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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Introduction
Introduction to Emergency Head, Neck & Spine Imaging
1 topic, 1 min.
Clinical Scenario 1
Orbital Trauma/Inflammation
19 topics, 1 hr. 35 min.
Clinical Scenario 1: Orbital Trauma/Inflammation Introduction
2 m.Case: Anterior Segment Ocular Injury
9 m.Ocular Injury & Globe Anatomy
6 m.Case: Choroidal Detachment, Retinal Detachment, Vitreous Hemorrhage, Orbital Floor Fracture
9 m.Orbit: Foreign Body
8 m.Orbit: Non-Accidental Trauma with Retinal Hemorrhage
3 m.Early Ocular Intervention
6 m.Non-Ocular Orbital Trauma
3 m.Case: Orbital Wall Fracture
8 m.Case: Medial Orbital Wall Fracture
8 m.Case: Orbital Apex and Roof Fracture
5 m.Orbital Blow-Out Fractures
6 m.Orbital Trauma
5 m.Indications for Surgery
4 m.Case: Orbital Cellulitis with Subperiosteal Abscess
6 m.Orbital Inflammation
5 m.Pediatric Subperiosteal Abscess
4 m.Orbital Pseudotumor and Carotid Cavernous Fistula
7 m.Orbital Trauma/Inflammation Lesson Reinforcement Quiz
Clinical Scenario 2
Facial/Neck Trauma
29 topics, 1 hr. 34 min.
Clinical Scenario 2: Facial/Neck Trauma Introduction
6 m.Case: Comminuted Nasal Bone Fracture
2 m.Case: Multiple Fractures in Nasal Bones
3 m.Nasal Bone Fracture Summary
3 m.Mandibular Fractures
6 m.Case 9 - Displaced Mandibular Fracture at the Angle
3 m.Midface Buttresses
3 m.Naso-Orbito-Ethmoid (NOE) Fractures
5 m.Case: NOE Fracture
3 m.Case: Midface NOE Fracture
3 m.Le Fort Fractures
7 m.Case: Bilateral Le Fort 1 & 2 Fractures
4 m.Case: Bilateral Le Fort 1, Unilateral Le Fort 2 & 3
4 m.Le Fort Summary
1 m.Zygomaticomaxillary Complex (ZMC) Fractures
5 m.Case: Zygomaticomaxillary Complex Fracture
3 m.ZMC Summary
2 m.Capo de Tutti Fractures
5 m.Case: Bilateral Temporal Bone Fractures
9 m.Temporal Bone Fractures
2 m.Complications of Temporal Bone Injury
3 m.Temporal Bone Fracture Summary
3 m.Case: Calvarial Fracture with Transverse Sinus Injury
3 m.Case: Carotid Dissection with Pseudoaneurysm
5 m.Case: Bilateral Carotid Dissections
4 m.Case: Horner's Syndrome, MS, Dissection
5 m.Case: Horner's Syndrome
5 m.Airway Injury & Carotid Dissection
4 m.Facial/Neck Trauma Lesson Reinforcement Quiz
Clinical Scenario 3
Sore Throat Pain and Fever
12 topics, 46 min.
Clinical Scenario 3: Sore Throat Pain and Fever Introduction
1 m.Tonsillitis, Tonsillar Abscess & Peritonsillar Abscess
6 m.Case: Peritonsillar Abscess
5 m.Case: Peritonsillar Phlegmon
6 m.Case: Epiglottitis, Supraglottitis, Airway Compromise
7 m.Periodontal Disease
9 m.Case: Ludwig's Angina
3 m.Ludwig's Angina - Summary
3 m.Case: Ludwig's Angina, Sialadenitis
4 m.Lemierre's Syndrome
2 m.Malignant Otitis Externa & Otomastoiditis
6 m.Sore Throat Pain and Fever Lesson Reinforcement Quiz
Clinical Scenario 4
Mass in the Neck
12 topics, 42 min.
