Cases

How many potential causes of ulnar sided wrist pain can you count? Please respond only to me and I will summarize tomorrow afternoon (PST). Thanks! [Ulnarwrist3.jpg] [Ulnarwrist6.jpg] [Ulnarwrist7.jpg] [Ulnarwrist4.jpg] [Ulnarwrist5.jpg] [Ulnarwrist1.jpg] [Ulnarwrist2.jpg]

Nearly consecutive patients today. First an 80 y/o with sudden onset of severe knee pain. [80yoghoststress1.jpg] [80yoghoststress5.jpg] [80yoghoststress2.jpg] [80yoghoststress3.jpg] Second patient is a 67 y/o patient who felt a pop and now with severe pain. [67yoradtearstress1.jpg] [67yoradtearstress3.jpg] [67yoradtearstress2.jpg] [67yoradtearstress4.jpg] Both have a “ghost meniscus sign” indicating a radial tear and a secondary stress (or insufficiency)

2 year history of Juvenile Ankylosing Spondylitis, r/o active disease. There was a note in the history that said positive family history. I am trying to get more information. I thought it was a nice example. There is even enhancing inflammation in the soft tissues adjacent to the S-I joints. [16yoAS3.jpg] [16yoAS5.jpg] [16yoAS6.jpg] [16yoAS7.jpg] [16yoAS2.jpg]

I realize this makes 2 cases today. I’ll lay off for a few days after this one. Patient describes progressive heaviness sensation and weakness when walking. It’s interfering with his quality of life. We’ve done L spine and left Hip MR examinations and the only thing I see is psoas atrophy. The hip was done

This is a follow up exam. She was examined in 2019 when she was very symptomatic and again recently after being treated with NSAIDS and disease-modifying antirheumatic drugs (DMARDs). Pediatric Rheumatologist didn’t tell me the exact drugs used for her. The sacroiliitis is still active. The knee is much better. What would you have read