STANFORD UNIVERSITY MEDICAL CENTER
|Rotation: MSK |Rotation Duration: 4 wks |Month(s): 3 |
|Institution: Stanford, VA |Call Responsibility: None |Night(s): covered by Junior call |
|Responsible Faculty Member(s): |Location: |
|Chris Beaulieu MD PhD |Stanford bone board (one month) |
|Kate Stevens MD |VA/SMOC: (2 months) |
|Sandip Biswal MD | |
|Garry Gold MD, MSEE | |
|Amelie Lutz, MD | |
| |Phone Numbers: |
| |Stanford Hospital: |
| |MSK Fellow Pager 14589, |
| |14598, 14603 |
| |MSK Room SUH 3-6737 |
| |MSK Room Fax 4-3275 |
| |MRT/Claudia 8-6976 Hosp MR Rd. Rm 3-6955 |
| |Ultrasound SUH 3-3498 |
| |OPD 1-6790 |
| |Blake MRI 5-9413 |
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| |North campus (SMOC): |
| |Reading room 1-7370 |
| |Reading Room 1 1-7343 |
| |Reading Room 2 1-7344 |
| |Fluoroscopy 1-7351 |
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| |VA hospital: 650-493-5000 (+ extension) |
| |Front desk-64489 |
| |Reading room-63250 |
|Technologists/Technical Staff: |Training Level: |
|Aubrey Grey, lead fluoroscopy technologist |Years 1-3 |
|Michelle Thomas, lead CT technologist SUH | |
|Teresa Nelson, lead MRI technologist SUH | |
|MRI technologists: | |
|Jill Bingelli | |
|Jorge Castaneda | |
|Martin Chavez | |
|Mark Coleman | |
|Samuel Dong | |
|Greg Dowdall | |
|Kim Duong | |
|Eric Gabriel | |
|Tony Galletta | |
|Robert Heriford | |
|Diane Jenuleson | |
|Darwin Jones | |
|William Keirn | |
|Sherrie Lee | |
|Navy Lu | |
|Connie Lund | |
|Michael Ody | |
|Jane Patrick | |
|Leah Pericolosi | |
|Steven Scherer | |
|Jason Smith | |
|Thanh Tang | |
|Kendall Thomas | |
|Carol Torbett | |
|Shannon Walters | |
|Michele Yerondopoulos | |
|Goals & Objectives: |
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|A note about goals and objectives- The goals and objectives outlined in this document are based upon the six core competencies as defined by the |
|ACGME. As residents gain experience and demonstrate growth in their ability to care for patients, they assume roles that permit them to exercise |
|those skills with greater independence. This concept—graded and progressive responsibility—is one of the core tenets of American graduate medical |
|education. This document should provide you a framework for the stepwise progression of your knowledge and skills. |
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|MSK Rotation 1-Stanford hospital bone board-first year |
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|By the end of the first year rotation (including Santa Clara Valley), residents are expected to recognize fractures and dislocations in trauma and |
|to have an approach to further workup (CT, MRI) of patients as needed. Residents are also expected to have basic understanding of arthritis, |
|orthopedic hardware, and bone tumors, although these are not likely to be dealt with on call. |
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|Patient Care |
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|Goal: |
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|Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the |
|promotion of health. Residents are expected to: |
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|Knowledge Objectives: |
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|Gain skill in interpretation of digital (and occasional conventional) radiographs of MSK system. |
|Understand radiographic positioning for common views of the spine and extremities. |
|Describe the indications for MSK radiographs, as well as to recognize the limitations of radiographs, and to know when CT or MRI is necessary. |
|Learn key principles in interpretation of trauma CT, including description of fractures affecting the pelvis, knee, ankle and foot, shoulder, |
|elbow, and wrist and hand. |
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|Skill Objectives: |
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|Become facile with GE Centricity PACs, Centricity RIS, Nuance RadWhere voice-recognition dictation, and EPIC. Utilize available information |
|technology to manage patient information. |
|Provide concise, accurate reports. |
|Learn to accurately interpret postoperative and trauma radiographs of the peripheral skeleton and spine. |
|As part of pediatric radiology, gain a basic understanding of how to interpret pediatric bone radiographs, particularly fractures specific to |
|children (e.g. greenstick fractures, torus fractures, Salter-Harris injuries). |
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|Behavior and Attitude Objectives: |
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|Work with the health care team in a professional manner to provide patient-centered care. |
|Notify referring clinician for urgent, emergent, or unexpected findings, and document in dictation. |
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|Medical Knowledge |
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|Goal: |
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|Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as |
|the application of this knowledge to patient care. Residents are expected to: |
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|Knowledge Objectives: |
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|Understand basic skeletal development and anatomic subdivisions of the skeleton into epiphysis, physis, metaphysis, and diaphysis. |
|Discussed basic bone physiology. |
|Describe the stages different types of fractures go through in the process of healing. |
|Know all the bones of the skeletal system, as well as their anatomy. |
|Identify the common imaging and clinical manifestations of arthritis, bone tumors, bone infections, and metabolic bone disease. |
|Describe fracture and joint dislocation nomenclature and their radiographic appearances. |
|Be familiar with more common orthopedic hardware and hardware complications. |
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|Before the beginning of call, the resident should be familiar with the manifestations and diagnosis of the disease entities listed in Appendix A: |
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|Skill Objectives: |
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|Establish a general approach to interpretation of plain films in trauma, the postoperative state, arthritis and infection. |
|Identify normal and aberrant skeletal anatomy. |
|Accurately diagnose more common osseous diseases. |
|Learn a basic approach to solitary bone lesions. |
|Accurately interpret spine and extremity radiographs. |
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|Behavior and Attitude Objectives: |
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|Recognize limitations of personal competency and ask for guidance when appropriate. |
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|Practice-Based Learning and Improvement |
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|Goal: |
| |
|Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to |
|continuously improve patient care based on constant self-evaluation and lifelong learning. Residents are expected to develop skills and habits to |
|be able to: |
| |
| |
| |
|Knowledge Objectives: |
| |
|Assess radiographs for quality and suggest methods of improvement. |
| |
|Skill Objectives: |
| |
|Demonstrate independent self-study using various resources including texts, |
|journals, teaching files, and other resources on the internet. |
|Facilitate the learning of students and other health care professionals. |
| |
|Behavior and Attitude Objectives: |
| |
|Incorporate formative feedback into daily practice, positively responding to constructive criticism. |
|Follow-up interesting or difficult cases without prompting and share this information with appropriate faculty and fellow residents. |
| |
|Systems Based Practice |
| |
|Goal: |
| |
|Residents must demonstrate an awareness of, and responsiveness to, the larger context and system of health care, as well as the ability to call |
|effectively on other resources in the system to provide optimal health care. Residents are expected to: |
| |
|Knowledge Objectives: |
| |
|Understand how their image interpretation affects patient care. |
| |
