The Great Mimickers of Spinal Pathology
Semin Musculoskelet Radiol 2022; 26: 439-452 DOI: 10.1055/s-0042-1748914Back pain is one of the leading causes of health costs worldwide, particularly because of the further increased aging population. After clinical examination, spinal imaging is of utmost importance in many patients to reach the correct diagnosis. There are many imaging pitfalls and mimickers of spinal pathology on radiographs, magnetic resonance imaging, and computed tomography. These mimickers may lead to a misdiagnosis or a further imaging work-up if they are not recognized and thus lead to unnecessary examinations and increased health care costs. In ...
Source: Seminars in Musculoskeletal Radiology - September 14, 2022 Category: Radiology Authors: Farshad-Amacker, Nadja A. Sutter, Reto Tags: Review Article Source Type: research

Degenerative Lumbar Spine Disease: Imaging and Biomechanics
Semin Musculoskelet Radiol 2022; 26: 424-438 DOI: 10.1055/s-0042-1748912Chronic low back pain (CLBP) is one of the most common diagnoses encountered when considering years lived with disability. The degenerative changes of the lumbar spine include a wide spectrum of morphological modifications visible on imaging, some of them often asymptomatic or not consistent with symptoms. Phenotyping by considering both clinical and imaging biomarkers can improve the management of CLBP. Depending on the clinical presentation, imaging helps determine the most likely anatomical nociceptive source, thereby enhancing the therapeutic appro...
Source: Seminars in Musculoskeletal Radiology - September 14, 2022 Category: Radiology Authors: Lacroix, Maxime Nguyen, Christelle Burns, Robert Laporte, Amandine Rannou, Fran çois Feydy, Antoine Tags: Review Article Source Type: research

Update on Interventional Radiology of the Spine
Semin Musculoskelet Radiol 2022; 26: 412-423 DOI: 10.1055/s-0042-1748913Interventional radiologists now perform spinal interventions routinely for diagnostic and therapeutic purposes. New technologies for the management of spine pathologies have emerged with promising results in terms of safety and efficacy. Interventional radiology techniques in the spine include percutaneous biopsy and therapies for intervertebral disk herniation or spinal stenosis, facet and sacroiliac joint pathologies, vertebral and sacral fractures, and metastases. These techniques can also be easily combined one with the other or to further therapeu...
Source: Seminars in Musculoskeletal Radiology - September 14, 2022 Category: Radiology Authors: Filippiadis, Dimitrios K. Masala, Salvatore Lucatelli, Pierleone Kelekis, Alexis Tags: Review Article Source Type: research

Imaging of Bone Marrow: From Science to Practice
Semin Musculoskelet Radiol 2022; 26: 396-411 DOI: 10.1055/s-0042-1745803The study of the bone marrow may pose important challenges, due to its changing features over the life span, metabolic stress, and in cases of disease or treatment. Bone marrow adipocytes serve as storage tissue, but they also have endocrine and paracrine functions, contributing to local and systemic metabolism.Among different techniques, magnetic resonance (MR) has the benefit of imaging bone marrow directly. The use of advanced MR techniques for bone marrow study has rapidly found clinical applications. Beyond the clinical uses, it has opened up path...
Source: Seminars in Musculoskeletal Radiology - September 14, 2022 Category: Radiology Authors: Aparisi G ómez, Maria Pilar Ayuso Benavent, Carmen Simoni, Paolo Musa Aguiar, Paula Bazzocchi, Alberto Aparisi, Francisco Tags: Review Article Source Type: research

Imaging of Spine Infections
Semin Musculoskelet Radiol 2022; 26: 387-395 DOI: 10.1055/s-0042-1749619The incidence of spondylodiskitis has increased over the last 20 years worldwide, especially in the immunodepressed population, and it remains a complex pathology, both in terms of diagnosis and treatment. Because clinical symptoms are often nonspecific and blood culture negative, imaging plays an essential role in the diagnostic process. Magnetic resonance imaging, in particular, is the gold standard technique because it can show essential findings such as vertebral bone marrow, disk signal alteration, a paravertebral or epidural abscess, and, in the ...
Source: Seminars in Musculoskeletal Radiology - September 14, 2022 Category: Radiology Authors: Chianca, Vito Chalian, Majid Harder, Dorothee Del Grande, Filippo Tags: Review Article Source Type: research

