Dear Colleagues,Thank you for your great input in the ankle trauma case. Below are the feedbacks that I’ve received Aveesh: post traumatic avn- colllapse- mechanical synovitis Nicholas: It’s AVN. JIA wouldn’t affect the talus so extensively without also involving the tibia. Cyrus: I would tap the joint ASAP. Can’t r/u JIA or septic arthritis with […]
Pediatric Ankle trauma feedback Read More »
Thanks for the multiple replies sharing their experience and discussing this interesting topic, find below some of them: – I’ve seen maybe 2 or 3 in 20 years. – Is the patient on immunotherapy? I have seen a few cases and current ongoing research on immunotherapy related inflammatory arthritis. – NIce case, I don’t see
Adhesive Capsulitis of the Hip Read More »
Dear colleagues, May I ask you for your opinion on this challenging case? In addition to WBMRI findings (subcutaneous & marrow changes), the patient has mild hepatosplenomegaly. My impression is a complex CRMO with extraskeletal features. Would you agree? Any other thoughts? Thanks, Regards, Talaat New paediatric case, Sep 2023.pdf
New paediatric case Sep 2023 ? Read More »
Correction, that’s the posterior supraspinatus, not the infraspinatus in the last image I know I have shared similar cases in the past and I was told that these were non-aggressive subcortical enchondromas….I thought someone (Don?) said there was a publication, but I cannot find it.In the last image there is infraspinatus tendinosis and she has
Incidental chondroid lesion humeral neck 37F MRI. Please Help. Read More »
Dear All,May I ask for your thoughts on a 5-year-old boy with a talus fracture in March 2023? A recent follow-up in July showed a tallus collapse and sclerosis with subarticular erosions in both XR and MRI in addition to the synovitis. I’m thinking of AVN. But, Would you see such erosion in AVN in
Tatiane Cantarelli shared this.I clearly over-estimated the thickness using this technique! Improved Differentiation of Benign Osteochondromas from Secondary Chondrosarcomas with Standardized Measurement of Cartilage Cap at CT and MR Imaging Stephanie A. Bernard , Mark D. Murphey, Donald J. Flemming, Mark J. Kransdorf https://doi.org/10.1148/radiol.10082120 Tatiane On Wed, Aug 23, 2023 at 9:46 AM hilary umans <hilary.umans>
Question about Femoral Osteochondroma Cartilage Cap, 34M Read More »
So I got a few answers, I’ll post what most people think: Chondroid lesion of more than 5 cm (here 5.4) in a context of pain (not otherwise explained) with abnormal painful gait should be evaluated by a oncologic surgeon as it could be low grade chondrosarcoma. The subchondral edema in the femoral head could
femoral incidental finding on MRI + pain Read More »
Doesn’t look like AVN or stress reaction, too old for FOPE focal periphyseal edema. Can’t R/O infection but awfully long development time. Interested to hear other opinionsJoel Rubenstein On Aug 21, 2023, at 1:39 AM, D.J. Y. wrote: Dear all, 19yo male patient who fell 2 month ago with persistent proximal femur pain and vicious
femoral incidental finding on MRI + pain Read More »
Thanks for the responses from: Rob Lambert: Yes – can be mechanical. As well as getting subchondral cysts, degenerative change in joints with a short thick capsule and limited range of motion may be associated with ganglion cysts arising from the joint capsule that erode bone around the perimeter of the "tight" joint. Classic examples
Funny looking pubic symphysis, Please Help. 65F XR and CT Read More »
