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Dear Hilary, I have seen this outcome on several occasions when the patient is not operated whatever the reason. To some extent, when acute and intense bone resorption develops in association with an infection, some unmineralized segment of bone may persist and may remineralized later with successful treatment. However, it is not because the radiological […]

She has negative ulnar variance and an absent dorsal ulnar groove with medial dislocation of the ECU, which is otherwise normalThe remainder of the wrist MRI is normal. Our reports are legal documents and I have to assume this is a personal injury case Is this actually pathologic with negative ulnar variance? Is the ECU

Many thanks to all who chipped in! Everyone agreed that it´s a pathologic fracture at the site of an underlying bone lesion. Concerning this lesion, a sizable majority is in favour of FD. I will try to follow the case and post some f/u. Happy Sunday everyone! Andrei Hi there, is this supposed to be

Mohamed Gaceb shared this with me….I’m guessing it is "PL" which is the Plantaris Longus origin I’ve never seen a femoral avulsion of the Plantaris Longus… maybe I missed it Thanks! There is marrow edema at the cranial margin of the LFC deep to the origin of whatever it is that is torn….it’s next to

Lesion is heterogenous centrally but has peripheral t1 hyperintense rim. Nothing on Xray. Thoughts and recommendations? Saeed.

After having a better look, it might actually be a type 3 accessory navicular bone with posteromedial proeminence? Dear all, Would gladly ask for help for this 13 yo boy with medial foot pain for 2 month in progression, with gait, without any notion of trauma. Could that be early Kohler? There is no accessory

Many comments suggesting Rapidly Progressive Osteoarthritis of the Hip I remember all the presentations and reports a while back, but have never seen a case in practice. This just looks so neuropathic to me, but I suppose it falls into that wastebasket diagnosis. I do not have any history of recent joint injection….but that doesn’t

This is a consult from my colleague, Michael Setton…we’re both hoping you can help with the diagnosis. This is a referral from podiatrist whose stated indication is to evaluate osteoporosis, so….not useful at all.The patient told the tech that her ankle has been "abnormal since childhood" with chronic, worsening pain. There is diffuse dark signal

Dear friends. This was a case where it really paid off to be a member of OCAD! (I know its free :-)) Many and great responses, all in favour of "Cystic adventitial disease" and maybe it is not the parameniscial cysts dissecting into the adventitia, but joint fluid along small vessels close to the joint.