Table Of ContentTHIRD EDITION
Davis Blankenbaker Bernard
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THIRD EDITION
Kirkland W. Davis, MD, FACR
Professor of Radiology
Musculoskeletal Imaging and Intervention
Department of Radiology
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Donna G. Blankenbaker, MD, FACR
Professor of Radiology
Musculoskeletal Imaging and Intervention
Department of Radiology
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Stephanie A. Bernard, MD
Musculoskeletal Radiologist
Brooke Army Medical Center
Fort Sam Houston, Texas
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Elsevier
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
DIAGNOSTIC IMAGING: MUSCULOSKELETAL NON-TRAUMATIC DISEASE, THIRD EDITION ISBN: 978-0-323-83473-5
Inkling: 978-0-323-83475-9
Copyright © 2022 by Elsevier. All rights reserved.
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may be noted herein).
Notices
Practitioners and researchers must always rely on their own experience and knowledge in
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Because of rapid advances in the medical sciences, in particular, independent verification of
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Previous edition copyrighted 2016.
Library of Congress Control Number: 2022931352
Printed in Canada by Friesens, Altona, Manitoba, Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
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Dedications
To my beautiful wife, Jenni. Thank you for all your love, support,
and forbearance always, and especially during a lengthy book project
during a global pandemic.
I couldn’t do any of this without you.
KWD
I write this in loving memory of my father and dedicate this to my
mother, Aunt Eunice, colleagues, and mentors who have encouraged me
to work hard and follow my dreams.
DGB
To my family and mentors, who have made it possible for me
to explore such a wonderful specialty:
thank you for the years of love, support, and guidance.
SAB
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Contributing Authors
Behrang Amini, MD, PhD Lauren M. Ladd, MD
Associate Professor Assistant Professor of Clinical Radiology
The University of Texas MD Anderson Cancer Center Department of Radiology & Imaging Sciences
Houston, Texas Indiana University School of Medicine
Indianapolis, Indiana
Nathan D. Cecava, MD
Jonelle M. Petscavage-Thomas,
Assistant Professor
MD, MPH
Department of Radiology
Uniformed Services University of the Health Sciences Professor of Radiology
Division of Musculoskeletal Imaging Penn State Health Milton S. Hershey Medical Center
San Antonio Military Medical Center Hershey, Pennsylvania
Joint Base San Antonio, Texas
Eric Walker, MD, MHA, FACR, FACHE
Nancy A. Chauvin, MD
Professor of Radiology
Professor of Radiology and Pediatrics Penn State Health Milton S. Hershey Medical Center
Penn State College of Medicine Hershey, Pennsylvania
Penn State Health Milton S. Hershey Medical Center Adjunct Assistant Professor of Radiology
Hershey, Pennsylvania Uniformed Services University of the Health Sciences
Bethesda, Maryland
Derik L. Davis, MD
Kristopher Joseph de Ga, MD
Associate Professor
Department of Diagnostic Radiology Resident Physician
and Nuclear Medicine Department of Radiology
Musculoskeletal Radiology Section UC Davis Health
University of Maryland School of Medicine Sacramento, California
Baltimore, Maryland
Dylan A. Noblett, MD
Eva M. Escobedo, MD Resident Physician
Clinical Professor Department of Radiology
Department of Radiology UC Davis Health
UC Davis Medical Center Sacramento, California
Sacramento, California
Stephen Vong, MD
Kara G. Gill, MD Resident Physician
Department of Radiology
Associate Professor of Radiology,
UC Davis Health
Surgery, and Pediatrics
Sacramento, California
University of Wisconsin School of Medicine
and Public Health
Madison, Wisconsin
Brady K. Huang, MD
Clinical Professor
Department of Radiology
Division of Musculoskeletal Imaging
UC San Diego Medical Center
San Diego, California
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Additional Contributing Authors
Julia R. Crim, MD
Chris Hanrahan, MD, PhD
B. J. Manaster, MD, PhD, FACR
Sandra Moore, MD
Cheryl A. Petersilge, MD, MBA
Catherine C. Roberts, MD
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Preface
Welcome to the third edition of Diagnostic Imaging: Musculoskeletal Non-Traumatic Disease.
This book partners with the third edition of Diagnostic Imaging: Musculoskeletal Trauma,
published last year, to provide updated comprehensive information covering imaging
of all human musculoskeletal conditions.
We have retained the standard Diagnostic Imaging format, with clear organization and text
presented in easy-to-digest bullets. History and clinical presentation, which are essential
elements in the diagnosis of musculoskeletal conditions, are important portions of each
chapter, as are alternative diagnostic considerations and brief reviews of differentiating
features. Standard treatment options and diagnostic clues to remember round out
the chapters. As always, the first page of each chapter is a Key Facts section that provides a
quick overview of the most important points on the topic.
Our understanding of many musculoskeletal conditions continues to evolve. For instance,
advances in genetics have refined classification and treatment of many musculoskeletal
neoplasms as well as metabolic, systemic, and congenital conditions. Similarly, knowledge
of nutritional aberrations and medication effects on the musculoskeletal system,
advanced imaging and treatment of arthritis, and the treatment of musculoskeletal
conditions with surgical implants continue to improve every year. As such, we chose to build
on the excellent foundation provided by Dr. Manaster and her expert author team
from the first two editions by recruiting a completely new team of experts in bone
and soft tissue neoplasms, arthritis, marrow disease, metabolic bone disease, systemic
disease affecting the musculoskeletal system, musculoskeletal infections, orthopedic
implants, nutritional and medication effects on the musculoskeletal system, and congenital
and developmental aberrations of the musculoskeletal system and skeletal dysplasias.
This new team combined extensive review of the current literature with their own
expertise in these topics to provide a major revision to the textbook. The text
in all chapters has been updated, with substantial changes in the vast majority. Over
2,000 new images have been added to this edition, providing copious up-to-date
examples of important pathology and conditions, while retaining the best images from
the second edition. Numerous new ultrasound images are included, along with examples of
advanced MR techniques and PET/CT and PET/MR tools where appropriate.
We encourage the reader to utilize the digital-only portion of the textbook; many
chapters hold additional text that may be helpful, such as additional clinical presentation
information and classification systems. More importantly, there are additional imaging
examples of the conditions that may help enhance and round out the reader’s understanding
of the topic and its varied presentations.
Our team believes the two musculoskeletal Diagnostic Imaging texts provide
comprehensive information radiologists and other musculoskeletal providers need
to understand and diagnose musculoskeletal conditions, presented in a readable
format not matched by other textbooks. We hope and expect this text to be interesting
and valuable to your learning and practice and that you will enjoy reading it.
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Kirkland W. Davis, MD, FACR
Professor of Radiology
Musculoskeletal Imaging and Intervention
Department of Radiology
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Donna G. Blankenbaker, MD, FACR
Professor of Radiology
Musculoskeletal Imaging and Intervention
Department of Radiology
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Stephanie A. Bernard, MD
Musculoskeletal Radiologist
Brooke Army Medical Center
Fort Sam Houston, Texas
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