Teik Chooi Oh MBBCh BAO AFRCSI FRCR
Consultant Musculoskeletal and Radionuclide Radiologist Honorary Lecturer Lancashire Teaching Hospitals NHS Trust Preston, UK
Matthew Budak MD FRCR
Specialty Registrar in Clinical Radiology Ninewells Hospital and Medical School Dundee, UK
Rakesh Mehan MBChB FRCR
Consultant Radiologist Bolton Hospital NHS Foundation Trust Bolton, UK
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5Foreword
Knowledge of musculoskeletal disorders and their typical radiological appearances is relevant to many clinicians and all radiologists – not just those with a special interest in musculoskeletal imaging – throughout their training and career.
Pocket Tutor Musculoskeletal Imaging begins by covering the technical principles of the different imaging methods applied to the skeleton, includinsg radiographs, ultrasound, computed tomography, magnetic resonance imaging and radionuclide scans. It then describes what is seen in normal and abnormal musculoskeletal tissues using each modality. Next, taking an anatomical approach and including a wealth of annotated images, the authors provide concise descriptions of the most common disorders of each region, the optimum imaging technique and the standard treatment. There is significant coverage of trauma in each regional chapter, making the book particularly relevant to those working in emergency and orthopaedic departments. The final chapter describes the radiological patterns seen with bone tumours and infarcts, osteomyelitis, rickets, arthritis, and osteochondritis dissicans.
Readers are offered a sound basis on which to diagnose the common and classical disorders affecting the skeleton, including knowledge of the optimum imaging method for identification. The authors have described and illustrated musculoskeletal pathology in an admirably succinct and informative way.
Professor Judith Adams
Consultant Radiologist, Manchester Royal Infirmary
Honorary Professor of Diagnostic Radiology
University of Manchester
Manchester, UK
7Preface
Imaging of the musculoskeletal system often intimidates students and trainees, and it can even be daunting for more experienced clinicians. A thorough grasp of radiological anatomy and an appreciation of underlying principles will help overcome this and provide a foundation for interpreting the imaging results seen in practice. Pocket Tutor Musculoskeletal Imaging has been written to help you develop this knowledge and understanding.
The book opens by demonstrating the appearance of normal tissues before going on to illustrate the radiological features of pathological tissues. Having provided a framework for recognising normal findings and key abnormal signs, subsequent chapters summarise the radiological anatomy, clinical appearance and management of the most common musculoskeletal diseases, by body region. A final chapter demonstrates common systemic pathologies which are not easily grouped into a single region. All chapters are lavishly illustrated with high-quality, clearly labelled images.
We hope that this book helps you develop the skills required to interpret images of musculoskeletal presentations.
Teik Chooi Oh
Matthew Budak
Rakesh Mehan
February 2014
8Acknowledgements
I wish to thank my colleagues at the Royal Preston & Chorley Hospital and the South Ribble Hospital for their encouragement and for providing a fantastic working environment. I am especially grateful to Dr Priam Heire for his invaluable aid in the anatomy sections.
I extend my gratitude to all the staff at JP Medical, in particular Paul Mayhew, for his patience and guidance throughout the process.
TCO
I would like to thank Dr Barry Oliver, Dr Naveena Thomas and Dr Christine Walker for their MSK mentorship during my specialist training at Ninewells Hospital and Medical School. Their hard work, patience and dedication for teaching will always be remembered.
MB
I wish to thank Dr Jeremy Jenkins and Dr Richard Whitehouse for their invaluable advice and support.
RM
Dedication
This book is dedicated to my parents, Oh Khay Seng and Gan Poh Kooi, who have always supported me in my lifelong ambition to be a doctor.
TCO
For Tilly and Karo.
MB