|Skill Objectives: |
| |
|Provide accurate and timely interpretations. |
|Appropriately notify the referring clinician if there are urgent or unexpected findings and document such without being prompted. |
|Practice using cost effective use of time and support personnel. |
| |
|Behavior and Attitude Objectives: |
| |
|Advocate for quality patient care in a professional manner, particularly concerning imaging utilization issues. |
| |
| |
|Professionalism |
| |
|Goal: |
| |
|Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are |
|expected to demonstrate: |
| |
|Knowledge Objectives: |
| |
|Understanding of the need for respect for patient privacy and autonomy. |
|Understanding of their responsibility for the patient and the service, including arriving in the reading room promptly each day, promptly returning|
|to the reading room after conferences, completing the work in a timely fashion, and not leaving at the end of the day until all work is complete. |
|If the resident will be away from a service (for time off, meeting, board review, etc.), this must be arranged in advance with the appropriate |
|faculty and/or fellow. |
| |
|Skill Objectives: |
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|Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, |
|disabilities, and sexual orientation. |
| |
|Behavior and Attitude Objectives: |
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|Respect, compassion, integrity, and responsiveness to patient care needs that supersede self-interest. |
| |
|Interpersonal and Communication Skills |
| |
|Goal: |
| |
|Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, |
|their families, and professional associates. Residents are expected to: |
| |
|Knowledge Objectives: |
| |
|Know the importance of accurate, timely, and professional communication. |
| |
|Skill Objectives: |
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|Produce concise and accurate reports on most examinations. |
|Communicate effectively with physicians, other health professionals. |
|Obtain informed consent with the utmost professionalism. |
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|Behavior and Attitude Objectives: Work effectively as a member of the patient care team. |
|MSK-2nd year / second rotation: VA/SMOC MSK |
|By the end of this rotation, residents should have advanced their understanding of MSK radiographs. Although radiographs will be interpreted at |
|SMOC, residents will begin to gain experience in MSK MRI and CT, as well as basic MSK procedures. |
| |
|Patient Care |
| |
|Goal: |
| |
|Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the |
|promotion of health. Residents are expected to: |
| |
|Knowledge Objectives: |
| |
|Continue to build on the knowledge objectives gained in rotation 1. |
|Increase skill in interpretation of digital (and occasional conventional) radiographs of MSK system. |
|Understand radiographic positioning for common and less common views of the spine and extremities. |
|Describe the indications for MSK radiographs, as well as to recognize the limitations of radiographs, and to know when CT or MRI is necessary. |
|Increase understanding of principles in interpretation of trauma CT, including description of fractures affecting the pelvis, knee, ankle and foot,|
|shoulder, elbow, and wrist and hand. |
|Select appropriate imaging modality for a particular patient and disease, including radiographic, CT, MR, and bone scan. |
|Protocol MRIs and CT’s for most musculoskeletal indications. |
|Understand the use and interpretation of CT and MRI in the setting of musculoskeletal infection. |
|Understand common indications for musculoskeletal ultrasound. |
|Learn basic principles of arthrography, including aspiration or injection of the hip and total joint prostheses. |
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|Skill Objectives: |
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|Continue to build on the skills objectives gain in rotation 1. |
|Perform arthrography for conventional arthrogram or MR arthrogram with supervision. |
|Learn how to perform basic MSK US of tendons and muscles. |
|Provide concise, accurate reports on all studies, including MSK MR and CT. |
|Kate Stevens’ suggested MSK MRI templates can be found at . |
| |
|Behavior and Attitude Objectives: |
| |
|Work with the health care team in a professional manner to provide patient-centered care. |
|Notify referring clinician for urgent, emergent, or unexpected findings, and document in dictation. |
| |
| |
|Medical Knowledge |
| |
|Goal: |
| |
|Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as |
|the application of this knowledge to patient care. Residents are expected to: |
| |
|Knowledge Objectives: |
| |
|Continue to build on the knowledge objectives of rotation 1. |
|Learn detailed anatomy of the knee and shoulder joints through MRI interpretation. |
|Learn about common musculoskeletal neoplasms, including benign and malignant primary tumors and metastatic lesions. |
|Understand applications of MR arthrography, including shoulder, hip, and knee. |
|Understand the MR imaging appearance of tumor, infection, and arthritis. |
|Learn the pathophysiology and manifestations of the least one half of the disease entities listed in appendix B. |
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|Skill Objectives: |
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|Continue to build on the skills objectives of rotation 1. |
|Define findings in most musculoskeletal abnormalities, including soft tissue masses, as well as benign and malignant bone tumors. |
|Learn basic interpretation of MRI of the knee and shoulder. |
|Be able to accurately interpret radiographic studies for arthritis, including degenerative, inflammatory, and crystal-induced diseases. |
| |
|Behavior and Attitude Objectives: |
| |
|Recognize limitations of personal competency and ask for guidance when appropriate. |
| |
| |
|Practice-Based Learning and Improvement |
| |
|Goal: |
| |
|Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to |
|continuously improve patient care based on constant self-evaluation and lifelong learning. Residents are expected to develop skills and habits to |
|be able to: |
| |
|Knowledge Objectives: |
|Assess radiographs, CT and MR for quality and suggest methods of improvement. |
|Skill Objectives: |
| |
|Demonstrate independent self-study using various resources including texts, journals, teaching files, and other resources on the internet. |
|Facilitate the learning of students and other health care professionals. |
| |
|Behavior and Attitude Objectives: |
| |
|Incorporate formative feedback into daily practice, positively responding to constructive criticism. |
|Follow-up interesting or difficult cases without prompting and share this information with appropriate faculty and fellow residents. |
| |
| |
|Systems Based Practice |
| |
|Goal: |
| |
|Residents must demonstrate an awareness of, and responsiveness to, the larger context and system of health care, as well as the ability to call |
|effectively on other resources in the system to provide optimal health care. Residents are expected to: |
| |
|Knowledge Objectives: |
| |
|Understand how their image interpretation affects patient care. |
| |
|Skill Objectives: |
| |
|Provide accurate and timely interpretations to decrease length of hospital and emergency department stay. |
|Appropriately notify the referring clinician if there are urgent or unexpected findings and document such without being prompted. |
|Practice using cost effective use of time and support personnel. |
| |
|Behavior and Attitude Objectives: |
| |
|Advocate for quality patient care in a professional manner, particularly concerning imaging utilization issues. |
| |
| |
|Professionalism |
| |
|Goal: |
| |
|Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are |
|expected to demonstrate: |
| |
|Knowledge Objectives: |
| |
|Understanding of the need for respect for patient privacy and autonomy. |
|Understanding of their responsibility for the patient and the service, including arriving in the reading room promptly each day, promptly returning|
|to the reading room after conferences, completing the work in a timely fashion, and not leaving at the end of the day until all work is complete. |
