Section Chief
Professor of Radiology and Biomedical Imaging and of Orthopaedics and Rehabilitation; Division Chief MSK Imaging
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Musculoskeletal Radiology
The Section of Musculoskeletal (MSK) Imaging is made up of seven full-time MSK trained radiologists. Radiologists and staff are highly trained and subspecialized to offer the best care to our patients. We work closely with the orthopedic, rheumatology and oncology colleagues providing a multidisciplinary approach to patients with musculoskeletal diseases.
Clinical
Yale Musculoskeletal Imaging performs a complete and comprehensive range of imaging from plain film to CT, and MRI. Our service covers a variety of MSK disorders including trauma, arthritis, joint replacements, pediatrics, foot and ankle, spine, and sports medicine. We perform therapeutic and diagnostic injections in the form of MR arthrography. We have developed a large MSK interventional service in which we perform bone and soft tissues biopsies as well as bone marrow aspirations. The vast majority of our biopsies are performed with our nursing staff under moderate sedation to provide optimal comfort for our patients.
Research Directions
- Magnetic Resonance Imaging (MRI) arthrography
- Sports injuries
- High resolution imaging of small joints such as the ankle, elbow and wrist
- CT imaging of orthopedic trauma
- Interventional bone biopsy
- MSK disorders including trauma and arthritis
- Joint replacements
Our staff is nationally recognized for leadership in MSK imaging with publications in top journals and lectures at national meetings.
Education
Our faculty have a strong commitment to education which is practiced with lectures and clinical rotations for both the medical students at Yale University School of Medicine and radiology residents at Yale-New Haven Hospital. There is a dedicated MSK imaging fellowship which hosts three fellows per year.
Leadership
Publications
2025
The Buford Complex: A Review of Embryology, Imaging, Technical Considerations, and Clinical Significance
Moran J, Joo P, Vasavada K, Cheng R, Levitt S, Manzi J, Patel S, Cecere R, Porrino J, Katz L, Jimenez A, Medvecky M. The Buford Complex: A Review of Embryology, Imaging, Technical Considerations, and Clinical Significance. JSES Reviews Reports And Techniques 2025 DOI: 10.1016/j.xrrt.2024.12.005.Peer-Reviewed Original ResearchConceptsSuperior labrum anterior-posteriorBuford complexMiddle glenohumeral ligamentClinical significanceCord-like middle glenohumeral ligamentBenign anatomical variantAnterosuperior labral tearReview of embryologyCongenital variantPreoperative imagingGeneral adult populationTechnical considerationsAnatomical variantsLabral tearsShoulder instabilityHigh riskLabral variantsAnterosuperior labrumExternal rotationAdult populationAnterior-posteriorGlenohumeral ligamentEarly childhoodTearsBuford
2024
Sorafenib or anthracycline‐based chemotherapy for progressive desmoid tumors
Costa P, Arora A, Fernandez Y, Yi I, Bakkila B, Tan H, Coelho P, Campoverde L, Hardy N, Bialick S, Freire A, D’Amato G, Chang Y, Mesenger J, Subhawong T, Haims A, Hurwitz M, Olino K, Turaga K, Deshpande H, Trent J. Sorafenib or anthracycline‐based chemotherapy for progressive desmoid tumors. Cancer 2024, 131: e35647. PMID: 39543805, DOI: 10.1002/cncr.35647.Peer-Reviewed Original ResearchCitationsAltmetricConceptsProgression-free survivalAnthracycline-containing regimensAnthracycline-based therapyDesmoid tumorsAdverse eventsOne-year progression-free survivalMulti-institutional retrospective analysisAnthracycline-containing regimenCommon grade 1Desmoid tumor patientsGrade 3 eventsAnthracycline-based chemotherapyHand-foot syndromeSecondary end pointsActivity of sorafenibProgressive desmoid tumorsYear of treatmentMedian TTRBaseline characteristicsTumor patientsLocal invasionTreatment responseSorafenibAnthracyclinesEnd pointsInvestigating the Bone Bruise Patterns in Pediatric Patients With Contact and Noncontact Acute Anterior Cruciate Ligament Tears: A Multicenter Study
