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Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
7 topics, 52 min.
Introduction to Emergency MSK Imaging
3 m.Projection Radiography – Basic Principles
11 m.Normal Variants
4 m.Common Presentations: Fractures, Overt Trauma
10 m.Common Presentations: Fractures, Chronic Repititious Trauma
10 m.Common Presentations: Infections
10 m.Common Presentations: Neoplasms and Tumor-like Conditions
9 m.12 topics, 50 min.
Introduction to Shoulder Radiography
11 m.Case: Sternoclavicular Dislocation
3 m.Sternoclavicular Dislocation Summary
5 m.Case: Posterior Shoulder Dislocation
2 m.Shoulder Dislocation Summary
9 m.Case: Greater Tuberosity Fracture
3 m.Avulsion Lesions Summary
3 m.Proximal Humerus Fractures
7 m.Case: Acromioclavicular Joint Separation
2 m.Acromioclavicular Joint Separation Summary
6 m.Case: Lung Apex Lesion
2 m.Lung Apex Lesion Summary
2 m.12 topics, 20 min.
Introduction to Elbow Radiography
3 m.Elbow Fractures
2 m.Case: Coronoid Fracture
2 m.Coronoid Fracture Summary
2 m.Case: Capitellum Fracture
2 m.Capitellum Fracture Summary
2 m.Case: Radial Head Fracture
2 m.Radial Head Fracture Summary
2 m.Case: Monteggia Lesion
2 m.Forearm Fracture Dislocations Summary
5 m.Case: Olecranon Bursitis
1 m.Olecranon Bursitis Summary
3 m.27 topics, 50 min.
Introduction to Wrist and Hand Radiography
3 m.Case: Colle Fracture
2 m.Case: Reverse Barton Fracture
2 m.Distal Radius Fractures Summary
7 m.Case: Scaphoid Waist Fracture
3 m.Scaphoid Fractures Summary
4 m.Case: Lunate Dislocation
2 m.Case: Perilunate Dislocation
1 m.Lunate and Perilunate Dislocations Summary
4 m.Case: Hamate Hook Fractures
2 m.Hamate Hook Fractures Summary
1 m.Case: Triquetral Avulsion
2 m.Triquetral Avulsion Summary
2 m.Case: CMC Injury
2 m.CMC Injuries Summary
3 m.Case: Skier’s (Gamekeeper’s) Thumb
2 m.Skier’s (Gamekeeper’s) Thumb Summary
2 m.Case: Thumb Dislocation
2 m.Thumb Lesions Summary
4 m.Case: Mallet Finger
1 m.Mallet Finger Summary
1 m.Case: Volar Plate Injury
2 m.Volar Plate Injury Summary
1 m.Case: Nail Bed Injury (Distal Phalanx Tuft Fracture)
1 m.Nail Bed Injuries
1 m.Infections in the Wrist and Hand
3 m.Wrist and Hand Summary
3 m.20 topics, 1 hr. 44 min.
Introduction on Pelvis/Hip Radiography
13 m.Introduction to Pelvic Fractures
10 m.Introduction to Pelvic Anatomy
5 m.Introduction to Acetabular Fractures
4 m.Introduction to Acetabular Fracture Types
11 m.Cases: Acetabular Fracture Patterns
6 m.Hip Dislocations
2 m.Case: Subcapital Femoral Neck Fracture
3 m.Hip Fractures/Dislocations Summary
4 m.Case: Greater Trochanteric Fracture
3 m.Hip Avulsion Fractures Summary
10 m.Cases: Sacral Insufficiency Fractures
9 m.Case: Stress Fracture/Reaction
3 m.Stress Fracture Summary
2 m.Osteochondral Fractures and Osteonecrosis
5 m.Case: Calcific Tendinitis
3 m.Calcific Tendinitis Summary
6 m.Case: Bisphosphonate Fracture
4 m.Case: Pelvic Lines
4 m.Pelvic Lines Summary
5 m.15 topics, 1 hr. 7 min.
Introduction to Knee Radiography
10 m.Knee Joint Effusions
4 m.Case: Segond Fracture
3 m.Segond Fracture Summary
4 m.Case: Tibial Stress Fracture
4 m.Tibial Stress Fracture Summary
4 m.Case: Tibial Plateau Fracture
3 m.Tibial Plateau Fractures Summary
5 m.Cases: Subchondral Insufficiency Fractures
10 m.Periosteal Reaction and Prepatellar Bursitis
4 m.Case: Patellofemoral Dislocation
6 m.Patellofemoral Dislocation Summary
6 m.Case: Patellar Fracture
3 m.Extensor Mechanism Disruption
5 m.Knee Checklist
3 m.18 topics, 48 min.
