Hi!!! This is a 45yo male, after he goes to the gym began with to much pain , there is no obvious trauma, just weight lifting. The ortho was thinking to get him to the hospital for pain relief for the severe pain. What do you think? Randall
Costa Rica connection Read More »
Hi everyone, Ran across a case today that has me stumped. Patient is a 20 year old woman with bilateral knee pain, worst in the MR imaged left leg, of sudden onset approximately one month ago. Pain is intermittent, but when there is a "flare", the patient reports not being able to walk. Conservative management
Don’t Touch Lesion? Read More »
71M with known history of Renal Cell Ca diagnosed in September 2022.CXR done for left sided mass read as "normal, no bone lesions" in October 2022. MRI done for occult mass end of February 2023. This was never occult. Click on the attached pdf for the shoulder MRI 71M RCCA anterior shoulder mass.pdf
49MHistory given for XR "acute onset frozen shoulder 2 weeks ago". XR read as normal….looks normal, even in retrospect. Typically, pain precedes limited range of motion for some weeks. Symptoms of acute onset limited range of motion should not scream adhesive capsultis, clinically. When there is acute onset of pain and LROM, without trauma, think
Shoulder Adhesive Capsulitis Not Always A Clinical Diagnosis XR and MRI Read More »
There are no XRs.I include the current MRI…arrows point to osteolysis at the posterior and paracentral metal bone interface of the medial compartment at the tibia in the Sag images. You can see this in the Cor MAVRIC also. I don’t see marrow edema on STIR. Baseline 2 months post-op MRI images are included…don’t see
59F with pain since TKR June 2022 MRI Please Help Read More »
Hi there everyone, this is a 70 year old male diabetic. Imaged to r/o osteomyelitis and abscess at the forefoot. He has had his 5th toe amputated 9 yrs ago, the distal phalanx of the great toe 8 yrs ago, and his 2nd toe 1 year ago. I’m puzzled by the extensive changes at the
OCAD Tendon changes in a diabetic after toe amputations (MRI / foot) Read More »
Thank you, everyone. Lots of good responses. Ewings, EG, and osteoblastoma were mentioned most frequently. Chondroblastoma (lesser trochanter-end of bone equivalent), periosteal osarc, and atypical Brodie’s abscess were also mentioned as possibilities. This is going for biopsy, and I will update with path results. Thank you all! Will On Tue, Feb 28, 2023 at 11:20 AM
7-year-old lytic femoral lesion Read More »
Happy Friday all, Any thoughts on this shoulder? This is a 40 year old male with Fabry’s disease and chronic kidney disease who presented for shoulder pain. He has a clinical history of adhesive capsulitis and MRI to match, but there are also bone lesions in the humeral neck and coracoid base – each with
Thoughts on this shoulder? Read More »
Hello OCADers, I got the following question from my anatomy colleagues and wanted to see what our thoughts are. In a recent subcommittee meeting of the Clinical Anatomical Terminology Committee, we got side-tracked on a discussion of whether the rectus abdominis muscle should be defined – for the general/first-time learner – as a unilateral muscle
