Musculoskeletal radiology

298 Pages·2010·10.524 MB·English

by  G Garcia

Radiology
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about the book…
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Musculoskeletal Radiology is a single-source guide encompassing all of musculoskeletal
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imaging by examining classical diseases, as well as modern interpretations of disease. This
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in-depth coverage of MRI uses a basic “hands on”’ approach to MRI for exploring the knee,
shoulder, wrist, elbow, ankle, and foot. u
With over 1,000 high-definition images, this volume is a complete stand-alone reference for l
anyone interested in musculoskeletal disease.
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Other topics include:
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• additional chapters on MRI’s
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• congenital and pediatric disease
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• trauma
• arthritis l
• metabolic bone disease e
• infection
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• tumors
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Musculoskeletal
• lumbosacral spine
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• musculoskeletal processes involving the spine

• common musculoskeletal diseases and uncommon conditions
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about the author... radioloGy
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HARRY GRIFFITHS is Professor of Radiology, University of Florida, Jacksonville, Florida, USA.
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Dr. Griffiths received his M.D. from Guy’s School of Medicine, London, UK. Throughout his
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career, Dr. Griffiths has traveled the world as a visiting professor, teaching in Sweden, Norway, o
Ireland, Spain, Italy, Mexico, Brazil, Argentina, Singapore, and Hong Kong. He has been
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given honorary fellowships to both the Royal Australasian Radiological Society and Finnish
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Radiological Society. Dr. Griffiths’s specialty is in diagnostic radiology, and his primary
interests include topics such as MRI, tumors, Metabolic Bone Disease (MBD), and sports
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medicine. He has contributed to over 200 publications on radiological and orthopedic case
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studies and research.
Printed in the United States of America
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Harry GriffitHs
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Musculoskeletal
Radiology
TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk
Musculoskeletal
Radiology
HaRRy gRiffitHs
University of Florida
Jacksonville, Florida, USA
CRC Press
Taylor & Francis Group
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Boca Raton, FL 33487-2742
© 2009 by Taylor & Francis Group, LLC
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Version Date: 20140818
International Standard Book Number-13: 978-1-4200-2066-3 (eBook - PDF)
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This book is dedicated to all my fellows, residents and medical students
fromwhomIhavealwayslearntalotandwhohavehelpedkeepmeyoung.
TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk
Preface
Thisbookisbasedonover35yearsofbeinginvolvedwithacademicmusculoskeletal
(MSK)radiology.Thetextincorporatesmuchofmyold“plainfilm”teachingcollection
withmyextensiveexperiencewithCT,MRI,andotherspecialproceduresinvolvingthe
MSK system. I have also been involved with orthopaedists from the start, and in fact
while I was at the Peter Bent Brigham, Clem Sledge had me elected to the American
AssociationofOrthopaedicSurgeons—atthattimeoneofonlyfourradiologiststobea
member of that prestigious organization. Thus, I have an extensive knowledge of
orthopaedic devices and their history over the past 35 years—hence the chapter on
orthopedic hardware. In my present department, we perform over 100 bone and soft
tissuebiopsieseveryyearaswellasmanyarthrogramsusuallypriortoMRIsandjoint
aspirations, some of which are performed under ultrasound guidance. My special
academic interests will become obvious to the reader but include bone and soft-tissue
tumors,rheumatology,andsportsmedicine.Yetintheolddays,Ididalotofpaediatric
radiologyandcollectedahugenumberofthebonedysplasias,hencethefairlyextensive
coverage of these rareconditions,which are no longer on the American boardsexam.
Withthisin mind, the bookis intendedtobe both inclusive andup-to-date.
On the one hand, some of my views are controversial and do not coincide with
what isin the literature. This isnotnecessarily perversity onmy behalf butextensive
practicalexperienceandknowledgeofthatparticulartopic.Ontheotherhand,“new”
conditionsaredescribedeveryday,althoughmanycanbefoundintheolderliterature
under different names, the latest being ace tabular impingement syndrome, which is
notinthisbook—yet.IhopeyouenjoyreadingthisbookasmuchasIhadfunputting
a lifetime’s experience into one volume.
The intended audience for this book includes radiologists and radiological
residents, orthopaedists and orthopaedic residents, physical medicine physicians and
physiatrists and their residents, as well as osteopathic doctors and their residents.
Chiropractors who want an up-to-date and comprehensive MSK text should also be
interested in reading this book.
ACKNOWLEDGMENTS
Icannotpossiblythankallthepeoplewhohavehelpedmeovertheyears,butnaminga
few names is appropriate. I was taught by all the giants in the field including Ronald
Murray, Frank Doyle, John Kirkpatrick, Bill Martell, Bob Wilkinson, and Harold
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vi Preface
Jacobson.Overtheyears,I have reliedon thefriendshipandsupportofDon Resnick,
HarryGenant,LeeRogers,MuraliSundaram,MurrayDalinka,andtoomanyothersto
nameindividuallyintheUnitedStates.IntheUnitedKingdom,IanBeggs,IainMcCall,
Jake Davidson,andIan Watthave usuallymanagedto keep me honest! My particular
groupof“cronies”alsoneedtobementionedbyname—HenryJones,AnnBrower,and
Stanley Bohrer, with whom I enjoyed many good ISS meetings, not to mention
excellent food and wine. The book began in Minneapolis where Clemmer Wait who
was my secretary at that time and remains a good friend did all the original typing.
When I eventually moved down to Florida and started work on the book again, Jim
Perindidalltheworkofputtingthetextandillustrationstogetherforthepublisher—a
computer-based task that I would be totally incapable of undertaking! I would
particularly like to thank the production team at Informa Healthcare, both Joseph
Stubenrauch and Naman Mahisauria, who were very considerate and helpful.
Finally, I would like to convey my special thanks to Jim Perin, M.D., Lori
Deitte, M.D., and Clemmer Wait, M.S. for the extraordinary help in completing this
publication.
Harry Griffiths
Contents
Preface............................................................................ v
1. Trauma.......................................................................1
2. Arthritis ................................................................... 59
3. Musculoskeletal Infection..................................................107
4. Metabolic and Hematological Bone Disease...............................135
5. Congenital and Developmental Abnormalities.............................169
6. Bone and Soft Tissue Tumors .............................................199
7. Orthopaedic Hardware, Total Joint Replacements,
and Their Complications...................................................233
8. MRI and Ultrasound.......................................................253
9. Lumbar Spine..............................................................269
Index............................................................................283
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