Hi all, this is a 17 year old patient with clinically plica syndrome, the orthopod is quite firm on this. On MRI there is a mediopatellar plica, but it doesn’t strike me as particularly prominent. What do you think? Should I inject some saline and do another MRI, to better see the plica? (If so, […]
(OCAD) Plica in the knee? Read More »
15y,M The prognosis of the healing of an OCD lesion depends on the skeletal maturity and the severity of the lesion. In younger patients with open physis, the prognosis is better. Causes: traumatic, ischemic, idiopathic and hereditary (multifactorial etiology). Failure criteria in the assessment of non-operative treatment: Skeletal maturity. OCD in weight-bearing areas. Size of
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Updates to YouTube’s Terms of Service Read More »
Hi there! First time posting to OCAD. 64 year old woman, incidentally found pelvic lesions. I’m attaching a powerpoint. Please help! Thanks, Jessica Pelz polyostotic-lesions-pelvis.pptx
multiple bone lesions Read More »
Hi there, M34, reports sudden pain 3 months ago tightening some large screws, imaged for persistent pain. The ulnar attachments of the radioulnar ligaments look edematous to me. There are some edematous and cystic changes also at the ulnar TFCC attachment. There’s no frank ligament or TFCC rupture. Centrally thin TFCC probably unrelated to his
(OCAD) Wrist MRI TFCC and radioulnar lig changes Read More »
Hi dear friends， 50yrs male，left thigh pain for one year.Xray showed homogenous slerotic change in left femoral head，neck and upper diaphysis.On fs T2W and T1W left femoral head，neck and upper diaphysis showed homogeous dark signal，but on fs T2 MRI bright line signal was found in lateral femoral head and ischium. obvious soft tissue edema around femur.
please help！homogeous sclerotic change in left femur Read More »
F65 referred for deep back pain with elevated D-dimer. No pulmonary embolism, aortic dissection, pneumonia, tumor or pleural effusion. There’s this fractured osteophyte at Th10/11. Looks chronic to me. Sometimes I see this but never really thought about the relevance. Do you think it could be a probable pain generator? Thanks, and have a good
(OCAD) Spondylophyte fracture – relevant? (CT) Read More »
Hi, dear OCADERS, Any idea about this tumor in a 14y old female? Stationary in size in the last 6 month Well defined, sclerosing margins, I would say OTRADS II, but I worry about the intense heterogeneity inside. And also there is sort of a lipomatous halo around the tumor visible in T1 and T2
mixed litic and osteosclerosing tibial tumor – CT and MRI Read More »
