INDEX OF TOPICS TO BE COVERED IN  INTERNATIONAL HANDS ON MSK MRI AND ULTRASOUND COURSE IN PENANG 2011 and JAKARTA 2011.

MARCH 23nd to 26th  2011  ( Next course ) 33 hours + 3 hours homework = 36 hours of CME.                      

:

ALL PROTOCOLS FOR MRI IMAGING  3T , 1.5T and  0.35 T.

INDICATIONS FOR MRI OF EACH THE JOINTS

CLINICAL QUESTIONS AND HISTORY  WHICH WILL BE USEFUL

HOW TO DO POINTED PHYSICAL EXAMINATION>

HOW TO REPORT WHAT IS THE RELEVANT PATHOLOGY ACTUALLY BOTHERING THE PATIENT>

MRI AND ULTRASOUND OF THE KNEE;

KNEE PROTOCOLS:    0.5 T ,  1.5 T and 3T

ACL :   (NORMAL ANATOMY AND ULTRASOUND) ,  PARTIAL TEARS , COMPLETE TEARS ,   GRAFT ACL NORMAL ,  GRAFT ACL TORN ,

PCL :   NORMAL PCL ( MRI AND ULTRASOUND)  ,   PCL TEARS -   INTRASUBSTANCE BURST  - PARTIAL OR COMPLETE,   RUPTURE ,  AVULSION AT TIBIAL INSERTION

MENISCUS:     NORMAL ANATOMY AND MRI AND ULTRASOUND.    INTRASUBSTANCE TEARS -   RADIAL , PARROT BEAK,  OBLIQUE,  HORIZONTAL ,  VERTICAL ,   FRAGMENTED( BUCKET HANDLE,  FLAP  )  , 

DIFFERENCE BETWEEN DEGENERATIVE TEAR AND TEAR IN NORMAL MENISCUS . USE OF MENISCAL CALCULATOR NOT TO MISS TEARS ESPECIALLY FRAGMENTED TEARS.

MENISCO- CAPSULAR TEARS:   NORMAL ANATOMY - MRI AND ULTRASOUND.   INCLUDES MCL

MCL AND  MEDIAL MENISCO CAPSULAR TEARS FROM ANTERIOR TO POSTERIOR .   LATERAL MENISCO CAPSULAR TEARS FROM ANTERIOR TO POSTERIOR .  MCL BURSA.

LATERAL MENISCO-CAPSULAR INJURIES AND CLASSIFICATION.

LCL -  NORMAL MRI AND ULTRASOUND  .  DIFFERENT TYPES OF TEARS OF THE LCL .   BICEPS FEMORIS ATTACHMENT TEARS ALSO INCLUDED.   POPLITEUS TENDON AND MUSCULOTENDINOUS  INJURIES.

POSTERO LATERAL CORNER -  MRI ANATOMY AND  TEARS OF THE POSTERO LATERAL CORNER

CARTILAGE ;   NORMAL CARTILAGE ON MRI AND HOW TO GRADE AND MAP THE CARTILAGE INJURIES - NEW MAPPING TECHNIQUE

REVIEW OF TENDINOSIS ;   PATHOLOGY AND SHOWING VARIOUS EXAMPLES IN DIFFERENT TENDONS

                                                  TENDINOSIS VS TEARS , CALCIFIC TENDINOSIS .

TENDONS AROUND THE JOINT ;     PATELLA ,  PES ANSERINUS AND SEMIMEMBRANOSUS,  HEADS OF GASTROCNEMIUS  .

( TENDINOSIS AND RUPTURES OF THESE VARIOUS MUSCLE INSERTIONS)

BURSA ;   ALL THE BURSA WILL BE COVERED -   PRE - PATELLAR TENDON,  INFRAPATELLAR TENDON BURSA ,  PATELLA BURSA , PES ANSERINUS BURSA ,  QUADRICEPS TENDON  INJURY AND VASTUS LATERALIS AND MEDIALIS INSERTIONS.

ARTHROPATHY- a few cases.

MSK MRI AND ULTRASOUND OF THE SHOULDER :  

SHOULDER  PROTOCOLS  FOR 0.5 T ,  1.5T and 3.0T .

