Dear OCADERS, Again I ask for your help. 12 years old football player. He quit in february due to pandemic, but also pain in the medial knee, no important trauma Pain is persistent 10 month later, increased in intensity and also at night. AINS helps relieve the pain very fast (paracetamol, ibuprofen) but after a […]
Growth plate disturbance – trauma or infection? Read More »
Posting responses and reattaching the ppt Responses: 1. I’d go for haematoma. Please post the “poll results” 😉 Thanks for the case! 2. Given the history I would go for injury to the LPFL with hematoma and maybe a small amount of fat extending through the defect. I don’t do a lot of peds so
8 yr old female with h/o trauma Read More »
Hi all, this is a 16 year old girl imaged in July after a fall on the wrist. Incidental finding: bone marrow changes in the 2nd to 4th metacarpals and in the proximal phalanx of the 3rd digit. At follow up in November these changes are nearly gone. The girl is asymptomatic. No systemic disease
Bone marrow changes in the hand of a 16 year old Read More »
This is a correlate to my synovial sarcoma case from last month. 32 year old with slowly growing mass at ulnar aspect of the wrist. I read a non con wrist MR from an off site location yesterday. Here are some fluid sensitive and T1 images: My friend was the orthopedist and she was scheduled
Another youngster with an initially indeterminate soft tissue mass Read More »
Thank you everyone for your prompt replies. Most responders agreed the mass is most likely ganglion or suture granuloma with recurrent tear and background hypoxic tendon degeneration. One reply also had a similar case that turned out to be Gout. If we aspirate or get feedback on the case I will post results. Thank you
Achilles Cystic Mass Read More »
[Hip 6yrs Bilateral Pain 38F.jpg] These are images from (bilateral) hip MRI in open 1.2T MRI There is bandlike marrow edema within both anterior Sacral ala with ? fracture. There is subchondral Dark T1/PDFS marrow signal on both sides of joint; I don’t see joint widening, erosions or synovitis. There is bilateral SI pericapsular edema.
Hip MRI 38F 6 years worsening bilateral hip pain, Help Please Read More »
[image.png] 29M 4 days post twisting injury with ACL tear (yellow arrow) [image.png] Note acute avulsion Posterior Horn medial meniscal root (red arrow) [image.png] Blue arrow indicates torn Popliteofibular ligament [image.png] There are Gr I sprains of the LCL complex and Gr I Popliteal myotendinous strain [image.png] White Arrow indicate torn Arcuate ligament with posterolateral
29-year-old man, 4 days post twisting injury Read More »
[image.png][image.png] [image.png] [image.png] This adolescent has had recent, recurrent soccer injury. Now there is an anteriorly flipped discoid lateral menicus, as if a bucket handle type injury. 16 months ago after a prior injury there was widening of the posterolateral meniscocapsular junction with grunge where I might expect the popliteomeniscal fascicles. Either they were torn,
Hypermobile Discoid Lateral Meniscus Read More »
62-year-old patient. History of injury 2 years ago. Clinically signs of lateral meniscal tear with possible meniscal cyst. No specific pain stated. No X-ray available. Sequences, clockwise, starting top left corner: PD FS, T1w, PD FS, TIRM Appears benign. Ideas? [image.png] Björn Jobke, MD
Incidental Tibial Lesion Read More »
