in MSK radiology.

  • 1

    Module One - The Journey

    • 1. 1 The road that lays ahead

    • 1.1 Action items

    • 1.2 Why is MSK difficult

    • 1.3 How to improve

    • 1.4 Your Resources

    • 1.5 How to live Q&A sessions
  • 2

    Module Two - Shoulder

    • 2.1 Shoulder Approach

    • 2.2 Shoulder Anatomy

    • Exercise: Identify this structures

    • Anatomy Assessment (MRI)

    • 2.3.1 Pathology - SLAP or not?

    • 2.3.2 Pathology - Labral tears vs Variants

    • 2.3.3 Pathology - Tendinosis

    • 2.3.4 Pathology - Rotator Cuff Tears

    • Action items - Cases to report

    • Case 1 - Contusion 6 weeks ago, persistent pain, limited motion. Rotator cuff tear?

    • Case 1 - Submit your report

    • Case 1 - Solution (Video and Report)

    • Case 2 - limited abduction and anteversion after near fall from scaffold tower

    • Case 2 - Submit your report

    • Case 2 - Solution (Video and Report)

    • Case 3 - 2x subluxation during nightly epilepsy with paralysis for a few days. pain in external rotation and exercising.

    • Case 3 - Submit your report

    • Case 3 - Solution (Video and Report)

    • Case 4 - Pain for years, probably osteoarthritis. Query: bursitis? frozen shoulder?

    • Case 4 - Submit your report

    • Case 4 - Solution (Video and Report)

    • Case 5 - Shoulder pain for 2 years, clinically scapular dyskinesia, no trauma

    • Case 5 - Submit your report

    • Case 5 - Solution (Video and Report)
  • 3

    Module Three - Hip

    • 3.1 Hip Approach

    • 3.2 Hip Anatomy

    • Exercise: Identify these structures

    • Anatomy Assessment (MRI)

    • 3.3.1 Pathology Overview

    • 3.3.2 Pathology Lablar Tear or Not

    • 3.3.3 Pathology Abductor Tendons

    • 3.3.4 Pathology Bursitis

    • Action items - Cases to report

    • Case 1 - Femoroacetabular Impingement

    • Case 1 - Submit your report

    • Case 1 - Solution (Video and Report)

    • Case 2 - FAI, after arthroscopic adhesiolysis and cam surgery and suture of dehiscent joint capsule

    • Case 2 - Submit your report

    • Case 2 - Solution (Video and Report)

    • Case 3 - Suspected FAI. Labrum? Cartilage? cam?

    • Case 3 - Submit your report

    • Case 3 - Solution (Video and Report)

    • Case 4 - 2x arthroscopy (cam + labral surgery, acetalar trimming), limited ROM, still pain, query: labrum (more info above in action item section)

    • Case 4 - Submit your report

    • Case 4 - Solution (Video and Report)

    • Case 5 - Bilateral Hip pain. Radiograph (external) shows osteolysis of sacrum. Pathology?

    • Case 5 - external Radiograph (you need to manually window it)

    • Case 5 - Submit your report

    • Case 5 - Solution (Video and Report)

    • Bonus: Keynote Lecture - Hip MRI in young and old people
  • 4

    Module Four - Knee

    • 1 approach knee

    • 2.1 Anatomy overview

    • 2.1.0 harris lines

    • 2.1.1 Patellar measurements and TTTG

    • 2.1.2 Adductor tubercle

    • 2.1.3 Prepatellar quadriceps continuation

    • 2.1.4 Posteromedial Corner Anatomy

    • 2.1.5 Posterolateral corner anatomy MRI

    • 2.1.6 ALL and AIML and their relationship to segond fractures

    • 2.1.7 Medial synovial PCL fold

    • 2.1.8 Knee Plicae Anatomy

    • 2.1.9 Meniscus variants

    • 2.1.10 Oblique menisco-meniscal ligament

    • 2.1.11 Accessory popliteus muscle

    • 3.1 Pathology Meniscus posterior horn lesions

    • 3.2 Ramp lesion anatomy and pathology

    • 3.3 ACL tear, meniscopopliteal fascile injury post arthroscopy

    • 3.4 Gap sign ACL partial tear

    • 3.5 Black line sign cartilage fissures

    • 3.6 Superolateral Hoffa impingement

    • 3.7 Runner's knee

    • 3.8 Prepatellar edema relevant or not

    • 3.9 SIFK not SONK

    • 3.10 MRI after ACL-Reconstruction

    • Case 1 - Knee distortion during football. Persistent medial pain

    • Case 1 - Submit your Report

    • Case 1 - Solution (Video and Report)

    • Case 2 - Knee distorsion. ACL? Meniscus?

