{"title":"Overuse Injuries of the Ankle and Foot.","authors":"Ahmet Faruk Gürbüz, Ülkü Kerimoğlu, Can Çevikol","doi":"10.1055/a-2896-1109","DOIUrl":"https://doi.org/10.1055/a-2896-1109","url":null,"abstract":"<p><strong>Abstract: </strong>Overuse injuries of the foot and ankle typically result from repetitive microtrauma rather than from a sudden sprain or a single impact, in which the cumulative load on tendons, fascia, bones, and surrounding soft tissues exceeds the tissues' reparative capacity. Repetitive lower extremity loading and complex movement patterns in sports such as soccer, basketball, gymnastics, and running increase the risk of overuse injuries. Common symptoms include swelling, pain, and limited mobility, which tend to worsen with continued activity. While conservative treatment is often sufficient, persistent pain and functional loss lasting at least 3 to 6 months, underlying structural anomalies (such as os trigonum or foot arch deformities), or significant structural damage (such as full-thickness tendon tears or cartilage injury) may necessitate surgery. Radiological imaging plays a vital role in diagnosing, planning treatment, and monitoring overuse injuries in the foot and ankle. This article covers the anatomy and biomechanics of the lateral ankle, including variations like low-lying peroneus brevis (LLPB), peroneus quartus (PQ), os peroneum (OP), as well as sinus tarsi syndrome (STS), metatarsal stress fractures, plantar fasciitis (PF), sesamoiditis, and posterior ankle impingement syndrome (PAIS).</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425703","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":"Leaders in Musculoskeletal Diseases: Christian Georg Schmorl (1861-1932).","authors":"Filip M Vanhoenacker","doi":"10.1055/a-2808-2295","DOIUrl":"https://doi.org/10.1055/a-2808-2295","url":null,"abstract":"<p><strong>Abstract: </strong>This history page in the series \"Leaders in Musculoskeletal Radiology\" is dedicated to the achievements and memory of the German pathologist Christian Georg Schmorl. He was a pioneer in radiopathologic correlation of spinal diseases, and his name is connected with the medical eponym Schmorl's node of the spine.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425754","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 of MSK Section of the Italian Society of Radiology.","authors":"Antonio Leone, Giuseppe Guglielmi","doi":"10.1055/a-2888-5142","DOIUrl":"https://doi.org/10.1055/a-2888-5142","url":null,"abstract":"<p><strong>Abstract: </strong>The primary purpose of the authors was to present the history of the MSK Section of the \"Italian Society of Radiology,\" focusing on the relationship/cooperation between this Section and ESSR. The Italian MSK Section, founded in 1976 by Prof. Carlo Stuart in Siena, takes part in the continuing education of musculoskeletal radiology in Italy, and has always played an active role in the ESSR. Three annual scientific meetings of the ESSR were held in Italy, three past presidents of the ESSR are Italian, and Honorary Membership was awarded to four Italian radiologists.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310108","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}
Siok Li Chung, Torsten Diekhoff, James Teh, Alberto Bazzocchi, Mikael Boesen, Roar Pedersen, Amanda Isaac, Edward Sellon, Chiara Giraudo, Mikkel Østergaard, Ana Isabel Garcia-Diez, Vasco Mascarenhas, Iwona Sudoł-Szopińska
{"title":"Imaging of Anterior Chest Wall Inflammatory Disease: Expert Recommendations.","authors":"Siok Li Chung, Torsten Diekhoff, James Teh, Alberto Bazzocchi, Mikael Boesen, Roar Pedersen, Amanda Isaac, Edward Sellon, Chiara Giraudo, Mikkel Østergaard, Ana Isabel Garcia-Diez, Vasco Mascarenhas, Iwona Sudoł-Szopińska","doi":"10.1055/a-2798-6063","DOIUrl":"10.1055/a-2798-6063","url":null,"abstract":"<p><strong>Abstract: </strong>Inflammatory conditions of the anterior chest wall are clinically relevant but remain underrecognized and inconsistently assessed in imaging protocols. The anterior chest wall may be affected by systemic and localized diseases, such as spondyloarthritis, chronic nonbacterial osteitis, rheumatoid arthritis, crystal arthropathies, and osteoarthritis. In spondyloarthritis, anterior chest wall involvement is common yet frequently subclinical. Magnetic resonance imaging enables early detection of enthesitis, synovitis, and osteitis, as well as structural lesions, such as erosions, fatty metaplasia, sclerosis, ankylosis, and hyperostosis. Rheumatoid arthritis typically presents with synovitis, inflammatory cysts, and erosions. Pediatric chronic nonbacterial osteitis manifests as multifocal bone inflammation, often involving the clavicle, requiring whole-body imaging. Adult chronic nonbacterial osteitis includes variants such as sternocostoclavicular hyperostosis and Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis syndrome.