Moran J, Amaral J, Lee M, Jones R, Gross P, Katz L, Wang A, Carrino J, Jimenez A, Chhabra B, Kan J, Smith B, Gladstein A, McKay S, LaPrade R, Fabricant P, Medvecky M. Investigating the Bone Bruise Patterns in Pediatric Patients With Contact and Noncontact Acute Anterior Cruciate Ligament Tears: A Multicenter Study. The American Journal Of Sports Medicine 2024, 52: 2456-2463. PMID: 39101652, DOI: 10.1177/03635465241264282.Peer-Reviewed Original ResearchCitationsConceptsMagnetic resonance imagingMechanism of injuryBone bruise patternPreoperative MRI scansACL tearsBone bruisesNoncontact ACL tearsPediatric patientsPresence of bone bruiseMeniscus tearsFat-suppressed T2-weighted imagesAcute anterior cruciate ligament tearsLocation of bone bruisesMRI scansAnterior cruciate ligament (ACL) tearsIpsilateral knee injuriesAnterior cruciate ligament tearsPrimary ACL reconstruction surgeryMagnetic resonance imaging scansConcomitant medial meniscus tearLateral meniscus tearsMedial meniscus tearCruciate ligament tearsT2-weighted imagesNoncontact mechanism of injuryLipohemarthrosis in the detection of intraarticular fractures: Looking beyond the tibial plateau
Porrino J, Shreve C, Marten E, Lee H, Haims A. Lipohemarthrosis in the detection of intraarticular fractures: Looking beyond the tibial plateau. PM&R 2024, 16: 1041-1048. PMID: 38984513, DOI: 10.1002/pmrj.13220.Peer-Reviewed Original ResearchUsing Computed Tomography-Based Three-dimensional Modeling and Computer Navigation for Minimally Invasive Core Decompression and Adjuvant Orthobiologic Therapy of Femoral Head Avascular Necrosis
Feizi A, Bell C, Roytman G, Park N, Wang A, Tommasini S, Wiznia D. Using Computed Tomography-Based Three-dimensional Modeling and Computer Navigation for Minimally Invasive Core Decompression and Adjuvant Orthobiologic Therapy of Femoral Head Avascular Necrosis. Arthroplasty Today 2024, 26: 101337. PMID: 38497084, PMCID: PMC10940782, DOI: 10.1016/j.artd.2024.101337.Peer-Reviewed Original ResearchCitationsAltmetricConceptsFemoral head avascular necrosisAvascular necrosisSurgical techniqueCore decompressionBone marrow aspirate concentrateDelay disease progressionOutcome of core decompressionAdjuvant therapyCellular therapyAspirate concentrateDisease progressionFemoral head collapseImprove outcomesLesionsDebilitating conditionTherapyComputer navigationNecrosisDecompressionHead collapseThree-dimensional modelFemoral headTotal spine MRI for the preoperative evaluation of adolescent idiopathic scoliosis: Part 2 – spinal cord tumors, dysraphisms, diastematomyelia, and vertebral anomalies
Lee H, Janjua F, Ragab A, Moran J, Haims A, Rubio D, Tuason D, Porrino J. Total spine MRI for the preoperative evaluation of adolescent idiopathic scoliosis: Part 2 – spinal cord tumors, dysraphisms, diastematomyelia, and vertebral anomalies. Current Problems In Diagnostic Radiology 2024, 53: 415-421. PMID: 38262798, DOI: 10.1067/j.cpradiol.2024.01.017.Peer-Reviewed Original ResearchConceptsTotal spine MRISpinal cord tumorsAdolescent idiopathic scoliosisCord tumorsSpine MRIIdiopathic scoliosisEvaluation of adolescent idiopathic scoliosisVertebral anomaliesNeural axis abnormalitiesArnold-Chiari malformationTime of diagnosisTethered cordAxis abnormalitiesChiari malformationPreoperative evaluationScreening examinationDiastematomyeliaDysraphismTumorScoliosisAbnormalitiesMRIMalformationsSyringomyeliaCordTotal spine MRI for the preoperative evaluation of adolescent idiopathic scoliosis: part 1