|If the resident will be away from a service (for time off, meeting, board review, etc.), this must be arranged in advance with the appropriate |
|faculty and/or fellow. |
| |
|Skill Objectives: |
| |
|Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, |
|disabilities, and sexual orientation. |
| |
|Behavior and Attitude Objectives: |
| |
|Respect, compassion, integrity, and responsiveness to patient care needs that supersede self-interest. |
| |
| |
|Interpersonal and Communication Skills |
| |
|Goal: |
| |
|Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, |
|their families, and professional associates. Residents are expected to: |
| |
|Knowledge Objectives: |
| |
|Know the importance of accurate, timely, and professional communication. |
| |
|Skill Objectives: |
| |
|Produce concise and accurate reports on most examinations. |
|Communicate effectively with physicians, other health professionals. |
| |
|Behavior and Attitude Objectives: |
| |
|Work effectively as a member of the patient care team. |
| |
| |
| |
|MSK-3rd year VA/SMOC-third rotation |
| |
|By the end of this rotation, residents should have become expert in their understanding of MSK radiographs. Although radiographs will be |
|interpreted at SMOC, residents will gain further experience in MSK MRI and CT, as well as more advanced MSK procedures. |
| |
| |
|Patient Care |
| |
|Goal: |
| |
|Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the |
|promotion of health. Residents are expected to: |
| |
|Knowledge Objectives: |
| |
|Continue to build on the knowledge objectives of Rotations 1 and 2 |
|Understand the indications for all musculoskeletal imaging, including more complex cases. |
|Be facile with MSK imaging protocols, including spine and extremities. |
|Learn to protocol and monitor MSK MRI studies. |
|Understand common indications for musculoskeletal ultrasound. |
|Learn basic principles of arthrography, including aspiration or injection of the hip and total joint prostheses, and injection of the glenohumeral |
|joint. |
|Learn principles of advanced MSK procedures, including tenography and US-guided procedures. |
| |
|Skill Objectives: |
| |
|Continue to build on the skills gained in rotations 1 and 2. |
|Perform arthrography for conventional arthrogram or MR arthrogram with supervision. |
|Learn how to perform basic MSK US of tendons and muscles. |
|Provide concise, accurate reports on all studies. |
| |
|Behavior and Attitude Objectives: |
| |
|Work with the health care team in a professional manner to provide patient-centered care. |
|Notify referring clinicians for urgent, emergent, or unexpected findings, and document in dictation. |
| |
| |
|Medical Knowledge |
| |
|Goal: |
| |
|Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as |
|the application of this knowledge to patient care. Residents are expected to: |
| |
|Knowledge Objectives: |
| |
|Continue to build on the skills gained in rotations 1 and 2. |
|Describe imaging findings of more complex osseous pathology. |
|Understand applications of MR arthrography, including shoulder, hip, and knee. |
|Become familiar with basic principles of metabolic bone diseases, including osteoporosis, osteomalacia and hyperparathyroidism. |
|Learn the pathophysiology and manifestations of the least one half of the disease entities listed in the appendix of this document. |
|Understand the MR imaging appearance of tumor, infection, and arthritis. |
|Recognize pertinent musculoskeletal anatomy, particularly knee, hip, and shoulder, and identify common abnormalities of these regions. |
|Be able to interpret basic MRI of post-operative joints. |
|Learn how to interpret MSK CT in the setting of orthopedic hardware. |
|Learn how to perform multiplanar and 3D rendering of MSK studies. |
|Have a comprehensive approach to differential diagnosis and workup of solitary bone lesions. |
|Gain a basic understanding of various syndromes and developmental and dysplastic syndromes affecting the MSK system. |
|Learn the pathophysiology and manifestations of all of the disease entities listed in the appendix of this document. |
|Learn the pathophysiology and manifestations of the least one half of the disease entities listed in appendix B. |
| |
|Skill Objectives: |
| |
|Continue to build on the skills gained in rotations 1 and 2. |
|Learn basic interpretation of MRI of the hip, ankle, elbow, and wrist. |
|Be able to accurately interpret radiographic studies for arthritis, including degenerative, inflammatory, and crystal-induced diseases. |
| |
|Behavior and Attitude Objectives: |
| |
|Recognize limitations of personal competency and ask for guidance when appropriate. |
| |
| |
|Practice-Based Learning and Improvement |
| |
|Goal: |
| |
|Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to |
|continuously improve patient care based on constant self-evaluation and lifelong learning. Residents are expected to develop skills and habits to |
|be able to: |
| |
|Knowledge Objectives: |
| |
|Assess radiographs, CT and MR for quality and suggest methods of improvement. |
| |
|Skill Objectives: |
| |
|Demonstrate independent self-study using various resources including texts, journals, teaching files, and other resources on the internet. |
|Facilitate the learning of students and other health care professionals. |
| |
|Behavior and Attitude Objectives: |
| |
|Incorporate formative feedback into daily practice. |
|Follow-up interesting or difficult cases without prompting and share this information with appropriate faculty and fellow residents. |
| |
| |
|Systems Based Practice |
| |
|Goal: |
| |
|Residents must demonstrate an awareness of, and responsiveness to, the larger context and system of health care, as well as the ability to call |
|effectively on other resources in the system to provide optimal health care. Residents are expected to: |
|Knowledge Objectives: |
| |
|Understand how their image interpretation affects patient care. |
| |
|Skill Objectives: |
| |
|Provide accurate and timely interpretations. |
|Appropriately notify the referring clinician if there are urgent or unexpected findings and document such without being prompted. |
|Practice using cost effective use of time and support personnel. |
| |
|Behavior and Attitude Objectives: |
| |
|Advocate for quality patient care in a professional manner, particularly concerning imaging utilization issues. |
| |
| |
| |
| |
| |
|Professionalism |
| |
|Goal: |
| |
|Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are |
|expected to demonstrate: |
| |
|Knowledge Objectives: |
| |
|Understanding of the need for respect for patient privacy and autonomy. |
|Understanding of their responsibility for the patient and the service, including arriving in the reading room promptly each day, promptly returning|
|to the reading room after conferences, completing the work in a timely fashion, and not leaving at the end of the day until all work is complete. |
|If the resident will be away from a service (for time off, meeting, board review, etc.), this must be arranged in advance with the appropriate |
|faculty and/or fellow. |
| |
|Skill Objectives: |
| |
|Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, |
|disabilities, and sexual orientation. |
| |
|Behavior and Attitude Objectives: |
| |
|Respect, compassion, integrity, and responsiveness to patient care needs that supersede self-interest. |
| |
| |
| |
|Interpersonal and Communication Skills |
| |
|Goal: |
| |
|Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, |
|their families, and professional associates. Residents are expected to: |
| |
|Knowledge Objectives: |
| |
|Know the importance of accurate, timely, and professional communication. |
| |
|Skill Objectives: |
| |
|Produce concise and accurate reports on most examinations. |
|Communicate effectively with physicians and other health professionals. |
| |
|Behavior and Attitude Objectives: |
| |
|Work effectively as a member of the patient care team. |
| |
|MSK written curriculum: posted online at |
|Kate Stevens’ MSK MRI templates: |
| |
|Duties and Workflow: |
|General Guidelines |
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|1. Plain Radiographs: Report to Bone reading room no later than 8:45 AM and begin reviewing plain films. If you cannot arrive by this time, you |
