Musculoskeletal Imaging

The division of musculoskeletal imaging is comprised of five dedicated faculty members with varying experience, research interests and backgrounds. The faculty develops and implements research projects with radiology residents and fellows in addition to various collaborative efforts with orthopedic surgeons, non-operative sports medicine physicians, neurosurgeons, neurologists, endocrinologists and rheumatologists. This division is based out of the Executive Park Emory Orthopaedics and Spine Center and supports the musculoskeletal needs of the entire Emory Enterprise. The division will begin work at the new Hawks facility upon its opening.
 
Within the division, there are numerous opportunities for clinical research. Current research projects include MR and ultrasound neurography for peripheral nerve pathology, identification of imaging criteria predictive of the development of decubitus and diabetic foot ulcerations, the utility of MSK ultrasound in the evaluation of sporting related injuries, implementation of web based educational projects and the assessment of sarcopenia as a predictor of poor surgical outcomes.


The division is the principle Atlanta based radiology group that performs both diagnostic and therapeutic MSK ultrasound procedures. Typical diagnostic examination indications include the evaluation of the rotator cuff in a post-operative shoulder when artifact limits MRI, determination of the etiology of patient reported snapping sensations in the foot, ankle, hip and shoulder, identifying and staging inflammatory arthritis before the onset of radiographic apparent joint destruction and targeted assessments of clinically suspected isolated tendon or ligamentous injury. Although these are common indications, the division can tailor ultrasound examinations to meet your needs. From a procedural standpoint, we offer various ultrasound guided interventions including injections and aspirations of both small and large joints, tenotomy, peripheral nerve blocks, biopsy of soft tissue masses, Bakers cyst aspirations, ganglion cyst aspirations, tendon sheath injections and ultrasound guided arthrography.

In addition to ultrasound guided interventions, CT guided procedures are performed at Grady Memorial Hospital and Emory University Hospital Midtown. These procedures include intervertebral disc aspirations for suspected discitis/osteomyelitis and bone biopsies. We make use of both manual and automatic/battery operated bone drills for our bone biopsies.


Outpatient MR arthrography is typically performed at the Executive Park location by either ultrasound or fluoroscopic guidance.
 
Residents, fellows and medical students rotating through the division may attend and participate in various educational conferences. Currently, we participate in a weekly case based MSK radiology conference, a monthly foot and ankle multidisciplinary conference, a monthly radiologic/arthroscopic sport medicine correlation conference and a weekly multidisciplinary sarcoma conference. Monthly spine conferences are held at the Executive Park campus.

 
LECTURES
 

Educational

 

MR/Arthroscopy Multidisciplinary Correlation Conferences

Peripheral Nerve Multidisciplinary Conferences

 

Conference Presentations

 

Interesting Cases

Contact Information

Musculoskeletal Radiology
Emory Ortho & Spine Center
Radiologic Imaging, 4th Floor
59 Executive Park South
Atlanta, Georgia 30329

Consultation Line
404  778-6265 (from 8:00am-1:00pm)
404  712-0579 (from 1:00pm-4:00pm)

Marvis Zanders
Phone: 404-778-5834
Fax: 404-778-6250
email: marvis.zanders@emoryhealthcare.org

Faculty

Fellows

Highlights and Accomplishments

Patel A, Younan Y, Jose J, Sharp E, Singer AD.  Cartilage tumors: an imaging review of chondroid lesions.  American Roentgen Ray Society Annual Meeting.  2017.  (Poster)

Cohen-Levy W, Pretell J, Singer A, Gold A, Grief D, Jose J.  Spectrum of FDG avid intra-articular and periarticular lesions incidentally detected on PET/CT imaging of sarcoma patients.  Society of Skeletal Radiology Annual Meeting.  2017.  (Poster)

DeVos M, Runner R, Vu C, Umpierrez M, Jahed K, Singer A, Schenker M.  Myosteatosis/Sarcopenia as a measure of frailty in orthopedic trauma patients.  Orthopedic Trauma Association Annual Meeting.  2017.  (Poster)

Uriell ML, Wong PK, Younan Y, Subhawong TK, Umpierrez MB, Carpenter WA, Singer AD.  It’s a Soft Call:  Diagnosable Soft Tissue Injury by CT in the Setting of Osseous Trauma.  Radiological Society of North America Annual Meeting Educational Exhibit.  2016.  (Poster)

Patel AD, Omar H, Hamid A, Scott K, Rozen S, Moore DS, Chhabra A. "Anterior Groin Pain: Role of Magnetic Resonance Neurography and Related Image Guided Interventions". Association of University Radiologists 2016. Poster.

