Patients presenting in the clinic have a wide and varied range of musculoskeletal pathologies. Knowing which, if any, imaging modality is recommended for your patient can be confusing and challenging. This program is designed to provide an overview of the current best evidence regarding musculoskeletal imaging for the medical professional who manages common musculoskeletal conditions. This four-course program will focus on (1) the differences of basic imaging modalities used in musculoskeletal medicine, (2) appropriate imaging for upper extremity musculoskeletal pathologies, (3) appropriate imaging for lower extremity musculoskeletal pathologies, (4) appropriate imaging for cervical, thoracic, and lumbopelvic musculoskeletal pathologies. This course is designed to aid the clinician in the decision-making process for appropriate imaging, based on current best evidence and appropriateness criteria.
The certificate is applicable to healthcare providers.
9 hours of online video lectures and patient demonstrations.
Case-based quizzes to evaluate and improve clinical reasoning.
HEP and patient education resources to use with your patients.
Basic Musculoskeletal Radiology and Imagingkeyboard_arrow_downCourse
Understand the fundamentals behind musculoskeletal radiology and imaging, including how X-Rays images are produced and the importance of proper anatomical knowledge in interpreting imaging. Fractures are examined – understand the different morphologies, language, and signs to identify fractures. Identify the various skeletal deformities that can be identified through radiology and imaging. Review other methods of imaging, such as fluoroscopy, bone scan, ultrasound, CT, MRI.
Learn about radiology and imaging in the cervical, thoracic, and lumbar spines. Normal anatomy, trauma, and degenerative changes will be covered for each spinal region, as well as rules regarding when to order films. Low back pain, spinal infections, spinal neoplasms, ankylosing spondylitis, and osteoporosis are highlighted.
Clinical radiology for the lower extremity is covered, including sections on the hip and pelvis, knee, as well as foot and ankle. Various imaging views of these regions and typical findings from each view will be presented, as well as information related to common disorders. Rules for when to order films for these body parts will be discussed.
The upper extremity is highlighted in this chapter – including the shoulder, elbow, wrist, and hand. Review the typical views that are used to capture images of these particular regions, and which landmarks to note when reviewing these films.
Indications for Musculoskeletal Imagingkeyboard_arrow_downCourse
This chapter will cover the basics of imaging modalities: X-ray, CT Scan, MRI, Ultrasound, and Scintigraphy (bone scans). Additionally, concepts of appropriateness criteria will be introduced.
This chapter will cover the appropriate use of imaging for patients with cervicothoracic and/or upper extremity musculoskeletal conditions. It will also cover the appropriate imaging modality necessary for best evaluation of these patients. A patient case presentation will be used as an example at the conclusion of the chapter.
This chapter will cover the appropriate use of imaging for patients with lumbar spine and/or lower extremity musculoskeletal conditions. It will also cover the appropriate imaging modality necessary for best evaluation of these patients. A patient case presentation will be used as an example at the conclusion of the chapter.
Imaging for Upper Quarter Sports Injurieskeyboard_arrow_downCourse
The participants will be able to apply the Canadian C-Spine Rule to athletes with a neck injury. The chapter will also be able to identify what is normal and abnormal in structures of the cervical spine, including the George line, the cervical gravity line, prevertebral soft tissue, fractures of the spine, and degenerative changes, as they apply to sports injuries.
In this chapter, Bob Boyles will discuss the elbow extension test for acute fracture screening, as well as identify what is normal and abnormal in elbow dislocations and ossification. The chapter also describes imaging for fractures of the forearm and pediatric injuries, including dislocation of the radial head, little league elbow, UCL injuries and nerve entrapment.
Neuroimaging, CT scans and MRI imaging play significant roles in identifying and characterizing head injuries. In this chapter, the learner will be able to compare and contrast the appropriateness of the different types of imaging for the head, following the American College of Radiology (ACR) Appropriateness Criteria. The chapter discusses the New Orleans Criteria, Canadian CT Head Rules, and the ACR Guidelines for Orbital Trauma.
Shoulder injuries are common in many athletes, all of which use plain films for the initial investigation. In this chapter, the participant will be able to describe the three film views, as identified by the shoulder trauma protocols, as well as reasoning for further investigation using CT or MRI scans. Imaging surrounding fractures, labral injuries and dislocations are covered in this chapter.
Bob Boyles will discuss the five views of imaging for the hand and wrist and how to determine the appropriateness of each view. The learner will compare normal and abnormal imaging for a fractures and ligament injuries in the hand and wrist.
Imaging for Lower Quarter Sports Injurieskeyboard_arrow_downCourse
This chapter covers the Ottowa Ankle and Foot rules to determine if a fracture is present, specifically the sensitivity and specificity of the tests. Bob Boyles then discusses fracture classification using the Danis-Weber and the Lague-Hansen Classification systems. Participants will learn to apply the various rules and classification systems to injuries to determine the nature of the injury and appropriateness of imaging.
Imaging of the hip and pelvis can easily identify immature skeletal structures, and fractures, which can further cause hematomas, and possible urethral and bladder injuries. This chapter will describe the use of imaging in pelvic fractures, pelvic stress fractures, and osteitis pubis. The participant will be able to discuss methods for identifying high yield areas for hip trauma, such as hip dislocations, widening of joint space, femoral neck or intertrochanteric fractures, and pelvis or acetabular fractures. The chapter concludes with the discussion of a case study.
The knee can be imaged using both plain films and MRI scans. The MRI scan is used for identifying ligament, cartilage, and tendon injuries. In this chapter, the participant will learn to apply the Pittsburgh Knee Rule and Ottawa Knee Rule. Several diagnoses are covered, including loose bodies, fractures, ligamentous injuries and cartilage injuries.
CEU Approved9 total hours* of accredited coursework.
Our clinic could not be happier with MedBridge.
Amy Lee, MPT, OCS
Physical Therapy Central
MedBridge has allowed us to create a culture of learning that we were previously unable to attain with traditional coursework.
Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services
MedBridge has created a cost-effective and quality platform that is the future of online education.
Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy
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