AOSSM/AAOS Orthopaedic Sports Medicine Review Course-Imaging: Spine/Hip

Video Transcription

Video Summary

In this video, the speaker discusses targeted topics related to spine and hip issues in orthopedics. They talk about the challenges radiologists face when interpreting spine MRI images, particularly in distinguishing between positive findings and the actual cause of symptoms. The speaker emphasizes the importance of symptom MRI correlation and highlights the presence of inflammation as a potential indicator of pain generators. They also touch on segmental instability, particularly anterolisthesis, which is often associated with degenerative changes and can cause various symptoms such as low back pain and radiculopathy. In the hip, the speaker discusses bone marrow abnormalities, including stress and fatigue fractures, transient osteoporosis, and capital femoral necrosis. They note the difficulty in distinguishing between different types of bone marrow edema and the significance of contrast-enhanced imaging in certain cases. The video concludes by highlighting the importance of differentiating between subchondral fractures and true osteonecrosis, and the potential benefits of contrast injection in such cases.

Asset Caption

William Palmer, MD (Massachusetts General Hospital)

Meta Tag

Author William Palmer, MD (Massachusetts General Hospital)

Date August 10, 2018

Session

Title Imaging: Spine/Hip

Keywords

spine issues

hip issues

MRI interpretation

inflammation

segmental instability

bone marrow abnormalities