Complications of the Rigid Spine
We present a short overview of the most common causes and imaging findings of a rigid spine including long-standing spondylarthritis, diffuse idiopathic skeletal hyperostosis, and the less common ossification of the posterior longitudinal ligament. The article also focuses on the pathogenesis and imaging findings of acute complications of the rigid spine due to fractures. These fractures may occur even after minor trauma and are difficult to detect on initial radiographs, resulting in a delayed diagnosis. They are often unstable with a high risk of severe neurologic complications, leading to high morbidity and mortality bo...
Source: Seminars in Musculoskeletal Radiology - October 10, 2023 Category: Radiology Authors: Vanhoenacker, Filip M. Vanhoenacker, Charlotte Lalam, Radhesh Tags: Review Article Source Type: research

ESSR-ESNR Spine Issue
Semin Musculoskelet Radiol 2023; 27: 489-490 DOI: 10.1055/s-0043-1772163 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 - October 10, 2023 Category: Radiology Authors: Vanhoenacker, Filip M. Lalam, Radhesh Tags: Preface Source Type: research

History Page: Leaders in MSK Radiology Maxime M énard, 1872–1926
Semin Musculoskelet Radiol 2023; 27: 487-488 DOI: 10.1055/s-0043-1762592This history page in the series “Leaders in Musculoskeletal Radiology” is dedicated to the memory and achievements of French radiologist Maxime Ménard, whose name is associated with the Shenton-Ménard line that Ménard described independently with the British radiologist Edward Shenton. This landmark line describes the relationship of the proximal femur to the acetabulum in hip dysplasia and fractures of the femoral neck. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Tabl...
Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Vanhoenacker, Filip M. Feydy, Antoine Tags: History Page Source Type: research

Paget's Disease or Densifying Metastasis: How to Sort It Out
Semin Musculoskelet Radiol 2023; 27: 480-486 DOI: 10.1055/s-0043-1771036Although the prevalence of Paget's disease has decreased over the past 20 years, incidental discovery on imaging is not unusual. The challenge is to establish the diagnosis, especially in unusual forms that may be mistaken for metastases. This review describes the typical imaging features of Paget's disease and some rare presentations that may be more difficult to recognize. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Sour...
Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Faruch Bilfeld, Marie Lap ègue, Franck Chiavassa Gandois, H élène Goumarre, C éline Lambeaux, Constance Adamski, Elorie Fillole, Antoine Sans, Nicolas Tags: Review Article Source Type: research

Initial Evaluation of Focal Bone Lesions: How Do We Do It?
Semin Musculoskelet Radiol 2023; 27: 471-479 DOI: 10.1055/s-0043-1769775Focal bone lesions are frequent, and management greatly depends on the characteristics of their images. After briefly discussing the required work-up, we analyze the most relevant imaging signs for assessing potential aggressiveness. We also describe the imaging aspects of the various types of lesion matrices and their clinical implications. [...] 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 - September 25, 2023 Category: Radiology Authors: Gondim Teixeira, Pedro Augusto Lemore, Astr ée Vogt, Nora Oster, Julien Hossu, Gabriela Gillet, Romain Blum, Alain Tags: Review Article Source Type: research

Bone and Chronic Kidney Disease
Semin Musculoskelet Radiol 2023; 27: 463-470 DOI: 10.1055/s-0043-1770353Chronic kidney disease (CKD) induces mineral and bone disorders (CKD-MBD) that affect calcium and phosphate metabolism. This review links pathophysiology, histologic aspects, and radiologic signs. CKD leads to bone lesions, namely renal osteodystrophy, which may combine low or high bone remodeling, impaired mineralization, and bone loss. CKD-MBD also comprises vascular calcifications, which, together with bone disease, lead to a high risk of cardiovascular events and osteoporotic fractures that increase both morbidity and mortality. Osteoporosis assess...
Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Lafage-Proust, Marie-H élène Tags: Review Article Source Type: research

Bone in Anorexia
Semin Musculoskelet Radiol 2023; 27: 457-462 DOI: 10.1055/s-0043-1768452Anorexia nervosa is a feeding disorder involving intentional weight loss. Restricted dietary intake leads to disturbed bone metabolism due to various factors, notably endocrine, that affect bone microarchitecture and incur risk of fracture. Mild to moderate anorexia shows a paradoxical increase in bone marrow adipose tissue, whereas severe forms show gelatinous transformation known as serous atrophy of bone marrow (SABM). Imaging assessment of the mineralized and adipose components uses several techniques: dual-energy X-ray absorptiometry, computed tom...
Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Miquel, Anne Bousson, Val érie Tags: Review Article Source Type: research