|must page the bone attending. By 9:00 to 9:30 AM, you should be ready to read out with the bone attending. Note that attendings may not arrive |
|until 9:00 AM, but should be available by pager by 8:30 AM. |
| |
|“Wet Reads” are radiographic exams where the referring physician has requested immediate review by a radiologist, and a call or fax back with |
|results. These exams are brought to us throughout the day, and need to be reviewed by a faculty person before the report is called or faxed back. |
|Particularly important are studies performed on Stanford Athletes ("team players"), which require timely reading and attending review. Residents |
|should also prioritize films from the Vaden student healthcare center, to allow prompt referral for fractures. |
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|2. ER/Trauma Coverage: The ER extremity MSK films are periodically read during the day, typically at least twice each morning and afternoon. Wet |
|reads are entered into the PACs throughout the day until 5 PM when the junior resident takes over. Coverage is from 8:30 AM to 5 PM, except during |
|noon conference. A trauma pager is available in the bone room to alert us that a major trauma is arriving. |
| |
|3. MRI Interpretation: MRI readouts now occur at SMOC in Redwood City. During the 2nd and third-year rotations, the resident on service will be |
|expected to drive to SMOC on Monday and Friday after morning conference (Tuesday, Wednesday and Thursday at the VA). Cross sectional imaging |
|studies will be allocated to the MSK fellows and residents, who are expected to preview the case prior to readout with the attending. |
|Teleconferencing is set up at SMOC to enable the resident to participate in the resident conference at noon. MSK ultrasound cases are also done at|
|SMOC, and the resident will be given the opportunity to participate in these. |
| |
|4. Procedures: Up to 5 arthrograms, tenograms and ultrasound-guided interventions are scheduled throughout the day at SMOC, usually commencing at |
|10am, with emergency cases added on as needed. Resident participation in these procedures is on a case-by-case basis, but it is expected that the |
|resident will learn how to perform conventional hip and shoulder arthrograms. Note that we have an agreement that only attending physicians can |
|perform procedures on Stanford and Professional Athletes, though residents and fellows may assist with these cases. |
| |
|4. Teaching Cases: Interesting cases will be added to teaching folders on the PACS system, and the MSK fellows will also document interesting cases|
|for presentation at bone rounds (every Thursday at 5:15 PM in the ballroom). |
| |
|5. MSK Conference: Residents are encouraged to present cases during at least one conference during the month. This requires background reading on |
|the disorders. Bone residents are expected to attend all morning conferences related to musculoskeletal imaging during their rotation, and are |
|encouraged to attend bone rounds on Thursday afternoon at 5.15pm. |
| |
|6. Pathology and other Clinical Consultations. Pathology residents will page you when tumor biopsy cases need radiographic/pathologic correlation. |
|Coordinate time to meet with the pathologist and a bone radiology attending. Many of these cases are excellent additions to the teaching file or |
|for AFIP. |
| |
|7. Clinical conferences. Generally, these are attended by faculty and the fellow but residents are welcome to attend also. Orthopedics Grand |
|Rounds with Radiology/Pathology sessions Wed AM’s at 0730 hrs. Arthroscopy conference, 0700 hrs, one Monday per month at SMOC. Rheumatology case |
|conference, third Tuesday of the month at 1200 hrs, run by Dr. Stevens. |
| |
|Preparing Films |
| |
|Readouts occur on the 2 PACS workstations in the bone room. Cases should be read directly from the SMOC work list. In addition, in the afternoon |
|cases are read out from the MSK 1 work list. At a minimum all films taken before 2 pm on the SMOC work list must be read out on the same day, but |
|obviously if it is a slow day, reading out more films is desirable. Occasionally there can be glitches in the system, and cases inadvertently do |
|not make it to the work list that day, and are then added the subsequent day. The MSK fellow will independently read cases on the MSK 3 work list, |
|time permitting, and if this is not possible the MSK fellow will alert the bone attending accordingly. |
|What to do during readout |
| |
|Case reviewed with attending, resident takes notes and dictates later. There are a number of “canned” dictation examples printed out in the |
|reading room, which can be helpful as a guideline. |
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|Conference Schedule/Format |
|Title |Wednesday |Time |Location |
|MSK resident conference |Wednesday |7:30 AM weekly |Lucas |
|Orthopedics grand rounds |Wednesday |7:30 AM |Medical School (opposite canteen) |
| Bone rounds | Thursday | 5:15 PM weekly | Ballroom |
|Rheumatology cases |Third Tuesday of month |Noon |Bone room |
|Sarcoma tumor board |Friday |7 AM |Cancer center |
| | | | |
|Method of Assessment of Performance: |
|Written evaluation of resident by responsible faculty member monthly |
|Verbal feedback to resident by faculty |
|ACR In-Training Service Exam annually |
|Recommended reading during your 1st yr rotation includes: |
| |
|Helms, C: “Fundamentals of Musculoskeletal Radiology” |
|This is an excellent introductory text for first year residents. |
| |
|Brower, A: “Arthritis in Black and White” |
|Excellent review of features of the main types of arthritis. A book that is very useful to review again before boards. |
| |
|Harris, J: "Radiography of Acute Cervical Spine Trauma". |
| |
|Greenspan, A. “Orthopedic Radiology”. |
| |
| |
|Websites and Electronic Resources: |
| |
|University of Virgina Skeletal Trauma Tutorial |
| |
|MSK MRI Atlas |
| |
|ACR Skeletal Radiology CD-ROM |
|Good resource for cases |
| |
| |
| |
|Suggested supplementary reading : |
| |
|1. Keats, T.: “Atlas of Normal Roentgen Variants” |
|This is a book you need to know how to use, so that you can quickly find the information you are looking for. Particularly useful for ED reads and |
|on-call. If in doubt about a developmental variant eg. accessory ossicles, nutrient channels, weird looking bones → look it up in Keats! |
| |
|2. Rogers, L.: “Radiology of Skeletal Trauma” |
|Describes the common fracture and dislocation patterns in different body parts. Crucial for handling cases in the ER! |
| |
|3. Keats, T.: “Emergency Radiology” |
| |
|This is an excellent and readable text for first year residents prior to taking ER call. |
| |
|4. Kaplan, PA., Helms, C., Dussault, R., Anderson, MW. “ Musculoskeletal MRI” |
|Comprehensive textbook on MRI of the musculoskeletal system. Extremely useful to read this book when you are on the MSK MRI rotation. |
| |
|5. Stoller, D., Tirman, P., Bredella, M. “Diagnostic Imaging: Orthopaedics” |
|Excellent supplementary text for reading up around specific MRI pathology and considering differential diagnoses. Contains easy to understand |
|illustrations and high quality MR images, with bullet points summarizing each condition. |
| |
|6. Resnick, D: “Diagnosis of Bone and Joint Disorders” |
|The musculoskeletal radiology (5 volume) bible! Useful as reference when you want to find out more about a certain topic, but not to be attempted |
|to read from cover to cover unless you are a complete masochist! An "abbreviated (“baby”) Resnick" (1 volume) is also available for residents. |
| |
|Most of these books and a collection of other MSK radiology books are located in the locked cabinets in the bone reading rooms at Stanford and SMOC|
|and can be used by the resident on the MSK and MSK MRI rotations. If you do borrow books for the evening please ensure that books are returned to |
|the bone room. In the past books have been borrowed and not returned. This spoils it for residents subsequently on the rotation, as we cannot |
|afford to keep replacing them. |
| |
Appendix A: knowledge objectives in rotation one in preparation for call.