Clinical Scenario 4: Mass in the Neck Introduction
4 m.Case: T-Cell Lymphoma, Lymphadenopathy
4 m.Retropharyngeal Space
3 m.Case: Retropharyngeal Abscess
4 m.Case: Retropharyngeal Phlegmon
3 m.Retropharyngeal Space Collections
4 m.Neck Mass in Afebrile Patient
7 m.Case: Second Branchial Cleft Cyst
4 m.Case: Thyroglossal Duct Cyst
5 m.Case: Sarcoma of the Levator Scapulae
2 m.Thyroid Nodules
9 m.Mass in the Neck Lesson Reinforcement Quiz
Clinical Scenario 5
Cervical Spine Trauma
27 topics, 1 hr. 35 min.
Clinical Scenario 5: Cervical Spine Trauma Introduction
7 m.Case: Occipital Condyle Fracture
2 m.Case: Anterior Arch C1 Fracture
6 m.Case: Odontoid Fracture
4 m.Atlanto-Odontoid Distraction
5 m.Odontoid Fractures: Summary
5 m.Atlanto-Odontoid Versus Atlanto-Axial Distractions
4 m.Case 34: Jefferson Fracture on CT, MRI
7 m.Jefferson (Burst) Fracture: Summary
4 m.Fixed Rotatory Subluxation
4 m.Case: Bilateral Jumped Facets
9 m.Unilateral Facet Dislocation with Carotid Dissection
4 m.Hyperextension Injury
4 m.Cervical Spine Flexion Injury
6 m.Case: Transverse Process Fracture
3 m.Case: Unstable Fracture, Two-Column Injury
6 m.Case 30 - Epidural Hematoma Summary
Case: Facet Fracture with Vertebral Artery Occlusion
4 m.Spinal Cord Injury Without Radiographic Abnormalities
4 m.Thoracolumbar AO Spine Injury Score
2 m.Case: Chance Fracture
2 m.Axial Loading Fractures
5 m.Case: Lumbar Transverse Process Fracture
2 m.Lumbar Transverse Process Fractures and Visceral Injury
3 m.Case: Compression Fracture
4 m.Case: Compression Fracture & Stress Injury
3 m.Cervical Spine Trauma Lesson Reinforcement Quiz
Clinical Scenario 6
Fever, Back Pain
9 topics, 28 min.
Clinical Scenario 6: Fever, Back Pain Introduction
2 m.Case: Diskitis-Osteomyelitis
5 m.Diskitis-Osteomyelitis Summary
6 m.Case: Tuberculous Spondylitis with Psoas Abscess
4 m.Case: Spinal Cord Infarct
5 m.Case: Spinal Cord Astrocytoma
2 m.Case: Guillain-Barré Syndrome
2 m.Grisel Syndrome and Calcific Tendinitis of the Longus Colli
6 m.Fever, Back Pain Lesson Reinforcement Quiz
Clinical Scenario 7
Head & Neck Emergencies
13 topics, 37 min.
Head and Neck Emergencies Introduction
8 m.Case: Fungus Ball
2 m.Fungal Sinusitis Summary
2 m.Allergic Fungal Rhinosinusitis
7 m.Case: Invasive Fungal Sinusitis
4 m.Invasive Fungal Sinusitis Imaging Signs
4 m.Case: Necrotizing Fasciitis
4 m.Necrotizing Fasciitis Summary
2 m.Case: Allergic Fungal Sinusitis with Mucocele
2 m.Epidural Abscess from Sinusitis
3 m.Case: Otomastoiditis with Bezold Abscess
2 m.Case: Sinusitis with Frontal Lobe Abscess
3 m.Head and Neck Emergencies Lesson Reinforcement Quiz
0:01
I'd like to talk briefly about one of the more
0:04
subtle fractures of the cervical spine,
0:06
and that is a fracture of the transverse process.
0:10
I know in my career I've missed a couple of these.
0:13
Fortunately,
0:13
they haven't resulted in any difficulty with the patients
0:16
because usually they're not unstable fractures.
