Marc André Weber, Alberto Bazzocchi, Radhesh Lalam
{"title":"Spine in Athletes.","authors":"Marc André Weber, Alberto Bazzocchi, Radhesh Lalam","doi":"10.1055/a-2774-0326","DOIUrl":"10.1055/a-2774-0326","url":null,"abstract":"<p><p>Spinal lesions in athletes can be classified into overuse and acute injuries. Overuse injuries can be found after repetitive spinal load during sport activity; acute trauma injuries of the spine are common in contact sports. We present an overview of the wide spectrum of spinal injuries related to sport activity and review their imaging findings. Concerning overuse injuries, we focus on degenerative spine disease, spondylolysis, pedicle fractures, apophyseal ring injuries, Schmorl's nodes, and Scheuermann's disease. Acute spinal injuries are relatively frequently reported in athletes and may be the reason for severe morbidity. Similar to the general population, the type of acute spine fracture in athletes depends on the specific trauma mechanism.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"180-191"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151191","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":"Pitfalls and How to Avoid Misdiagnosis in Magnetic Resonance Imaging of the Ankle and Foot in Athletes.","authors":"Nicolae V Bolog, Amelie M Lutz, Gustav Andreisek","doi":"10.1055/a-2743-3151","DOIUrl":"10.1055/a-2743-3151","url":null,"abstract":"<p><p>Magnetic resonance imaging is a vital tool in sports medicine for evaluating ankle and foot injuries in athletes, offering detailed insights into bone, cartilage, ligament, and tendon pathology. However, the findings in athletes, especially those who are asymptomatic, can present pitfalls that may lead to misdiagnosis and unnecessary treatment. Common findings such as bone marrow edema, joint effusions, and tendon sheath fluid are frequently observed in athletes without symptoms and may represent physiologic adaptations rather than pathology.This article emphasizes the importance of correlating magnetic resonance imaging results with clinical evaluation and physical examination to avoid overinterpretation. Radiologists should be familiar with normal variants and nonspecific findings in athletes to ensure accurate reporting. Radiology reports must clearly describe findings and focus conclusions on those most likely to be clinically significant.Effective communication between clinicians, radiologists, and athletes is essential to prevent unnecessary interventions and economic consequences. A comprehensive approach, combining clinical assessment with advanced imaging, ultimately ensures accurate diagnosis and optimal management of ankle and foot injuries in athletes, minimizing the risk of overtreatment and supporting safe return to play.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"133-142"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108104","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":"Orthobiologics: Current Evidence and What Lies Beyond the Horizon?","authors":"Prableen Kaur Chatha, Saavi Reddy Pellakuru, Rajesh Botchu, Rajesh Sasidharan, Amit Thakur, Shashank Chapala, Prashant Sarda, Meemansa Jindal, Gaurav Kant Sharma","doi":"10.1055/a-2724-9777","DOIUrl":"10.1055/a-2724-9777","url":null,"abstract":"<p><p>Orthobiologics, a subset of regenerative medicine, involves autologous or allogeneic cells and bioactive molecules to promote musculoskeletal tissue repair and regeneration. This review examines the evolution, clinical applications, limitations, and future directions of orthobiologic therapies. Modalities such as mesenchymal stromal cells, platelet-rich plasma, extracellular vesicles, and growth factors have shown promise in managing tendinopathy, partial tears of ligaments and tendons, osteoarthritis, avascular necrosis, and other soft tissue injuries. These therapies can modulate inflammation, enhance healing, and potentially delay disease progression.However, clinical translation is hindered by donor variability, lack of preparation and procedural standardization, safety concerns with stem cell use, inconsistent evidence, and the absence of consensus guidelines. The unregulated market has also led to widespread use of unproven biologics. Future integration into core clinical practice requires standardized protocols, regulatory oversight, and robust clinical trials. Advances in gene therapy and endogenous stem cell mobilization may further enhance therapeutic outcomes and position orthobiologics as a key component of joint preservation and regenerative musculoskeletal care.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 1","pages":"14-27"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259856","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}
Thomas Le Corroller, Francesco Arrigoni, Daphné Guenoun, Alexandre Rochwerger, Pierre Champsaur, Jean-Camille Mattei
