Felix S. Chew - Skeletal Radiology: The Bare Bones

THIRD EDITION

THIRD EDITION

FELIX S. CHEW, M.D., Ed.M., M.B.A.

Professor of Radiology
Director of Musculoskeletal Radiology
Vice-Chairman for Radiology Informatics
Department of Radiology
University of Washington
Seattle, Washington

WITH CONTRIBUTIONS FROM

LIEM T. BUI-MANSFIELD, M.D.
CATHERINE C. ROBERTS, M.D.
MICHAEL L. RICHARDSON, M.D.

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Copyright 2010 Text and Illustrations by Felix S. Chew, M.D.
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Library of Congress Cataloging-in-Publication Data

Chew, Felix S.
Skeletal radiology : the bare bones / Felix S. Chew ; with contributions from Liem T. Bui-Mansfield, Catherine C. Roberts, Michael L. Richardson. 3rd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-60831-706-6 (alk. paper)
1. Human skeletonRadiography. 2. BonesDiseasesDiagnosis. 3. BonesImaging. I. Title.
[DNLM: 1. Bone and Bonesradiography. 2. Bone Diseasesradiography. 3. Fractures, Boneradiography. WE 200 C526s 2010]

RC930.5.C48 2010
616.7107572dc22

2009050533

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10 9 8 7 6 5 4 3 2 1

To my family, without whom nothing would be possible, worthwhile, or meaningful

The initial publication of Felix S. Chews Skeletal Radiology: The Bare Bones filled a long-standing need for a concise, introductory primer to the imaging of musculoskeletal diseases. For this, the third edition, Dr. Chew has the contributions of three outstanding musculoskeletal radiologists; Drs. Liem Bui-Mansfield, Catherine Roberts, and Michael Richardson. Together these authors have thoroughly updated the information available in their new work including considerably more magnetic resonance imaging and CT. Most of the older radiographic images have been replaced with newer digital radiographic images. The text has been revised as necessary, and the sources and readings have been updated. That said, Dr. Chews basic approach has been maintained throughout; the emphasis remains on explanations and descriptions that are to be understood and applied rather than the now common presentation of lists of facts that tend to be memorized and forgotten.

Medical school curricula do not often include a serious study of afflictions of the bones and joints. Even the most common conditions; trauma, osteoporosis, bone metastases, and degenerative joint disease receive scant attention. As a result, most first year residents come to radiology with a limited knowledge of the musculoskeletal system and its diseases. Therefore, the neophyte residents introduction to musculoskeletal radiology can be daunting. With this limited background, trainees have thrust upon them a vast array of unfamiliar disease processes, a perplexing variety of normal variants, and the complex radiologic anatomy of several different body regions. What are these new radiology residents to do?

Fortunately, theres The Bare Bones. Radiology residents can turn to this excellent text to acquire a firm foundation for musculoskeletal imaging. Dr. Chew provides the uninitiated with a working knowledge of skeletal disease and an awareness of the role and value of imaging in the discovery, analysis, and confirmation of the various skeletal abnormalities.

In stripping skeletal radiology to its essentials, Dr. Chew and his coauthors have actually left considerable flesh on the bones. The information in The Bare Bones is hardly bare or even spare. All the essentials are covered. All of the critical aspects of the most common skeletal diseases are described and illustrated. The authors synthesize the current knowledge regarding the clinical, pathologic, and physiologic features of each disease, and then outline the proper approach to the interpretation of radiographs, computed tomography, magnetic resonance imaging, and skeletal scintigrams. The important features of each disorder are demonstrated with exceptional illustrations, augmented, as necessary, by excellent diagrams, and appropriately summarized in tables. This masterful approach is consistently applied with superb results.

The book is divided into four parts. The six chapters of Part I are devoted to trauma, properly reflecting the frequency with which skeletal injuries are encountered and the overriding importance of imaging in the diagnosis and management of fractures and dislocations. The first chapter gives an excellent background to the clinical and biomechanical considerations. The next three chapters address injuries of the upper extremity; spine, thoracic cage, and pelvis; and lower extremity, respectively. Chapter describes imaging of fracture treatment and healing.