Dear friends Thank you for commenting on this case. Obviously, there are fractures, probably insufficiency fractures due to altered bone or bone metabolism in this patient with psoriasis arthropathy, DM2, osteoporosis, medicated with methotrexate (but not alendronate). However, the appearance is not the everyday insufficiency fracture, and some of you had experience with these findings […]
Atypical stressfracture Read More »
Hi everyone. I need help. Have you seen the image of an interference screw like this one? Fragmented? How would this happen? The ACL reconstruction took place in 2021. Graft sag t2 – is a little less tight. In 2021 year:
interference screw Read More »
Hi OCAD community, Thanks for your valuable insight as always. I received 8 responses over the week. Feel free to continue to comment and add to the discussion. The majority said to be descriptive as this is confusing otherwise. There are many classification systems for subscap tears. Some are listed in Table 2 of this
subscap tear terminology Read More »
I managed to reach a very involved and helpful orthopedic resident who just sent me these screenshots…. I wonder about osteolysis along the superior aspect of the osteochondroma in the 2nd image….which corresponds to the area of marrow signal alteration on MRI The resident is still trying to book the appointment with the orthopedic oncologist….but
18M with arm pain and osteochondroma MRI Please Help Read More »
I mentioned to Daniel that I had a similar case a year or so ago in a patient with excruciating pai. I did an ultrasound-guided barbotage, got calcium out and the patient’s pain was instantly better. This case of a 67-year-old male came through a few days ago, and looks very similar– the MRI was
59 F pain and swelling for 2 weeks. No injury. Read More »
difficulty with extension, cyclops with ganglion cyst , Hoffaitis? Arthrofibrosis involving fat pad too…..Thoughts? Best, Frank
To my complete amazement I just got a call from the referrer…who now confirms that the pt has chronic renal failure (not on dialysis, but followed by a nephrologist) and has a known history of gout. Atul Taneja suggested amyloid could be seen in the context of CRF and might tie the 2 lesions together
60M lateral ankle mass, XR, US, MRI please help Read More »
Hi again, Extracts of answers on the case: seronegative spondyloarthritis with structural changes at entheses. signs of growth disturbance, juvenile chronic arthritis hx of IBD? 2x inflammatory arthritis, DDx psoriasis arthritis dysplasia epiphysealis hemimelica (Trevor disease) metabolic joint dysplasia I tend to go with RA, DDx psoriasis arthritis. Literature shows that the menisci can be
Young pat with knee synovitis and bilat. menisci abnormality Read More »
Hi there, this is a 40 year old female with marked edema of both forearms for a week. No pain or fever. No statins or similar. Marked CK elevation. Liver cirrhosis Child A, auto-immune cholangitis. Thoracic outlet syndrome or subclavian thrombosis not ruled out yet. I’m explicitely mentioning that because, were it not for the
OCAD Pls help – acute inflammatory myositis? (MRI) Read More »
