DJD Andrew Cornelius MD Disclosures No Conflicts of interest This is not an exhaustive talk Overview Knee DJD Hip DJD Case 53 yo male with knee pain Thinks he twisted his knee snow machining 1 month ago ID: 928181
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Slide1
Understanding Imaging in DJD
Andrew Cornelius MD
Slide2Disclosures
No Conflicts of interest
This is not an exhaustive
talk
Slide3Overview
Knee DJD
Hip
DJD
Slide4Case
53 y/o male with knee pain
Thinks he twisted his knee snow machining 1 month ago
No prior injuries or treatments
No effusions
No relevant PMH, PSH, FH
Exam show slight
varus
but no other abnormalities
“I think it’s my meniscus doc”
Slide5Imaging
Slide6Option A
Slide7Slide8Option B
Slide9Slide10NO MRI!!!!!!
Slide11Slide12Osteoarthritis: XRAY findings
Joint space narrowing
Osteophytes
Subchondral
sclerosis
Subchondral
cysts
http://
www.drmichaelwind.com
/knee-surgery/total-knee-
arthroplasty
Slide13Slide14Slide15Slide16Another recent case in my clinic
55 y/o male with meniscus tear
Slide172 yrs
later seen for pain and sent by PCM for …..
Slide18Keys to good imaging
Weight bearing views
Slide19Slide20Slide21Slide22Please, Please, Please
Get Weight Bearing Views
Slide23Keys to good imaging
Weight bearing views
Rosenberg view
Slide24Slide25Slide26Slide27Positioning
Slide28Keys to good knee imaging
Weight bearing views
Rosenberg
view
Correct rotation and beam orientation
Slide29Slide30Slide31Keys to good knee imaging
Weight bearing views
Rosenberg
view
Correct rotation and beam orientation
Sunrise View
Slide32Slide33Key knee take-aways
MRI or no MRI?
Weight bearing or non-weight bearing
Rosenberg
I order Standing AP, Lateral and Rosenberg views as well as a sunrise view of each knee
Bilateral considerations
Slide34Imaging Hip DJD
Standing AP pelvis
Slide35Slide36Slide37Slide38Slide39Slide40Slide41Slide42Slide43Imaging Hip DJD considerations
Lumbar spine
Location of pain
Knee pain – Hip pain
Slide44Imaging Hip DJD considerations
Lumbar spine
Location of pain
Knee pain – Hip pain
Slide45