OCAD

Hi OCADers, What is your differential diagnosis of the lesion in the posterior medial femoral condyle showing some cortical irregularities? I think it looks worse on the coronals than it actually is because of the plane of scanning. Besides a do-not-touch Cortical Desmoid lesion, would you entertain any other possibility? There’s thickening at the insertion […]

Thank you all so much for the numerous replies! Consensus is that there is definitely a lesion at the anterior inferior labrum 😉 most likely a Perthes variant, possibly superimposed on an older Bankart lesion. Thanks again for opening my eyes 🙂 Have a lovely evening (and those in Europe a sunny holiday tomorrow)! Andrei

Hi everyone, I need some help with this case please. M31 reports recurrent left shoulder dislocation, last time about one week ago. He has an obvious Hill-Sachs impression fx of the humeral head, but I can’t quite put my finger on a labral lesion. Is there a tear at all? I’m attaching axial and coronal

Dear Ocaders; Please advise on this case. thanks Lucas ppt-1.pptx

Hi all, Our peds orthopedists have informed us that they are seeing high number of referrals for uncovered femoral heads/shallow acetabulum in older children and young adults, in which the hips are normal. On the other hand, we have orthopedists who tell us we are under calling and missing the under coverage of the femoral

Radiology/healthcare systems are connected through HL7 (or FHIR), which allows for transfer of data between applications. This can be used in scenarios like these where the tech can type in a few words summarizing the patient history (including chronicity of injury, chief complaint, past medical/surgical hx and more) and send that to PACS/EMR. This information

I find markers a mixed blessing. If placed over a superficial lesion they can distort it and affect fat sat. Also obliterates muscle hernias. I made a form for my techs to fill in with each patient as the orthos often write their diagnosis and not the symptoms on the referral. Challenge was to get

Best to place a marker by techs on the painful or palpable swelling site. Here is an article we had published www.ncbi.nlm.nih.gov/pmc/articles/PMC5732387/ I find marker incredibly useful. We also have the luxury of electronic health records and our hip and knee guys have functional scores along with a diagram with patient pointing to the pain