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Everett Bailey
Everett Bailey

Advanced Techniques In Musculoskeletal Medicine... ((BETTER))



Advanced Techniques in Musculoskeletal Medicine & Physiotherapy is a brand new, highly illustrated guide to the diagnosis and treatment of musculoskeletal disorders. It demonstrates how to safely and effectively use selected minimally invasive therapies in practice. In addition to more well-established techniques such as acupuncture or dry needling, this ground-breaking resource also covers techniques including intratissue percutaneous electrolysis, mesotherapy, percutaneous needle tenotomy, and high volume image guided injections. Other featured chapters include those on specific musculoskeletal ultrasound such as sonoanatomy and ultrasound-guided procedures.




Advanced Techniques in Musculoskeletal Medicine...



OBJECTIVE. The purpose of this article is to provide a practice-focused review of the clinical application of advanced acceleration techniques for rapid musculoskeletal MRI examinations. CONCLUSION. Parallel imaging, simultaneous multislice acquisition, compressed sensing-based sampling, and synthetic MRI techniques provide unprecedented opportunities for rapid musculoskeletal MRI examinations. For 2D and 3D fast spin-echo and turbo spin-echo pulse sequences, acceleration factors between 3 and 8 can be realized in clinical practice, amounting to a time savings of 66-85% when compared with unaccelerated acquisitions.


Our surgeons at Southern Orthopaedics are on the cutting-edge of developing and implementing new techniques to improve the practice of musculoskeletal medicine. We provide a full range of advanced surgical and nonsurgical services to treat orthopedic conditions.


The UC San Diego Musculoskeletal (MSK) Imaging Division offers leading-edge imaging of the spine and joints. Radiography, ultrasound, MRI and CT scanning provide detailed anatomy of structures to detect and evaluate diseases of the musculoskeletal system. Advanced imaging techniques provide additional insight into physiology, chemistry, physical structure, and function. The division is led by world-class faculty who are experienced in all aspects of MSK disease.


Our staff trains 2 musculoskeletal fellows each year in addition to residents and advanced body imaging fellows. Education is a top priority, and staff provides numerous didactic and case conferences throughout the year. We also have weekly conferences with orthopedics, including an ortho-oncology tumor conference and a sports injury conference. We also participate in spine conference and a rheumatology-radiology conference.


The Musculoskeletal Radiology Division at UT Southwestern offers a range of state-of-the-art diagnostic imaging and interventional services. We provide advanced imaging and procedures to diagnose and treat a variety of musculoskeletal and nerve pain conditions. Our radiology specialists have expertise in the imaging of sports-related injuries, arthritis (rheumatology), tumors (sarcoma), trauma, infection (diabetic foot), metal prosthesis and neuromuscular conditions.


Our faculty members collaborate with referring physicians using a coordinated, comprehensive and multidisciplinary approach for diagnostic evaluation and treatment of patients. We constantly strive to bring excellence and uniqueness in quality patient care. The available and routinely employed imaging modalities and techniques include high-resolution MR imaging including multi-parametric sarcoma, multiparametric rheumatology, 3-D joint MRI, musculoskeletal ultrasound, MR neurography and high-end computed tomography imaging including 3-D CT, dual energy CT and spectral CT. The breadth of musculoskeletal interventional techniques includes joint injections; joint aspirations; tendon needling; barbotages; bone, synovial and soft-tissue biopsies; ultrasound- and CT-guided perineural and intramuscular injections; and nerve ablations.


