Felix S. Chew - Musculoskeletal Imaging: A Teaching File

Musculoskeletal

Imaging

A Teaching File

THIRD EDITION

Musculoskeletal

Imaging

ATeaching File

THIRD EDITION

Felix S. Chew, M.D., ED.M., M.B.A.

Professor of Radiology
Vice-Chair for Academic Innovation
Section Head of Musculoskeletal Radiology
University of Washington, Seattle, Washington

Hyojeong Mulcahy, M.D.

Assistant Professor of Radiology
University of Washington, Seattle, Washington

Alice S. Ha, M.S, M.D.

Assistant Professor of Radiology
University of Washington, Seattle, Washington

Senior Executive Editor: Jonathan Pine

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Copyright 2012 Text and Illustrations by Felix S. Chew, M.D.

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2nd edition Copyright 2006 Design and Publication Rights by LIPPINCOTT WILLIAMS & WILKINS

1st edition Copyright 2000 Design and Publication Rights by LIPPINCOTT WILLIAMS & WILKINS

All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright.

Printed in China

Library of Congress Cataloging-in-Publication Data

Chew, Felix S.

Musculoskeletal imaging : a teaching file / Felix S. Chew, Hyojeong Mulcahy, Alice S. Ha. 3rd ed.

p. ; cm.

Includes bibliographical references and index.

ISBN 978-1-60913-793-9

I. Mulcahy, Hyojeong. II. Ha, Alice S. III. Title.

[DNLM: 1. Musculoskeletal DiseasesradiographyCase Reports. 2. Diagnostic ImagingCase Reports. WE 141]

LC classification not assigned

616.7'0754dc23

2011030701

Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the professional responsibility of the practitioner.

The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.

Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.

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PUBLISHERs FOREWORD

Teaching Files are one of the hallmarks of education in radiology. There has long been a need for a comprehensive series of books, using the Teaching File format that would provide the kind of personal consultation with the experts normally found only in the setting of a teaching hospital. Lippincott Williams & Wilkins is proud to have created such a series; our goal is to provide residents, fellows and practicing radiologists with a useful resource that answers this need.

Actual cases have been culled from extensive teaching files in major medical centers. The discussions presented mimic those performed on a daily basis between residents and faculty members in all radiology departments.

The format of this series is designed so that each case can be studied as an unknown, if desired. A consistent format is used to present each case. A brief clinical history is given, followed by several images. Relevant findings, differential diagnosis, diagnosis, discussion of the case, figure legends and references conclude each case. In this manner, the authors guide the reader through the interpretation of each case, with a strong emphasis on critical thinking.

We hope that this series will become a valuable and trusted teaching tool for radiologists at any stage of training or practice, and that it will also be a benefit to clinicians whose patients undergo these imaging studies.

The Publisher

FOREWORD

The third times a charm!

The third edition of Musculoskeletal Imaging: A Teaching File is new and improved, updated and authoritative, and, indeed, just what you need to upgrade your skills and maintain your competence in musculoskeletal (MSK) imaging. Doctors Chew, Mulcahy, and Ha have maintained the same high-quality standards in the selection and presentation of their material in the third edition as in past editionsno small task.

Advances in MSK imaging have continued apace requiring that older, analogue film based images be removed and replaced with digital images from newly acquired cases as well as necessitating the addition of more timely cases with multidetector CT and MRI. All this has been done to good effect.

The remarkably concise format highlights the principal imaging and clinical characteristics of each case. As in previous editions, every page or two contain a separate case with images; each of the eight chapters contains up to 50 or more cases devoted to a single anatomic region of the skeleton. The cases selected cover the entire spectrum of disease encountered: arthritis, trauma, infection, tumor, metabolic, and congenital diseases. The pertinent imaging findings are discussed, a germane, realistic differential diagnosis is presented, and each case is concluded with a brief review of the pertinent pathophysiology and etiology of the disease.

Are you in need of a quick reference book in MSK imaging? Are you preparing to take the American Board of Radiology examination? Would you like to have an easy way to refresh or periodically reassess your skills in MSK imaging? Do you yearn for a simple, straightforward method of testing your competence in MSK imaging? Then this is the book for you.