Lee H, Janjua F, Ragab A, Moran J, Haims A, Rubio D, Tuason D, Porrino J. Total spine MRI for the preoperative evaluation of adolescent idiopathic scoliosis: part 1. Current Problems In Diagnostic Radiology 2024, 53: 405-414. PMID: 38246795, DOI: 10.1067/j.cpradiol.2024.01.016.Peer-Reviewed Original ResearchConceptsTotal spine MRIAdolescent idiopathic scoliosisSpine MRIIdiopathic scoliosisEvaluation of adolescent idiopathic scoliosisNeural axis abnormalitiesSpinal cord tumorsTime of diagnosisArnold-Chiari malformationCord tumorsTethered cordAxis abnormalitiesChiari malformationPreoperative evaluationScreening examinationVertebral anomaliesScoliosisAbnormalitiesMRIDiastematomyeliaDysraphismSyringomyeliaMalformationsTumor
2023
Magnetic resonance imaging quality in the context of a knee-spanning external fixator placed inside the MR bore: a literature review
Marcel A, Green J, Porrino J, Katz L, Medvecky M. Magnetic resonance imaging quality in the context of a knee-spanning external fixator placed inside the MR bore: a literature review. Skeletal Radiology 2023, 53: 629-636. PMID: 37955679, DOI: 10.1007/s00256-023-04505-2.Peer-Reviewed Original ResearchCitationsAltmetricConceptsKnee-spanning external fixatorExternal fixatorNoise ratioMR boreSoft tissue repairDevice compositionKnee injury patientsLimb-threatening injuriesSoft tissue injuriesUtility of MRIMagnetic resonance imagingMagnetic field strengthImage qualityField strengthKnee dislocationInjury patientsTissue injuryAnatomical assessmentUseful diagnostic informationResonance imagingLigamentous structuresFixatorMRIEmergent assessmentMRI sequencesInternal Derangement of the Wrist
Porrino J, Lee H, Brown E, Snyder T, Haims A. Internal Derangement of the Wrist. 2023, 1-29. DOI: 10.1007/978-3-030-57376-8_14-1.Peer-Reviewed Original ResearchAccuracy of ChatGPT, Google Bard, and Microsoft Bing for Simplifying Radiology Reports.
Amin K, Davis M, Doshi R, Haims A, Khosla P, Forman H. Accuracy of ChatGPT, Google Bard, and Microsoft Bing for Simplifying Radiology Reports. Radiology 2023, 309: e232561. PMID: 37987662, DOI: 10.1148/radiol.232561.Peer-Reviewed Original ResearchCitationsAltmetricMeSH KeywordsThree-Dimensional Printing of Models of Patellofemoral Joint Articular Cartilage in Patients With Patella Instability for Observing Joint Congruity
Beitler B, Kunsel K, Yu K, Wang A, Tommasini S, Wiznia D, Fulkerson J. Three-Dimensional Printing of Models of Patellofemoral Joint Articular Cartilage in Patients With Patella Instability for Observing Joint Congruity. Arthroscopy Techniques 2023, 12: e1853-e1858. PMID: 37942111, PMCID: PMC10628265, DOI: 10.1016/j.eats.2023.06.016.Peer-Reviewed Original ResearchCitationsAltmetricPerspectives and institutional policies on patient safety and image quality regarding the use of knee-spanning external fixators in MRI: A survey study of the Society of Skeletal Radiology
Marcel A, Alaia E, Alaia M, Katz L, Medvecky M, Porrino J. Perspectives and institutional policies on patient safety and image quality regarding the use of knee-spanning external fixators in MRI: A survey study of the Society of Skeletal Radiology. Skeletal Radiology 2023, 53: 525-536. PMID: 37695343, DOI: 10.1007/s00256-023-04445-x.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsLeg MRI as a Complementary Diagnostic Tool in the Assessment of Foot Drop
