Radiology Case Review Series: MSK Imaging

426 Pages·2013·19.78 MB·English

by  Sayed Ali

RADIOLOGY
|
CASE REVIEW SERIES Musculoskeletal Imaging
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RADIOLOGY
|
CASE REVIEW SERIES Musculoskeletal Imaging
Sayed Ali, MD
Associate Professor of Clinical Radiology
Musculoskeletal Radiology Fellowship Program Director
Temple University School of Medicine
Philadelphia, Pennsylvania
USA
Sanjay Patel, MBBS, MRCS, FRCR
Consultant Musculoskeletal Radiologist
Department of Imaging
Royal Derby Hospital
Derby
United Kingdom
Dhiren Shah, MA(Cantab), MRCS, FRCR
Consultant Musculoskeletal Radiologist
North West London Hospitals NHS Trust
London
United Kingdom
S E R I E S E D I TO R
Roland Talanow, MD, PhD
President
Department of Radiology Education
Radiolopolis, a subdivision of InnoMed, LLC
Stateline, Nevada
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Madrid Mexico City Milan New Delhi Singapore
Sydney Toronto
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To my parents and siblings, for their unwavering support.
To my wife Chandra, for her incomparable work ethic.
To my sons Rayhan and Kian, you make it all worthwhile.
—SA
Dedicated to my wife Sonia, and my little stars Kaushal and Anusha.
Without their endless support and encouragement, this dream
would not have been possible. I would also like to thank
my parents Raman and Seeta for their
continuous blessings.
—SP
Dedicated to Maya, Tiana, and Rishaan. Without your patience
and support over the last two years, this ambitious
project would never have come to fruition.
—DS
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Contents
Series Preface ix
Preface xi
Easy Cases
1
Moderately Diffi cult Cases
153
Most Diffi cult Cases
355
Subject Index 409
Diffi culty Level Index 411
Author Index 412
Acknowledgement Index 413
vii
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Series Preface
M
aybe I have an obsession for cases, but when I was with images and questions and page 2 with the answers and
a radiology resident I loved to learn especially from explanations. This approach avoids unintentional peeking at
cases, not only because they are short, exciting, and the answers before deciding on the correct answers yourself.
fun—similar to a detective story in which the aim is to get to We keep it strict: one case per page! This way it remains up
“the bottom” of the case—but also because, in the end, that’s to your own knowledge to fi gure out the right answer.
what radiologists are faced with during their daily work. Another example that residents (including me) did miss
Since medical school, I have been fascinated with learning, in traditional case review books is that these books did not
not only for my own benefi t but also for the sake of teaching highlight the pertinent fi ndings on the images: sometimes,
others, and I have enjoyed combining my IT skills with my even looking at the images as a group of residents, we could
growing knowledge to develop programs that help others in not fi nd the abnormality. This is not only frustrating but also
their learning process. Later, during my radiology residency, time consuming. When you prepare for the boards, you want
my passion for case-based learning grew to a level where the to use your time as efficiently as possible. Why not show
idea was born to create a case-based journal: integrating new annotated images? We tackled that challenge by provid-
concepts and technologies that aid in the traditional learn- ing, on the second page of each case, the same images with
ing process. Only a few years later, the Journal of Radiology annotations or additional images that highlight the fi ndings.
Case Reports became an internationally popular and PubMed When you are preparing for the boards and managing
indexed radiology journal—popular not only because of your clinical duties, time is a luxury that becomes even more
the interactive features but also because of the case-based precious. Does the resident preparing for the boards truly
approach. This led me to the next step: why not tackle some- need lengthy discussions as in a typical textbook? Or does the
thing that I especially admired during my residency but that resident rather want a “rapid fire” mode in which he or she
could be improved—creating a new interactive case-based can “fly” through as many cases as possible in the shortest
review series. I imagined a book series that would take into possible time? This is the reality when you start your work
account new developments in teaching and technology and after the boards! Part of our concept with the new series is
changes in the examination process. providing short “pearls” instead of lengthy discussions. The
As did most other radiology residents, I loved the tradi- reader can easily read and memorize these “pearls.”
tional case review books, especially for preparation for the Another challenge in traditional books is that questions
boards. These books are quick and fun to read and focus in a are asked on the fi rst page and no direct answer is provided,
condensed way on material that will be examined in the fi nal only a lengthy block of discussion. Again, this might become
boards. However, nothing is perfect and these traditional case time consuming to find the right spot where the answer
review books had their own intrinsic fl aws. The authors and is located if you have doubts about one of several answer
I have tried to learn from our experience by putting the good choices. Remember: time is money—and life! Therefore,
things into this new book series but omitting the bad parts we decided to provide explanations to each individual ques-
and exchanging them with innovative features. tion, so that the reader knows exactly where to fi nd the right
What are the features that distinguish this series from answer to the right question. Questions are phrased in an
traditional series of review books? intuitive way so that they fit not only the print version but
To save space, traditional review books provide two also the multiple-choice questions for that particular case in
cases on one page. This requires the reader to turn the page our online version. This system enables you to move back
to read the answer for the first case but could lead to unin- and forth between the print version and the online version.
tentional “cheating” by seeing also the answer of the second In addition, we have provided up to 3 references for
case. Doesn’t this defeat the purpose of a review book? From each case. This case review is not intended to replace tra-
my own authoring experience on the USMLE Help book ditional textbooks. Instead, it is intended to reiterate and
series, it was well appreciated that we avoided such acciden- strengthen your already existing knowledge (from your train-
tal cheating by separating one case from the other. Taking the ing) and to fi ll potential gaps in your knowledge.
positive experience from that book series, we decided that However, in a collaborative effort with the Journal of
each case in this series should consist of two pages: page 1 Radiology Case Reports and the international radiology
ix