|Pre-call | | | | |
| | | |1 |Acetabular Fracture |
| | | |2 |Achilles Tendon Tear & Tendinopathy |
| | | |3 |Acromioclavicular Dislocation |
| | | |4 |Acute Osteomyelitis: Child |
| | | |5 |Anterior Glenohumeral Dislocation |
| | | |6 |Avulsive Injury, Knee |
| | | |7 |Bisphosphonates, Complications |
| | | |8 |Calcaneus Fracture, Intraarticular |
| | | |9 |Carpal Dislocation |
| | | |10 |Charcot (Neuropathic) |
| | | |11 |Child Abuse: The Extremities |
| | | |12 |Chondrosarcoma |
| | | |13 |Finger Fracture and Dislocation |
| | | |14 |Distal Radius Fracture |
| | | |15 |Gout |
| | | |16 |Greater Tuberosity Fracture |
| | | |17 |Hydroxyapatite Deposition Disease |
| | | |18 |Hip Dislocation |
| | | |19 |Hip Implant |
| | | |20 |Insufficiency Fractures, Appendicular |
| | | |21 |Juvenile Distal Forearm Fractures |
| | | |22 |Malleolar Fracture |
| | | |23 |Medial Condylar Fracture, Elbow |
| | | |24 |Metacarpal Fracture and Dislocation |
| | | |25 |Metatarsal Fracture |
| | | |26 |Osteonecrosis, Hip |
| | | |27 |Osteosarcoma, Conventional |
| | | |28 |Osteosarcoma, Parosteal |
| | | |29 |Pathologic Fracture |
| | | |30 |Pelvic Fracture, Unstable |
| | | |31 |Pilon Fracture |
| | | |32 |Pyrophosphate Arthropathy |
| | | |33 |Radial Head/Neck Fracture |
| | | |34 |Salter-Harris Fracture, Ankle |
| | | |35 |Scaphoid Fracture |
| | | |36 |Septic Arthritis |
| | | |37 |Sickle Cell Anemia: MSK Complications |
| | | |38 |Slipped Capital Femoral Epiphysis |
| | | |39 |Stress Fracture, Adult |
| | | |40 |Tibial Plateau Fracture |
| | | |41 |Transcondylar Fracture, Elbow |
Appendix B: knowledge objectives for the remainder of the rotations.
|Musculoskeletal Acute and Chronic Injury |
| |General/systemic Injury | |
| | | |42 |Complications of Paraplegia |
| |Soft tissue, non-specific location, extraarticular |
| | | |43 |Hematoma |
| | | |44 |Myositis Ossificans/Heterotopic Ossification |
| |Muscle injury, non-specific location |
| | | |45 |Muscle Injury |
| |Neural injury | | |
| |Periosteum | | |
| |Joint | | | |
| |Fracture healing | | |
| |Fractures with other contributing etiologies (other than acutely traumatic) |
| |Fractures, Pediatric | |
| | | |46 |Physeal Injury (Salter-Harris) |
| | | |47 |Incomplete Fractures |
| |Other | | | |
| | | |48 |Lead Poisoning |
| | | |49 |Chronic Repetitive Trauma |
| |Injury to joint & adjacent osseous structures, shoulder girdle & humerus |
| | |Sternoclavicular joint & clavicle |
| | |Acromioclavicular joint |
| | | |50 |Os Acromiale |
| | | |51 |Traumatic Osteolysis, Distal Clavicle |
| | |Osseous structures, glenohumeral joint & humerus |
| | | |52 |Posterior Glenohumeral Dislocation |
| | | |53 |Humeral Head/Neck Fracture |
| | | |54 |Little Leaguer's Shoulder |
| | | |55 |Osteochondral Injury, Shoulder |
| | |Muscle injury, shoulder |
| | | |56 |Parsonage-Turner Syndrome |
| | | |57 |Pectoralis Injury |
| | |Rotator Cuff tendons |
| | | |58 |Rotator Cuff Tendinopathy |
| | | |59 |Rotator Cuff Partial Thickness Tear |
| | | |60 |Calcific Rotator Cuff Tendinopathy |
| | | |61 |Subscapularis Tear |
| | | |62 |Rotator Cuff Full Thickness Tear |
| | | |63 |Rotator Interval Tear |
| | |Biceps Tendon/anchorLabrum/Capsule |
| | | |64 |Biceps Tendinopathy, Shoulder |
| | | |65 |Normal Labral Variants |
| | | |66 |Biceps Tendon Tear, Intraarticular |
| | | |67 |Biceps Tendon Dislocation |
| | | |68 |Posterior Labral Tear, Shoulder |
| | | |69 |Inferior Glenohumeral Ligament Injury |
| | | |70 |Bankart Lesion |
| | | |71 |Perthes Lesion |
| | | |72 |Multidirectional Instability, Shoulder |
| | | |73 |GLAD/GARD Lesion |
| | | |74 |SLAP Tear |
| | |Neural impingement |
| | | |75 |Rotator Cuff Denervation Syndromes |
| | | |76 |Suprascapular and Spinoglenoid Notch Cysts |
| |Injury to joint & adjacent osseous structures, elbow & forearm |
| | |Tendons | | |
| | | |77 |Biceps Tendon Injury, Elbow |
| | | |78 |Common Extensor Tendon Injury, Elbow |
| | | |79 |Common Flexor/Pronator Tendon Injury, Elbow |
| | | |80 |Triceps Tendon Injury, Elbow |
| | |Ligaments | |
| | | |81 |Radial Collateral Ligament Injury |
| | | |82 |Ulnar Collateral Ligament Injury |
| | |Soft tissue abnormalities, other |
| | | |83 |Bicipioradial Bursitis |
| | | |84 |Olecranon Bursitis |
| | |Osseous Trauma |
| | | |85 |Capitellum Fracture |
| | | |86 |Elbow Dislocation |
| | | |87 |Lateral Condylar Fracture, Elbow |
| | | |88 |Monteggia Injury |
| | | |89 |Valgus Stress Mechanism/Little Leaguer's Elbow |
| | | |90 |Forearm Fractures |
| | |Neural Impingement |
| | | |91 |Radial Nerve Injury |
| | | |92 |Median Nerve Injury |
| |Injury to joint & adjacent osseous structures, wrist & hand |
| | |Ligaments, +/- carpal instability |
| | | |93 |Intrinsic Ligament Tear, Wrist |
| | | |94 |Carpal Instability |
| | |Tendons | | |
| | | |95 |Extensor Tendon Injury, Wrist and Fingers |
| | | |96 |Extensor Carpi Ulnaris Tendinitis |
| | | |97 |Tenosynovitis, Wrist & Hand |
| | |Soft tissue abnormalities, other |
