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Training Collections
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Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Black Friday Save 40%Unlock access to our full Course Library and all self-paced Fellowships.
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Get access to free live lectures, every week, from top radiologists.
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Dr. Resnick's MSK Conference
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Musculoskeletal Imaging
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For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
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 Video
2 m.Case 1 - Anterior Segment Ocular Injury
9 m.Case 1 - Ocular Injury/Globe Anatomy
6 m.Case 2 - Choroidal Detachment, Retinal Detachment, Vitrious Hemorrhage, Orbital Floor Fracture
9 m.Case 2 - Orbit: Foreign Body
8 m.Case 2 - Orbit: Non-accidental Trauma
3 m.Case 2 - Early Ocular Intervention
6 m.Case 2 - Non-Ocular Orbital Trauma
3 m.Case 2 - Orbital Wall Fracture
8 m.Case 2 - Orbital Medial Wall Fracture
8 m.Case 2 - Orbital Apex and Roof Fracture
5 m.Case 2 - Orbital Blow Out Fractures
6 m.Case 2 - Orbital Trauma
5 m.Case 2 - Indications for Surgery
4 m.Case 3 - Orbital Cellulitis, Periorbital Abscess
6 m.Case 3 - Orbital Inflammation
5 m.Case 4 - Pediatric Subperiosteal Abscess
4 m.Case 4 - Orbital Pseudotumor
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 - Video Introduction
6 m.Case 5 - Cominuted Nasal Bone Fracture
2 m.Case 5 - Multiple Fractures in Nasal Bones
3 m.Case 5 - Nasal Bone Fracture Summary
3 m.Case 5 - Mandibular Fractures
6 m.Case 5 - Displaced Mandible Fracture At the Angle
3 m.Case 5 - Midface Butresses
3 m.Case 5 - Naso-orbito-ethmoid Fractures
5 m.Case 5 - NOE Fracture
3 m.Case 5 - Midface NOE Fracture
3 m.Case 5 - Le Fort Fractures
7 m.Case 5 - Bilateral Le Fort 1 & 2 Fractures
4 m.Case 5 - Bilateral Le Fort 1, Unilateral Le Fort 2 & 3
4 m.Case 5 - Le Fort Summary
1 m.Case 5 - Zygomaticomaxillary Complex (Tripod) Fracture
5 m.Case 5 - Tripod Fracture
3 m.Case 5 - ZMC Summary
2 m.Case 5 - Capo de Tutti Fractures
5 m.Case 6 - Bilateral Temporal Bone Fractures
9 m.Case 6 - Temporal Bone Fractures
2 m.Case 7 - Complications of Temporal Bone Injury
3 m.Case 8 - Temporal Bone Fracture Summary
3 m.Case 9 - Transverse Sinus Injury
3 m.Case 10 - Dissection, pseudo aneurysm
5 m.Case 11 - Bilateral Dissection
4 m.Case 12 - Horner's Syndrome, MS, Dissection
5 m.Case 12 - Horner's Syndrome
5 m.Case 12- Airway Injury
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 - Video Introduction
1 m.Case 13 - Tonsillitis
6 m.Case 13 - Peritonsillar Abscess
5 m.Case 14 - Phlegmon
6 m.Case 15 - Epiglotitis, Super Glotitis, Air Way Compromise
7 m.Case 16 - Periodontal Disease
9 m.Case 16 - Ludwig's Angina
3 m.Case 16 - Summary: Ludwig's Angina
3 m.Case 17 - Ludwig's Angina, Sialadinitis
4 m.Case 17 - Lemierre's Syndrome
2 m.Case 17 - Malignant Otitis Externa
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 - Video Introduction
4 m.Case 18 - T Cell Lymphoma, lymphadenopathy
4 m.Case 18 - Retropharyngeal Space
3 m.Case 19 - Retropharyngeal Abscess
4 m.Case 20 - Retropharyngeal Phlegmon
3 m.Case 20 - Retropharyngeal Space Collections
4 m.Case 20 - Afebrile
7 m.Case 21 - 2nd Branchial Cleft Cyst
4 m.Case 22 - Thyroglossal Duct Cyst
5 m.Case 22 - Sarcoma in the Levator Scapuli
2 m.Case 22 - Thyroid Nodules
9 m.Mass in the Neck Lesson Reinforcement Quiz
Clinical Scenario 5
Cervical Spine Trauma
27 topics, 1 hr. 42 min.