ROTATOR CUFF ANATOMY:    NORMAL  MRI AND ULTRASOUND ,  MR ARTHROGRAPHY NORMAL

LONG HEAD OF BICEPS - NORMAL AND ABNORMAL - WHOLE LENGTH , FLUID IN SHEATH SIGNIFICANCE,   TEARS , TENDINOSIS.

SUPRASPINATOUS :    TENDINOSIS AND TEARS -  BURSAL SURFACE  , ARTICULAR SURFACE, FOCAL FULL THICKNESS ,  FULL THICKNESS TEAR,  RETRACTION , BONY AVULSION -FRACTURES,   ESTIMATION OF ATROPHY OF SSP USING MRI AND ULTRASOUND

IMPINGEMENT OF SUPRASPINATUS:  TYPES AND   GRADING OF IMPINGEMENT.  DYNAMIC EXAMINATION -  WILL BE TAUGHT HOW NOT TO MISS SOME FORMS OF IMPINGEMENT.

CAUSES OF IMPINGEMENT AND HOW TO INVESTIGATE IMPINGEMENT ;  CORACO ACROMIAL LIGAMENT THICKENING,  SSP TENDINOSIS  , ACROMIAL ANATOMY ,  OSTEOPHYTES . 

SUBSCAPULARIS TENDON;   TENDINOSIS AND MUSCLE TEARS  ;  PARTIAL AND COMPLETE AND WITH BONY AVULSION

INFRASPINATUS TENDON :   NORMAL AND TENDINOSIS AND TEARS OF INFRASPINATUS

TERES MINOR INSERTION: NORMAL AND TEARS OF THE TERES MINOR.

PECTORAL MUSCLE AND INSERTIONAL TEARS

ROTATOR CUFF INTERVAL ANATOMY  AND ITS SIGNIFICANCE  ,   FROZEN SHOULDER

BICEPS LABRAL COMPLEX  INJURIES ,  GLENO HUMERAL LIGAMENT INJURIES.

AC JOINT DISEASE  -  ARTHROPATHY AND AC LIGAMENT INJURIES 

BONE BRUISE

DELTOID MUSCLE INJURIES , OS ACROMIALE

ARTHROPATHY

MRI AND ULTRASOUND OF THE ANKLE AND FOOT

Ankle protocols :  0.5T ,  1.5 T and 3T

NORMAL ANATOMY OF THE ANKLE  MRI AND ULTRASOUND

NORMAL ATFL -   TORN ATFL ,  PARTIALLY TORN ATFL ,  CHRONICALLY TORN ATFL - COMBINE DYNAMIC TESTING TO IMPROVE ACCURACY - NEW TECHNIQUES.

NORMAL CFL -   PARTIALLY AND FULLY TORN CFL  -  COMBINE DYNAMIC TESTING TO IMPROVE ACCURACY - NEW TECHNIQUES.

NORMAL PTFL -    TORN PTFL

NORMAL ANT TIB -FIB LIGAMENT -    TORN ANT TIB -FIB LIGAMENT ,  INTEROSSEUS LIGAMENT INJURIES

NORMAL DELTOID LIGAMENT -   TORN DELTOID LIGAMENT - PARTIAL AND COMPLETE FROM ANTERIOR TO POSTERIOR DELTOID COMPLEX , SUPERFICIAL AND DEEP.

ALL MEDIAL AND LATERAL TENDONS =  NORMAL AND EXAMPLES OF PATHOLOGY ON MRI AND BETTER STILL ON ULTRASOUND>

ACHILLES TENDON - NORMAL AND ABNORMAL.  SOLEUS TEARS  . COMPARTMENT SYNDROMES WHICH SHOULD NOT BE MISSED.

MUSCULOTENDINOUS INJURIES IN THE CALF .