Spine Imaging
Semin Musculoskelet Radiol 2022; 26: 385-386 DOI: 10.1055/s-0042-1755593 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Musculoskeletal Radiology)
Source: Seminars in Musculoskeletal Radiology - September 14, 2022 Category: Radiology Authors: Bazzocchi, Alberto Guglielmi, Giuseppe Tags: Preface Source Type: research

History Page: Leaders in MSK Radiology
Semin Musculoskelet Radiol 2022; 26: 359-360 DOI: 10.1055/s-0042-1743539Charles Thurstan Holland was the first radiologist in the world and also the founder of the first radiology department. In the early days, radiographs were used primarily in the musculoskeletal system. Holland contributed significantly to the understanding of musculoskeletal radiology as seen on radiographs, including the appearance of ossification centers and accessory ossicles. The small triangular metaphyseal fragment in Salter-Harris type 2 fractures is called the “Thurstan Holland fragment.” [...] Thieme Medical Publishers, Inc. 333 Seventh Av...
Source: Seminars in Musculoskeletal Radiology - June 2, 2022 Category: Radiology Authors: Kaur, Simranjeet Lalam, Radhesh Tags: History Page Source Type: research

Research in Musculoskeletal Radiology: Setting Goals and Strategic Directions
Semin Musculoskelet Radiol 2022; 26: 354-358 DOI: 10.1055/s-0042-1748319The future of musculoskeletal (MSK) radiology is being built on research developments in the field. Over the past decade, MSK imaging research has been dominated by advancements in molecular imaging biomarkers, artificial intelligence, radiomics, and novel high-resolution equipment. Adequate preparation of trainees and specialists will ensure that current and future leaders will be prepared to embrace and critically appraise technological developments, will be up to date on clinical developments, such as the use of artificial tissues, will define resea...
Source: Seminars in Musculoskeletal Radiology - June 2, 2022 Category: Radiology Authors: Klontzas, Michail E. Karantanas, Apostolos H. Tags: Review Article Source Type: research

Effects of Radiation Therapy and Chemotherapy on the Musculoskeletal System
Semin Musculoskelet Radiol 2022; 26: 338-353 DOI: 10.1055/s-0041-1740995The effects of radiation and chemotherapy on the musculoskeletal (MSK) system are diverse, and interpretation may be challenging. The different lines of treatment have effects on diseased and normal marrow, and they may lead to complications that must be differentiated from recurrence or progression. This review analyzes the changes induced by radiotherapy and chemotherapy in the MSK system in the adult and pediatric population, and the expected associated imaging findings. Treatments are often combined, so the effects may blend. Awareness of the spect...
Source: Seminars in Musculoskeletal Radiology - June 2, 2022 Category: Radiology Authors: Aparisi G ómez, Maria Pilar Aparisi, Francisco Morganti, Alessio Giuseppe Fanti, Stefano Bazzocchi, Alberto Tags: Review Article Source Type: research

Delayed Fracture Healing
Semin Musculoskelet Radiol 2022; 26: 329-337 DOI: 10.1055/s-0041-1740380Physiologic bone healing involves numerous parameters, such as microstability, fracture morphology, or tissue perfusion, to name just a few. Slight imbalances or a severe impairment of even one of these factors may, as the figurative weakest link in the chain, crucially or completely inhibit the regenerative potential of a fractured bone. This review revisits the physiology and pathophysiology of fracture healing and provides an insight into predispositions, subtypes, diagnostic tools, and therapeutic principles involved with delayed fracture healing a...
Source: Seminars in Musculoskeletal Radiology - June 2, 2022 Category: Radiology Authors: Mick, Paul Fischer, Christian Tags: Review Article Source Type: research

