Joseph S. Yu - Musculoskeletal Imaging: Case Review Series (Case Review)

Musculoskeletal Imaging

CASE REVIEW

Series Editor

David M. Yousem, MD, MBA

Professor of Radiology

Director of Neuroradiology

Russell H. Morgan Department of Radiology and Radiological Science

The Johns Hopkins Medical Institutions

Baltimore, Maryland

Other Volumes in the CASE REVIEW Series

Brain Imaging

Breast Imaging

Cardiac Imaging

Gastrointestinal Imaging, Second Edition

General and Vascular Ultrasound, Second Edition

Genitourinary Imaging, Second Edition

Head and Neck Imaging, Second Edition

Nuclear Medicine

Obstetric and Gynecologic Ultrasound, Second Edition

Pediatric Imaging

Spine Imaging, Second Edition

Thoracic Imaging

Vascular and Interventional Imaging

CASE REVIEW

SECOND EDITION

Joseph S. Yu, MD
Professor of Radiology
Vice Chair for Education
Section Chief for Musculoskeletal Radiology
Ohio State University Medical School
Columbus, Ohio

CASE REVIEW SERIES

1600 John F. Kennedy Blvd.
Suite 1800
Philadelphia, PA 19103-2899

MUSCULOSKELETAL IMAGING: CASE REVIEW, Second Edition ISBN: 978-0-323-05242-9
Copyright 2008, 2001 by Mosby, Inc., an affiliate of Elsevier Inc.

All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elseviers Health Sciences Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: healthpermissions@elsevier.com. You may also complete your request on-line via the Elsevier website at http://www.elsevier.com/permissions.

Notice

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Author assumes any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.

Library of Congress Cataloging-in-Publication Data

Yu, Joseph.
Musculoskeletal imaging : case review / Joseph S. Yu. 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-05242-9
1. Musculoskeletal systemImagingCase studies. I. Title.

[DNLM:1. Musculoskeletal DiseasesdiagnosisCase Reports. 2. Musculoskeletal Diseases diagnosisExamination Questions. 3. Musculoskeletal SystemradiographyCase Reports. 4. Musculoskeletal SystemradiographyExamination Questions. 5. Diagnosis, DifferentialCase Reports. 6. Diagnosis, DifferentialExamination Questions. 7. Diagnostic ImagingCase Reports. 8. Diagnostic ImagingExamination Questions. WE 141 Y94m 2008]

RC925.7.Y8 2008
616.707572dc22

2007030153

Acquisitions Editor: Maria Lorusso
Developmental Editor: Colleen McGonigal
Project Manager: Bryan Hayward
Design Direction: Steven Stave

Printed in the United States of America.
Last digit is the print number: 9 8 7 6 5 4 3 2 1

To my daughter Sarah for her enthusiasm and her determination to succeed; to Cindy for her love and companionship; to Jim and John for their support; and to Mom and Dad, who taught me to aim high.

I have been very gratified by the popularity and positive feedback that the authors of the Case Review Series have received on publication of the first edition volumes. Reviews in journals and word-of-mouth comments have been uniformly favorable. The authors have done an outstanding job in filling the niche of an affordable, easy-to-read, case-based learning tool that supplements the material in THE REQUISITES series.

While some students learn best in a noninteractive study-book mode, others need the anxiety or excitement of being quizzed, being put on the hot seat. Recognizing this need, the publisher and I selected the format for the Case Review Series to simulate the Boards experience by showing a limited number of images needed to construct a differential diagnosis and asking a few clinical and imaging questions (the only difference being that the Case Review books give you the correct answer and immediate feedback!). Cases are scaled from relatively easy to very hard to test the limit of the readers knowledge. In addition, a brief authors commentary, a cross-reference to the companion REQUISITES volume, and an up-to-date literature reference are also provided for each case.

Because of the popularity of the series, we have been rolling out the second editions of the volumes. The expectation is that the second editions will bring the material to the state-of-the-art, introduce new modalities and new techniques, and provide new and even more graphic examples of pathology.

This volume of the Case Review Series, Musculoskeletal Imaging by Dr. Joseph Yu, is the latest of the second editions. Dr. Yu has updated his edition with new and improved cases, discussions, and techniques. Musculoskeletal imaging has seen an enormous growth in volume of cases as well as in fellowship trained specialists in the field. At the same time, this is an area where turf wars have been raging, with nonradiology physicians purchasing imaging modalities and entering the field. It behooves our specialty to have knowledgeable, well-trained experts in this area to provide quality interpretations and added value in demonstrating the pathology. We need to be ahead of the curve in bringing MR spectroscopy, diffusion imaging, elastography, molecular imaging, and other advanced techniques to the subspecialty to maintain our edge. Learn this material well grasshopper! I am also sure that residents preparing for the oral Boards will find that this volume is a treasure trove of quality material that will serve them well in Louisville or wherever Boards will be held in the future and beyond.

I am pleased to present for your viewing pleasure the latest volume of the second editions of the Case Review Series, joining the previous second editions of Gastrointestinal Imaging by Robert D. Halpert; General and Vascular Ultrasound by William D. Middleton; Genitourinary Imaging by Ronald J. Zagoria, William W. Mayo-Smith, and Julia R. Fielding; Head and Neck Imaging by David M. Yousem and Carol da Motta; Obstetric and Gynecologic Ultrasound by Karen L. Reuter and T. Kemi Babagbemi; and