Torabi T, Zubair A, Nowak R, Tseng B, Haims A, Roy B. Leg MRI as a Complementary Diagnostic Tool in the Assessment of Foot Drop. Journal Of Clinical Neuromuscular Disease 2023, 25: 57-58. PMID: 37611274, DOI: 10.1097/cnd.0000000000000433.Peer-Reviewed Original ResearchMeSH KeywordsPoster 306: Examining Preoperative Magnetic Resonance Imaging for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade III Combined Posterolateral Corner Knee Injuries
Jimenez A, Katz L, Wang A, McLaughlin W, Gillinov S, Kunze K, Hewett T, Alaia M, LaPrade R, Medvecky M, Moran J. Poster 306: Examining Preoperative Magnetic Resonance Imaging for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade III Combined Posterolateral Corner Knee Injuries. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00279. PMCID: PMC10392321, DOI: 10.1177/2325967123s00279.Peer-Reviewed Original ResearchConceptsPreoperative magnetic resonance imagingMedial meniscal ramp lesionsMulti-ligament knee injuriesAcute grade IIIMeniscal ramp lesionsMagnetic resonance imagingPosterolateral corner knee injuriesRamp lesionsIntra-class correlation coefficientPLC injuriesGrade IIIKnee injuriesBone bruisingBone bruiseResonance imagingAnterior cruciate ligament injuryMulti-ligament reconstructionCruciate ligament injuryDays of injuryMeniscocapsular tearsConsecutive patientsLigament injuryMeniscal injurySame patientLevel IPaper 29: Untreated Type 4 Ramp Injuries at Index Anterior Cruciate Ligament Reconstruction Surgery Result in Higher Rates of Revision ACL-R within the First 2 Years
Green J, Moran J, Medvecky M, Katz L, Gardner E, Joo P, Wang A, Allen C, Jimenez A, Santos E, McLaughlin W. Paper 29: Untreated Type 4 Ramp Injuries at Index Anterior Cruciate Ligament Reconstruction Surgery Result in Higher Rates of Revision ACL-R within the First 2 Years. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00055. PMCID: PMC10392483, DOI: 10.1177/2325967123s00055.Peer-Reviewed Original ResearchConceptsRamp lesionsRevision ACLACL reconstructionACL tearsRAMP groupRevision surgeryRisk factorsLevel I academic centerInitial ACL reconstructionMeniscal ramp lesionsRetrospective chart reviewSignificant biomechanical changesHigh rateStudent's t-testConcomitant ACLAssociated injuriesChart reviewPatient ageSurgery resultsPreoperative MRIClinical dataClinical informationLesions intraAcademic centersPatientsOsteonecrosis in Gaucher disease in the era of multiple therapies: Biomarker set for risk stratification from a tertiary referral center
Basiri M, Ghaffari M, Ruan J, Murugesan V, Kleytman N, Belinsky G, Akhavan A, Lischuk A, Guo L, Klinger K, Mistry P. Osteonecrosis in Gaucher disease in the era of multiple therapies: Biomarker set for risk stratification from a tertiary referral center. ELife 2023, 12: e87537. PMID: 37249220, PMCID: PMC10317498, DOI: 10.7554/elife.87537.Peer-Reviewed Original ResearchCitationsMeSH Keywords and ConceptsConceptsEnzyme replacement therapySubstrate reduction therapyAvascular osteonecrosisTertiary referral centerGaucher diseaseReferral centerTreatment initiationGD patientsImiglucerase enzyme replacement therapyResidual disease activityAnti-drug antibodiesYears of treatmentType of therapyRare inborn errorMixed-effects logistic modelGD1 patientsSpleen statusDisease activityClinical outcomesRisk stratificationReplacement therapyIndependent correlatesMultiple therapiesReduction therapyHigh riskExamining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries
Moran J, Lee M, Kunze K, Green J, Katz L, Wang A, McLaughlin W, Gillinov S, Jimenez A, Hewett T, LaPrade R, Medvecky M. Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries. The American Journal Of Sports Medicine 2023, 51: 1155-1161. PMID: 36867053, DOI: 10.1177/03635465231159899.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsBone bruise patternsAcute anterior cruciate ligament injuryMagnetic resonance imagingAnterior cruciate ligament injuryCruciate ligament injuryBone bruiseNoncontact injuriesLigament injuryContact injuriesACL injuryBruise patternsMedial collateral ligament injuryNoncontact mechanismFat-suppressed T2-weighted imagesMultivariate logistical regression modelIpsilateral knee injuriesCollateral ligament injuriesACL reconstruction surgeryMechanism of injuryBody mass indexNoncontact ACL injuryMedial tibiofemoral compartmentPreoperative MRI scansACL injury mechanismsPosterior cruciate ligamentThree-Dimensional Printing of the Patellofemoral Joints of Patellar Instability Patients
Beitler B, Yu K, Wang A, Frumberg D, Tommasini S, Wiznia D, Cooperman D, Lattanza L, Fulkerson J. Three-Dimensional Printing of the Patellofemoral Joints of Patellar Instability Patients. Arthroscopy Techniques 2023, 12: e401-e406. PMID: 37013007, PMCID: PMC10066413, DOI: 10.1016/j.eats.2022.11.023.Peer-Reviewed Original ResearchCitationsAltmetricExamining Preoperative MRI for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade 3 Combined Posterolateral Corner Knee Injury
Moran J, Jimenez A, Katz L, Wang A, McLaughlin W, Gillinov S, Patel R, Kunze K, Hewett T, Alaia M, LaPrade R, Medvecky M. Examining Preoperative MRI for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade 3 Combined Posterolateral Corner Knee Injury. Orthopaedic Journal Of Sports Medicine 2023, 11: 23259671221144767. PMID: 36756171, PMCID: PMC9900669, DOI: 10.1177/23259671221144767.Peer-Reviewed Original ResearchCitationsAltmetricConceptsPreoperative magnetic resonance imagingMedial meniscal ramp lesionsAcute grade 3Meniscal ramp lesionsMultiligament knee injuriesMagnetic resonance imagingPosterolateral corner knee injuriesRamp lesionsPLC injuriesIntraclass correlation coefficientGrade 3Knee injuriesBone bruisingBone bruiseAnterior cruciate ligament injuryLevel 1 trauma centerCruciate ligament injuryDays of injuryCross-sectional studyLevel of evidenceMeniscocapsular tearsConsecutive patientsLigament injuryTrauma centerMultiligament reconstructionUpdate of pediatric bone tumors—other mesenchymal tumors of bone, hematopoietic neoplasms of bone, and WHO classification of undifferentiated small round cell sarcomas of bone
Wang A, Maloney E, Al-Dasuqi K, Irshaid L, Ahmed A, Haims A, Porrino J. Update of pediatric bone tumors—other mesenchymal tumors of bone, hematopoietic neoplasms of bone, and WHO classification of undifferentiated small round cell sarcomas of bone. Skeletal Radiology 2023, 52: 1443-1463. PMID: 36656343, DOI: 10.1007/s00256-023-04286-8.Peer-Reviewed Original ResearchCitationsMeSH Keywords and ConceptsConceptsUndifferentiated small round cell sarcomaSmall round cell sarcomasBone tumorsRound cell sarcomasPediatric populationCell sarcomaMesenchymal tumorsHematopoietic neoplasmsWorld Health Organization classificationGiant cell-rich tumorsPediatric bone tumorsOsteogenic tumorsOrganization classificationVascular tumorsNotochordal tumorsTumorsGenetic sequencing techniquesChondrogenic tumorsCertain lesionsSoft tissueBoneSarcomaNeoplasmsSeparate manuscriptDetailed update
2022
Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