{"title":"Percutaneous Cryoablation for the Management of Bone and Soft Tissue Tumors.","authors":"Thomas Le Corroller, Francesco Arrigoni, Daphné Guenoun, Alexandre Rochwerger, Pierre Champsaur, Jean-Camille Mattei","doi":"10.1055/a-2744-8457","DOIUrl":"10.1055/a-2744-8457","url":null,"abstract":"<p><p>Image-guided percutaneous cryoablation plays an increasingly important role in managing bone and soft tissue tumors. Well-established indications include the treatment of osteoid osteoma, palliation of painful skeletal metastases, and local control of oligometastatic disease. Emerging indications are now a variety of painful benign bone tumors beyond osteoid osteoma, symptomatic soft tissue lesions (such as desmoid fibromatosis, vascular anomalies, abdominal wall endometriosis), as well as local recurrences of bone and soft tissue sarcoma. This state-of-the-art review describes the percutaneous cryoablation technique including current strategies to prevent complications. We also discuss the expanding range of clinical indications, as well as future directions of this promising technology in the musculoskeletal system.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 1","pages":"61-74"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259904","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}
Nicolas Amoretti, Paul-Alexis Ranc, Raphaël Amoretti, Amanda Isaac
{"title":"Role of Interventional Radiology in Managing High-Level Athletes: Beyond Conventional Infiltration Techniques.","authors":"Nicolas Amoretti, Paul-Alexis Ranc, Raphaël Amoretti, Amanda Isaac","doi":"10.1055/a-2737-7141","DOIUrl":"10.1055/a-2737-7141","url":null,"abstract":"<p><p>To highlight the expanding role of interventional radiology in managing high-level athletes by presenting advanced minimally invasive procedures that extend beyond traditional infiltration techniques, aiming to accelerate recovery and preserve athletic performance.This review explores three main interventional procedures currently implemented in elite sports medicine: (1) percutaneous computed tomography-guided screw fixation for isthmic spondylolysis, (2) vertebroplasty for posttraumatic vertebral fractures, and (3) percutaneous lumbar diskectomy under computed tomography and fluoroscopic guidance. Each technique is detailed from patient selection and procedural setup to postoperative outcomes, with emphasis on imaging guidance, anatomical precision, and rapid rehabilitation.In high-level athletes, computed tomography-guided percutaneous screw fixation for isthmic spondylolysis provides immediate biomechanical stabilization, pain relief, and early return to sport, with the option of hardware removal. Vertebroplasty in selected A1-type fractures enables full weight-bearing within 48 hours and eliminates the need for bracing. Percutaneous lumbar diskectomy offers precise decompression with minimal disruption, yielding symptom resolution within days and preserving spinal integrity. Across all procedures, interventional radiology techniques have shown low complication rates, excellent tolerance under local anesthesia, and consistent return to preinjury performance levels.Interventional radiology now plays a central role in elite sports medicine, offering targeted, image-guided, and minimally invasive alternatives to traditional surgery. These techniques align with the demands of high-performance athletes, ensuring fast recovery, sustained functionality, and long-term musculoskeletal health. As interventional radiology continues to evolve, will become an essential pillar in the multidisciplinary care of professional athletes.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 1","pages":"43-50"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259845","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}
Nicolas Stacoffe, Sylvain Grange, Joris Lavigne, Bastien Chalamet, Ilyess Benrejeb, Paul Mondon, Hugo Perez, Corentin Felicia, William Boulade, Adrian Kastler, Jean-Baptiste Pialat
{"title":"Image-guided Percutaneous Osteosynthesis: Beyond the Limits.","authors":"Nicolas Stacoffe, Sylvain Grange, Joris Lavigne, Bastien Chalamet, Ilyess Benrejeb, Paul Mondon, Hugo Perez, Corentin Felicia, William Boulade, Adrian Kastler, Jean-Baptiste Pialat","doi":"10.1055/a-2725-0345","DOIUrl":"10.1055/a-2725-0345","url":null,"abstract":"<p><p>In interventional radiology, percutaneous osteosynthesis has experienced major growth, pushing boundaries that were unimaginable 20 years ago. Driven by advanced imaging (computed tomography, cone-beam computed tomography, electromagnetic navigation, computed tomography-fluoroscopy fusion, and emerging robotics), by a refined understanding of bone biomechanics, and by improved knowledge of implant behavior (fully or partially threaded screws, washers, cement augmentation), its indications now extend from trauma to osteoporosis/insufficiency fractures and oncology.This article provides a practical framework for safely going \"further\": rational selection of devices according to cortical or cancellous bone, planning of long or oblique trajectories (iliosacral, trans-sacro-bi-iliac, acetabular roof, odontoid, sternum), use of adjunct techniques (hydrodissection, thermal ablation, embolization), and, when necessary, external reduction maneuvers under image guidance. We highlight decision-making principles, indications, anatomical limitations, and pitfalls to avoid (sacral foramina, shear forces, narrow corridors), as well as adapted pain management and anesthesia strategies.By mastering indications, guidance systems, and a detailed understanding of underlying pathologies, interventional radiology offers minimally invasive, stable, and durable solutions. This approach accelerates patient remobilization and transforms situations once deemed inoperable into safe, personalized, and reproducible trajectories. These advances firmly establish interventional radiology as a central multidisciplinary actor in musculoskeletal care.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 1","pages":"51-60"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259840","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}