0:19
However,
0:20
transverse process fractures are important in the cervical spine
0:23
because they mark part of the border of the foramen
0:27
transversarium where the vertebral artery is running.
0:31
And therefore,
0:32
whenever I am at the endpoint of looking
0:35
at a cervical spine for fractures,
0:37
I will usually go to the thin section images and just spend a
0:42
lot of time looking at the transverse process and the foramen
0:46
transversarium in order to identify the possibility of
0:50
a fracture in that location.
0:52
This is much, much easier.
0:54
And we'll see this in the lumbar spine where transverse process
0:57
fractures from avulsion from the psoas muscle
1:00
are very, very common.
1:02
Here you see a comminuted subtle fracture of the left transverse
1:07
process that is extending to involve, obviously, the foramen
1:12
transversarium where the vertebral artery resides.
1:15
This is something that is seen on the 0.5 millimeter
1:19
thick sections, but not on the thicker sections.
1:22
You notice over here that we have a little piece
1:24
of bone kind of flying in the breeze.
1:27
This is a portion of the avulsed part of the transverse process
1:32
that you see on the right side where it's also been fractured.
1:36
So again, not an unstable fracture,
1:39
but a fracture that may be associated with a vascular
1:43
injury and vertebral artery dissection.
1:46
Important not to miss. So scroll through it, you can do it
1:49
relatively rapidly. Scroll through and make sure that all those foramen
1:53
transversarium are intact, right and left before you close
2:00
the study and say no evidence of fracture.
2:03
Aha!
2:04
Here we see an additional transverse process fracture
2:08
at the C7 level with an avulsed portion,
2:13
not continuous with the transverse process more
2:17
approximately at the C7 level
2:19
and another level of discontinuity.
2:22
So, important to look at these easy fracture
2:25
to miss in the cervical spine.
Case: Transverse Process Fracture
HIDEInteractive Transcript
0:01
I'd like to talk briefly about one of the more
0:04
subtle fractures of the cervical spine,
0:06
and that is a fracture of the transverse process.
0:10
I know in my career I've missed a couple of these.
0:13
Fortunately,
0:13
they haven't resulted in any difficulty with the patients
0:16
because usually they're not unstable fractures.
0:19
However,
0:20
transverse process fractures are important in the cervical spine
0:23
because they mark part of the border of the foramen
0:27
transversarium where the vertebral artery is running.
0:31
And therefore,
0:32
whenever I am at the endpoint of looking
0:35
at a cervical spine for fractures,
0:37
I will usually go to the thin section images and just spend a
0:42
lot of time looking at the transverse process and the foramen
0:46
transversarium in order to identify the possibility of
0:50
a fracture in that location.
0:52
This is much, much easier.
0:54
And we'll see this in the lumbar spine where transverse process
0:57
fractures from avulsion from the psoas muscle
1:00
are very, very common.
1:02
Here you see a comminuted subtle fracture of the left transverse
1:07
process that is extending to involve, obviously, the foramen
1:12
transversarium where the vertebral artery resides.
1:15
This is something that is seen on the 0.5 millimeter
1:19
thick sections, but not on the thicker sections.
1:22
You notice over here that we have a little piece
1:24
of bone kind of flying in the breeze.
1:27
This is a portion of the avulsed part of the transverse process
1:32
that you see on the right side where it's also been fractured.
1:36
So again, not an unstable fracture,
1:39
but a fracture that may be associated with a vascular
1:43
injury and vertebral artery dissection.
1:46
Important not to miss. So scroll through it, you can do it
1:49
relatively rapidly. Scroll through and make sure that all those foramen
1:53
transversarium are intact, right and left before you close
2:00
the study and say no evidence of fracture.
2:03
Aha!
2:04
Here we see an additional transverse process fracture
2:08
at the C7 level with an avulsed portion,
2:13
not continuous with the transverse process more
2:17
approximately at the C7 level
2:19
and another level of discontinuity.
2:22
So, important to look at these easy fracture
2:25
to miss in the cervical spine.
Report
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Trauma
Spine
Neuroradiology
CT
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