BONE BRUISE - ITS SIGNIFICANCE

ROLE AND SEQUENCES FOR CARTILAGE IMAGING OF THE ANKLE>

OCD OF TALUS

SUBTALAR LIGAMENTS AND INJURIES

ARTHROPATHY

TUMOURS

MSK MRI AND ULTRASOUND OF THE  ELBOW WRIST

ELBOW and WRIST PROTOCOLS :   0.5 T,  1.5T and 3 T

 NORMAL ANATOMY OF THE WRIST AND PATHOLOGY

EXTENSOR COMPARTMENT  NORMAL -   ABNORMAL INCLUDES  DE QUERVEINS TENOSYNOVITIS ,  TENDINOSIS AND TENOSYNOVITIS OF OTHER  EXTENSOR COMPARTMENT

FLEXOR COMPARTMENT OF THE WRIST - NORMAL -   TENOSYNOVITIS , TEARS

MEDIAN NERVE -  CARPAL TUNNEL SYNDROME  ( NEW PARAMETERS FROM UMMC STUDY AND SIMPLIFIED TECHNIQUE_ " RISING SUN APPEARANCE "

LIGAMENT INJURIES -   SCAPHOLUNATE AND  LUNO TRIQUETRAL

TRIANGULAR CARTILAGE INJURIES

GANGLION CYSTS , TUMOURS .  WHAT IS  NEEDED IN GANGLION CYST REPORTING BY ORTHO PAEDIC SURGEONS>

ULTRASOUND OF PULLEY SYSTEMS AND TENDONS .

ELBOW -   MEDIAL EPICONDYLITIS

                   LATERAL EPICONDYLITIS

                   ULNAR COLLATERAL LIGAMENT TEAR

                   RADIAL COLLATERAL LIGAMENT TEAR

                   OC OF THE CAPITELLUM

                   TRICEPS TENDON AND MUSCLE INJURIES

                   BICEPS BRACHII AND BRACHORADIALIS MUSCLE TEARS.

MRI AND ULTRASOUND OF THE SMALL JOINTS :

ULTRASOUND FOR RHEUMATOLOGICAL ASSESSMENT  _ NEW TECHNIQUE NOT IN THE BOOKS OR LITERATURE.  YOU WILL BE AMAZED AT THE SIMPLE METHOD AND TRICKS TO ASSESS THE TYPE OF SYNOVITIS AND ARTHROPATHY BASED ON KNOWLEDGE OF PATHOLOGY AND X_RAY FINDINGS .

MRI  OF MUSCLE AND TENDON  INJURIES :

NORMAL ANATOMY AND PATHOLOGY OF MUSCLE INJURY  PARTICULARLY OF THE LOWER LIMB.

GRADING OF MUSCLE TEARS .   GOING BACK TO PHYSIOLOGY AND MICROANATOMY TO UNDERSTAND THE CAUSE OF STRAIN AND PARTIAL TEARS>

COMPRESSION TEARS . 

HAMSTRINGS

QUADRICEPS

ADDUCTOR MUSCLES

CALF MUSCLES

MRI OF THE HIP JOINT:

LECTURE AND DEMONSTRATON OF FEMORO ACETABULAR IMPINGEMENT AND LABRAL TEARS.

DURING LECTURES:   MRI  FULL VIDEO CASES WILL BE SHOWN AS EXAMPLES BEFORE YOU ATTEMPT HOMEWORK

POWERPOINT QUIZ OF STILL IMAGES OF VARIOUS MRI AND ULTRASOUND PATHOLOGY WHICH WILL BE IN THE COURSE BOOK AND DICUSSSED AFTER THE LECTURES FOR YOU TO ATTEMPT ON SITE  AND THESE WILL CONSOLIDATE POINTS GIVEN IN THE LECTURES>

HOMEWORK :

10 CASES OF MIXED PATHOLOGY OF KNEE MRI   FIRST NIGHT

10 CASES OF MIXED PATHOLOGY OF SHOULDER MRI - SECOND NIGHT

10 CASES OF MIXED PATHOLOGY OF THE ANKLE MRI  - THIRD NIGHT

10 CASES OF MRI AND ULTRASOUND IMAGES OF  WRIST  AND ELBOW and MISCELLANOUS.

CASES ARE ALSO SHOWN AFTER LECTURES AND AFTER HOMEWORK.