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Imaging of the Athlete, An Issue of Radiologic Clinics of North America, E-Book

Imaging of the Athlete, An Issue of Radiologic Clinics of North America, E-Book

Adam C. Zoga | Johannes B. Roedl

(2016)

Additional Information

Book Details

Abstract

This issue of Radiologic Clinics of North America focuses on Imaging of the Athlete, and is edited by Drs. Adam Zoga and Johannes Roedl. Articles will include: The Thrower’s Shoulder; Multimodality Imaging and Imaging Guided Therapy for the Painful Elbow; The Skeletally Immature and Newly Mature Throwing Athlete; Imaging Throwing Injuries Beyond the Shoulder and Elbow; Imaging Adductor Injury and “The Inguinal Disruption"; Image Guided Core Intervention and Postop Imaging; Core Injuries Remote from the Pubic Symphysis; MRI and MR Arthrography of the Hip; Knee Meniscus Biomechanics and Microinstability; Imaging Turf Toe and Traumatic Forefoot Injury; Imaging the Postoperative Knee; The Hindfoot Arch: What Role does the Imager Play?; Using Imaging to Determine Return to Play; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Imaging of the Athlete\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Preface\r vii
I: The Throwing Athlete vii
Pathomechanics and Magnetic Resonance Imaging of the Thrower’s Shoulder\r vii
Multimodality Imaging of the Painful Elbow: Current Imaging Concepts and\rImage-Guided Treatments for the Injured Thrower’s Elbow\r vii
The Skeletally Immature and Newly Mature Throwing Athlete\r vii
Imaging Injuries in Throwing Sports Beyond the Typical Shoulder and Elbow Pathologies\r vii
II: The Musculoskeletal Core viii
Imaging Athletic Groin Pain\r viii
Ultrasound-guided Interventions for Core and Hip Injuries in Athletes\r viii
Core Injuries Remote from the Pubic Symphysis\r viii
Algorithm for Imaging the Hip in Adolescents and Young Adults\r viii
III: New Ideas for Imaging Sports Injuries in the Lower Extremity ix
Postoperative Imaging of the Knee: Meniscus, Cartilage, and Ligaments\r ix
The Hindfoot Arch: What Role Does the Imager Play?\r ix
Imaging of Turf Toe\r ix
The Role of Imaging in Determining Return to Play\r ix
CME Accreditation Page x
PROGRAM OBJECTIVE x
TARGET AUDIENCE x
LEARNING OBJECTIVES x
ACCREDITATION x
DISCLOSURE OF CONFLICTS OF INTEREST x
UNAPPROVED/OFF-LABEL USE DISCLOSURE x
TO ENROLL x
METHOD OF PARTICIPATION xi
CME INQUIRIES/SPECIAL NEEDS xi
RADIOLOGIC CLINICS OF NORTH AMERICA\r xii
FORTHCOMING ISSUES xii
November 2016 xii
January 2017 xii
March 2017 xii
RECENT ISSUES xii
July 2016 xii
May 2016 xii
March 2016 xii
Preface xiii
Pathomechanics and Magnetic Resonance Imaging of the Thrower’s Shoulder 801
Key points 801
INTRODUCTION 801
NORMAL ANATOMY 801
MR IMAGING TECHNIQUE 802
BIOMECHANICS OF THE THROWING MOTION 803
ADAPTIVE CHANGES TO THE STRESS OF PITCHING 804
Soft Tissue Changes 804
Osseous Changes 805
Humeral retrotorsion 805
Glenoid retroversion 806
INJURIES RELATED TO THE LATE COCKING PHASE OF PITCHING 806
Internal Impingement 806
Superior Labral Tear 808
INJURIES RELATED TO THE DECELERATION AND FOLLOW-THROUGH PHASES OF PITCHING 810
Glenohumeral Internal Rotation Deficit 810
Bennett Lesion 811
SUMMARY 813
ACKNOWLEDGMENTS 813
REFERENCES 813
Multimodality Imaging of the Painful Elbow 817
Key points 817
INTRODUCTION 817
TENDINOSIS 818
Lateral Epicondylosis 818
Treatment 819
Corticosteroids 820
