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Imaging: Spine/Hip
Imaging: Spine/Hip
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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
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