Clinical Scenario 5 - Cervical Spine Trauma - Video Introduction
7 m.Case 23 - Occipital Condyle Fracture
2 m.Case 24 - Anterior Arch C1 Fracture
6 m.Case 25 - Odontoid Fracture
4 m.Case 25 - How to Diagnose Alanto-odontoid Distraction
5 m.Case 25 - Odontoid Fractures: Summary
5 m.Case 26 - Jefferson Fracture, vertebral dissection
4 m.Case 27 - Jefferson Fracture on MRI
7 m.Case 27 - Jefferson's Burst Fracture: Summary
4 m.Case 27 - Fixed Rotatory Subluxation
4 m.Case 28 - Bilateral Jumped Facet
9 m.Case 28 - Unilateral Facet Dislocation, Carotid Dissection
4 m.Case 28 - Hyperextension Injury
4 m.Case 28 - Cervical Spine Flexion Injury
6 m.Case 29 - Transverse process fracture
3 m.Case 30 - Unstable Fracture, Two Column Injury
6 m.Case 30 - Epidural Hematoma Summary
7 m.Case 31 - Facet Fracture, Vertebral Artery Occlusion
4 m.Case 31 - Spinal Cord Injury Without Radiographic Abnormalities
4 m.Case 31 - Thoracolumbar AO Spine Injury Score
2 m.Case 32 - Chance Fracture
2 m.Case 32 - Axial Loading Fractures
5 m.Case 33 - Lumbar Transverse Process Fracture
2 m.Case 33 - Transverse Process Fractures and Visceral Injury
3 m.Case 34 - Compression Fracture
4 m.Case 34 - 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 - Video Introduction
2 m.Case 35 - Discitis, Osteomyelitis
5 m.Case 35 - Diskitis: Summary
6 m.Case 36 - Tuberculous Spondylitis with Psoas Abscess
4 m.Case 37 - Spinal Cord Infarct
5 m.Case 38 - Spinal Cord Astrocytoma
2 m.Case 39 - Guillain-Barré Syndrome
2 m.Case 39 - Grisel Syndrome, Calcific Tendonitis of Longus Coli,
6 m.Fever, Back Pain Lesson Reinforcement Quiz
Clinical Scenario 7
Head & Neck Emergencies
13 topics, 37 min.
Head and Neck Emergencies - Video Introduction
8 m.Case 40 - Fungus Ball
2 m.Case 40 - Fungal Sinusitis
2 m.Case 40 - Allergic Fungal Rhinosinusitis
7 m.Case 41 - Invasive Fungal Sinusitis
4 m.Case 41 - Invasive Fungal Sinusitis Imaging Signs
4 m.Case 42 - Necrotizing Fasciitis
4 m.Case 42 - Necrotizing Fasciitis: Summary
2 m.Case 43 - Allergic Fungal Sinusitis with Mucocele
2 m.Case 43 - Epidural Abscess from Sinusitis
3 m.Case 44 - Otomastoiditis with Bezold abscess
2 m.Case 45 - Frontal Lobe Abscess, Sinusitis
3 m.Head and Neck Emergencies Lesson Reinforcement Quiz
0:01
I'd like to talk briefly about one of the more
0:04
subtle fractures of the cervical spine,
0:06
and that is a fracture of the transverse process.
0:10
I know in my career I've missed a couple of these.
0:13
Fortunately,
0:13
they haven't resulted in any difficulty with the patients
0:16
because usually they're not unstable fractures.
0:19
However,
0:20
transverse process fractures are important in the cervical spine
0:23
because they mark part of the border of the foramen
0:27
transversarium where the vertebral artery is running.
