OCAD

This is a consult from my colleague, Michael Setton…we’re both hoping you can help with the diagnosis. This is a referral from podiatrist whose stated indication is to evaluate osteoporosis, so….not useful at all.The patient told the tech that her ankle has been "abnormal since childhood" with chronic, worsening pain. There is diffuse dark signal […]

Dear friends. This was a case where it really paid off to be a member of OCAD! (I know its free :-)) Many and great responses, all in favour of "Cystic adventitial disease" and maybe it is not the parameniscial cysts dissecting into the adventitia, but joint fluid along small vessels close to the joint.

Male, 15 years old, skateboard trauma 02 months ago. Pain and increased volume in the medial region of the knee. Fracture in osteochondroma. Adventitial bursitis with serohemorrhagic content? Best, Andre Gomes.

Tatiane shared these images from another article, too…I will report it as a healing fracture with probable adjacent post-traumatic cyst, and suggest MRI follow up after the fracture is healed, if they think it’s indicated, to look for resolved marrow edema. Images from this case: >>> Post-traumatic osseous cyst of the distal radius in a

I have been reassured by Rob Lambert that it is neither sinister, nor does it suggest any obvious metabolic bone disorder…so I’m over it. I had wondered if it could be due to chronic mechanical stress at the insertion of the abdominal wall muscles, given the awful condition of his lumbar spine and his body

Actually, now that i look more closely at the prior XRs, the metal marker in the Rt acetabular liner seems to stay in position in the lateral viewsIs it possible the asymmetry was just positional at that time? The knee XRs are mostly normal There is rotatory subluxation of the Right hip acetabular polyethylene liner,

all the bone marrow has this appearance – not just the knees. Has anyone seen something like this?