MSK Sports Imaging: From Weekend Warrior to Professional Athlete (2025)-W6-CMK15-2025

Video Transcription

Video Summary

The transcript features multiple expert talks on sports imaging. Justin Lee reviews spinal injuries in collision sports, emphasizing that tackles and scrums can cause severe cervical trauma. He focuses on pars interarticularis stress injuries in adolescents and how MRI plus “synthetic CT” (pseudo-CT sequences) can replace repeated CTs, improving diagnosis and follow-up while reducing radiation. He stresses using fluid-sensitive MRI sequences and warning teams that imaging can worsen before improving despite clinical pain relief.<br /><br />A second speaker explains pectoralis major injuries, highlighting complex sternocostal sub-segment anatomy that influences tear patterns and management. MRI is preferred, with techniques to reduce respiratory artifact (including prone “bailout” scanning). Key distinctions include tendon avulsion (fluid tracking to the medial humeral cortex) versus musculotendinous injuries; differentials include DOMS, calcific tendinitis, and pec minor injury.<br /><br />Adam Zoga discusses core muscle injuries centered on the pubic symphysis, focusing on disruption of the anterior fibrocartilaginous plate and secondary/superior cleft signs. He advocates a dedicated MRI protocol and notes progression to osteitis pubis and larger disruptions if athletes keep playing; ultrasound-guided injections may relieve pain but not fix instability.<br /><br />Later talks cover Achilles overuse/tears (report tear size, location, chronicity, gap; ultrasound for dynamic assessment) and evolving concepts in ankle sprain/instability, including subtle MRI findings in “functional” instability and the need to assess associated tendon/retinacular injuries to prevent chronic instability and early osteoarthritis.

Keywords

sports imaging

cervical spine injuries

pars interarticularis stress fracture

MRI synthetic CT pseudo-CT

pectoralis major tear MRI

core muscle injury pubic symphysis

anterior fibrocartilaginous plate disruption

Achilles tendon tear assessment

ankle sprain functional instability MRI