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I received only one comment about this case, from Connie Chang, who is one of my main go-to consultants on finger imaging…. i think you’re right about all of it – junction central/lateral slip tear, rcl midsubstance tear, also accessory band tear near its origin. I think the rcl is balled up – the proximal […]

Hi all Happy Holidays et al Please help with the attached paediatric case. Much obliged. Graeme Presentation1.pptx Presentation1.pdf

I received two after hours responses raising concern that this could be an early osteosarcoma, urging close clinical and imaging follow up.I was advised that clinical details would be important….to know when the XRs were obtained and whether the child has been actively engaged in sports or not in recent weeks . The XRs were

Per James Linklater:If doing an arthroscopic repair, the technique differs between superior fascicle torn only vs sup and Inf No diff if open repair for most surgeons Roar’s post reminded me of this case I posted in Jan 2023….there are many more OCADers since then, and this is an interesting topic, so here it is:

Hi Ocaders, This is a 14-year-old boy who has been complaining of chronic lateral knee pain. An MRI was ordered to rule out a lateral meniscal tear (which is normal). He has an accessory plantaris muscle. There is some subcortical bone marrow abnormality at the lateral epicondyle along the trajectory of the accessory plantaris Could

Male, 15 years old, skateboard trauma 02 months ago. Pain and increased volume in the medial region of the knee. Fracture in osteochondroma. Adventitial bursitis with serohemorrhagic content. Control images, down below. Best, Andre 13/12/2023:

Bob Lopez just answered my question, he wrote: I think it’s mostly gout. I also think that I recollect that there can be mixed crystals disease in a large number of cases ( ie uric acid and calcium pyrophosphate crystals in same synovial fluid) One thing that I have been told in the ultrasound rheum