Cases

Brian A Howard was so kind as to annotate the scans I posted. I think I overlooked definite metaphyseal fractures at the 3rd metatarsal, possibly also at the 4th metatarsal, just like Brian helpfully pointed out. I find his comment on clinical assessment also worth remembering. After all it´s a 4 year old patient we´re […]

[image: Rt AP.JPG] [image: Lt AP.JPG] I don’t see any abnormality in the area of the Rt Hallux. There are enormous bilateral accessory navicular bones which are smooth and oddly proximal. Doesn’t seem to articulate with the medial pole navicular, like a normal Type II accessory navicular. Just odd normal variant? Would you even consider

MR arthrography of a 23 y.o. male with persistent shoulder pain after MVA 3 months ago. There are signal alterations of the proximal LBT as well as fuzzy changes at the pulley. Could these be caused by needle placement and injection (anterior approach) at this level? Or post-traumatic? What is your impression? Thanks, and a

4.5 year old boy, fell from a swing, pain in the left foot Suspected midfoot fractures. There are some irregularities at the base of the proximal metatarsals. I think that’s just immature ossification, normal for his age. What is your opinion? Cheers, Andrei

I know there is an ACL tear and Ramp lesion (not shown). I am showing this to clarify the anatomy. The FCL, ITB and Bic. Femoris appear intact in axial images. There is soft tissue injury posterior to the ITB and superficial to the FCL / anterior to the Biceps. Is this the lateral capsule,