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Course Description

This course utilizes content from the textbook “Essential Musculoskeletal MRI” by Michelle A. Wessely BSc, DC, DACBR, FCCR, FCC, Dip MEd and Martin F. Young BSc, DC, FCC, MEWI © 2011, published by Elsevier.

Instructional Level: Beginner to Intermediate

This clinically based course is written by experts in both musculoskeletal MRI and musculoskeletal medicine.  Essential topics discussed such when and why patients should be referred for this type of imaging and information that allows clinicians to hone their MRI reading skills and to interpret their findings in conjunction with patient symptoms.  Included is the appearance of normal anatomy under MRI, as well as, the radiological features of the most commonly encountered regional pathologies, with emphasis on those with musculoskeletal relevance.

Module Description

Included in Module 2:  The Upper Extremities and the Temporomandibular

Chapter 8:  The Shoulder
Chapter 9:  The Elbow
Chapter 10:  The Wrist and Hand
Chapter 11:  The Temporomandibular

Module Goals

Module 2: The Upper Extremities and the Temporomandibular Articulation

Course Goals and Objectives
Course Goals:This course is intended to instruct the professional through a self-paced study of Musculoskeletal MRI of The Upper Extremities and the Temporomandibular Articulation.
Professional Learning Objectives
1. Identify important differential diagnostic considerations when assessing the shoulder.
2. Discuss the clinical indications for diagnostic imaging of the shoulder.
3. Demonstrate knowledge in useful imaging modalities for shoulder injuries.
4. Define the ‘magic angle’ phenomenon.
5. Differentiate between Type I, Type II and Type III acromion.
6. Demonstrate knowledge in the occurrence of true traumatic tendon rupture.
7. List the signs that are typically indicative of a tendon tear.
8. Discuss the use of the ‘sulcus test’ in evaluation of inferior instability.
9. Demonstrate knowledge in Bankart lesions.
10.Explain clinical indications for diagnostic imaging of the shoulder.
11.Discuss the normal anatomical features of the elbow.
12.Identify which magnetic resonance (MR) sequences are the most useful in assessing the anconeus and triceps muscles.
13.Explain normal variants and diagnostic pitfalls of the elbow.
14.Demonstrate knowledge in the role MR imaging plays in the initial detection of the majority of elbow fractures.
15.Identify the primarily involved structure in lateral epicondylitis.
16.Discuss common arthritic conditions that affect the elbow.
17.Recognize normal and abnormal imaging appearances of the wrist and hand.
18.Explain which plane is best to view the tendons of the wrist and hand on MR imaging.
19.Discuss the role of MR imaging in the diagnosis of carpal tunnel syndrome.
20.Differentiate between the deep and superficial terminal branches of the ulnar nerve.
21.Discuss the procedures and protocol for evaluating the temporomandibular articulation.
22. Identify clinical indications for diagnostic imaging of the temporomandibular articulation.
23. Explain the most common intra-articular causes of temporomandibular disorders.
24.Demonstrate knowledge in the planes of visualization for the meniscus of the temporomandibular  articulation  (TMA).
25.Recognize the part of the posterior meniscal attachment that is not visible on MR imaging.
26.Discuss the ligaments of the temporomandibular articulation.
27.Identify the most frequent location of meniscal displacement.
28.Discuss the signal intensity of the mandibular condyle.