The value of a repeat MRI examination of the sacroiliac joints following an inconclusive initial examination
ConclusionsRepeat SIJ MRI when the first MRI is inconclusive for sacroiliitis is more valuable in ruling out than in securing diagnosis of sacroiliitis. We suggest that when MRI findings are inconclusive, decision-making should be based on clinical data. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 10, 2024 Category: Radiology Source Type: research

Iatrogenic “overshoot” nerve injuries: imaging features
ConclusionIn addition to primary signs such as laceration or neuroma, secondary signs of “overshoot” nerve injury include cortical defect, scar extending to nerve, screw tip pointing to nerve, and linear tract in the bone on MRI. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 10, 2024 Category: Radiology Source Type: research

CT-guided lumbar facet cyst rupture and corticosteroid injection: technique, approach, and procedural and clinical success rates
ConclusionOur systematic approach to CT-guided LFC rupture is safe and has high technical and clinical success rates similar to prior studies. Since there are no definitive imaging features that determine rupture success, this procedure can almost always be attempted as a first-line treatment for LFC. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Ankle, knee, and elbow arthrography: 2022 survey of Society of Skeletal Radiology members
ConclusionNearly twice as many SSR members who graduated after the posterior trans-triceps and ankle mortise techniques were published prefer them for performing arthrography, possibly due to knowledge translation. The preference of the anterior knee arthrography approach has increased nearly fourfold since 2008. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Annual Meeting Abstracts of the German Society of Skeletal Radiology (DGMSR) 2024, April 26 – 27, Berlin/ Germany
(Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Coronal plane in opportunistic screening of osteoporosis using computed tomography: comparison with axial and sagittal planes
ConclusionThe coronal plane does not significantly differ from axial and sagittal planes in opportunistic screening of osteoporosis. Thus, the coronal plane as well as axial and sagittal planes can be used interchangeably in measuring bone mineral density using CT. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Current state of musculoskeletal fellowship program directors and future directions
ConclusionsGiven the high amount of interaction with trainees, program directors play a key role in the future of our subspecialty. The low diversity among this group, the lack of formal training, and the fact that most do not feel adequately compensated could limit mentorship and recruitment. Program directors identified effective communication, organizational/planning skills, and conflict resolution as the top skills they would benefit from formal training. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Quantifying lower limb muscle stiffness in typically developing children and adolescents using acoustic radiation force impulse shear wave elastography (ARFI/SWE) —a pilot study
ConclusionThe present pilot study applied acoustic radiation force impulse shear wave elastography to quantify lower limb muscle stiffness in typically developing children and adolescents aged 3 to 18 years, suggesting no marked change in muscle stiffness occurs as they develop. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Capsular and retinaculum thickening in type II mucopolysaccharidosis: a novel MRI finding
In this study, we present four cases of patients with clinically and genetically confirmed diagnosis of type II MPS, encompassing seven MRI examination of different joints, including cervical spine, hip, wrist, knee, and shoulder. All of the patients were male, aged between 14 and 35  years, and exhibited varying degrees of joint stiffness in the clinical examination and carpal tunnel syndrome in cases of the wrist joint was affected. None of the patients had a history of surgical procedures on the affected joint, other metabolic or deposit diseases, or sports activity practice . The MRI revealed significant capsuloligame...
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Comparison of conventional MR arthrography and 3D volumetric MR arthrography in detection of cartilage defects accompanying glenoid labrum pathologies
ConclusionT1-weighted volumetric MRA seems to demonstrate cartilage defects accompanied with labrum pathologies accurately with high sensitivity, specificity, and excellent inter-examiner agreement. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Axial T1-weighted imaging of the lumbar spine: a redundancy or an asset?
ConclusionThere was no clinically significant difference in the interpretation of lumbar spine MRI viewed with and without axial T1-weighted imaging, suggesting that the axial T1-weighted sequence does not add diagnostic value to routine lumbar spine MRI. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Safety outcomes and improvement in pain scores after radiologist-performed fluoroscopy-guided interlaminar cervical epidural steroid injection
ConclusionRadiologist-performed fluoroscopy-guided interlaminar cervical ESI at the C7-T1 level is a safe and effective tool in the management of patients with cervical pathology. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Radiological evaluation before and after treatment with an osseointegrated bone-anchor following major limb amputation —a guide for radiologists
This article acts as a guide for radiologists who may be tasked with providing the radiological information required by surgeons and prosthetists. We also look at the radiological appearances of complications that may arise in patients treated with an osseointegrated implant. Plain X-rays are used to screen patients who wish to undergo treatment. Limb-length X-rays are then used to measure the length of any residual bone, and comparisons can be made with the normal side (if present). From this, decisions about the likely size of the implant and the need for further amputation can be made. CT scans enable accurate assessmen...
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Test yourself answer: incidental hip lesion on PET-CT
(Source: Skeletal Radiology)
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research

Fracture of an aberrant os styloideum: a unique case report
AbstractSeveral accessory bones can be found around the wrist, which may pose a diagnostic challenge. Hereby, we report a unique case of a traumatic fracture of an aberrantos styloideum in a 66-year-old male. The patient presented with a swollen dominant right hand and a hematoma on its anterior and posterior aspects, as a result of a fall on an outstretched hand. The diagnosis was based on a CT scan, which showed a fractured accessory bone between the distal portion of the capitate bone and the base of the third metacarpus. Due to its typical location, the ossicle was identified asos styloideum. The patient was treated co...
Source: Skeletal Radiology - April 9, 2024 Category: Radiology Source Type: research