Fenestration 821
Prolotherapy 821
Platelet-rich plasma (and autologous blood injection) 822
Medial Epicondylosis 823
ULNAR COLLATERAL LIGAMENT 824
Anatomy 824
Diagnosis 825
MR Imaging 825
Ultrasound imaging 828
Treatment 831
Postoperative Imaging 832
POSTEROMEDIAL OSSEOUS IMPINGEMENT 832
OLECRANON STRESS FRACTURE 834
ULNAR NEURITIS 834
SUMMARY 835
REFERENCES 835
The Skeletally Immature and Newly Mature Throwing Athlete 841
Key points 841
INTRODUCTION 841
NORMAL ANATOMY: NORMAL SKELETAL GROWTH 842
Growth Plate Anatomy 842
Endochondral Ossification Within the Primary Physis 842
Endochondral Ossification Within the Secondary Physes 843
MR Imaging of Normal Physeal Anatomy 844
VULNERABILITY OF THE PHYSIS: PATHOPHYSIOLOGY OF PHYSEAL INJURIES 844
IMAGING PROTOCOLS 844
IMAGING FINDINGS/PATHOLOGY: SHOULDER 844
Little League Shoulder: Proximal Humeral Physeal Stress Injury 844
Acromial Apophyseal Stress Injury (Acromial Apophysitis or Acromial Apophysiolysis) 845
Clavicular Osteolysis: Distal Clavicular Stress Injury 847
IMAGING FINDINGS/PATHOLOGY: ELBOW 847
Little League Elbow Injury Spectrum 847
Little League Elbow: Medial Injuries 848
Little league elbow in the prepubescent pitcher: medial epicondylitis/medial epicondyle apophysitis 848
Little league elbow in the older pitcher: ligament bone avulsion injuries 849
Lateral Elbow Injuries: Juvenile Osteochondritis Dissecans 851
Stability of Elbow Osteochondritis Dissecans Lesions 851
Posterior Elbow Injuries: Olecranon Stress Fractures 851
SUMMARY 853
REFERENCES 853
Imaging Injuries in Throwing Sports Beyond the Typical Shoulder and Elbow Pathologies 857
Key points 857
BONE INJURIES 857
MUSCLE/TENDON INJURIES 857
LIGAMENT INJURIES 860
NERVE INJURIES 860
VASCULAR INJURIES 862
REFERENCES 863
Imaging Athletic Groin Pain 865
Key points 865
INTRODUCTION 865
FUNCTIONAL ANATOMY OF THE CLINICAL ENTITIES OF GROIN PAIN 866
Adductor-Related Groin Pain 866
Pubic-Related Groin Pain 867
Inguinal-Related Groin Pain 868
Anterior inguinal wall deficiency 868
Posterior inguinal wall deficiency 868
Iliopsoas-Related Groin Pain 869
IMAGING FINDINGS OF GROIN PAIN 869
Adductor-Related Groin Pain 869
Adductor origin 869
Secondary cleft sign 870
Pubic bone marrow edema and degenerative changes of the pubic symphysis 870
Pubic-Related Groin Pain 870
Inguinal-Related Groin Pain 871
ILIOPSOAS-RELATED GROIN PAIN 872
REFERENCES 872
Ultrasound-guided Interventions for Core and Hip Injuries in Athletes 875
Key points 875
I: GENERAL CONCEPTS 875
General Procedure Steps and Needle Placement 875
Corticosteroid and Local Anesthetic Injections 876
Indications 876
Corticosteroid agents 876
Mixture with local anesthetic 876
Injections used as diagnostic tests 877
Corticosteroid side effects 877
Percutaneous Tenotomy, Prolotherapy, and Platelet-rich Plasma 877
Percutaneous needle tenotomy and prolotherapy 877
Platelet-rich plasma: mechanism of action 877
Platelet rich plasma: preparation 878
Platelet rich plasma: procedure and postprocedure care 878
Platelet rich plasma: clinical evidence 878
2: CONDITIONS 878
Core Muscle Injuries 878
Hip Joint 880
Paralabral Cysts 880
Iliopsoas Tendon/Bursa 881
Rectus Femoris 882
Greater Trochanteric Pain Syndrome 884
Hamstring 885
Ischiofemoral Impingement 886
Piriformis Syndrome 887
Selected Nerves 888
Ilioinguinal/iliohypogastric nerve 888
Pudendal nerve 888
REFERENCES 890
