Earn up to 2 CME credits online through two case-based activities exploring how Dynamic Digital Radiography can support motion-based evaluation, orthopaedic decision-making, sports medicine care, and multidisciplinary MSK workflows.
Musculoskeletal and orthopaedic questions often happen in motion: instability, joint tracking, subtle injury patterns, post-operative mechanics, functional pain, and range-of-motion limitations. This on-demand CME program brings together an MSK radiologist and an upper-extremity orthopaedic surgeon to examine where dynamic imaging may fit in the clinical pathway.
Complete one activity for .75 to 1.25 CME credit, or complete both activities for up to 2 total CME credits.
Credit claiming is completed through AffinityCE after each activity.
Two separate .75 to 1.25-credit online activities.
Designed for clinicians involved in imaging, diagnosis, referral, treatment, surgical planning, and sports-related MSK care.
Presentations by an MSK radiologist and an upper-extremity orthopaedic surgeon — recorded at a live event at the OLC Education & Conference Center in June 2026.
Each activity stands alone, but together they offer a broader view of DDR from imaging acquisition to clinical application.
Start with the radiology-led foundation, the orthopaedic application, or complete both for the full 2-credit program.
In this activity, Dr. Sarah Koles introduces Dynamic Digital Radiography as a motion-based MSK imaging tool. Learners will review what DDR is, how it captures anatomy in motion, why positioning matters, and how evolving MSK techniques may help clinicians evaluate motion-related findings.
View Dr. Koles' Faculty Bio →
In this activity, Dr. Eric Wagner examines DDR from the perspective of an upper-extremity orthopaedic surgeon. Learners will review how dynamic imaging may be incorporated into orthopaedic workflow and how motion-based assessment can provide insight into shoulder, wrist, and elbow biomechanics.
View Dr. Wagner's Faculty Bio →
Dynamic cineradiography of the proximal phalanx and D1 metacarpal, demonstrating real-time joint mechanics and instability patterns not visible on static imaging.
DDR imaging of the humeral head and scapula captures shoulder mechanics in motion, offering clinical insight into glenohumeral tracking and post-operative evaluation.
Each activity stands alone for .75 to 1.25 CME credit. Together, they give learners a fuller view of how DDR may be used across MSK radiology, orthopaedic surgery, and sports medicine care.
What DDR is, how images are acquired, how positioning matters, what motion-based findings may be visible, and where clinical limitations remain.
How a surgeon may use DDR to think through upper-extremity biomechanics, instability, arthroplasty mechanics, workflow, surgical planning, and post-operative assessment.
The two activities help clinicians connect motion-based imaging, clinical interpretation, and real-world management decisions across the MSK care pathway.
Static images are essential. But many MSK questions are dynamic, and can't be fully understood from a single static image. Instability, tracking, subtle injury patterns, post-operative clicking, spine and extremity motion, and functional joint mechanics may become clearer when anatomy is evaluated through movement.
Dynamic Digital Radiography gives clinicians another way to assess motion-based pathology. Rather than replacing standard X-ray, MRI, or CT, this program explores how dynamic radiographic imaging may help bridge gaps in the diagnostic pathway and support more informed clinical decisions.
"DDR has become a valuable problem-solving tool in our MSK practice. By visualizing anatomy in motion, we can better assess subtle fractures, joint stability, tracking, and soft-tissue findings — and tailor clinical management earlier."
— Sarah L. Koles, MSc, MD, FRCPCLearn how digital cineradiography captures anatomy in motion, helping clinicians evaluate joint mechanics, instability, tracking, and functional movement patterns that may not be fully visible on a single static image.
Explore where DDR may fit in the diagnostic pathway, including cases where dynamic findings may help clarify whether additional imaging, referral, conservative care, orthopaedic evaluation, or follow-up assessment should be considered.
Learn how dynamic imaging may help clinicians evaluate range of motion, joint loading, post-operative mechanics, functional recovery, and movement patterns that may not be fully understood from static imaging alone.
Explore how motion-based imaging may support earlier clinical decision-making in orthopaedics, sports medicine, radiology, pain management, physiatry, and primary care referral pathways.
