Help with case:
HPI: 41M with h/o GFAP-mediated encephalomyelitis that was thought to be related to autoimmune disorder this past summer treated with solumedrol. He still has residual paralysis in his lower extremities. He was admitted 2 days ago for MSSA urosepsis and decubitus ulcer treated with vancomycin and cefazolin. Kidney function good.
Any thoughts on the process involving anterior longitudinal ligament with the mineralization and surrounding soft tissue stranding/edema and underlying osteitis in the vertebral bodies?
Thank you,
Hillary
Subject: [EXTERNAL] 63F clinically suspected deQuervain’s Tenosynovitis, MRI
It’s in the neighborhood….but more volar radial than the 1st extensor compartment
I can’t imagine that this would present with a positive Finkelstein Test
I’ve never seen this sort of impingement on the FCR…seems surprising since trapezioscaphoid DJD is so common
Hilary