Core Injuries Remote from the Pubic Symphysis 893
Key points 893
INTRODUCTION 893
MUSCULOTENDINOUS INJURIES 894
SIDE STRAIN, ROWER’S RIB, AND SLIPPING RIB SYNDROME 896
HOCKEY GOALIE/BASEBALL PITCHER SYNDROME 900
HOCKEY GROIN SYNDROME 900
GREATER TROCHANTERIC PAIN SYNDROME 901
APOPHYSITIS AND APOPHYSEAL INJURIES 902
ILIOPSOAS TENDINITIS AND BURSITIS, SNAPPING HIP SYNDROME, AND ILIOPSOAS IMPINGEMENT 903
OSSEOUS STRESS INJURIES 905
ISCHIOFEMORAL IMPINGEMENT AND PIRIFORMIS SYNDROMES 906
HERNIAS 908
SUMMARY 908
REFERENCES 908
Algorithm for Imaging the Hip in Adolescents and Young Adults 913
Key points 913
INTRODUCTION 913
THE IMAGING PLAN 914
NONCONTRAST MR IMAGING PROTOCOLS 916
INDIRECT MAGNETIC RESONANCE ARTHROGRAPHY 916
DIRECT MAGNETIC RESONANCE ARTHROGRAPHY AND THE ANESTHETIC EXAMINATION 918
COMPUTED TOMOGRAPHY APPLICATIONS 921
INTRINSIC FEMOROACETABULAR LESIONS 921
The Acetabulum 921
The Femoral Head-Neck Junction 922
The Acetabular Labrum 923
Articular Cartilage 923
The Ligamentum Teres 924
Normal Variants 925
POSTOPERATIVE IMAGING CONSIDERATIONS 927
EXTRA-ARTICULAR HIP LESIONS 927
Gluteus Minimus and Medius 928
Rectus Femoris, Iliopsoas, and Hip Flexors 928
Bursitis and Ischiofemoral Impingement 928
REFERRED SOURCES OF HIP AND GROIN PAIN 928
CONCOMITANT LESIONS 928
SUMMARY 929
REFERENCES 929
Postoperative Imaging of the Knee 931
Key points 931
INTRODUCTION 931
MENISCUS 931
POSTOPERATIVE MR IMAGING PROTOCOL FOR EVALUATION OF THE MENISCUS 932
MR IMAGING APPEARANCE AFTER MENISCUS REPAIR 932
MR IMAGING AFTER PARTIAL MENISCUS RESECTION 934
MR IMAGING AFTER MENISCAL REPLACEMENT 935
HYALINE CARTILAGE 935
BONE MARROW STIMULATION/MICROFRACTURE 936
OSTEOCHONDRAL ALLOGRAFT AND AUTOGRAFT 936
CARTILAGE AUTOGRAFT IMPLANTATION SYSTEM/PARTICULATE CARTILAGE ALLOGRAFT 937
AUTOLOGOUS CHONDROCYTE IMPLANTATION 937
POSTOPERATIVE MR IMAGING PROTOCOL FOR EVALUATION OF HYALINE CARTILAGE 939
MR IMAGING AFTER CARTILAGE SURGERY 939
CRUCIATE AND COLLATERAL LIGAMENTS 940
POSTOPERATIVE IMAGING OF LIGAMENT RECONSTRUCTION/REPAIR 940
ANTERIOR CRUCIATE LIGAMENT 941
ANTERIOR CRUCIATE LIGAMENT GRAFT POSITIONING 941
ANTERIOR CRUCIATE LIGAMENT COMPLICATIONS 943
POSTERIOR CRUCIATE LIGAMENT 945
MEDIAL COLLATERAL LIGAMENT 946
POSTEROLATERAL CORNER 946
PEARLS, PITFALLS, AND VARIANTS 947
WHAT REFERRING PHYSICIANS NEED TO KNOW 947
SUMMARY 947
REFERENCES 948
The Hindfoot Arch 951
Key points 951
INTRODUCTION 951
CLASSIFICATION OF FLATFEET 952
ANATOMIC CONSIDERATIONS IN FLATFEET 952
Posterior Tibial Tendon 953
Spring Ligament 954
Deltoid Ligament Complex 954
Tarsal Sinus 954
Achilles Tendon and Plantar Fascia 955
Tarsal Coalitions 956
IMAGING CONSIDERATIONS 956
Radiography 958
Ultrasonography 960
Computed Tomography 960
Magnetic Resonance Imaging 961
TREATMENT 963
SUMMARY 965
ACKNOWLEDGMENTS 965
REFERENCES 965
Imaging of Turf Toe 969
Key points 969
INTRODUCTION 969
MECHANISM OF INJURY 969
NORMAL ANATOMY 970
IMAGING PROTOCOL 972
PATHOLOGY 973
SUMMARY 977
REFERENCES 977
The Role of Imaging in Determining Return to Play 979
Key points 979
INTRODUCTION 979
SHOULDER 979
Elite Overhead Throwers 979
KNEE 980
Anterior Cruciate Ligament Tears 980
Other Common Knee Injuries 981
LUMBAR SPINE 981
Spondylosis/Spondylolisthesis 982
Lumbar Disc Herniation 982
HAMSTRING 983
ANKLE 983
High Ankle Sprain 983
Achilles Tendon Rupture 985
HIGH-RISK STRESS FRACTURES 985
CONCUSSION 986
REFERENCES 986
Index 989