Michelle Wei Xin Ooi, Emma Rowbotham, Philip Robinson
{"title":"Elbow Traumatic and Overuse Injuries: A Radiologic Review.","authors":"Michelle Wei Xin Ooi, Emma Rowbotham, Philip Robinson","doi":"10.1055/a-2743-2656","DOIUrl":"10.1055/a-2743-2656","url":null,"abstract":"<p><p>Elbow injuries resulting from acute trauma or repetitive overuse are a common source of pain and functional limitation in both athletes and the general population. This review presents a radiologic approach to the evaluation and management of these conditions. It describes the roles of key imaging modalities and provides practical guidance for assessing traumatic injuries such as fractures, ligamentous disruptions, and tendon avulsions. Common overuse conditions, such as medial epicondylitis, lateral epicondylitis, and nerve compression syndromes, are reviewed with attention to characteristic imaging features and diagnostic challenges. The article also explores the role of image-guided interventions, particularly ultrasound-guided injections, in both diagnosis and treatment. By consolidating imaging strategies and emphasizing the strengths of each modality, this review will help radiologists and clinicians achieve an accurate diagnosis and manage elbow injuries effectively, ultimately promoting better outcomes and a timely return to activity.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"160-170"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexander F Heimann, Frederik Abel, Florian Schmaranzer, Reto Sutter
{"title":"Hip: Traumatic and Overuse Injuries.","authors":"Alexander F Heimann, Frederik Abel, Florian Schmaranzer, Reto Sutter","doi":"10.1055/a-2743-2927","DOIUrl":"10.1055/a-2743-2927","url":null,"abstract":"<p><p>The hip is a complex load-bearing joint susceptible to both acute traumatic and chronic overuse injuries. Traumatic injuries, such as acute fractures, dislocations, apophyseal avulsions, and muscle tears, typically follow high-energy events. In contrast, overuse injuries, for example, femoroacetabular impingement, stress fractures, labral degeneration, and greater trochanteric pain syndrome, arise gradually from repetitive mechanical overload. Early and accurate diagnosis requires a multimodal imaging approach: radiographs for baseline assessment, computed tomography for detailed osseous injury and alignment, magnetic resonance imaging and magnetic resonance arthrography for chondrolabral and soft tissue pathology, and ultrasound for dynamic evaluation of tendinous disorders. Understanding the mechanism, location, and severity of hip injuries is essential to guide prognosis, management, and prevention. This review provides a structured overview of traumatic and overuse hip injuries, highlighting imaging features that enable timely detection, precise characterization, and tailored interventions to optimize functional outcomes.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"105-118"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karol Rząd, Mikkel Østergaard, Agnieszka Foryś, Michał Nieciecki, Joanna Kisiel, Iwona Sudoł-Szopińska
{"title":"Sternoclavicular Joint Involvement of Rheumatoid Arthritis Mimicking Malignancy: A Case Report.","authors":"Karol Rząd, Mikkel Østergaard, Agnieszka Foryś, Michał Nieciecki, Joanna Kisiel, Iwona Sudoł-Szopińska","doi":"10.1055/a-2808-9748","DOIUrl":"10.1055/a-2808-9748","url":null,"abstract":"<p><p>A 73-year-old woman with long-standing therapy-refractory rheumatoid arthritis presented with a persistent fever. Chest computed tomography revealed a mass at the right sternoclavicular joint, growing from 33 × 15 mm to 48 × 44 mm over 8 months, with osteolysis and clavicular erosions. Differential diagnoses were rheumatoid arthritis, spondyloarthritis, tuberculosis, and malignancy. Initial biopsy suggested lymphoid malignancy but was nondiagnostic due to necrosis. Rebiopsy indicated a benign lesion. Positron emission tomography/computed tomography ruled out cancer. The sternoclavicular joint is a fairly common location for rheumatic disease, but autoimmune-related lymphoproliferations are possible. Lesions with progressive growth, bone damage, and systemic symptoms (fever, weight loss, night sweats) require excluding malignancy. Accurate diagnosis depends on interdisciplinary collaboration and histopathologic confirmation.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"234-238"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Pilar Aparisi Gómez, Giuseppe Guglielmi, Alberto Bazzocchi