Lumbar Spine Posttherapeutic Imaging
This article focuses on postoperative imaging features of the lumbar spine in five clinical settings (with corresponding interventions): vertebral osteoporotic fractures (percutaneous vertebroplasty and vertebral augmentation), lumbar disk herniation (surgical diskectomy and percutaneous interventional radiology), lumbar spinal stenosis (surgical decompression), lumbar spondylolisthesis (surgical decompression and fusion), and degenerative scoliosis (techniques of osteotomies).For each intervention, we discuss imaging indications, depending if the patient is asymptomatic or if there are suspected complications, describe no...
Source: Seminars in Musculoskeletal Radiology - June 2, 2022 Category: Radiology Authors: Lacroix, Maxime Ferrero, Emmanuelle Burns, Robert Guigui, Pierre Clement, Olivier Feydy, Antoine Tags: Review Article Source Type: research

Posttreatment Imaging of the Wrist and Hand: Update 2022
Semin Musculoskelet Radiol 2022; 26: 295-313 DOI: 10.1055/s-0042-1743538Common indications for surgical procedures of the wrist and hand include acute fractures or fracture-dislocations; nonunited fractures; posttraumatic, degenerative, and inflammatory arthritides and tendinopathies; injuries to tendons, ligaments, and the triangular fibrocartilage complex; and entrapment neuropathies. Soft tissue or osseous infections or masses may also need surgical treatment. Several of these procedures require surgical hardware placement, and most entail clinical follow-up with periodic imaging. Radiography should be the first imaging...
Source: Seminars in Musculoskeletal Radiology - June 2, 2022 Category: Radiology Authors: Taljanovic, Mihra S. Omar, Imran M. Weaver, Jennifer S. Becker, Jennifer L. Mercer, Deana M. Becker, Giles W. Tags: Review Article Source Type: research

Posttreatment Changes of the Elbow
Semin Musculoskelet Radiol 2022; 26: 271-294 DOI: 10.1055/s-0042-1743402Radiologists should be familiar with the typical surgical procedures applied at the elbow and aware of the spectrum of normal and pathologic appearances of posttreatment situations throughout all radiologic modalities. Most important in the case of posttraumatic surgical elbow procedures is correct postoperative elbow joint alignment, appropriate fixation of joint-forming fragments, and proper insertion of screws, plates, and anchor devices that do not conflict with intra-articular or bony structures. To report soft tissue repair procedures correctly, ...
Source: Seminars in Musculoskeletal Radiology - June 2, 2022 Category: Radiology Authors: Grieser, Thomas Tags: Review Article Source Type: research

Posttreatment Imaging of the Shoulder
This article addresses postoperative imaging after rotator cuff repair, shoulder arthroplasty, and surgery for shoulder stabilization with an emphasis on computed tomography and magnetic resonance imaging. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Musculoskeletal Radiology)
Source: Seminars in Musculoskeletal Radiology - June 2, 2022 Category: Radiology Authors: Sch äffeler, Dr. Christoph Tags: Review Article Source Type: research

Postoperative Musculoskeletal Imaging and Interventions Following Hip Preservation Surgery, Deformity Correction, and Hip Arthroplasty
This article presents surgical principles and procedural details pertinent to postoperative imaging evaluation strategies after common hip surgeries, such as radiography, ultrasonography, computed tomography, and magnetic resonance imaging. We review and illustrate the expected postoperative imaging appearances and complications following chondrolabral repair, acetabuloplasty, osteochondroplasty, periacetabular osteotomy, realigning and derotational femoral osteotomies, and hip arthroplasty. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of co...
Source: Seminars in Musculoskeletal Radiology - June 2, 2022 Category: Radiology Authors: Samim, Mohammad Khodarahmi, Iman Burke, Christopher Fritz, Jan Tags: Review Article Source Type: research