Introduction to Foot and Ankle Radiography
5 m.Case: Osteochondral Lesion
2 m.Osteochondral Lesion Summary
2 m.Case: High Ankle Sprain
2 m.Common Causes of Heel Pain
3 m.Case: Talus Lateral Process Fracture
2 m.Lateral Process Fracture Summary
5 m.Case: Distal Fibular Fracture
2 m.Case: Jones Fracture
2 m.5th Metatarsal Fractures Summary
3 m.Case: Peroneal Retinaculum Avulsion
2 m.Case: Extensor Digitorum Brevis Avulsion
1 m.Case: Calcaneus Anterior Process Fracture
1 m.Ankle Avulsions Summary
4 m.Ankle Fractures Summary
9 m.First Metatarsal Dislocation
1 m.Case: Lisfranc Ligament Injury
2 m.Lisfranc Ligament Injury Summary
9 m.0:00
So this patient had a seizure
0:03
and woke up with left-sided shoulder pain.
0:06
They obtained a frontal projection of the left shoulder.
0:09
And so if we use our anatomy by expectation
0:12
and we look at this image here,
0:14
we can identify the scapular borders.
0:18
Notice where the glenoid is.
0:21
Our acromial process here, our AC joint,
0:25
so AC joint under service of the clavicle and acromium look.
0:29
Okay, Glen humeral joint.
0:31
We don't see as much overlap of the humeral head
0:34
with the glenoid as we might expect
0:36
from a frontal projection.
0:37
And there's an additional opacity here
0:41
over the inferior part of the lineal joint.
0:44
So based on this finding, what would you do?
0:47
Well, one recurrent theme is going to be
0:48
that one view is no view.
0:50
So we're gonna bring the patient back
0:51
and do additional imaging in ideally orthogonal projections.
0:56
So the patient was brought back.
0:58
We have our Y view, a grassy view,
1:02
and an apical oblique view.
1:04
So on our Y view, we identify where the expected location
1:08
of the glenoid is.
1:10
Scapular body cricoid acromion.
1:15
Humeral head is projected posterior to the glenoid, so
1:19
that makes it suspicious for a posterior dislocation
1:22
Grassy view, we don't see a congruent articulation here
1:27
because the humeral head is now gone posterior
1:30
and abutting against the posterior portion of the glenoid.
1:34
In addition, its reveals that that little opacity
1:38
is a fracture fragment likely coming from the lesser
1:42
tuberosity and an apco oblique type view,
1:46
while it's a little bit distorted,
1:48
also very much demonstrates this relationship
1:50
and if the patient was not able
1:51
to tolerate other positioning, this type
1:54
of view would be diagnostic as it is here.
Interactive Transcript
0:00
So this patient had a seizure
0:03
and woke up with left-sided shoulder pain.
0:06
They obtained a frontal projection of the left shoulder.
0:09
And so if we use our anatomy by expectation
0:12
and we look at this image here,
0:14
we can identify the scapular borders.
0:18
Notice where the glenoid is.
0:21
Our acromial process here, our AC joint,
0:25
so AC joint under service of the clavicle and acromium look.
0:29
Okay, Glen humeral joint.
0:31
We don't see as much overlap of the humeral head
0:34
with the glenoid as we might expect
0:36
from a frontal projection.
0:37
And there's an additional opacity here
0:41
over the inferior part of the lineal joint.
0:44
So based on this finding, what would you do?
0:47
Well, one recurrent theme is going to be
0:48
that one view is no view.
0:50
So we're gonna bring the patient back
0:51
and do additional imaging in ideally orthogonal projections.
0:56
So the patient was brought back.
0:58
We have our Y view, a grassy view,
1:02
and an apical oblique view.
1:04
So on our Y view, we identify where the expected location
1:08
of the glenoid is.
1:10
Scapular body cricoid acromion.
1:15
Humeral head is projected posterior to the glenoid, so
1:19
that makes it suspicious for a posterior dislocation
1:22
Grassy view, we don't see a congruent articulation here
1:27
because the humeral head is now gone posterior
1:30
and abutting against the posterior portion of the glenoid.
1:34
In addition, its reveals that that little opacity
1:38
is a fracture fragment likely coming from the lesser
1:42
tuberosity and an apco oblique type view,
1:46
while it's a little bit distorted,
1:48
also very much demonstrates this relationship
1:50
and if the patient was not able
1:51
to tolerate other positioning, this type
1:54
of view would be diagnostic as it is here.
Report
Faculty
John A Carrino, MD, MPH
Vice-Chairman, Radiology and Imaging
Hospital for Special Surgery
Tags
X-Ray (Plain Films)
Trauma
Shoulder
Musculoskeletal (MSK)
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