ISCD Learning
Imaging Evaluation of Suspected Fractures and Orthopaedic Fracture Management in MBD (On-Demand)
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Activity approved for 1.00 AMA PRA Category 1 Credits™
Activity approved for 1.25 ASRT Category A Credits
Activity Expires September 14, 2027
Activity Description
This session will provide an overview of fractures from a radiology perspective. Real life cases will be shown. The imaging modalities covered include radiographs, MRI, and CT. The second lecture lecture reviews orthopedic surgical management of common fractures in patients with metabolic bone disease, using case examples of atypical femur fractures and osteoporotic pelvic ring injuries. The session emphasizes timely recognition, referral for operative evaluation, and surgical strategies that support mobilization and reduce risk of fracture progression or future injury.
Learning Objectives
- Define stress fracture and identify common locations
- Understand the role of XR, CT, MRI, and bone scintigraphy
- Apply an evidence-based imaging algorithm for stress fracture evaluation
- Recognize atypical femur fractures in patients with metabolic bone disease, including key radiographic features, risk factors, and the importance of imaging the contralateral femur
- Identify when orthopedic referral or prophylactic fixation should be considered, particularly for incomplete or contralateral atypical femur fractures with symptoms or radiographic abnormalities
- Describe the evaluation and operative management considerations for osteoporotic pelvic ring injuries, including U-type sacral fractures, instability patterns, pain as a marker of instability, and the role of percutaneous screw fixation to improve mobilization
Instructions
Clinicians and Technologists are required to answer a set of online test questions following the review of the video and will have up to three attempts to answer questions correctly before losing credit for the activity. Once the activity test has been passed (75% or higher), you will be asked to evaluate the activity online and then be allowed to claim credit and print certificates.
Registration Fees
Cancellation Policy
On-Demand/ Enduring Material Cancellation
Purchases of on-demand or enduring educational materials are non-refundable.
On-Demand/Enduring Material Program Changes or Cancellations
ISCD reserves the right to cancel the program, change dates, and/or the location/method of offering. All program fees will be refunded if a program is canceled unless the registered participant elects to transfer to another program.
Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by Amedco LLC and ISCD. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
AMA PRA Category 1 Credit(s)™
Amedco LLC designates this live activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ASRT Credit Designation
This activity has been approved by ASRT for 1.25 Category A continuing education credits.
Date of Original Release and most recent Review or Update
This activity was most recently reviewed and released on September 15th, 2026.
Erwin E. Xia, MD, CCD
Attending Radiologist
Hospital for Special Surgery
Erwin E. Xia, MD is an Attending Radiologist at Hospital for Special Surgery and Assistant Professor of Radiology at Weill Medical College of Cornell University. He completed his fellowship in Musculoskeletal Imaging and Intervention at Massachusetts General Hospital, Harvard Medical School and residency in Diagnostic Radiology at Thomas Jefferson University Hospital. His clinical interests include image-guided spine and joint interventional procedures, orthopedic sports imaging, and orthopedic oncology.
Kathryn Barth, MD
Trauma Surgeon
Hospital for Special Surgery
Dr. Kathryn Barth is an orthopedic surgeon specializing in the treatment of fractures in the upper and lower extremities, pelvis, and acetabulum. She has expertise in both operative and non-operative management of complex peri-articular fractures and post-traumatic problems such as deformity and non-unions (non-healing fractures).
Dr. Barth graduated summa cum laude from the University of Pennsylvania while graduating with honors in her major in Health & Societies: Health Care Markets & Finance and completing premedical requirements. She attended the Northwestern Feinberg School of Medicine in Chicago, IL where she graduated summa cum laude and was awarded the Clare Geigerich Award for Outstanding Promise in Orthopaedic Surgery. She was also inducted into the Alpha Omega Alpha Honors Society. She went on to complete her residency training in orthopedic surgery at the Hospital for Special Surgery where she served in leadership roles and received the Distinguished Housestaff Award upon graduation. She then completed a year-long fellowship at the University of Texas Health Science Center at Houston, one of the top training programs for orthopaedic trauma surgery in the country. She has also spent time abroad during her training learning about the reconstruction of complex traumatic injuries and non-unions at the Royal Brisbane & Women's Hospital in Australia and Korea University Guru Hospital in Seoul, South Korea.
Dr. Barth is also passionate about improving the care of trauma patients through clinical outcomes research. She has authored multiple peer-reviewed publications and presented research at numerous national research meetings. She is an active member of the American Academy of Orthopaedic Surgeons (AAOS) and the Orthopaedic Trauma Association (OTA).
Statement of Independence
The ISCD maintains a policy on the use of commercial support, which ensures that all educational activities sponsored by the ISCD provide in-depth presentations that are fair, balanced, independent, and scientifically rigorous. ISCD requires faculty, planners, managers, and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by ISCD for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations. Individual disclosures are included in the course material. No Commercial Support has been provided for this activity
Disclaimer
The information and suggestions presented at the courses, seminars and other programs sponsored by ISCD and other collaborating societies are subject to change and therefore should serve only as a foundation for further investigation and study. Any forms presented at our seminars or programs are samples only and are not necessarily authoritative. All information, procedures, and forms contained or used in such seminars or programs should serve only as a guide for use in specific situations.
Disclosure of Unlabeled Use
This educational activity may contain a discussion of published and/or investigational uses of agents that are not indicated by the FDA. ISCD does not recommend the use of any agent outside of the labeled indications. The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Privacy & Confidentiality Statement
The ISCD will record the learner’s personal information as provided on evaluations to allow for the issuance and tracking of CME/CE certificates. The ISCD may also track aggregate responses to questions in activities and evaluations and use these data to inform the ongoing evaluation and improvement of its educational program. No individual performance data or any other personal information collected for evaluations will be shared with third parties
Attendee Cancellation Policy
All changes in registration must be made in writing to [email protected]. Purchase of on-demand or enduring educational materials are non-refundable.
Course Changes or Cancellations
ISCD reserves the right to cancel the program and change the dates of the offering. All program fees will be refunded if a program is canceled unless the registered participant elects to transfer to another program.
