Cases

I know y’all have seen erosive OA on xrs- here is MRI- 2 images Also below another chronic case Avneesh Chhabra, M.D. M.B.A. Professor Radiology & Orthopedic Surgery Chief, Division of Musculoskeletal Radiology UT Southwestern Medical Center, Dallas, Tx 5373 Harry Hines Blvd. Dallas, Tx-75390-9178 Office: 214-648-2122 avneesh.chhabra http://www.utsouthwestern.edu

Join us for OCAD Live 2023! This will be our 3rd Live event! Date: Saturday, March 11th Time: 10AM-5PM (ish) (lunch will be served) Location: Westin Savannah Harbor Golf Resort & Spa (same venue as SSR) Last Call. Registration CLOSES January 31st. This is different from your typical meetings. This is a non-hierarchical meeting where

FINDINGS: Marker was placed along the dorsal aspect of the mid carpus. Status post distal radioulnar arthrodesis with complete osseous fusion across the joint, and resection of the distal ulnar metaphysis (Suave Kapandji procedure). T2 hyperintensity and susceptibility distal ulna related to surgical material. Complete four-corner osseous fusion of the lunate, triquetrum, capitate and hamate.

Alignment: Surgical changes of a distal ulna resection (Darrach procedure) with expected mild osseous edema at the surgical site. Fluid: Carpus effusion: Trace free. Synovial thickening: Mild. Intra-articular body: Absent. Distal radioulnar joint effusion: Soft tissue thickening and postoperative synovial compartment expansion in the distal ulnar resection site. Intrinsic ligaments: Scapholunate: Central membranous perforation. Lunotriquetral:

Do you use OT-RADS? IMPRESSION: Old periosteal injury at the vastus intermedius attachment of the anterolateral mid femur with focal ossification. No new injury. RECOMMENDATIONS: OT-RADS: I. No osseous tumor identified. or ST-RADS IMPRESSION: Lipoma in left paraspinal soft tissues RECOMMENDATIONS: ST-RADS II (Definitely benign). Follow-up as per clinical team recommendations. Avneesh Chhabra, M.D. M.B.A.

Dear Phil, You and Dr. Resnick brought a good point- why GLAD as it is supposed to be a stable lesion. Ans. is simple- my fellow put it in so I kept it as it is 1st principle in teaching fellows- not to annoy them. To be honest- I don’t use GLAD in most reports