Program

• Imaging in Sport: From Treatment to Prevention - Dr. Jérôme Renoux
• Dark Sides of the Knee, where Radiology Really Helps - Dr. Eva Llopis
• Ultrasound-Guided Anterior Talofibular Ligament Repair - Bio Mechanical and Early Clinical Experiences - Dr. Kentaro Onishi
• The Approach of Cross Sectional Imaging on a Racetrack - Dr. Dietmar Küberl
• Live Q&A - moderated by Dr. Eva Llopis

Learning Objectives:

1. Gain insights into selecting the most appropriate imaging modality
2. Understand the prognostic importance of some imaging findings
3. Gain insight into the use of imaging at major sporting events
4. Gain insight into how athlete RTP methods may apply to the average patient

Moderator & Speaker: Dr. Eva Llopis, MD
Radiologist
Chief of Radiology department
Hospital de la Ribera/European Musculoskeletal Institute (IMSKE)
Valencia, Spain

Dr. Eva Llopis is active in various professional organizations including ISS, ESR, ESSR, ESMRMB, SERME, SERAM and Erasmus. Past president of SERME (Spanish MSK society) and ESSR (European Society of Skeletal Radiology). Her research focus is joint disease, sports medicine and interventional MSK radiology. She has received numerous academic prizes and regular lectures at international meetings. She has published chapters in MSK books and has more than 5 peer-reviewed articles.

Presentation Title: Dark Sides of the Knee, where Radiology Really Helps
MRI accuracy in detecting intra-articular lesions is extremely high. Although arthroscopy remains the gold-standard procedure for the diagnoses of intraarticular lesions there are some blind spots where MRI can be particularly useful. The posterior compartment is more difficult to assess and therefore the MRI diagnosis of those peripheral meniscal injuries such as RAMP tears, Wrisberg type tears or meniscal root detachments is extremely useful as additional arthroscopic portals might be needed to treat these lesions.
Occult closed cartilage lesions can benefit from MRI, as they do not have communication with the articular surface of the cartilage, they can be underdiagnosed by arthroscopy. Some small ligamentous injuries can have an impact on patient’s prognosis, as they can cause future instability, such as tears of the anterolateral ligament. These injuries may as well need longer rest during recovery, as is known for isolated deep layer tears of the medial collateral ligament.
During this short lecture we will emphasize those small but very important lesions that impact the patient’s outcome but are more difficult to be depicted during arthroscopy.

Speaker: Dr. Jérôme Renoux, MD
Radiologist
Head of the Radiology Department
French National Sport Institute (INSEP)
Paris, France

Dr. Jérôme Renoux is a radiologist and director at the Institut National du Sport de l’Expertise et de la Performance (INSEP) Medical Imaging Center, and head of the Sports Imaging Institute. He is an associate member at the American Hospital of Paris. At the Olympic Games in Rio, Dr. Renoux accompanied the French delegation to monitor the medical care of high-level athletes.

Sports imaging has taken a central role in the management of athletes over the last few decades. However, a strong collaboration between radiologists and sports doctors is essential to understanding the meaning and limitations of all imaging data. The choice of the modality as well as a good knowledge of the sporting context and schedule are key points in the medical care of the athletes.

Presentation Title: Imaging in Sport: From Treatment to Prevention
Sports imaging has taken a central role in the management of athletes in the last decades. However, a strong collaboration between radiologists and sports doctors is essential to understanding the meanings and limits of imaging data. The choice of the modality as well as a good knowledge of the sport context and schedule are key points for the medical care of the athletes.

Speaker: Dr. Kentaro Onishi, DO
Assistant Professor, University of Pittsburgh, Department of Physical Medicine and Rehabilitation (primary)
Assistant Professor, University of Pittsburgh, Department of Orthopaedic Surgery (secondary)
Director, ACGME Sports Medicine Fellowship
Director, Musculoskeletal Ultrasound Innovation
Director, Sports Ultrasound Summit Pittsburgh (SUS)
Team Physician, Duquesne University (NCAA Division I)
University of Pittsburgh
Pittsburgh, USA

Dr. Kentaro Onishi's research interest includes use of musculoskeletal ultrasound to improve the management of tendon, cartilage, and meniscus/labrum injuries in active individuals. He explores research topics ranging from biomechanics, anatomy, diagnostic ultrasound, ultrasound-guided surgery to the use of orthobiological agents although his primary research domain is in the realm of tendon injury & healing.

Presentation Title: Ultrasound-Guided Anterior Talofibular Ligament Repair - Biomechanical and Early Clinical Experiences
Ankle sprain is a single most common sporting injury that results in lost time from sports. Some ankle sprains will go on to develop chronic instability and require an operative intervention. Open Brostrom is still the standard of care. However, this procedure Carrie’s 5-10% risk of complications. Arthroscopic Brostrom is a recent alternate but this procedure is not as biomechanically sound. University of Pittsburgh team developed an ultrasound guided ATFL repair with augmentation. This presentation discusses its biomechanical data and our early clinical experiences.

Speaker: Dr. Dietmar Küberl, MD
Radiologist, Emergency physician
LKH Murtal
Knittelfeld, Austria

Dr. Dietmar Küberl received his medical degree from the Graz medical university, then went on to complete his education as a family practitioner before continuing in a fellowship in Orthopedics and trauma surgery. He finished his training as a Radiologist in different styrian hospitals and now does studies in conventional radiology, sonography, MRI, CT an interventional radiology. In addition, he does shifts as emergency physician. At the RedBull Ring in Austria, he works as a Radiologist and is part of the team of anaesthetists, trauma surgeons and paramedics to provide life support on critically ill patients after crashes on track.

Presentation Title: The Approach of Cross Sectional Imaging on a Racetrack
Since three years, CT-scans are part of trauma life support in motorsports at major events on the RedBull Ring-racetrack in Spielberg, Austria. Together with a team of specialized emergency physicians, extrication teams and paramedics, Radiologists provide Sonography and computed tomography for crashed riders on site at the medical center.