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I managed to reach a very involved and helpful orthopedic resident who just sent me these screenshots…. I wonder about osteolysis along the superior aspect of the osteochondroma in the 2nd image….which corresponds to the area of marrow signal alteration on MRI The resident is still trying to book the appointment with the orthopedic oncologist….but […]

I mentioned to Daniel that I had a similar case a year or so ago in a patient with excruciating pai. I did an ultrasound-guided barbotage, got calcium out and the patient’s pain was instantly better. This case of a 67-year-old male came through a few days ago, and looks very similar– the MRI was

difficulty with extension, cyclops with ganglion cyst , Hoffaitis? Arthrofibrosis involving fat pad too…..Thoughts? Best, Frank

To my complete amazement I just got a call from the referrer…who now confirms that the pt has chronic renal failure (not on dialysis, but followed by a nephrologist) and has a known history of gout. Atul Taneja suggested amyloid could be seen in the context of CRF and might tie the 2 lesions together

Hi again, Extracts of answers on the case: seronegative spondyloarthritis with structural changes at entheses. signs of growth disturbance, juvenile chronic arthritis hx of IBD? 2x inflammatory arthritis, DDx psoriasis arthritis dysplasia epiphysealis hemimelica (Trevor disease) metabolic joint dysplasia I tend to go with RA, DDx psoriasis arthritis. Literature shows that the menisci can be

Hi there, this is a 40 year old female with marked edema of both forearms for a week. No pain or fever. No statins or similar. Marked CK elevation. Liver cirrhosis Child A, auto-immune cholangitis. Thoracic outlet syndrome or subclavian thrombosis not ruled out yet. I’m explicitely mentioning that because, were it not for the

There is a heterogenously dark signal mass contiguous with / apparently arising from the anterior horn of the lateral meniscus…completely separate from the ACL I see there was an old MRI from 7 years ago…I can hallucinate something much smaller there He has a known history of Gout Have you seen tophi arising from the

Dear friends and colleagues, This 12-yo boy jumped over another football player and his flexed knee directly fell on the ground. He immediately felt excruciating thigh pain. I saw him 2 days later at ultrasound (fig 1 and 2) and found no tendon avulsion and no myo-tendinous junction tear. The muscles were normal. I was

Sergio Viana shared a beautiful companion case and open access podiatric article Hi Hillary. It seems to be exceedingly rare(https://www.hmpgloballearningnetwork.com/site/podiatry/when-presence-flexor-hallucis-accessory-longus-contributes-chronic-foot-pain-standing), but I’ve seen this recently. Take a look at the attached image. Em 10 de mai de 2024, às 17:15, hilary umans <hilary.umans> escreveu: <51F heel pain 5916322ACPNY.jpg> My colleague asked "can you have 2