Musculoskeletal

Section Summary

MSK knee The musculoskeletal imaging section of OHSU Diagnostic Radiology provides comprehensive evaluation of bones, joints, muscles, and nerves. A complete spectrum of imaging modalities is employed, including MRI, CT, ultrasound, x-ray and fluoroscopy, and all studies are performed on state of the art equipment. We use the latest imaging techniques in order to address the specific concerns of our referring clinicians.

The section also maintains a robust musculoskeletal interventional practice, offering a wide array of services performed on a daily basis. These include fluoroscopic- and CT-guided joint injections; CT-guided spine, pelvic, and extremity bone and soft tissue biopsies; ultrasound-guided biopsies, aspirations, and injections; and CT-guided osteoid osteoma RFA (radiofrequency ablation).MSK heel

All musculoskeletal radiologists are certified by the American Board of Radiology and have completed muscloskeletal fellowships.MSK hand

We work closely with referring clinicians in orthopedic surgery, sports medicine, physical medicine and rehabilitation, rheumatology, and other clinical services and in order to provide the best possible care for our patients. We hold weekly and monthly case conferences with referring clinicians to discuss patient care, imaging findings, and intervention.

In addition to our busy clinical service, the musculoskeletal faculty takes great pride in providing exceptional teaching in the radiology residency program and musculoskeletal radiology fellowship. Direct teaching occurs throughout the day at the workstation and in the procedure suite, complemented by weekly didactic and case conferences. A complete teaching curriculum ensures that our trainees are taught the most current topics and procedural techniques.

We also have several ongoing academic projects including scientific research, educational exhibits, international teaching efforts, and national, regional, and institutional lectures. Recent examples include:

Recent Publications and Abstracts

  • Temporal in vivo assessment of fresh osteochondral allograft transplants to the distal aspect of the femur by dGEMRIC (delayed gadolinium-enhanced MRI of cartilage) and zonal T2 mapping MRI. Journal of Bone and Joint Surgery, 2014.
  • Musculoskeletal pitfalls and pseudotumors in the pelvis: A pictorial review for body imagers. British Journal of Radiology, 2014.
  • MRI of the Adult Knee. Journal of the American Association of Orthopedic Surgeons, 2015.
  • MRI of the Adult Shoulder. Journal of the American Association of Orthopedic Surgeons, 2015.
  • The effect of obesity on the anatomical relationship of the popliteal artery and sciatic nerve: relevance to popliteal sciatic nerve block and a traceback technique using the popliteal artery. Journal of Clinical Anesthesia, accepted for publication.

National Presentations and CME

  • “Around the Patella in 30 Minutes.” American Roentgen Ray Society Annual Meeting, Toronto, Ontario, 2015.
  • “A Review of Views” and “Advanced Imaging.” Musculoskeletal Update for Primary Care, sponsored by Oregon Health & Science University, Stevenson, Washington, 2015.