    • Case 2 - Submit your report

    • Case 2 - Solution (Video and Report)

    • Case 3 - Medial knee pain. Varus osteoarthritis.

    • Case 3 - Submit your report

    • Case 3 - Solution (Video and Report)

    • Case 4 - Suspicion of LCL lesion DD meniscus. Ligament? Mensicus?

    • Case 4 - Submit your report

    • Case 4 - Solution (Video and Report)

    • Case 5 - New trauma after ACL (semi-T , 3x) repair 10 months ago, query: re-tear? heard a pop

    • Case 5 - Submit your report

    • Case 5 - Solution (Video and Report)
  • 5

    Module Five - Ankle and Foot

    • 1 approach ankle

    • 2 Anatomy

    • 2.1.0 Anatomy - deltoid ligament

    • 2.1.1 Anatomy - spring ligament anatomy

    • 2.1.2 Anatomy - lateral ankle ligaments

    • 2.1.3 Anatomy - syndemosis ankle

    • 2.1.4 Anatomy - lisfranc and bifurcate ligament anatomy

    • 2.1.5 Anatomy - accessory muscles in the ankle joint

    • 2.1.6 Anatomy - peroneus brevis variant insertion

    • 2.1.7 Anatomy - great toe

    • 2.1.8 Anatomy - distal phalanx great toe exostosis

    • 3.1.0 Pathology - anterior ankle impingement syndrome

    • 3.1.1 Pathology - anterolateral impingement

    • 3.1.2 Pathology - fluid around posterior tibial tendon

    • 3.1.3 Pathology - fascial sleeve of the medial malleolus

    • 3.1.4 Pathology - fascial sleeve avulsion example

    • 3.1.5 Pathology - syndesmosis injury and double bundle ATFL

    • 3.1.6 Pathology - peroneal tendon injury

    • 3.1.7 Pathology - superior peroneal retinaculum anatomy and injury

    • 3.1.8 Pathology - retrocalcaneal bursitis

    • 3.2.1 Pathology -Morton neuroma part 1

    • 3.2.2 Pathology - Morton neuroma part 2

    • 3.2.3 Pathology - osteomyelitis

    • 3.2.4 Pathology - diabetic denervation edema

    • 3.2.5 Pathology - plantar plate tear

    • 3.2.6 Pathology - CRPS foot

    • 3.2.7 Pathology - unknown case approach

    • Bonus - Keynote Lecture Spring ligament MRI

    • Case 1 - Ankle distorsion 1 month ago, persistent pain on weight-bearing. Bone bruise? Rupture ATFL?

    • Case 1 - Submit your report

    • Case 1 - Solution (Video and Report)

    • Case 2 - Recurring ankle supinations, new trauma during football, clinically not assesable due to swelling and pain. Pathology? Lateral ligament injury?

    • Case 2 - Submit your report

    • Case 2 - Solution (Video and Report)

    • Case 3 - Plantar foot pain, no trauma. Pathology?

    • Case 3 - Submit your report

    • Case 3 - Solution (Video and Report)

    • Case 4 - Persistent forefoot pain and hammer toes

    • Case 4 - Submit your report

    • Case 4 - Solution (Video and Report)

    • Case 5 - naviculocuneiforme osteoarthritis DD osteonecrosis os naviculare. Degree of OA? exclusion of osteonecrosis?

    • Case 5 - Submit your report

    • Case 5 - Solution (Video and Report)

    • posterior ankle impingement
  • 6

    Module Six - Wrist

    • 1 Approach Wrist

    • 1.1 Technical & Protocol considerations

    • 2 Anatomy

    • 2.1. Anatomy of the distal ulnar nerve

    • 3.1 Pathology - Bone

    • 3.2. Pathology - Soft Tissue

    • 3.3. Case 1

    • 3.3. Case 2

    • 3.3. Case 3

    • 3.3. Case 4

    • 3.3. Case 5

    • 3.3. Case 6

    • 3.3. Case 7

    • 3.3. Case 8

    • 3.3. Case 9

    • 3.3. Case 10

    • 3.3. Case 11

    • 3.3. Case 12

    • 3.3. Case 13

    • 3.3. Case 14

    • 3.3. Case 15

    • 3.4. Ulnar nerve pathology - Case 1

    • 3.4. Ulnar nerve pathology - Case 2

    • 3.4. Ulnar nerve pathology - Case 3

    • 3.4. Ulnar nerve pathology - Case 4

    • Case 1A - Right wrist contusion some days ago. Pressure pain at the SL ligament. Question: SL ligament lesion? (part 1)

