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Hello everyone! Nice to meet you all. I was hoping you could help me with a case. I’d love to have your opinion. It’s about a 22-year-old male patient who consults due to knee trauma. In the emergency, they perform an X-ray which they assume is "non-pathological", and discharge the patient with analgesia and request […]

Hello again, Got advice on Botox injection in piriformis muscle as treatment, which also can be diagnostic. Being aware of this finding I suddenly noticed fat deposits in the same area in other patients. Could not find any mentioning of this in articles. Following are some pictures of other patient with similar finding of fat

More responses advocating biopsy. Wide range of opinions, with responses of benign nonaggressive, benign aggressive, and worried about malignancy. Again, this was completely incidental with no attributable symptoms. Would not have known this lesion existed in its current state, if the patient did not break her elbow. I never planned to ignore this lesion. Wavered

30yoM status post twisting injury. Difficulty with hip flexion and internal rotation. Rule Out psoas tendon tear. I can see why the clinician thought it would be a psoas tear. When I saw the history before seeing the images I figured the patient would be at least 80+ years old as the only psoas tears

One more….because this makes more sense than growth "arrest" From Don: These were originally called growth arrest lines, but the name was changed to growth recovery lines as apparently research showed they appear after growth has restarted. In my experience, not in your case, the lines are usually most prominent in the patella when compared

Bill Morrison wrote: I believe that finding (and occasionally a ‘paget-like’ trabecular pattern) are related to a period of immobilization during skeletal development.Don Resnick wrote: Growth recovery lines. That settles it. Thank you. I know I posted something very similar a long while back, but I can’t find it….I seem to recall that the previous

The volar plate looks dramatically enlarged but smooth and dark…is there any possibility this is normal….or is this post traumatic scarring? I have no idea if the finger flexion is positional or if there is limited extension Thanks Hilary