Dear all. Several people responded. Thank you for your responses. Based on the inputs I thought it was probably "tug lesion" See below, Hilary’s response. Since the other findings were missing, pulley lesions was not my first choice. Would be unusual for a stress fracture. Some interesting suggestions as follows, unedited. Conclusion on cuboid pulley […]
Good day! We are very grateful for everyone’s effort and feedback. Every opinion leaned towards degenerative changes. I will put the summary of what we conseidered were the main answers below: "bone on bone oa. replace medial compt. no biopsy. meniscus gone. cart gone. deep mcl gone with bursitis. bone and periosteum -stress remodeling" Dr.
Feedback on the case: Male with knee pain and interesting findings Read More »
Hi all Has this variant been described? Like a bipartite patella without the ossicle. VLO more or less continuous with IPT without bothering to run over patella. Odd plica like structure at VLO insertion. Ideas? I have sent pics of both knees. KR Graeme
Hi OCADers, Sorry for the super long email below. This discussion really went down the rabbit hole. Thanks for all your responses over the past week. Here is a summary: No one said they would go ahead with the injection as is, if the patient has a verified severe reaction to contrast. A few said
arthrogram question Read More »
Hi OCADers, Thanks for the feedback. And the most consensual answer was "medial patellofemoral "muscle" BW, Hi Ocaders, This is an 18-year-old boy who has been complaining of chronic medial knee pain. An MRI was ordered to rule out a meniscal tear (which is normal). He has a low-lying VMO, lower than usual, and looks
medial patellar muscle ? Read More »
I thought I understand osteocondritis dissecans. I performed an artro MRI and the more I scroll the more confused I become. Maybe someone more experienced cand help me understand some issues – in the attached pdf. And also please advise me what would be the best treatment in this case. 14 y old male, tennis
I thought I understood osteocondritis dissecans Read More »
Most agree with low-grade chondrosarcoma as the main dx. A biopsy will be performed. I hope to be able to follow up on the case. Thank you 23M, professional football athlete Suspected medial tibial stress syndrome Asymptomatic in lateral malleolus Osteolytic lesion, with small calcifications, thin halo of marginal sclerosis, bone edema and periosteal reaction
OCAD – Enchondroma associated with bone stress or low-grade chondrosarcoma Read More »
Thank you for everyone’s collaboration. I was scared when the internal medicine resident came to my room and told me that the orthopedist wants to amputate the leg, even though it is functional! People exaggerate their claims, but the responsibility was in my diagnosis! The responses I received are as follows: Pagetoid wonder if it
OCAD – orthopedist wants to amputate. Vascular surgeon not Read More »
11 years, male, twist double delta signal by CT
OCAD – double delta signal by CT Read More »