    • Case 1B - Right wrist contusion some days ago. Pressure pain at the SL ligament. Question: SL ligament lesion? (part 2)

    • Case 1 - Submit your report

    • Case 1 - Solution (video and report)

    • Case 2 - fall 9 months ago, persistent dorsal wrist pain, pain above dorsal distal radius, SL and CMC III. lesion?

    • Case 2 - Submit your report

    • Case 2 - Solution (video and report)

    • Case 3 - Distorsion of wrist some months ago, persistent pain

    • Case 3 - Submit your report

    • Case 3 - Solution (video and report)

    • Case 4 - Pain in the metacarpophalangeal joint of the thumb over the wrist to the forearm with swelling on the left side. Pathology?

    • Case 4 - Submit your report

    • Case 4 - Solution (video and report)

    • Case 5 - Chronic wrist pain on the left side, since distal radius fracture 8 years ago, pain with active and passive movement over the distal radius mainly dorsal, limited mobility.

    • Case 5 - Submit your report

    • Case 5 - Solution (video and report)
  • 7

    Module Seven - Elbow

    • 1. Approach

    • 2.0 Anatomy

    • 2.2. anatomy radial collateral ligaments

    • 2.1 distal biceps tendon

    • 2.3 bicipitoradial bursa

    • Case 1 - Extensor deficit and pain in left elbow/wrist after unusual heavy activity

    • Case 1 - Submit your report

    • Case 1 - Solution (Video and Report)

    • Case 2 - Pain distal upper arm, retracted biceps muscle, distal biceps tendon tear. Query: amount of retraction?

    • Case 2 - Submit your report

    • Case 2 - Solution (Video and Report)

    • Case 3 - sudden pain while lifting a heavy box today. clinically partial tear triceps brachii muscle at myotendinous junction. Query: partial tear?

    • Case 3 - Submit your report

    • Case 3 - Solution (Video and Report)

    • Case 4 - Fall 10 days ago on the left elbow. stiffness and extension not possible.

    • Case 4 - Submit your report

    • Case 4 - Solution (Video and Report)

    • Case 5 - therapy-resistant lateral epicondylitis for some months.

    • Case 5 - Submit your report

    • Case 5 - Solution (Video and Report)
  • 8

    Module Eight - Sacroiliac joint (SpA)

    • 1.0 Approach SIJ

    • 2.0 Anatomy SIJ

    • 3.0 Pathology - Sacroiliitis or not

    • 3.1 Pathology - Spine SpA

    • Case 1 - HLA B 27 positive. Elevated CRP. Radiological suspicion of SIJ arthritis. History of additional disc hernia possible.

    • Case 1 - Submit your report

    • Case 1 - Solution (Video and Report)

    • Case 2 - Pain in the right SI-joint. SIJ arthritis?

    • Case 2 - Submit your report

    • Case 2 - Solution (Video and Report)

    • Case 3 - Increasingly restrictive right SIJ pain. Arthritis?

    • Case 3 - Submit your report

    • Case 3 - Solution (Video and Report)

    • Case 4 - Suspicion of bilateral left accentuated sacroiliitis in early stage. Query: Edema, Enhancement, Erosions?

    • Case 4 - Submit your report

    • Case 4 - Solution (Video and Report)

    • Case 5 - The patient has recurrent left gonarthritis and an inflammatory-like back pain with mild left SIJ sclerosis. HLA-B27 and anti-CCP are positive. Regarding clarification of the differential diagnosis, MRI with Gd+ required.

    • Case 5 - Submit your report

    • Case 5 - Solution (Video and report)
  • 9

    Module Nine - Reporting Week

    • 1 How to speed things up

    • 2 How to continue learning

    • 3 Learn by teaching

    • Course Evaluation
  • 10

    Module Ten - Miscellaneous

    • The MSK puzzle

    • Tumors

    • Exam (TBD)