Hannes Gruber, Thomas Le Corroller, Elisabeth Skalla-Oberherber
{"title":"Peripheral Nerve Ultrasound-guided Intervention: From the Basics to Sonosurgery.","authors":"Hannes Gruber, Thomas Le Corroller, Elisabeth Skalla-Oberherber","doi":"10.1055/a-2737-7207","DOIUrl":"10.1055/a-2737-7207","url":null,"abstract":"<p><p>Ultrasound-guided intervention of peripheral nerves is a new and promising branch of sonography. It offers minimally invasive therapeutic solutions with relatively little effort and has thus become an alternative to surgical procedures for managing entrapment neuropathies. It has shown considerable success in treating carpal tunnel syndrome, as well as other neuropathies caused by compression or focal strangulations. Sonosurgery, in particular, has become established as a validated reliable alternative to both open and endoscopic surgery. This review article critically examines the historical development of peripheral nerve ultrasound-guided intervention, leading ultimately to sonosurgery, and describes potential future uses.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 1","pages":"28-32"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259813","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}
Francesco Arrigoni, Thomas Le Corroller, Julia Daffinà, Luigi Zugaro, Carmine Zoccali, Ernesto Di Cesare, Antonio Barile, Carlo Masciocchi
{"title":"Management of Bone Marrow Edema with Interventional Radiology: When and How.","authors":"Francesco Arrigoni, Thomas Le Corroller, Julia Daffinà, Luigi Zugaro, Carmine Zoccali, Ernesto Di Cesare, Antonio Barile, Carlo Masciocchi","doi":"10.1055/a-2732-7610","DOIUrl":"10.1055/a-2732-7610","url":null,"abstract":"<p><p>Bone marrow edema, a typical and exclusive finding of magnetic resonance imaging, is a characteristic of multiple pathologies. There is still no consensus about its origin and histologic characteristics. In this article, we describe six causes of bone edema based on pathophysiologic characteristics: traumatic, infectious, inflammatory, degenerative, tumoral, and neuromediated. For each of them, we explain both the diagnostic and therapeutic role of interventional radiology. The fundamental importance of bone biopsy in characterizing the lesions associated with bone edema is also reviewed.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 1","pages":"33-42"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259828","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":"Musculoskeletal Interventions: Where Were We, Where Are We, Where Are We Going?","authors":"Thomas Le Corroller","doi":"10.1055/a-2744-8643","DOIUrl":"https://doi.org/10.1055/a-2744-8643","url":null,"abstract":"","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 1","pages":"1"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259851","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}
Eva Llopis, M José Ereño, José Martel, Silvia Martin, Joan Carles Vilanova
{"title":"The History of the Spanish Society of Musculoskeletal Radiology: A Tribute to Dr. Francisco Aparisi.","authors":"Eva Llopis, M José Ereño, José Martel, Silvia Martin, Joan Carles Vilanova","doi":"10.1055/s-0045-1811700","DOIUrl":"10.1055/s-0045-1811700","url":null,"abstract":"<p><p>The Spanish Society of Musculoskeletal Radiology (Sociedad Española de Radiología Musculoesquelética), founded in 1998, emerged from a shared vision among pioneering radiologists to recognize musculoskeletal radiology as a distinct subspecialty in Spain. Since its first meeting in 1999, it has evolved from informal gatherings into a professionalized and influential society, organizing annual congresses across the country and collaborating with national and international institutions. Key milestones include the introduction of online education, joint courses with other societies, and the launch of a dynamic website with valuable learning tools. The society has actively promoted youth involvement, fostering early-career participation through initiatives like the \"Resident Corner\" and maintaining low membership fees. With nearly a thousand members today, the Spanish Society of Musculoskeletal Radiology stands out for its contributions to scientific excellence, educational initiatives, and community spirit. Its continued growth reflects both its foundational values and its commitment to shaping the future of musculoskeletal radiology.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 1","pages":"99-102"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259901","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}