0:31
And therefore,
0:32
whenever I am at the endpoint of looking
0:35
at a cervical spine for fractures,
0:37
I will usually go to the thin section images and just spend a
0:42
lot of time looking at the transverse process and the foramen
0:46
transversarium in order to identify the possibility of
0:50
a fracture in that location.
0:52
This is much, much easier.
0:54
And we'll see this in the lumbar spine where transverse process
0:57
fractures from avulsion from the psoas muscle
1:00
are very, very common.
1:02
Here you see a comminuted subtle fracture of the left transverse
1:07
process that is extending to involve, obviously, the foramen
1:12
transversarium where the vertebral artery resides.
1:15
This is something that is seen on the 0.5 millimeter
1:19
thick sections, but not on the thicker sections.
1:22
You notice over here that we have a little piece
1:24
of bone kind of flying in the breeze.
1:27
This is a portion of the avulsed part of the transverse process
1:32
that you see on the right side where it's also been fractured.
1:36
So again, not an unstable fracture,
1:39
but a fracture that may be associated with a vascular
1:43
injury and vertebral artery dissection.
1:46
Important not to miss. So scroll through it, you can do it
1:49
relatively rapidly. Scroll through and make sure that all those foramen
1:53
transversarium are intact, right and left before you close
2:00
the study and say no evidence of fracture.
2:03
Aha!
2:04
Here we see an additional transverse process fracture
2:08
at the C7 level with an avulsed portion,
2:13
not continuous with the transverse process more
2:17
approximately at the C7 level
2:19
and another level of discontinuity.
2:22
So, important to look at these easy fracture
2:25
to miss in the cervical spine.
Case 29 - Transverse process fracture
HIDEInteractive Transcript
0:01
I'd like to talk briefly about one of the more
0:04
subtle fractures of the cervical spine,
0:06
and that is a fracture of the transverse process.
0:10
I know in my career I've missed a couple of these.
0:13
Fortunately,
0:13
they haven't resulted in any difficulty with the patients
0:16
because usually they're not unstable fractures.
0:19
However,
0:20
transverse process fractures are important in the cervical spine
0:23
because they mark part of the border of the foramen
0:27
transversarium where the vertebral artery is running.
0:31
And therefore,
0:32
whenever I am at the endpoint of looking
0:35
at a cervical spine for fractures,
0:37
I will usually go to the thin section images and just spend a
0:42
lot of time looking at the transverse process and the foramen
0:46
transversarium in order to identify the possibility of
0:50
a fracture in that location.
0:52
This is much, much easier.
0:54
And we'll see this in the lumbar spine where transverse process
0:57
fractures from avulsion from the psoas muscle
1:00
are very, very common.
1:02
Here you see a comminuted subtle fracture of the left transverse
1:07
process that is extending to involve, obviously, the foramen
1:12
transversarium where the vertebral artery resides.
1:15
This is something that is seen on the 0.5 millimeter
1:19
thick sections, but not on the thicker sections.
1:22
You notice over here that we have a little piece
1:24
of bone kind of flying in the breeze.
1:27
This is a portion of the avulsed part of the transverse process
1:32
that you see on the right side where it's also been fractured.
1:36
So again, not an unstable fracture,
1:39
but a fracture that may be associated with a vascular
1:43
injury and vertebral artery dissection.
1:46
Important not to miss. So scroll through it, you can do it
1:49
relatively rapidly. Scroll through and make sure that all those foramen
1:53
transversarium are intact, right and left before you close
2:00
the study and say no evidence of fracture.
2:03
Aha!
2:04
Here we see an additional transverse process fracture
2:08
at the C7 level with an avulsed portion,
2:13
not continuous with the transverse process more
2:17
approximately at the C7 level
2:19
and another level of discontinuity.
2:22
So, important to look at these easy fracture
2:25
to miss in the cervical spine.
Report
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Neuroradiology
Head and Neck
Emergency
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