| | |Distal radius & ulna: osseous trauma |
| | | |98 |Trauma-related Osteolysis in Children |
| | |Carpus: osseous trauma |
| | | |99 |Carpal Fracture, Other than Scaphoid |
| | | |100 |Carpal Impaction Syndromes |
| | |Distal Radioulnar Joint |
| | |Triangular Fibrocartilage Complex |
| | | |101 |Triangular Fibrocartilage Complex Injury |
| | |Fingers | | |
| | | |102 |Collateral Ligament Injury, Fingers and Thumb |
| | | |103 |Flexor Tendon Injury, Wrist and Fingers |
| | | |104 |Carpometacarpal Fractures |
| | |Neural impingement |
| | | |105 |Nerve Entrapment Syndromes, Wrist |
| |Injury to joint & adjacent osseous structures, spine |
| | | |106 |Scheuermann Disease |
| |Injury to joint & adjacent osseous structures, pelvis |
| | |Osseous trauma |
| | | |107 |Pelvic Fracture, Stable |
| | | |108 |Pelvic Stress and Insufficiency Fracture |
| | | |109 |Osteitis Pubis, Nontraumatic Origin |
| | | |110 |Pelvic Avulsion Fracture/Apophysitis |
| | | |111 |Osteitis Pubis, Post-Traumatic |
| | |Tendons | | |
| | |Ligaments | |
| | |Neural impingement |
| | |Soft tissue abnormalities, other |
| | | |112 |Adductor Insertion Avulsion Syndrome |
| | | |113 |Sports Hernia |
| |Injury to joint & adjacent osseous structures, hip & femur |
| | |Osseous trauma |
| | | |114 |Stress Injury, Leg |
| | | |115 |Femoral Head Fracture |
| | | |116 |Femoral Neck Fracture |
| | | |117 |Subtrochanteric and Femoral Shaft Fracture |
| | | |118 |Trochanteric and Intertrochanteric Fracture |
| | |Labroligamentous Pathology |
| | | |119 |Femoral Acetabular Impingement |
| | | |120 |Hip Labral Trauma, Postoperative |
| | | |121 |Acetabular Labral Tear |
| | |Musculotendinous Injury |
| | | |122 |Proximal Hamstring Injury |
| | | |123 |Hip Flexor Injury |
| | | |124 |Hip Adductor Injury |
| | | |125 |Hip Internal and External Rotator Injury |
| | |Ligaments | |
| | |Neural impingement |
| | |Soft tissue abnormalities, other |
| | | |126 |Bursitis, Hip and Pelvis |
| |Injury to joint & adjacent osseous structures, knee & leg |
| | |Osseous trauma |
| | | |127 |Patellar Fracture |
| | | |128 |Subchondral Fracture, Knee |
| | | |129 |Osteochondral Injury, Knee |
| | | |130 |Transient Patellar Dislocation |
| | | |131 |Blount Disease |
| | |Menisci | | |
| | | |132 |Discoid Meniscus |
| | | |133 |Parameniscal Cyst |
| | | |134 |Meniscal Ossicle |
| | | |135 |Meniscal Radial Tear |
| | | |136 |Other Displaced Meniscal Tears |
| | | |137 |Meniscal Pitfalls and Variants |
| | | |138 |Meniscal Vertical Longitudinal Tear |
| | | |139 |Meniscal Horizontal Tear |
| | | |140 |Meniscal Bucket-Handle Tear |
| | | |141 |Meniscocapsular Separation |
| | |Anterior Cruciate ligament |
| | | |142 |Anterior Cruciate Ligament Injury |
| | | |143 |Anterior Cruciate Ligament: Postoperative Imaging |
| | |Posterior cruciate ligament |
| | | |144 |Posterior Cruciate Ligament Injury |
| | | |145 |Posterior Cruciate Ligament, Postoperative |
| | |Medial supporting structures |
| | | |146 |Medial Collateral Ligament, Knee |
| | | |147 |Posteromedial Corner Injury |
| | | |148 |Pes Anserine Bursitis |
| | |Lateral supporting structures |
| | | |149 |Lateral Collateral Ligament Complex, Knee |
| | | |150 |Posterolateral Corner Injury |
| | | |151 |Iliotibial Band Friction Syndrome |
| | |Extensor mechanism |
| | | |152 |Patellar Tendon Tears & Tendinosis |
| | | |153 |Osgood-Schlatter Disease |
| | | |154 |Quadriceps Injury |
| | | |155 |Patellar Malalignment |
| | |Cartilage | | |
| | | |156 |Chondral Injury, Knee |
| | | |157 |Articular Cartilage: Postoperative Imaging |
| | |Neural impingement |
| | | |158 |Peroneal Nerve Injury |
| | |Muscle injury, leg |
| | | |159 |Gastrocnemius Soleus Strain |
| | |Soft tissue abnormalities, other |
| | | |160 |Intercondylar Notch Cyst |
| | | |161 |Prepatellar and Pretibial Bursitis |
| | | |162 |Popliteal Cyst |
| | | |163 |Popliteus Myotendinous Injury |
| |Injury to joint & adjacent osseous structures, ankle & foot |
| | |Tendons | | |
| | | |164 |Posterior Tibial Tendon Tear and Tendinopathy |
| | | |165 |Plantaris Tendon Injury |
| | | |166 |Extensor Tendon Tear and Tendinopathy, Ankle |
| | | |167 |Peroneal Tendon Tear and Tendinopathy |
| | | |168 |Tears of Intrinsic Foot Muscles and Plantar Fascia |
| | |Ligaments | |
| | | |169 |Ankle Sprain |
| | | |170 |Syndesmosis Ligament Injury, Ankle |
| | | |171 |Lisfranc Ligament Injury |
| | | |172 |MTP Ligament Injury, Digit 1 |
| | | |173 |Deltoid Ligament Injury |
| | | |174 |Anterior Impingement Syndrome, Ankle |
| | |Neural impingement |
| | |Soft tissue abnormalities |
| | | |175 |Plantar Fasciitis |
| | | |176 |Superficial Fibromatoses |
| | |Overuse syndromes |
| | | |177 |Accessory Ossicles, Ankle and Foot |
| | | |178 |Os Peroneum Syndrome |
| | | |179 |Os Trigonum Syndrome |
| | | |180 |Sesamoid Dysfunction |
| | |Osseous trauma |
| | | |181 |Calcaneus Fracture, Nonarticular |
| | | |182 |Talus Neck and Head Fracture |
| | | |183 |Talus Dislocation |
| | | |184 |Stress and Insufficiency Fracture, Ankle and Foot |
