wrist hand foot ankle 1.pptx [read-only] · wrist, hand, foot, ankle ... • joint space •...
TRANSCRIPT
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Wrist, hand, foot, ankle
It's all the same.
PAIN
S Vijayanathan GSTT NHS FT
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• Thank you to you the audience, the organisers for having me and
• Prof F, Prof O'D, Mr. S, Mr.J, Prof. P, Dr. G, Dr. M, Dr. G, Dr. G, Dr. D & Ms. A, Mr. S- the tip of a deep iceberg.
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A hybrid modality deserves a truly hybrid reporting style
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In musculoskeletal imaging to talk about function you must intimately
understand structure
As always start with the whole body
• The axial
• The appendicular
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Check the statics and the blood pool
• You know what to do
Check the previous imaging
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I do not believe you can effectively use a modality unless you understand the other modalities used to image a
pathology along side it.
Digression
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The CT
• Joint space
• Alignment
• Bone density
• Soft tissue
Components to comment on
• Bone- alignment, density, joint space
• Tendon insertion and relations
• Ligament attachment and relations
• Neurovascular bundles
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Tracer uptake
Concise Interpretation
• I like bullet points
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Peripheral Appendage- upper limb
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Peripheral Appendage- lower
limb
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Ankle ligamentsAnkle ligaments
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Disorders of anatomy
• Impingements- anterior , posterior , hard and soft
• Coalitions
• Discontinuity - fractures
• Not everything is degeneration
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Some things MRI and Spect/ct get wrong- when in doubt go back to the
history and examination.
But there are some things– only SPECT/CT will get right!
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Thank youFurther reading:
Musculoskeletal MRI- Dussault and Helms