Dr. Amini also suggested extra peritoneal desmoid…..which I have seen in the forefoot and can look very similar—though the case I saw didn’t destroy bone at the time I imaged the patient. I have a call into the podiatrist and will try to make sure the patient gets to an orthopedic oncologist and gets biopsied. […]
49M 4th toe swelling + discomfort x 1 year, XR and MRI. Please Help. Read More »
I agree it is a bipartite scaphoid On Sat, Apr 1, 2023, 4:51 AM Byron Oram <byron. wrote: I can’t add any pearls and would tend to agree it’s an old fracture. Perhaps an MRI would be useful here – if it’s a true bipartite then should expect a clean and uniform synchondrosis and no
Is this a bipartite scaphoid? Read More »
Dr. Chaabra’s nice cases inspired me to share an unusual case of synovial chondromatosis I had recently. Pancarpal synovial chondromatosis involving radiocarpal, DRUJ, midcarpal, and CMC joints. Various degrees of ossification, from purely cartilaginous to mature. Mass effect on carpal tunnel, patient presented with carpal tunnel syndrome and wrist deformity. Areas of extrinsic erosion. Subsequent
enjoy syn chondromatosis Read More »
Labs included in the first slide. This is the second case I have seen in the past two months. Why is the signal abnormality in the marrow so "geographic" / well-defined? Thank you! Unknown BME OSteo v infacrt.pdf
Post procedural infarct from tourniquet, or could this be osteomyelitis? Read More »
several replies to the case below, mostly invoking some sort of chondroid lesion. Best reply was from Mark Murphey: "Believe this is an intracortical chondroma (exchondroma) as I spoke about at SSR this year. Tongue superiorly on lateral radiograph great for jntracortical location as is signal and largely peripheral enhancement." (italics and bold mine) Point
distal femoral lesion in 13M Read More »
Have a weird case and would appreciate any help. 30 something year old man with ESRD on dialysis presents with bilateral quad tendon tears after fall. Incidentally seen within the subchondral bone of the bilateral lateral tibial plateaus are these fat-filled lesions with central T1 iso to hypointense signal and central PD FS hyperintense signal.
Bilateral intraosseous fat-containing lesions Read More »
64F, pain for 3 weeks, using crutches Biggest stress fracture I’ve seen
OCAD – Biggest stress fracture I’ve seen Read More »
Dear all, Having checked with Hilary Umans that this is suitable to send out (thank you for giving permission!), just a brief note to let you know about our annual meeting to be held in Perth on the weekend of May 6 & 7 with an upper limb theme and we are honoured to have
Thanks for the many comments…it’s so great.Most everyone insisted it is benign…and even question if there has been real interval growth, though I stand by my caliper measurements—-I gather benign things can grow in 8 years. Not surprisingly, it’s the lack of endosteal scalloping, cortical destruction or STM that Mark Murphey and others point to
63M Indolent femoral neck lesion XR, prior CT and MRI. Please Help Read More »