Opportunistic Computed Tomography Screening for Osteoporosis and Fracture
Semin Musculoskelet Radiol 2023; 27: 451-456 DOI: 10.1055/s-0043-1771037Osteoporosis is underdiagnosed and undertreated, leading to loss of treatment for the patient and high costs for the health care system. Routine thoracic and/or abdominal computed tomography (CT) performed for other indications can screen opportunistically for osteoporosis with no extra cost, time, or irradiation. Various methods can quantify fracture risk on opportunistic clinical CT: vertebral Hounsfield unit bone mineral density (BMD), usually of L1; BMD measurement with asynchronous or internal calibration; quantitative CT; bone texture assessment;...
Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Guenoun, Daphne Champsaur, Pierre Tags: Review Article Source Type: research

Brittle Bone Imaging: Diagnostic Procedures in Adults
This article concentrates on generalized disorders causing bone fragility. The most frequent cause of brittle bone disease is osteoporosis, only diagnosed by elimination. First, malignant osteopathy must be ruled out: fracture on metastasis or multiple myeloma, which mimics osteoporosis when presenting as diffuse demineralization. Second, patients should be screened for signs of hyperparathyroidism or osteomalacia. Much more rarely, many other pathologies can lead to brittle bone by demineralization or associated increased bone density.The radiologist needs to know the clinical context and notably the patient's age (childh...
Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Cyteval, Catherine Szafors, Paulina Pastor, Maxime Tags: Review Article Source Type: research

Metaphyseal and Diaphyseal Contours: Variants and Pitfalls
Semin Musculoskelet Radiol 2023; 27: 432-438 DOI: 10.1055/s-0043-1770125We discuss several variants of the metaphyseal and diaphyseal bone surfaces that may be misleading in clinical practice. They include metaphyseal stripes, spiculated metaphyseal cortex, cortical desmoid, laminated lateral supracondylar ridge, cortical vascular canals, variations in shape or lucency of normal tuberosities, cortical thickening of normal ridges, and well-organized undulated hyperostosis at the proximal phalanges. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table...
Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Cotten, Anne Boutry, Nathalie Demondion, Xavier Tags: Review Article Source Type: research

Overview of Periosteal Reaction by Imaging
Semin Musculoskelet Radiol 2023; 27: 421-431 DOI: 10.1055/s-0043-1770354The periosteum is a membrane that covers almost all bones in the body. It is a living structure but attracts little attention unless it reacts excessively. We highlight the important points in the anatomy, histology, and physiology of the periosteum, the stimuli and various aspects of periosteal reaction, and the main conditions underlying periosteal reaction. [...] 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...
Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Bousson, Val érie Bisseret, Damien Kaci, Rachid Tags: Review Article Source Type: research

Bone Tissue in Magnetic Resonance Imaging: Contribution of New Zero Echo Time Sequences
Semin Musculoskelet Radiol 2023; 27: 411-420 DOI: 10.1055/s-0043-1770771The introduction of new ultrashort and zero echo time (ZTE) sequences is revolutionizing magnetic resonance imaging (MRI) and optimizing patient management. These sequences acquire signals in tissues with very short T2: mineralized bone, cortical bone, and calcium deposits. They can be added to a classic MRI protocol. ZTE MRI provides computed tomography–like contrast for bone. [...] 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 - September 25, 2023 Category: Radiology Authors: Vuillemin, Val érie Guerini, Henri Th évenin, Fabrice Sibileau, Elodie Corcos, Gabriel Khaled, Wassef Zeitoun, Fr édéric Morvan, G érard Tags: Review Article Source Type: research

Computed Tomography Bone Imaging: Pushing the Boundaries in Clinical Practice
Semin Musculoskelet Radiol 2023; 27: 397-410 DOI: 10.1055/s-0043-1768451Bone microarchitecture has several clinical implications over and above estimating bone strength. Computed tomography (CT) analysis mainly uses high-resolution peripheral quantitative CT and micro-CT, research imaging techniques, most often limited to peripheral skeleton assessment. Ultra-high-resolution (UHR) CT and photon-counting detector CT, two commercially available techniques, provide images that can approach the spatial resolution of the trabeculae, bringing bone microarchitecture analysis into clinical practice and improving depiction of bone ...
Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Gillet, Romain Boubaker, Fatma Hossu, Gabriela Thay, Anthony Gillet, Pierre Blum, Alain Teixeira, Pedro Augusto Gondim Tags: Review Article Source Type: research

Bone Revisited – Diagnostic Strategies and Specific Entities
Semin Musculoskelet Radiol 2023; 27: 395-396 DOI: 10.1055/s-0043-1768453 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 25, 2023 Category: Radiology Authors: Sans, Nicolas Cotten, Anne Tags: Editorial Source Type: research

Erratum: Update on Ankle and Foot Impingement
Semin Musculoskelet Radiol 2023; 27: e1-e1 DOI: 10.1055/s-0043-1769935 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 - June 6, 2023 Category: Radiology Authors: Armstrong, TM Rowbotham, Emma Robinson, Philip Tags: Errata Source Type: research