| | | |185 |Chopart Dislocation |
| | | |186 |Talar Body and Process Fracture |
| | | |187 |Ankle Dislocation |
| | | |188 |Osteochondral Injury, Ankle |
| | | |189 |Navicular Fracture and Dislocation |
| | | |190 |Lisfranc Fracture-Dislocation |
|Post-operative Findings | | |
| | | |191 |Arthroplasty Loosening & Dislocation |
| | | |192 |Arthroplasty Component Wear/Particle Disease |
| | | |193 |Arthrodesis, Postoperative Appearance |
| | | |194 |Wrist Arthrodesis/Other Postoperative Appearances |
| | | |195 |Cement & Bone Fillers |
| | | |196 |Arthroplasty Implant/Periprosthetic Fx |
| | | |197 |Miscellaneous Hardware |
| | | |198 |Anchoring Devices |
| | | |199 |Revision Arthroplasty |
| | | |200 |Knee Implant |
| | | |201 |Shoulder Implant |
|Infection | | | | |
| | | |202 |Paget Disease |
| | | |203 |Chronic Recurrent Multifocal Osteomyelitis |
| | | |204 |Necrotizing Fasciitis |
| | | |205 |Brucellosis |
| | | |206 |Soft Tissue Infection |
| | | |207 |Spinal Infections |
| | | |208 |Acute Osteomyelitis, Adult |
| | | |209 |Acute Osteomyelitis, Child |
| | | |210 |Chronic Osteomyelitis |
| | | |211 |Tuberculosis |
|Bone Marrow | | | |
| | | |212 |Focal Marrow Infiltration and Replacement |
| | | |213 |Thalassemia |
| | | |214 |Extramedullary Hematopoiesis |
| | | |215 |Increased or Decreased Marrow Cellularity |
| | | |216 |Myelofibrosis |
| | | |217 |Mucopolysaccharidoses |
| | | |218 |Diffuse Marrow Infiltration and Replacement |
| | | |219 |Gaucher Disease |
| | | |220 |Bone Infarct |
| | | |221 |Transient Bone Marrow Edema |
| | | |222 |Osteonecrosis of Knee |
| | | |223 |Legg-Calvé-Perthes |
| | | |224 |Osteonecrosis of Wrist |
| | | |225 |Osteonecrosis of Shoulder |
|Arthritis | | | | |
| |Erosive pattern | | |
| | |Rheumatoid arthritis |
| | | |226 |Rheumatoid Arthritis of Axial Skeleton |
| | | |227 |Rheumatoid Arthritis of Ankle and Foot |
| | | |228 |Rheumatoid Arthritis of Knee |
| | | |229 |Rheumatoid Arthritis of Shoulder and Elbow |
| | | |230 |Robust Rheumatoid Arthritis |
| | | |231 |Rheumatoid Arthritis of Wrist and Hand |
| | | |232 |Rheumatoid Arthritis of Hip |
| | |Non-rheumatoid arthritis, erosive |
| | | |233 |Juvenile Idiopathic Arthritis (JIA) |
| |Productive pattern | | |
| | |Osteoarthritis | |
| | | |234 |Osteoarthritis of Axial Skeleton |
| | | |235 |Osteoarthritis of Shoulder and Elbow |
| | | |236 |Osteoarthritis of Hip |
| | | |237 |Osteoarthritis of Knee |
| | | |238 |Osteoarthritis of Wrist and Hand |
| | |Non-joint based |
| | | |239 |DISH |
| | | |240 |OPLL |
| |Mixed erosive and productive |
| | | |241 |Ankylosing Spondylitis |
| | | |242 |Psoriatic Arthritis |
| | | |243 |Chronic Reactive Arthritis |
| | | |244 |Inflammatory Bowel Disease Arthritis |
| |Connective tissue disorders |
| | | |245 |Systemic Lupus Erythematosus |
| | | |246 |Progressive Systemic Sclerosis |
| | | |247 |Inflammatory Myopathy |
| |Arthritis due to biochemical disorders and depositional disease |
| | | |248 |Amyloid Deposition |
| |Miscellaneous joint disorders |
| | | |249 |Pigmented Villonodular Synovitis (PVNS) |
| | | |250 |Synovial Osteochondromatosis |
| | | |251 |Hypertrophic Osteoarthropathy |
|Metabolic bone disease | | |
| | | |252 |Hyperparathyroidism |
| | | |253 |Primary Osteoporosis |
| | | |254 |Disuse Osteoporosis |
| | | |255 |Osteomalacia and Rickets |
| | | |256 |Renal Osteodystrophy |
| | | |257 |Dialysis-Related Disease, Spondyloarthropathy |
|Drug-induced & nutritional MSK conditions |
| | | |258 |Steroids, Complications |
| | | |259 |Scurvy |
| | | |260 |Radiation-Induced Non-neoplastic Marrow & Soft Tissue Abnormalities |
| | | |261 |AIDS Drug Therapy, Complications |
| | | |262 |Complications of Prostaglandins |
|Venomous-induced conditions | |
|Radiation induced conditions | | |
| | | |263 |Radiation Osteonecrosis |
| | | |264 |Radiation-Induced Osteochondroma |
| | | |265 |Radiation-Induced Sarcoma |
| | | |266 |Radiation-Induced Complications of the Skeleton |
|Osseous tumors | | | |
| |Bone-forming tumors | |
| | |Benign | | |
| | | |267 |Osteoma |
| | | |268 |Osteoid Osteoma |
| | | |269 |Enostosis (Bone Island) |
| | | |270 |Osteoblastoma |
| | |Malignant | |
| | | |271 |Osteosarcoma, Secondary |
| | | |272 |Osteosarcoma, Periosteal |
| | | |273 |Osteosarcoma, Telangiectatic |
| |Cartilage-forming tumors |
| | |Benign | | |
| | | |274 |Enchondroma |
| | | |275 |Osteochondroma |
| | | |276 |Multiple Hereditary Exostoses |
| | | |277 |Chondroblastoma |
| | | |278 |Chondromyxoid Fibroma |
| | | |279 |Periosteal Chondroma |
| | |Malignant | |
| | | |280 |Chondrosarcoma, Dedifferentiated |
| |Fibrous tumors | | |
| | |Benign | | |
| | | |281 |Desmoplastic Fibroma |
| | |Malignant | |
| | | |282 |Fibrosarcoma |
| | | |283 |Malignant Fibrous Histiocytoma of Bone |
| |Fatty tumors | | |
| | | |284 |Intraosseous Lipoma |
| |Giant Cell tumor | | |
| | | |285 |Giant Cell Tumor |
| |Epithelioid tumor | | |
| | | |286 |Adamantinoma |
| |Vascular tumors | | |