Review practical applications across upper extremity, lower extremity, spine, and sports injury care, and see how dynamic imaging findings help radiologists, surgeons, and rehab teams align on diagnosis and next steps.
Gain a balanced, clinically grounded view of where DDR is most useful, where evidence and protocols are still evolving, and how early adopters are integrating it into real-world practice.
This on-demand CME program is designed for clinicians and healthcare professionals involved in MSK diagnosis, imaging, referral, treatment, sports injury evaluation, orthopaedic decision-making, or rehabilitation planning, including:
The patient presents with pain, instability, clicking, motion limitation, injury, or post-operative mechanical concern.
DDR captures anatomy dynamically, allowing clinicians to evaluate movement, tracking, alignment, and mechanics in real time.
Dynamic findings may add context beyond static views and help sharpen the imaging or referral question.
Findings may help inform next steps such as conservative care, advanced imaging, sports medicine referral, orthopaedic evaluation, surgical planning, or follow-up.
Findings may help clinicians align around the clinical question, imaging result, and next step in care — including healing, range of motion, post-operative mechanics, and compensatory movement patterns over time.
Dr. Sarah Koles is a Canadian- and American-board certified musculoskeletal radiologist with expertise in MSK imaging, interventional MSK and spine procedures, clinical research, and multidisciplinary patient-centered care. She works at Beam Radiology in Calgary and serves as Medical Director of False Creek Clinic in Vancouver. Dr. Koles is also an associate professor at the Cumming School of Medicine at the University of Calgary and an active teacher and speaker in MSK radiology.
Dr. Koles has been an early clinical adopter of DDR, with experience developing protocols, training technologists, and applying the technology across lower extremity, spine, and MSK problem-solving use cases.
Disclosures: Member, physician advisory board for PendoPharm; speaker for Durolane/Bioventus.
Dr. Eric R. Wagner is an orthopaedic surgeon specializing in complex shoulder and upper extremity pathology. His training includes orthopaedic surgery residency at Mayo Clinic, hand and microvascular surgery fellowship at Mayo Clinic, and shoulder and elbow fellowship training through Harvard-affiliated Massachusetts General Hospital and Brigham and Women's Hospital, with additional international training in France. His clinical interests include complex rotator cuff pathology, shoulder arthroplasty, instability, scapular pathology, and paralytic shoulder.
Dr. Wagner has published extensively in upper extremity and shoulder surgery, including recent work involving dynamic radiography and shoulder biomechanics.
Disclosures: Consultant for DePuy Orthopaedics Inc., Medartis Inc., Smith + Nephew, ACUMED LLC, and Stryker.
Select Start the CME Program.
Choose Activity 1, Activity 2, or both.
Watch each on-demand activity.
Complete the required evaluation and credit-claiming steps.
Earn .75 to 1.25 CME credit per activity, up to 2 total CME credits.
No. This is an on-demand CME program adapted from recorded faculty presentations from the live Digital Cineradiography CME symposium.
There are two separate activities. Each activity offers .75 to 1.25 CME credit. Complete both activities to earn up to 2 total CME credits.
No. Each activity stands alone. You may complete Activity 1, Activity 2, or both.
Start with Activity 1 if you want the radiology foundation: what DDR is, how it captures motion, why positioning matters, and where it may add value in MSK imaging.
Start with Activity 2 if you are most interested in upper-extremity orthopaedics, shoulder/wrist/elbow biomechanics, surgical decision-making, and workflow integration.
No. This is an accredited educational activity focused on case-based clinical learning around Dynamic Digital Radiography.
Please refer to the AffinityCE registration page for eligibility and credit-claiming instructions.
Explore how Dynamic Digital Radiography may support MSK imaging, orthopaedic surgical decision-making, sports medicine care, and multidisciplinary clinical communication.
Complete one activity for .75 to 1.25 CME credit, or complete both for 2 total CME credits.
AffinityCE — a Woman-Owned Small Business (WOSB) — is a full-service, accredited Continuing Medical Education company providing education and training for more than 30 health professions.