Cases

Strange COD #2

yes, I’m fully aware that “OCAD” stands for “One Case a Day” but since I only send less than 1 case a month I figure I’ve built credit. And no, this isn’t an April Fool’s joke. This is a 40F with preeclampsia.  Sent to me for consult, as vertebral bodies “look funny”.  Patient has name […]

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Strange COD #1

49F with no relevant medical history other than severe “myelopathy” with L hand numbness.  Extensive soft tissue calcification in what looks like synovium at C3-4 on the R and bilat at C7-T1.  no erosions.  Looks more like HADD than anything.  Normal renal fxn, etc.  Patient is a smoker. Thoughts? synovial-calcifications-in-C-spine.pptx

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OCAD knee answer

Hi, Several of you responded as ACL graft intact and possible LM tear. ps attached complete answer in the ppt. Here are a couple of articles if you want more details on 3D imaging of ACL and Meniscus injuries and more Goggle (axial arthroscopy) views- Thakur U, Gulati V, Shah J, Tietze D, Chhabra A.

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Focal ossification/ protuberance/ exostosis in femoral cartilage, does it matter?

Hi, This is called central or chondral osteophyte it’s presents means prior Gr 4 cartilage defect see this article Komarraju A, Goldberg-Stein S, Pederson R, McCrum C, Chhabra A. Spectrum of common and uncommon causes of knee joint hyaline cartilage degeneration and their key imaging features. Eur J Radiol. 2020 Aug;129:109097. doi: 10.1016/j.ejrad.2020.109097. Epub 2020

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