Category Archives: Musculoskeletal Imaging

Hip Cross Table Lateral
4
Feb

Overview

The cross table lateral hip view images the proximal femur and hip joint when the patient cannot abduct the leg. The detector is placed lateral to the hip and the beam directed horizontally. This projection is useful for trauma patients and postoperative assessment.

Technique

Keep the patient supine and place the detector parallel to the femoral neck on the unaffected side. Use a horizontal beam and ensure the contralateral limb is moved out of the field. Use appropriate exposure and immobilize the patient.

Clinical Indications

Cross table lateral is indicated for suspected femoral neck fractures in patients who cannot be positioned for frog leg views. It provides lateral visualization without moving the injured limb. CT may be used for occult fractures.

Image Assessment

Evaluate femoral head neck alignment cortical integrity and displacement. Assess for intra articular extension and joint congruity. Report findings relevant to urgent orthopedic management.

Shoulder AP with Weights
4
Feb

Overview

AP shoulder views with weights in the hands accentuate inferior subluxation and rotator cuff arthropathy. The patient stands holding light weights to apply gentle traction. Comparison with non weighted views highlights dynamic changes.

Technique

Obtain standard AP shoulder radiographs with the patient holding equal weights in both hands. Ensure consistent exposure and positioning between weighted and non weighted views. Use caution in painful or unstable shoulders.

Clinical Indications

Weighted views are indicated for suspected chronic rotator cuff tear and inferior subluxation. They help demonstrate humeral head migration under load. MRI provides soft tissue detail when indicated.

Image Assessment

Compare humeral head position relative to the glenoid with and without weights. Assess for superior migration and joint space narrowing. Report findings relevant to surgical planning and rehabilitation.

Musculoskeletal Imaging Journal
4
Feb

Overview

Musculoskeletal Imaging Journal publishes research on MRI CT ultrasound and radiography for musculoskeletal disease; it emphasizes trauma sports medicine degenerative conditions and tumor imaging; articles support surgical planning and rehabilitation.

Trauma and Fracture Imaging

Studies evaluate imaging sensitivity for occult fractures and fixation outcomes; CT and cone beam CT applications for complex anatomy are detailed; imaging protocols for acute management are provided.

Soft Tissue and Sports Medicine

Coverage includes MRI tendon ligament and cartilage assessment with advanced sequences; quantitative cartilage mapping and tendon imaging techniques are explored; rehabilitation imaging and return to play criteria are discussed.

Arthroplasty and Implant Imaging

Articles address imaging of prosthetic components infection and loosening; metal artifact reduction techniques and CT based planning are presented; multidisciplinary approaches to revision surgery are highlighted.