Uncategorized

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

I realize I didn’t attach the reference I found (now that Diego Lemos just shared it with me) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925612/ They have a section focusing on AMRI….curiously, the reference that focuses on meniscal root tear only mention posterior Lateral meniscal root tear (in the title) The body of the discussion does not provide any details, just

Hi there !!! I followed this case I submitted earlier. The final pathological diagnosis was grade 2 chondrosarcoma. Kind regards. Andre Thanks to everyone who responded. The vast majority confirm chondral matrix lesion and the possibilities in order of preference were: 1- CMF – chondromyxoid fibroma. 2- Enchondroma. 3- Clear cell chondrosarcoma. I will follow