Sharp PE, Gogia N, Umpierrez MB, Younan Y, Subhawong TK, Jose J, Singer AD.  Peripheral Nerve Imaging of the Upper Extremity Using MR and Ultrasound.  Radiological Society of North America Annual Meeting Educational Exhibit.  2016.  (Poster)

Singer AD, Younan Y, Karas S, Di Giacomo G, Xerogeanes J, Gottschalk M, Sharp PE, Gogia N, Umpierrrez MB.  The Glenoid Track:  Evidence, Calculations and Clinical Importance.  Radiological Society of North America Annual Meeting Educational Exhibit.  2016.  (Poster)

Gogia N, Sharpe PE, Umpierrez MB, Younan Y, Jose J, Subhawong TK, Singer AD.  Ultrasound and MRI Evaluation of Lower Extremity Nerve Pathology.  Radiological Society of North America Annual Meeting Educational Exhibit.  2016.  (Poster)

Singer AD, Bariteau J, Younan Y, Carpenter WA, Jose J, Subhawong TK, Umpierrez MB.  Toes: Anatomy, Pathology and Common Surgical Procedures.  Radiological Society of North America Annual Meeting Educational Exhibit.  2016.  (Poster, selected for CME Presentation)

Wong P, Uriell M, Prescutti S, Robertson D, Umpierrez MB, Carpenter WA, Singer AD.  Pain in the Neck:  Postoperative Appearance of the Cervical Spine.  Radiological Society of North America Annual Meeting Educational Exhibit.  2016.  (Poster, selected for CME presentation)

Publications

Younan Y, Uriell M, Carpenter W, Umpierrez M, Kakarala A, Jose J, Robertson D, Subhawong TK, Singer AD. Anatomic Relationship and Imaging Relevance of the Perorating Branches of the Peroneal Vessels to the Anterior Talofibular Ligament. J Emerg Med. 2017 Jan 25.

Rizer M, Foremny GB, Rush A 3rd, Singer AD, Baraga M, Kaplan LD, Jose J. Anterior cruciate ligament reconstruction tunnel size: causes of tunnel enlargement and implications for single versus two-stage revision reconstruction. Skeletal Radiol. 2017 Feb;46(2):161-169.

Younan Y, Wong PK, Karas S, Umpierrez M, Gonzalez F, Jose J, Singer AD.  The glenoid track: a review of the clinical relevance, method of calculation and current evidence behind this method. Skeletal Radiol. 2017 Jun 8. 

Morris CJ, Younan Y, Singer AD, Johnson G, Chamieh J, Datir A. Masses of the hand and wrist, a pictorial review. Clin Imaging. 2016 Jul-Aug;40(4):650-665.

Rizer M, Singer AD, Edgar M, Jose J, Subhawong TK. The histological variants of liposarcoma: predictive MRI findings with prognostic implications, management, follow-up, and differential diagnosis. Skeletal Radiol. 2016 Sep;45(9):1193-204.
 
Singer AD, Pattany PM, Fayad LM, Tresley J, Subhawong TK. Volumetric Segmentation of ADC Maps and Utility of Standard Deviation as Measure of Tumor Heterogeneity in Soft Tissue Tumors. Clin Imaging. 2016 May-Jun;40(3):386-391.

Tresley J, Subhawong TK, Singer AD, Clifford PD. Incidence of tendon entrapment and dislocation with calcaneus and pilon fractures on CT examination. Skeletal Radiol. 2016 Jul;45(7):977-988.

Singer AD, Datir A, Tresley J, Langley T, Clifford PD, Jose J, Subhawong TK. Benign and malignant tumors of the foot and ankle. Skeletal Radiol. 2016 Mar;45(3):287-305.

Younan Y, Wong PK, Jose J, Subhawong T, Baraga M, Umpierrez M, Singer AD. Radiographic Assessment of the Postoperative Knee. Clin Imaging. 2016 Nov 17;42:68-82.

Singer AD, Hanna T, Jose J, Datir A. A Systematic, Multi-Modality Approach to Emergency Elbow Imaging. Clin Imaging. 2016 Jan-Feb;40(1):13-22.

Singer AD, Subhawong TK, Jose J, Tresley J, Clifford PD. Ischiofemoral impingement syndrome: a meta- analysis. Skeletal Radiol. 2015 Jun;44(6):831-837.

Tresley J, Schoenleber SJ, Singer AD, Clifford P. "Ilizarov" external fixation: what the radiologist needs to know. Skeletal Radiol. 2015 Feb;44(2):179-195.
Bipartite atlas or Jefferson fracture? A case series and literature review. Allam E, Zhou Y. Spine. 2015 Jun;40(11):E661-4.

Ratakonda P, Melenevsky Y, Nazarian S, Thomson N. Hip, Hop, and Beyond - Review of Common and Rare Manifestations of Osteonecrosis. Radiological Society of North America (RSNA). 2015.

To see additional publications, please view faculty bios

Lectures