{"title":"Metabolic Bone Disease in Athletes.","authors":"Maria Pilar Aparisi Gómez, Giuseppe Guglielmi, Alberto Bazzocchi","doi":"10.1055/a-2754-0153","DOIUrl":"10.1055/a-2754-0153","url":null,"abstract":"<p><p>Metabolic bone disease is characterized by impaired bone strength, density, or mineralization, increasingly observed in athletes due to complex nutritional, hormonal, and mechanical factors. The underlying pathophysiology includes dysregulated bone turnover driven by hormonal imbalances, inflammatory cytokines, and microdamage accumulation.Although weight-bearing activity generally promotes bone health, excessive training, inadequate recovery, and nutritional deficiencies, such as low calcium and vitamin D, disrupt bone remodeling, leading to decreased bone mineral density and heightened fracture risk. Female athletes with menstrual irregularities, disordered eating, and energy deficits are particularly susceptible to osteoporosis and osteopenia, components of the female athlete triad; hormonal disturbances like hypogonadism also affect males.Imaging techniques such as magnetic resonance imaging and dual-energy X-ray absorptiometry facilitate early detection of microdamage and bone loss, guiding timely interventions. Prevention strategies are nutritional optimization, balanced training, hormonal regulation, and routine bone mineral density screening. An integrated approach of early diagnosis, lifestyle modifications, and education is vital for maintaining skeletal health and preventing long-term complications in athletes.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"217-228"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"History Page: Leaders in MSK Radiology Howard L. Steinbach, MD (1918-1996).","authors":"Lynne S Steinbach","doi":"10.1055/a-2732-8003","DOIUrl":"10.1055/a-2732-8003","url":null,"abstract":"<p><p>This history page in the series \"Leaders in MSK Radiology\" is dedicated to the achievements of American radiologist Howard L. Steinbach. He was considered one of the leading general as well as musculoskeletal radiologists in the world over the decades from 1950 to 1980. Steinbach's novel observations spanned the gamut from the thickness of the heel pad in acromegaly and the first scientific articles to describe many metabolic bone diseases, arthritides, and musculoskeletal dysplasias to suggesting that the barium enema bag be hung rather than placed below the radiology table to avoid infection. Steinbach dealt with progressive deafness that developed at an early age and became quite profound in his adulthood. Despite that disability, he was achieved great success and recognition from the radiology community.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"239-242"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction: History Page: Leaders in MSK Radiology Howard L. Steinbach, MD (1918-1996).","authors":"Lynne S Steinbach","doi":"10.1055/s-0046-1819718","DOIUrl":"https://doi.org/10.1055/s-0046-1819718","url":null,"abstract":"","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 2","pages":"e1"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giuseppe Guglielmi, Riccardo Guglielmi, Alberto Bazzocchi
{"title":"Radiofrequency Echographic Multi-Spectrometry as a Supportive Imaging Tool for Bone Health Assessment in Sports Medicine.","authors":"Giuseppe Guglielmi, Riccardo Guglielmi, Alberto Bazzocchi","doi":"10.1055/a-2774-0862","DOIUrl":"10.1055/a-2774-0862","url":null,"abstract":"<p><p>Bone health remains an underestimated component of athlete care and long-term performance. Many athletes, particularly those involved in endurance or weight-sensitive sports, exhibit reduced bone mineral density or impaired bone microarchitecture due to energy deficiency, hormonal imbalance, or chronic stress. These often underdiagnosed conditions increase the risk of stress fractures, ultimately threatening career longevity. Conventional assessment techniques, such as dual-energy X-ray absorptiometry and quantitative computed tomography, provide valuable diagnostic information but are limited by radiation exposure, high costs, poor accessibility, and low feasibility for routine use in athletic populations.Radiofrequency echographic multi-spectrometry is an ultrasound-based radiation-free technique that estimates bone mineral density and bone quality through the analysis of raw radiofrequency signals. This review examines the role of radiofrequency echographic multi-spectrometry as a supportive diagnostic tool in sports medicine for the prevention, monitoring, and management of bone fragility and stress-related injuries in athletes. We also highlight future directions for research and clinical integration.