</p><p><strong>Abstract: </strong>Members of the Arthritis Subcommittee of the European Society of Musculoskeletal Radiology prepared this article. It presents updated information on imaging the anterior chest wall in rheumatic conditions with emphasis on systematic assessment. Guidance is provided on optimal imaging sequences, reporting terminology, and differential diagnoses. Ultrasound is the first-line examination. Magnetic resonance imaging is the modality of choice for detecting active inflammation in bone and soft tissue; computed tomography remains preferred for detailed bone and crystal disease evaluation. Recognizing anterior chest wall inflammation can improve diagnostic accuracy and guide early treatment.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"379-388"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445807","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":"Zero Echo Time Magnetic Resonance Imaging of the Spine.","authors":"Üstün Aydıngöz","doi":"10.1055/a-2803-1958","DOIUrl":"10.1055/a-2803-1958","url":null,"abstract":"<p><strong>Abstract: </strong>Zero echo time magnetic resonance imaging is an ultrashort echo time technique that enables computed tomography-like visualization of cortical and trabecular bone while preserving the ionizing radiation-free, multiplanar, and soft tissue advantages of conventional magnetic resonance imaging. This narrative review outlines the technical foundations of spinal zero echo time imaging, such as sequence design, key optimization parameters, advanced deep learning-based reconstruction strategies, and common interpretive pitfalls like gas mimicking calcification, metal-related artifacts, and limited spatial resolution. Clinical applications are detailed across traumatic, degenerative, inflammatory, neoplastic, infectious, and developmental spinal conditions, emphasizing how zero echo time complements standard magnetic resonance imaging sequences and often approaches computed tomography in depicting cortical disruption, osteophytes, erosions, sclerosis, and heterotopic ossification.</p><p><strong>Abstract: </strong>I also highlight emerging roles for zero echo time in pediatric and fetal spine assessment and in magnetic resonance imaging-only surgical planning workflows, where accurate computed tomography-like bone contrast is required but ionizing radiation avoidance is paramount. Collectively, current evidence positions zero echo time as a versatile adjunct that can streamline imaging algorithms, reduce dependence on computed tomography, and support ionizing radiation-sparing magnetic resonance imaging focused pathways for diagnosis, treatment planning, and follow-up in spine disease.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"327-338"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470119","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}
Salvatore Gitto, Patrick Omoumi, Domenico Albano, Pau Xiberta, Silvia Rossi, Aldo Rizzo, Carmelo Messina, Alessandra Splendiani, Antonio Barile, Luca Maria Sconfienza
{"title":"Artificial Intelligence in Spine Imaging Interpretation.","authors":"Salvatore Gitto, Patrick Omoumi, Domenico Albano, Pau Xiberta, Silvia Rossi, Aldo Rizzo, Carmelo Messina, Alessandra Splendiani, Antonio Barile, Luca Maria Sconfienza","doi":"10.1055/a-2836-8033","DOIUrl":"10.1055/a-2836-8033","url":null,"abstract":"<p><strong>Abstract: </strong>Spinal disorders, one of the leading causes of disability worldwide, are routinely assessed on imaging studies. Recent advancements in artificial intelligence for spine imaging interpretation may significantly improve diagnostic accuracy and workflow efficiency, using deep learning and conventional machine learning methods. This narrative review focuses on the innovative artificial intelligence applications in spine imaging interpretation with a pathology-based approach: vertebral fractures, spinal deformities, degenerative disease, skeletal tumors, inflammatory disorders, and opportunistic screening. We provide musculoskeletal radiologists with an up-to-date overview of artificial intelligence applications in spine imaging, thus assisting them in an efficient use of these emerging technologies and promoting clinical adoption.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"319-326"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693230","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}
Silvia Gazzotti, Rebecca Sassi, Yì-Xiáng J Wáng, Francesco Vommaro, Radhesh Lalam, Maria Pilar Aparisi Gómez, Alberto Bazzocchi
{"title":"Opportunistic Metabolic and Sarcopenia Assessment on Routine Spinal Imaging: A Scoping Review of State of the Art and Future Perspectives.","authors":"Silvia Gazzotti, Rebecca Sassi, Yì-Xiáng J Wáng, Francesco Vommaro, Radhesh Lalam, Maria Pilar Aparisi Gómez, Alberto Bazzocchi","doi":"10.1055/a-2800-5318","DOIUrl":"10.1055/a-2800-5318","url":null,"abstract":"<p><strong>Abstract: </strong>Interest is growing about the opportunistic use of imaging data. We conducted a scoping review to provide an overview and define perspectives and gaps in knowledge for the opportunistic extraction of measurements of skeletal muscle and fat quantity or quality from spinal examinations. A comprehensive search on PubMed was performed with key terms such as \"sarcopenia,\" \"obesity,\" \"fat,\" and \"muscle,\" focusing on spine computed tomography and magnetic resonance imaging. Only articles published in the previous 5 years were included. We identified 29 studies, most of which were classified as level of evidence 3/4 and had significant limitations. The clinical settings were diverse, including spine surgery, osteoporosis, degenerative spine disease, and low back pain. This work highlights that an opportunistic assessment of paravertebral muscles by computed tomography/magnetic resonance imaging is feasible, although more evidence is needed to clarify the relationship between specific pathologic conditions and muscle loss/degeneration (aside from aging and disuse) before clinical implementation.