Uncategorized

16M one week after American football injury, 8 months after ACL reconstruction There are posterior tibial contusions (not shown), an inferior patellar contusion, but no femoral contusion—even though I don’t see a fluid signal defect, the graft looks lax and I think the yellow arrow points to a tear at the mid-distal graft My question […]

She was reportedly imaged with CT and had a non diagnostic biopsy in 2020 at a major cancer centerThe MRI with and without contrast is from today The XR are screenshots sent by the referrer….I think they are recent We don’t have the prior outside CT It’s benign unilamellar periosteal new bone formation, but alot

Tatiane Cantarelli came through quickly with an explanation Management of femoral head fracture by Ganz surgical dislocation of the hiphttps://jorthoptraumatol.springeropen.com/articles/10.1186/s10195-022-00643-w It makes better sense, the FH is a fracture fixation…though it doesn’t look terribly fixed in my case I have no way of knowing if there was pre-op DJD….at this point, fracture healing seems irrelevant

Dear OCAD friends. I did not receive any explanation for my findings, except for a handful who had seen the same type of findings – but did not know why there is so much going on at the anterior distal femur. But today I received this information from Szabolcs – who points to the anastomosis

There is a chronic meniscal ossicle embedded in the stump of the posterior horn medial meniscal root (red arrow) which is chronically avulsed (black arrow) He got the MRI because he’s symptomatic, obviously, but there is no medial compartment cartilage thinning and no meniscal body extrusion—which is difficult to explain…..can you? What’s providing stability here?

Metallic debris after GSW I see this frequently in my practice but I could find any case in my files. This case is from NEJM. 14 years apart This is an otherwise healthy 40 year old machinist who presents with knee pain after injury. His hip xray the same day was normal. Any thoughts on

Before I summarize the responses, I want to let you know that our most recent Case Session, "Focus on Peds MSK" was really excellent….one of the best, in my opinion…everyone showed beautiful cases and the presentations were very informative. The video is available for On-Demand viewing on our website at https://ocadmsk.com/videos/ If you haven’t as

I reported the case late in the workday at which point I received the comments assuming (along with me) that it is a chondroid lesion. The baseline XR definitely look more chondroid…and I believe the f/u XRs look more chondroid-ish. Based on the advice, I reported what I saw and the interval growth and advised