Musculoskeletal Radiology for Residents: Self-Assessment Questions

393 Pages·2022·17.27 MB·English

by  Pawel Szaro

Musculoskeletal
Radiology
for Residents
Self-Assessment Questions
Pawel Szaro
123
Musculoskeletal Radiology for Residents
Pawel Szaro
Musculoskeletal Radiology
for Residents
Self-Assessment Questions
Pawel Szaro
Musculoskeletal Radiology
Sahlgrenska University Hospital Göteborg
Västra Götalands Län, Sweden
Department of Descriptive and Clinical Anatomy
Medical University of Warsaw
Warsaw, Poland
ISBN 978-3-030-85181-1 ISBN 978-3-030-85182-8 (eBook)
https://doi.org/10.1007/978-3-030-85182-8
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature
Switzerland AG 2022
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and trans-
mission or information storage and retrieval, electronic adaptation, computer software, or by similar or
dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publica-
tion does not imply, even in the absence of a specific statement, that such names are exempt from the
relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book
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editors give a warranty, expressed or implied, with respect to the material contained herein or for any
errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional
claims in published maps and institutional affiliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
I dedicate this book to my dear parents.
How to Use this Book?
This book includes 1060 questions from all parts of the radiology of the musculo-
skeletal system. The book aims to present essential issues of the basics of orthopae-
dic radiology. In the first seven parts (Parts I–VIII), 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 con-
temporary 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!
vii
Acknowledgements
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.
ix
Contents
Part I Anatomy
1 Clinical Anatomy and Developmental Variants . . . . . . . . . . . . . . . . . . . 3
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Part II A ppendicular Skeleton Trauma
2 Upper Extremity Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
3 Lower Extremity Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Part III Spine
4 Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
5 Degenerative Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
6 Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
7 Varia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192
Part IV Tumors and Tumor Like Lesions
8 Bone Tumours . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
9 Soft Tissue Tumours . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
10 Varia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265
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xii Contents
Part V Arthritis
11 Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Part VI M etabolic and Miscellaneous Bone Diseases
12 Metabolic and Miscellaneous Bone Diseases . . . . . . . . . . . . . . . . . . . . . 305
12.1 Metabolic Bone Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305
12.2 Miscellaneous Bone Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 310
Part VII Interventional Radiology in the Musculoskeletal System
13 Interventional Radiology in the Musculoskeletal System . . . . . . . . . . . 317
Part VIII Examinations
14 Examination Set 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
15 Examination Set 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349
16 Examination Set 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375
Part I
Anatomy