Diagnostic Imaging of Musculoskeletal Diseases. A Systematic Approach 1588299473.pdf

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Diagnostic Imaging of Musculoskeletal Diseases:
A Systematic Approach
Akbar Bonakdarpour, MD
·
William R.
Reinus, MD
·
Jasvir S. Khurana, MD
Editors
Diagnostic Imaging
of Musculoskeletal Diseases
A Systematic Approach
13
Editors
Akbar Bonakdarpour
Department of Radiology
Temple University Hospital
3401 N. Broad Street
Philadelphia, PA 19140-5189
USA
akbarbonakdarpour@yahoo.com
Jasvir S. Khurana, MD
Department of Pathology
Temple University Hospital
3401 N. Broad St.
Philadelphia, PA 19140-5189
USA
jasvir.khurana@tuhs.temple.edu
William R. Reinus
Department of Radiology
Temple University Hospital
3401 N. Broad Street
Philadelphia, PA 19140-5189
USA
reinusw@tuhs.temple.edu
ISBN 978-1-58829-947-5
e-ISBN 978-1-59745-355-4
DOI 10.1007/978-1-59745-355-4
Springer New York Dordrecht Heidelberg London
Library of Congress Control Number: 2009935060
© Springer Science+Business Media, LLC 2010
All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the
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Preface
We dedicate this text to Drs. Ernest E. Aegerter, a pathologist, and John A. Kirkpatrick Jr.,
a radiologist. They were among the principal founders of the field of skeletal pathology and
radiology. During their time, their residents and colleagues knew them as great educators with
a dedication and a passion for their work. Their textbook,
Orthopedic Diseases,
published
initially in 1958 was among the first interdisciplinary works devoted to this field. Dr. Aegerter
and Dr. Kirkpatrick illuminated many aspects of the field of radiology. Today, with the advent
of new technologies, this field has grown to include not only diseases that affect the skeleton
but also those that affect muscles, ligaments, tendons, and also the cartilaginous structures
within joints.
With this text we intend to carry on Dr. Aegerter and Dr. Kirkpatrick’s tradition. We have
recruited only well-known musculoskeletal radiologists and pathologists to participate in the
writing of this book. Each author has been carefully selected for his expertise on the topic about
which he’s been asked to contribute. Each author is known as an experienced and seasoned
teacher. Each author has made a mark on the field.
With this talent we aim to lay the foundation of a useful and worthy teaching text. Our
goal is to create a textbook that is at once readable by the radiology resident experiencing
musculoskeletal radiology for the first time and thorough enough to be used by the practicing
radiologist. We do not intend, however, to present an exhaustive reference work. We leave that
task to other authors.
Instead we aim to provide a text that not only conveys important information about com-
mon and some less common musculoskeletal diseases, but more importantly provides a practi-
cal and systematic approach to analyzing diseases of bones, muscles, tendons, ligaments, and
joints. We will provide with each category a means by which to conceptualize and analyze how
pathology changes their appearance on medical images.
To meet these goals we have organized this text according to major categories of disease:
trauma, infection, tumors and tumor-like conditions, metabolic diseases, endocrine disorders,
dysplastic diseases, and arthritis. Where disease categories overlap, e.g., intraosseous tophus
or brown tumor of bone, we discuss those points under each appropriate heading. Where there
is debate as to the etiology of a disease, we also discuss these issues guiding the reader, to the
best of our ability, to what current thinking has to say about that disease.
We also include a chapter that examines basic interventional techniques that apply to mus-
culoskeletal imaging. Again, the idea is not to provide an exhaustive reference on any one
technique, but instead to give the reader a primer on these techniques and their indications
with guidance for finding further information.
Finally, in recognition of the importance of orthopedic procedures, we include information
on the use, imaging appearance, and pathology affecting prostheses and fixation devices. This
information is essential to the practice of modern radiology.
We hope that the reader will both enjoy reading this text and find the experience profitable
to their knowledge base, both in fact and in concept. We look forward to receiving readers’
impressions, criticisms, and suggestions to improve this text in future editions.
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