| | | |287 |Angiosarcoma, Osseous |
| |Neural tumors | | |
| | | |288 |Chordoma |
| |Marrow tumors | | |
| | |Myeloma | | |
| | | |289 |Multiple Myeloma |
| | | |290 |POEMS |
| | | |291 |Plasmacytoma |
| | |Non-myelomatous marrow tumors |
| | | |292 |Ewing Sarcoma |
| | | |293 |Leukemia: Osseous Manifestations |
| | | |294 |Lymphoma of Bone |
| |Tumor-like lesions | | |
| | | |295 |Langerhans Cell Histiocytosis |
| | | |296 |Fibrous Dysplasia |
| | | |297 |Simple Bone Cyst |
| | | |298 |Aneurysmal Bone Cyst |
| | | |299 |Fibroxanthoma |
| | | |300 |Lower Extremity Variants, Other |
| |Metastatic tumors | | |
|Soft Tissue tumors | | | |
| |Other | | | |
| |Adipocytic tumors | | |
| | |Benign | | |
| | | |301 |Lipoma, Soft Tissue |
| | | |302 |Hibernoma |
| | | |303 |Lipomatosis, Nerve |
| | | |304 |Parosteal Lipoma |
| | | |305 |Lipoma Arborescens, Knee |
| | |Intermediate (Locally Aggressive) |
| | | |306 |Atypical Lipomatous Tumor |
| | |Malignant | |
| | | |307 |Liposarcoma, Myxoid |
| | | |308 |Liposarcoma, Pleomorphic |
| |Fibroblastic/Myofibroblastic Tumors |
| | |Benign | | |
| | | |309 |Elastofibroma |
| | |Intermediate (Locally Aggressive) |
| | | |310 |Desmoid-Type Fibromatosis |
| | |Intermediate (Rarely Metastasizing) |
| | |Malignant | |
| |So-called Fibrohistiocytic Tumors |
| | |Benign | | |
| | | |311 |Giant Cell Tumor Tendon Sheath |
| | | |312 |Xanthoma |
| | |Intermediate (Rarely Metastasizing) |
| | |Malignant | |
| | | |313 |Pleomorphic MFH/Undifferentiated Pleomorphic Sarcoma |
| | | |314 |Dermatofibrosarcoma Protuberans |
| |Smooth Muscle Tumors | |
| | |Benign | | |
| | |Malignant | |
| |Pericytic (Perivascular) Tumors |
| | | |315 |Glomus Tumor |
| |Skeletal Muscle Tumors | |
| | |Benign | | |
| | |Malignant | |
| |Vascular & lymphatic tumors |
| | |Benign | | |
| | | |316 |Hemangioma, Soft Tissue |
| | | |317 |Klippel-Trenaunay-Weber Syndrome |
| | |Intermediate (Locally Aggressive) |
| | |Intermediate (Rarely Metastasizing) |
| | |Malignant | |
| | | |318 |Angiosarcoma of Soft Tissue |
| |Chondro-Osseous Tumors |
| | | |319 |Extraskeletal Osteosarcoma |
| | | |320 |Intraarticular Chondroma |
| |Tumors of Uncertain Differentiation |
| | |Benign | | |
| | | |321 |Intramuscular Myxoma |
| | |Intermediate (Rarely Metastasizing) |
| | |Malignant | |
| | | |322 |Synovial Sarcoma |
| |Peripheral Nerve Sheath Tumors |
| | |Non-neoplastic Lesions |
| | | |323 |Morton Neuroma |
| | | |324 |Traumatic Neuroma |
| | |Neurofibroma | |
| | | |325 |Neurofibroma |
| | |Schwannoma | |
| | | |326 |Schwannoma |
| | |Nerve Sheath Myxoma |
| | |Perineurioma | |
| | |Granular Cell Tumor |
| | |Malignant Peripheral Nerve Sheath Tumor (MPNST) |
| | | |327 |Malignant Peripheral Nerve Sheath Tumor |
| |Skin and Subcutanious Lesions |
| | | |328 |Rheumatoid Nodule |
|Congenital, Familial, & Developmental Conditions |
| |Generalized | | |
| | | |329 |Arthrogryposis |
| | | |330 |Fibrodysplasia Ossificans Progressiva |
| | | |331 |Neurofibromatosis |
| | | |332 |Osteogenesis Imperfecta |
| |Upper extremity disorders |
| | | |333 |Madelung Deformity |
| | | |334 |Glenoid Hypoplasia |
| | | |335 |Ulnar Variance |
| | | |336 |Carpal Coalition |
| |Lower extremity disorders |
| | | |337 |Developmental Dysplasia of the Hip |
| | | |338 |Proximal Femoral Focal Deficiency |
| |Foot deformities | | |
| | |Contenital foot deformities |
| | | |339 |Club Foot (Talipes Equinovarus) |
| | | |340 |Congenital Vertical Talus (Rocker Bottom Foot) |
| | | |341 |Pes Planus (Flatfoot) |
| | |Acquired | | |
| | |Tarsal coalitions |
| | | |342 |Tarsal Coalition |
| |Other (Nongeneralized Conditions) |
|Displasias | | | |
| |Skeletal dysplasias | | |
| | |Dwarfism | | |
| | | |343 |Achondroplasia |
| | | |344 |Spondyloepiphyseal Dysplasia |
| | | |345 |Thanatophoric Dwarfism |
| | |Non-dwarfing dysplasias |
| | | |346 |Ollier Disease |
| | | |347 |Cleidocranial Dysplasia |
| | | |348 |Maffucci Syndrome |
| | | |349 |Nail Patella Disease (Fong) |
| | |Sclersing dysplasias |
| | | |350 |Melorheostosis |
| | | |351 |Intramedullary Osteosclerosis |
| | | |352 |Pycnodysostosis |
| | | |353 |Osteopoikilosis |
| | | |354 |Progressive Diaphyseal Dysplasia |
| | | |355 |Osteopetrosis |
|Musculolkeletal Complications of Systemic Diseases |
| |Diabetes | | | |
| | | |356 |Diabetes: MSK Complications |
| | | |357 |Dialysis-Related Disease, Metastatic Calcification |
| |HIV-AIDS | | | |
| | | |358 |HIV-AIDS |
| |Hemophilia | | |
| | | |359 |Hemophilia: MSK Complications |
| |Syphilis | | | |
| |Sarcoidosis | | |
| | | |360 |Sarcoidosis, Bone |
| |Vascular Disease | | |
| |Other | | | |
| |Polio | | | |
|Anatomic Variants | | | |
| |Lower Extremity | | |
| | | |361 |Dorsal Defect Patella |
| | | |362 |Gastrocnemius Muscle Variant |
| | | |363 |Talar Ridge |
| | | |364 |Accessory Muscles, Ankle and Foot |
| |Upper Extremity | | |
| | | |365 |Buford Complex |
| | | |366 |Sublabral Foramen |
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