OverviewThis workshop, organized by ISMRM in affiliation with the Chinese Society of Musculoskeletal Radiology (CSMR), will focus on the technical development and clinical applications of advanced MR imaging for osteoarthritis (OA), inflammatory arthritis, as well as other related joint diseases. The purpose of this workshop is to engage the Chinese and Asian community in OA imaging studies and facilitate potential collaborations; in particular, multi-center trials, including the Asian population, which is currently under-engaged in the international collaboration and communication. This workshop is also endorsed by the Overseas Chinese Society for Magnetic Resonance in Medicine (OCSMRM).The sessions will include advanced technical development on quantitative MRI techniques at multi-scales (ex vivo to in vivo) and for multiple tissues (cartilage, meniscus, ligament, tendon, bone, and muscle), as well as clinical applications of semi-quantitative (grading) and quantitative techniques. The technical aspects for both data acquisition and image post-processing will be discussed. New techniques such as PET/MRI will also be presented. Other focuses of the workshop include what we have learned from previous clinical trials and challenges of new trial design; post-traumatic OA after acute joint injury; the relationship between imaging and biomechanics; and imaging beyond the knee joints. A unique aspect of this workshop will be discussion on potential treatment of OA by Chinese medicine.


The field of musculoskeletal medicine is highly dynamic and rapidly changing. Research findings are resulting in new techniques and clinical guidelines. Orthopaedic surgeons and clinicians are expected to keep abreast of these advances to provide optimal patient care based on the latest scientific evidence.


"Many people think there's nothing to be done about a filter that's been in for a long time," says Dr. Ahmad, assistant professor of radiology at Columbia University Irving Medical Center. "But there are centers like Columbia, where we've been trained in advanced techniques, and we can take them out safely."


Chronic musculoskeletal pain accounts for the most commonly reported medical complaint in the United States. This finding has been highlighted in a comprehensive report by the Bone and Joint Decade (2000-2010) initiative,1 a jointly led global effort by the United Nations and the World Health Organization. The report stated that 1 in 2 adults aged 18 years or older, comprising 107.7 million people in the United States in 2005, reported having a musculoskeletal disorder that lasted 3 months or longer.2 The treatment options for patients with these often debilitating conditions range from physical therapy to surgery. However, physical therapy may be ineffective or too painful, and surgery may result in postsurgical complications (eg, decreased mobility) or may not relieve the pain. Platelet-rich plasma (PRP) and stem cell injections are revolutionary approaches to managing musculoskeletal disorders with the potential to change the face of medicine (Figure).3 Researchers and clinicians in the field of regenerative medicine are developing new techniques aimed at repairing as well as replacing pathologic, damaged, and aged tissue.4 Platelet-rich plasma and mesenchymal stem cell therapies comprise a dimension of this field termed orthobiologics.5 The healing potential of embryonic and adult mesenchymal cells and the manipulation of the cellular response to both damaged and diseased tissue through the use of growth factors is being studied.


\r\n\tDr. Elizabeth Dennis is an Orthopedic Surgeon, fellowship-trained in Sports Medicine Surgery specializing in the management and surgical treatment of knee, shoulder, and elbow problems. Dr. Dennis utilizes minimally invasive arthroscopy and other advanced surgical techniques to address musculoskeletal ailments such as ligamentous knee injuries, meniscal tears, patellar instability, cartilage disorders, shoulder instability, rotator cuff tears and shoulder arthritis.


Dr. Elizabeth Dennis is an Orthopedic Surgeon, fellowship-trained in Sports Medicine Surgery specializing in the management and surgical treatment of knee, shoulder, and elbow problems. Dr. Dennis utilizes minimally invasive arthroscopy and other advanced surgical techniques to address musculoskeletal ailments such as ligamentous knee injuries, meniscal tears, patellar instability, cartilage disorders, shoulder instability, rotator cuff tears and shoulder arthritis.


Back/Neck PainSystemwide, NOMS has made this area of physical therapy rehabilitation one of its specialties. Our therapists take great pride in their expertise in evaluation and treatment of spinal disorders. With therapists highly trained in advanced techniques of traction and stabilization we are confident in treating a wide variety of spinal disorders.


Pain Management / RehabilitationNOMS physical therapists have made pain management one of its specialties. Our therapists take great pride in their expertise in evaluation and treatment of painful spinal and joint disorders. With therapists highly trained in advanced techniques of manual therapy, mobilization, manipulation, myofascial techniques, traction, and stabilization, we feel confident in treating any form of painful musculoskeletal disorders. 041b061a72


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