Moran J, Schneble C, Katz L, Jimenez A, McLaughlin W, Vasavada K, Wang A, Kunze K, Chahla J, LaPrade R, Alaia M, Medvecky M. Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 592-599. PMID: 36575108, DOI: 10.1016/j.arthro.2022.10.022.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsMedial meniscus ramp lesionsIntact anterior cruciate ligamentMultiligament knee injuriesAnterior cruciate ligamentMagnetic resonance imagingRamp lesionsBone bruiseBone bruisingKnee injuriesCruciate ligamentMedial meniscal ramp lesionsResonance imagingPreoperative magnetic resonance imagingMeniscal ramp lesionsRetrospective case seriesPosterior cruciate ligamentOne-thirdIntraclass correlation coefficientConsecutive patientsRetrospective reviewCase seriesLigament reconstructionOperative reportsLevel IVLevel IUpdate of pediatric bone tumors—notochordal tumors, chondrogenic tumors, and vascular tumors of the bone
Lee H, Wang A, Cheng R, Moran J, Al-Dasuqi K, Irshaid L, Maloney E, Porrino J. Update of pediatric bone tumors—notochordal tumors, chondrogenic tumors, and vascular tumors of the bone. Skeletal Radiology 2022, 52: 1101-1117. PMID: 36369290, DOI: 10.1007/s00256-022-04235-x.Peer-Reviewed Original ResearchCitationsMeSH Keywords and ConceptsUpdate of pediatric bone tumors: osteogenic tumors and osteoclastic giant cell-rich tumors
Al-Dasuqi K, Cheng R, Moran J, Irshaid L, Maloney E, Porrino J. Update of pediatric bone tumors: osteogenic tumors and osteoclastic giant cell-rich tumors. Skeletal Radiology 2022, 52: 671-685. PMID: 36326880, DOI: 10.1007/s00256-022-04221-3.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsReconceptualization of Trochlear Dysplasia in Patients With Recurrent Patellar Dislocation Using 3-Dimensional Models
Yu K, Cooperman D, Schneble C, McLaughlin W, Beitler B, Kaliney R, Wang A, Fulkerson J. Reconceptualization of Trochlear Dysplasia in Patients With Recurrent Patellar Dislocation Using 3-Dimensional Models. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221138257. PMID: 36458105, PMCID: PMC9706073, DOI: 10.1177/23259671221138257.Peer-Reviewed Original ResearchCitationsAltmetricConceptsRecurrent patellar dislocationPatellar dislocationTrochlear dysplasiaProximal trochleaTomography scanControl kneesTrochlear grooveFemoral condyleHealthy control kneesIntercondylar notch roofProximal trochlear grooveComputed tomography scanCross-sectional studyLevel of evidenceDistal femoral condylePosterior femoral condylesLateral trochlear ridgeNotch roofMediolateral positioningNovel 3D measurement methodPatientsKneeDysplasiaSurgical planningOsseous anatomyPosteromedial tibial plateau bone bruises are associated with medial meniscal ramp lesions in patients with concomitant anterior cruciate ligament ruptures: a systematic review & meta-analysis
Green JS, Moran J, Marcel A, Joo PY, McLaughlin WM, Manzi JE, Yalcin S, Wang A, Porrino J, Jimenez AE, Medvecky MJ, Katz LD. Posteromedial tibial plateau bone bruises are associated with medial meniscal ramp lesions in patients with concomitant anterior cruciate ligament ruptures: a systematic review & meta-analysis. The Physician And Sportsmedicine 2022, 51: 531-538. PMID: 35915996, DOI: 10.1080/00913847.2022.2108350.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsMedial meniscal ramp lesionsMeniscal ramp lesionsMagnetic resonance imagingPreoperative magnetic resonance imagingRamp lesionsEgger's linear regression testBone bruisingACL ruptureBone bruiseGreater oddsPublication biasPre-operative magnetic resonance imagingAcute ACL injuryBone bruise patternsConcomitant ACL ruptureConcomitant anterior cruciate ligamentAnterior cruciate ligamentFunnel plot analysisLinear regression testTimes greater oddsWeb of ScienceACL injuryCochrane LibraryMethodological IndexPooled studies
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