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"303-318"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445778","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}
Patrick Baker, Devpriyo Pal, Charlotte Kendall, Laxshmi Veda Avula, Joseph Papanikitas, Sarah Yanny, Richard Hughes, David McKean
{"title":"Recent Advances and Immediate Future of Spinal Intervention.","authors":"Patrick Baker, Devpriyo Pal, Charlotte Kendall, Laxshmi Veda Avula, Joseph Papanikitas, Sarah Yanny, Richard Hughes, David McKean","doi":"10.1055/a-2820-0900","DOIUrl":"10.1055/a-2820-0900","url":null,"abstract":"<p><strong>Abstract: </strong>Spinal interventional radiology has witnessed substantial progress in recent years. Notable recent advances include expanded adoption of vertebral augmentation techniques, targeted thermal ablation combined with cement augmentation to treat spinal metastases, electrochemotherapy for radioresistant epidural metastases, improved precision in facet joint, medial branch, and sacroiliac interventions, basivertebral nerve ablation for vertebrogenic back pain and emerging applications of restorative neurostimulation, and minimally invasive neuromodulation for chronic mechanical back pain. This review provides an overview of recent advances in the field, emerging treatments, and predictions for future breakthroughs.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"361-378"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582809","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}
Radhesh Lalam, A Mark Davies, Victor N Cassar-Pullicino, David Wilson
{"title":"History Page: British Society of Skeletal Radiologists.","authors":"Radhesh Lalam, A Mark Davies, Victor N Cassar-Pullicino, David Wilson","doi":"10.1055/a-2812-7941","DOIUrl":"10.1055/a-2812-7941","url":null,"abstract":"<p><strong>Abstract: </strong>This history page is dedicated to the British Society of Skeletal Radiology, established in 1985, the first national society to promote musculoskeletal radiology. Initially called the Skeletal Radiology Group, the current name was adopted in 1995. From humble beginnings with only 14 members, the society now counts 681 members in its ranks. It has promoted the subspecialty of skeletal radiology in the United Kingdom and continuing education in skills and knowledge in the field. The society organizes meetings each year for its members and a refresher course every 2 years. It helps other national organizations and the government to develop policies and guidelines related to musculoskeletal radiology.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"389-392"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470081","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}
Jean-Baptiste Pialat, Emmanuel Massy, Nicolas Stacoffe
{"title":"Do Modic Type 1 End-Plate Changes Represent Infection? For/Against.","authors":"Jean-Baptiste Pialat, Emmanuel Massy, Nicolas Stacoffe","doi":"10.1055/a-2811-6414","DOIUrl":"10.1055/a-2811-6414","url":null,"abstract":"<p><strong>Abstract: </strong>Modic changes, particularly type 1, represent a significant clinical and radiologic challenge in chronic low back pain. This review evaluates the infectious hypothesis, suggesting that the colonization of the intervertebral disk by low-virulence pathogens (primarily <i>Cutibacterium acnes</i>) may contribute to the pathogenesis of these lesions. The evolution of this concept is analyzed through the results of pivotal clinical trials, highlighting the landmark perspectives provided by the Modic Antibiotic Spine Therapy study while considering the methodological nuances and divergent findings introduced by the Antibiotics in Modic Changes study. The article also examines the evidence from disk biopsy studies, addressing the technical difficulties in distinguishing true microbial colonization from potential sample contamination. Finally, we propose an integrative model where mechanical and infectious factors interact, suggesting that bone marrow inflammation may reflect a localized immune response to intradiskal bacterial presence. This balanced approach calls for the standardization of future research protocols to clarify the role of targeted therapeutic interventions.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"254-266"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488172","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}