For the third rotation (MSK Xray & CT 2 MSK), the main goal is to get comfortable for characterizing fractures and diagnosing other musculoskeletal entities including but not limited to infection, arthritis, and bone tumor/tumor-like lesions on radiographs and CT. You are expected to:

a. be able to characterize the pelvic ring injuries and fractures of acetabulum, tibial plateau, talus and calcaneus (x-ray and CT).
b. be familiar to indications of CT and MRI for trauma patients (spine, pelvis, knee, ankle/foot, .. ).
c. be able to narrow down the differential diagnoses of common/characteristic bone lesions (osteosarcoma, Ewing sarcoma, cartilaginous lesions, metastatic lesions, .. )
d. be able to diagnose and report impending fracture.
e. be able to narrow down the differential diagnoses of arthropathies including crystal deposition diseases.
f. be familiar to MSK applications of dual-energy CT (metal artifacts reductions and detection of monosodium urate crystal and bone marrow edema).

Watch:

• Video: Musculoskeletal imaging Core courses, MSK Trauma, Pelvis and Hip Trauma by Donna Blakenbaker

Read:

• Fracture of the pelvis: current concepts of classification
• Acetabular fractures: what radiologists should know and how 3D CT can aid classification
• Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment

Read:

• Imaging evaluation of adult spinal injuries: emphasis on multidetector CT in cervical spine trauma
• An Approach to the Evaluation of Incidentally Identified Bone Lesions Encountered on Imaging Studies
• Impending fracture: A difficult diagnosis
• Dual-Energy CT for the Musculoskeletal System

Watch:

• Video: Musculoskeletal imaging Core courses, Arthritis, Crystal Arthropathy by Mark Murphey

Read:

• Spondyloarthropathies: ankylosing spondylitis and psoriatic arthritis
• Hypertrophic Osteoarthropathy: Clinical and Imaging Features
• Current and Novel Techniques for Metal Artifact Reduction at CT: Practical Guide for Radiologists