Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
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: 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
26 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: 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: 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 make one teaching point about
0:03
transverse process fractures.
0:06
Here we have a patient who we're scanning through
0:08
the lumbar spine. This is the 12th rib.
0:11
We come to the L1 level.
0:13
We have a transverse process fracture on the left.
0:16
The right side doesn't look bad.
0:19
We come to the L2 level.
0:20
We have a transverse process fracture at the L2 level.
0:24
The right side looks pretty good.
0:26
We come to the L3 level.
0:27
We have a transverse process fracture on the left side.
0:31
The right side, maybe
0:32
there's a small avulsion of the transverse process.
0:35
We come down to the next level, it looks good.
0:37
And the next level we're okay.
0:40
So the points to be made here are that lumbar spine
0:44
transverse process fractures often occur multiply.
0:47
You may see it bilaterally usually because us
0:50
of this avulsion by the psoas musculature.
0:54
But most importantly is that if you are
0:56
reading in general and find these
1:00
transverse process fractures,
1:01
you have a relatively high rate of abdominal
1:05
pelvic visceral injury as well.
1:08
So while this is focused on the spine,
1:13
you do want to expand the field of view and look
1:15
at the soft tissues of the abdomen and pelvis.
1:19
Because pelvic visceral organ injury has a high rate
1:26
when you have lumbar spine
1:28
transverse process fractures.
1:30
It's not that the transverse process
1:31
itself injures the viscera,
1:34
but the fact that you had an injury that was so extreme
1:39
as to avulse those transverse processes is
1:42
associated with an internal organ injury.
Case: Lumbar Transverse Process Fracture
HIDEInteractive Transcript
0:01
I'd like to make one teaching point about
0:03
transverse process fractures.
0:06
Here we have a patient who we're scanning through
0:08
the lumbar spine. This is the 12th rib.
0:11
We come to the L1 level.
0:13
We have a transverse process fracture on the left.
0:16
The right side doesn't look bad.
0:19
We come to the L2 level.
0:20
We have a transverse process fracture at the L2 level.
0:24
The right side looks pretty good.
0:26
We come to the L3 level.
0:27
We have a transverse process fracture on the left side.
0:31
The right side, maybe
0:32
there's a small avulsion of the transverse process.
0:35
We come down to the next level, it looks good.
0:37
And the next level we're okay.
0:40
So the points to be made here are that lumbar spine
0:44
transverse process fractures often occur multiply.
0:47
You may see it bilaterally usually because us
0:50
of this avulsion by the psoas musculature.
0:54
But most importantly is that if you are
0:56
reading in general and find these
1:00
transverse process fractures,
1:01
you have a relatively high rate of abdominal
1:05
pelvic visceral injury as well.
1:08
So while this is focused on the spine,
1:13
you do want to expand the field of view and look
1:15
at the soft tissues of the abdomen and pelvis.
1:19
Because pelvic visceral organ injury has a high rate
1:26
when you have lumbar spine
1:28
transverse process fractures.
1:30
It's not that the transverse process
1:31
itself injures the viscera,
1:34
but the fact that you had an injury that was so extreme
1:39
as to avulse those transverse processes is
1:42
associated with an internal organ injury.
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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