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"229-233"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Should We Report Sports Muscle Injuries? A Seven-Step Clinically Relevant Checklist.","authors":"Álvaro Bartolomé-Solanas, Agustín Marrero, Jaime Isern-Kebschull","doi":"10.1055/a-2754-0026","DOIUrl":"https://doi.org/10.1055/a-2754-0026","url":null,"abstract":"<p><p>Accurate interpretation of muscle injuries requires radiologists trained in anatomy, biomechanics, and clinical context, capable of recognizing their imaging characteristics. Despite advances in imaging techniques, guidance on structured reporting remains limited. Given the growing interest in assessing tissue regeneration, a critical factor in image interpretation and reporting is knowing the time elapsed since injury. We introduce the novel concept of the injury-to-imaging interval to distinguish acute injury from healing-related changes.This article presents a seven-step framework organized into three zones: (1) <i>preparation</i> <i>zone</i> (basic knowledge, clinical context, technical quality), (2) <i>image evaluation zone</i> (systematic review), and (3) <i>report elaboration</i> <i>zone</i> (descriptive report, classification, prognosis, and return-to-play guidance). Five clinical cases illustrate different locations, sports, and stages of healing using ultrasound and magnetic resonance imaging. The guide emphasizes optimization, pattern recognition, and clear communication of imaging findings that influence clinical decisions. Although severity classifications are increasingly muscle specific, detailed descriptive reporting remains essential for clinicians to apply the relevant system.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 2","pages":"192-206"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vito Chianca, Marco Curti, Maria Del Grande, Daniele Tosi, Filippo Del Grande
{"title":"Traumatic and Overuse Wrist Injuries: Osseous and Tendon Pathologies.","authors":"Vito Chianca, Marco Curti, Maria Del Grande, Daniele Tosi, Filippo Del Grande","doi":"10.1055/a-2754-0082","DOIUrl":"10.1055/a-2754-0082","url":null,"abstract":"<p><p>Traumatic and overuse injuries of bones and tendons of the wrist represent a significant proportion of the musculoskeletal disorders encountered in both athletic and occupational settings. Conventional radiography remains the first-line imaging modality for osseous trauma, but it can miss up to a third of scaphoid and hamate fractures. Computed tomography is superior for characterizing occult or nondisplaced fractures. Magnetic resonance imaging provides important information on occult fractures, overuse injuries of osseous structures, and tendinous abnormalities.A comprehensive understanding of wrist injuries is essential to ensure accurate and timely diagnosis, in turn facilitating the selection of appropriate patient-specific treatment strategies. By minimizing diagnostic delays, clinicians can reduce the risk of adverse sequelae such as chronic instability, degenerative joint changes, and functional impairment. The implementation of optimized diagnostic and therapeutic pathways not only lessens the long-term burden of disability for patients, but it also plays a crucial role in enabling a safe and efficient return to both occupational duties and sporting activities.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"171-179"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Loes M Schiphouwer, Kerensa M Beekman, Joukje Deinum, Anne D van der Made, Floor Groepenhoff, Marieke A Mens, Kees C F van Dijke, Mario Maas
{"title":"Pediatric Sports Imaging: Challenges of the Immature Musculoskeletal System.","authors":"Loes M Schiphouwer, Kerensa M Beekman, Joukje Deinum, Anne D van der Made, Floor Groepenhoff, Marieke A Mens, Kees C F van Dijke, Mario Maas","doi":"10.1055/s-0045-1812113","DOIUrl":"10.1055/s-0045-1812113","url":null,"abstract":"<p><p>Injury patterns in children differ from those in adults because of the physiology of the immature skeleton. A tailored imaging approach and in-depth knowledge of the physiology and pathology of the immature musculoskeletal system are essential for diagnosis, guiding the clinician to the right treatment plan and preventing long-term complications. This review provides a comprehensive overview of pediatric sports injuries, structured by tissue type and anatomical region. We pay special attention to the physiology of the immature musculoskeletal system, epidemiology of pediatric sport injuries, advanced imaging techniques, differentiation between normal developmental variants and pathology, and recognition of conditions that may mimic sports injuries. By integrating anatomical insight with clinical relevance, this review offers a modern multidisciplinary guide to the challenges of pediatric sports imaging.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"207-216"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}