ptirmanmd

Pre and post gad. Patient afebrile. Palpable lump. No skin discoloration. The bright thing at the skin is an oil pill used as a marker for localization purposes. Oh she also has a meniscus tear. What is the mass? 1. Abscess. 2. Chondrosarcoma. 3. Adventitial bursitis as a result of chronic friction associated with a […]

67 y/oF with right hip pain. History of “significant trauma” at age 7 (1961). [image: 67Ftraumaatage74.jpg] [image: 67Ftraumaatage71.jpg] [image: 67Ftraumaatage72.jpg] [image: 67Ftraumaatage75.jpg] [image: 67Ftraumaatage73.jpg]

I called the orthopedist and he said she has anterior lateral pain and she has an adult onset muscular dystrophy (probably Myotonic Dystrophy). I thought maybe some sort of compensatory stress/frictional phenomenon? (when in doubt blame it on stress). Have you seen this before? Thoughts? please reply to me and I will summarize comments and

This case came across the desk recently. I wasn’t sure what the marrow decreased signal was but had an idea. The patient had meniscus surgery a few years ago and now has increased pain. No prior studies. The Orthopedist wants to r/o DJD and recurrent meniscal tear. No significant past medical history and no other

53 y/oF had a fractured second finger in 2014. I don’t know which bone but suspect it was the distal phalanx. Now with history of swelling and pain. What do you think is most likely? Please reply to me and I’ll summarize and send out. (please don’t reply all). Here are 2 interesting possibilities that

It was in your top two I bet – if not number 1. [image: MLL62yo2.jpg][image: MLL62yo3.jpg][image: MLL62yo4.jpg] [image: MLL62yo1.jpg]

Answers were C and B. The presence of an intramuscular intratendinous cyst typically means that there is an articular surface component. On this case the posterior coronal image shows it best I believe. Sometimes you don’t see it especially on routine MR but it is found at arthroscopy. Thanks to Drs Golsaz, Crnkovich, Reveron-Arias, Rivero,

Sometimes it is difficult to state the full extent of a rotator cuff tear. There are some findings that help with your confidence in deciding between a purely interstitial focal partial tear which may be treated conservatively (in some cases depending on the clinical factors) and articular surface tear which may be addressed surgically also