presented by Robert Boyles
This course is part of our OCS Prep-Program. Learn more about the full prep-program here: MedBridge OCS Prep-Program.
When patients present to you with an orthopaedic or sports related injury, do you need to order imaging immediately? Is there criteria to help you decide if imaging is, or isn’t, necessary, and if so, which imaging modality is most appropriate? Many imaging modalities are available for the evaluation of acute and chronic musculoskeletal conditions. However, although patients are asking for high tech imaging, it does not mean better care and, in fact, can lead to harm. Using the many evidence-based imaging rules and published appropriateness criteria will help you decide if imaging is appropriate for your patient, and if so, which imaging modality should be requested. This course will briefly describe the imaging modalities and their uses available to you as a clinician, as well as the appropriateness criteria and published guidelines for each body region of interest.
Dr. Boyles is a clinical assistant professor of physical therapy at the University of Puget Sound in the Pacific Northwest. Dr. Boyles’ primary area of instruction is orthopedics, which includes evaluation and intervention, manual therapy treatment techniques for the spine and extremities, introduction to joint mobilization, spine manipulation, and clinical radiology. Currently, he serves as a clinical instructor at the University of Puget Sound on-site clinic and acts as a research faculty mentor. Dr. Boyles is a Fellow of the American Academy of Orthopaedic Manual Physical Therapy and a Certified Orthopaedic Clinical Specialist. His research interests predominantly include manual physical therapy of the spine and extremities. In 2010, Dr. Boyles received the Rose Award for Excellence in Research awarded by the Orthopaedic Section of the APTA.
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.