ECU 2010 Michelle Wessely BSc (Chiro), DC, DACBR, FCC (UK), CertMEd

	Michelle Wessely, BSc (Chiropractic), DC, DACBR, FCC (UK), DipMEd is Director of the Department of Radiology at the Institut Franco-Europeen de Chiropratique (IFEC), close to Paris, France, a post that she has held since 2002. Michelle returned to Europe having completed her Fellowship in Musculoskeletal Radiology at the University of Southern California, San Diego, USA gaining more first-hand experience in radiology, especially in special imaging, particularly MR imaging. She has also completed two shorter radiology fellowships in Cincinnati in 2007, concentrating on neuroradiology as well as musculoskeletal imaging. She lectures widely mainly to chiropractors throughout Europe on Radiology/Imaging-related subjects, which she thoroughly enjoys be it a review on imaging in general or more specific topics like sports injuries or special imaging, and publishes work related to imaging in a variety of journals, including JMPT, Acta Radiologica and Clinical Chiropractic. Michelle also continues to be involved in research and has presented her work at the prestigious RSNA and ARRS meetings, on the knee, temoromandibular joint amongst other subjects.
Saturday, 15 May
Workshop 3 Session 3C/4C 14.30-18.00	Imaging of Sports injuries The main objective of this workshop on imaging of sports injuries is to provide a global approach to the recognition of the different injuries that can be sustained whilst participating in various sports, both traumatic, repetitive microtrauma and resultant degenerative conditions. The workshop is aimed at those improving skills in interpreting imaging studies in general chiropractic practice and for those with specialist sports practices. The specific objectives include a review of the basic anatomy which is essential to interpret imaging exams, to know which imaging is best adapted for the different sports injuries, to know based on imaging the clinical importance of the findings and how this relates to the prognosis of the patient and to be aware of the general management options for the various sports injuries. In recent years, with the influence of a number of factors, sports participation has grown dramatically. As a result, specific injuries resulting from learning new sports, including repetitive type injuries to acute trauma and in some, early degenerative changes have resulted. In the children and adolescent population, the encouragement to participate in sport has resulted in an increase in the number of sports-related injuries presenting to clinics. In many instances in this subgroup, the patient will have trained in a single sports discipline resulting in new patterns of injury related to this type of repetitive type training. Sports injuries may result in a variety of clinical syndromes but may be broadly divided into acute injuries as a result of a single macroinjury, either direct or indirectly applied, and overuse syndromes due to the repetitive microtraumatic insult of training and participation. The injuries sustained in both groups, acute and repetitive may vary between the young/pediatric population and the adult population related to the developing skeleton and supporting structures versus in an adult. Imaging of sports injuries involves the panapoly of studies from the radiograph through the special imaging, MR imaging being particularly useful. Depending on the sports related syndrome, different imaging may be required to confirm the diagnosis and to direct the clinical management as precisely as possible. At times, imaging may be used to assist in the prognosis and the return to play time such as with bone contusions about the knee for example. Imaging technologies have developed rapidly and depending on local resources may be available to determine particular lesions, for example using MR imaging for cartilage mapping. The use of imaging is also important to follow a patient post-intervention particularly if there is continued functional disability and/or pain, for example post anterior cruciate ligament surgery for a partial or complete rupture where patients may be develop complications such as a cyclops lesion, fibrous scar tissue. Useful websites: http://www.cmelectures.org//learning/lecture_in_progress.asp http://www.cmelectures.org/lecture/ped_sport2/ Useful articles: Robinson P. Sonography of common tendon injuries. Am J Roentgenol. 2009 Sep;193(3):607-618. Sanchez TR, Jadhav SP, Swischuk LE. MR imaging of pediatric trauma. Magn Reson Imaging Clin N Am. 2009 Aug;17(3):439-450 Robertson BA, Barker PJ, Fahrer M, Schache AG. The anatomy of the pubic region revisited: implications for the pathogenesis and clinical management of chronic groin pain in athletes. Sports Med. 2009;39(3):225-234. Kerssemakers SP, Fotiadou AN, de Jonge MC, Karantanas AH, Maas M. Sports injuries in the paediatric and adolescent patient: a growing problem. Pediatr Radiol. 2009 May;39(5):471-484. Epub 2009 European Journal of Radiology. 62 (1), April 2007: The whole journal dedicated to sports imaging.