Pawel Szaro - Musculoskeletal Radiology for Residents: Self-Assessment Questions

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This book includes 1060 questions from all parts of the radiology of the musculoskeletal system. The book aims to present essential issues of the basics of orthopaedic radiology. In the first seven parts (Parts IVIII), the questions are arranged thematically, and the key to more complex questions include short comments and references to the literature. The purpose of these chapters is to show essential issues and highlight the differences between often similar conditions. These questions cover problems that, in my opinion, are essential and sometimes misunderstood. In radiology, we deal daily with debatable issues; hence in many places, I refer to contemporary literature. The first seven parts aim to teach a reader by solving problems. In some questions, there is more than one correct answer.

In the Part VIII are examples of the three exam sets. I recommend that you use these parts after going through the first seven parts. The purpose of the Part VIII is to test the knowledge. For each question in these sections, only one answer is correct.

I will be very grateful for any comments from readers that will help improve the subsequent editions of the book.

Good luck!

I would not have written this book without the help of many people. I would like to thank a few of them. I owe my interest in the musculoskeletal system to Professor Bogdan Ciszek, MD, PhD (Head of the Department of Clinical and Descriptive Anatomy of the Medical University of Warsaw, Poland). I would like to thank him for awakening my scientific ambitions, mentoring, and requirements motivating me to continuous improvement.

I would also like to thank Dr. Nektarios Solidakis, MD (Head of the Department of Musculoskeletal Radiology at Sahlgrenska University Hospital in Gothenburg, Sweden). Thank you for enabling me to continue my research and development and work on this book. Special thanks to my colleagues from the Department of Musculoskeletal Radiology at Sahlgrenska University Hospital in Gothenburg, Sweden, for compelling cases and inspiring questions that were the direct inspira-tion for writing this book.

1. Which of these structures inserts on the coracoid process?

   1. A.

      The short head of the biceps brachii muscle

   2. B.

      The coracohumeral ligament

   3. C.

      The superior glenohumeral ligament

   4. D.

      The pectoralis minor muscle

   5. E.

      The biceps pulley

2. What is the difference between a Hill-Sachs lesion and a flattening or concavity of the normally round contour of the humeral head?

   1. A.

      Normal variant is usually located more lateral than a Hill-Sachs lesion.

   2. B.

      Normal variant is usually located more medial than a Hill-Sachs lesion.

   3. C.

      Normal variant is favoured when the deformity is identified at or above the level of the coracoid process.

   4. D.

      Anatomical variant is usually accompanied by round T2-hyperintense structures in the posterior, superior, and lateral aspect of the humeral head.

   5. E.

      Normal variant is usually located more inferior than a Hill-Sachs lesion.

3. Choose the correct statement(s) regarding the rotator cable:

   1. A.

      It runs along the articular surface of the supraspinatus tendon.

   2. B.

      It runs from the coracohumeral ligament.

   3. C.

      Retraction of the ruptured supraspinatus tendon is more prominent when the cable is larger.

   4. D.

      It is located medially to the rotator crescent.

   5. E.

      The cable is seen in about 50% of cases.

4. Choose the correct statement(s) about anatomical variants of the shoulder labrum:

   1. A.

      It can be absent between 6 and 9 oclock, and it is called the Buford complex.

   2. B.

      The Buford complex is seen in about 15% of patients.

   3. C.

      The incomplete Buford complex is a developmental defect between the labrum and the underlying bone.