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I received a handful of comments: I would say the oedema highlights fascial layers you don’t usually see, rather than a co-existent MCL injury, which is less likely. I would call the MCL intact with just minor surrounding edema I would not call a delamination, just a sprain of the MCL. I wonder if the […]

Hi to all OCADers, Anterior shoulder dislocation; fielding injury playing cricket. The Blue arrow points to a medialised anteroinferior labral tear (ALPSA) and there seems to be an absent anterosuperior labrum. Please assist me with two questions: 1. Is there a Buford complex with the Green arrow representing a torn cord-like MGHL…or other? 2. Is

Hello OCADers, This case came through yesterday afternoon so I thought I’d resurrect this thread. 65 yo M with shoulder pain, no additional helpful history. Interestingly, osteopoikilosis was suggested on a recent shoulder x-ray from an outside facility so evidently there are sclerotic foci to correspond with the changes on MRI. Unfortunately, I don’t have

70 ish pt with wrist pain; r/o volar mass. Volar lunate dislocation Have not seen this before, Case Courtesy of Greg Broering M.D. Best, Frank

Subacute complete posterior horn medial meniscal root ligament tear (white arrow) with extruded intact MM body Smooth impaction of the medial tibial margin by the extruded meniscal body (I think we can sometimes see this on XR) with reaction marrow edema No real Medial compartment cartilage loss..Yet… My question is about the MCL…would you call

I received several responses….From Lucas Da Gama Lobo, I found this most detailed and useful:I think this is ALTR. I understand ATLR is an umbrella term encompassing a variety of immune mediated reactions to metal wear debris in patients with arthroplasties, commonly those incorporating a metal on metal bearing, though an identical reaction can occur

The subtraction was corrupted by slight misregistration, there may be minimal enhancement? No mention of this is available history, in 2012 he had hilar and mediastinal lymphadenopathy, DDx of sarcoid and lymphoma was reported….I have no follow up….though the fact that he volunteered a history of Prostate Ca argues against a history of another malignancy

Hi Ocader´s. What a coincidence to report this case today! Man, 23 years old, works with a computer and musician (piano player). I recalled this patient to obtain the wrist supination sequences, due to the last case! And in this case we observed a more evident palmar luxation of ECU, characterizing a rupture of the

Xray and US for DVT read as negative at time of injury No other medical history; no meds MRI 10 days later One possible area of restricted diffusion. o/w negative diffusion. What say you about the marrow? Has meniscal and chondral changes; large Bakers cyst and fluid into the calf as well. Best, Frank