E2327. MSK On Call at a Level 1 Trauma Center: A Case-Based Review for a General Radiologist from a Musculoskeletal Radiologist’s Perspective
Authors
Andrew Mitchell;
University of Tennessee Health Science Center
Benjamin Clifford;
University of Tennessee Health Science Center
Chinky Patel;
University of Tennessee Health Science Center
Asif Jamal;
University of Tennessee Health Science Center
Bhumin Patel;
University of Tennessee Health Science Center
Background
This presentation reviews commonly missed musculoskeletal injuries, trauma mimics, and pathology at a level one trauma center. An emphasis is placed on cases and findings a general radiologist should know. Additionally, the purpose of this presentation is to help radiologists add value to the clinical team beyond the initial or primary diagnosis. This will be accomplished by presenting a case-based review of common imaging findings that affect surgical or medical management. This presentation is intended for radiology residents, general radiologists, and emergency radiologists.
Educational Goals / Teaching Points
Leverage cases to review fundamental radiological diagnoses commonly misinterpreted by radiology residents and junior radiologists. Provide “pro tips” and common pitfalls to improve detection. Review key findings and classification systems that change management, while emphasizing notable information that cross-function team members such as surgeons need to receive from the radiologist. Highlight clinically relevant musculoskeletal findings that are often not discussed by both general radiologists and residents.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
This presentation showcases multiple modalities including musculoskeletal trauma, pathology, and trauma mimics at a busy level 1 trauma center.
Conclusion
Knowledge of abnormalities and classification systems is critical for the proper management of patients presenting and being treated for traumatic injuries. A radiologist should be able to identify both the major findings and try to describe ancillary findings that may change patient management. Additionally, radiologists have become crucial contributors to patient care, and as the role of the radiologist becomes further ingrained into standard of care processes, it is critical that radiologists continue to provide value to cross-specialty teams. Understanding common and critical traumatic findings will aid radiology residents and attendings in developing quick and accurate interpretations that enable the care team to effectively manage trauma patients.
