Paediatric spine
Hi all Another one for the paeds experts. Is this normal for haemolytic anaemia/transfusions or is there infection or leukaemia? Thanks in advance. Graeme Spine.pdf
Hi all Another one for the paeds experts. Is this normal for haemolytic anaemia/transfusions or is there infection or leukaemia? Thanks in advance. Graeme Spine.pdf
I have already spent a ridiculous amount of time searching references and online images to no avail…even pried an ancient volume of Caffey’s off my shelf…which provided some exercise…in futility….The history is Metatarsus Adductus…which we see, but please clarify if the ossification pattern at the 2nd metatarsal bases is normal (to quote my beloved teacher
calling all Peds MSK experts or know-it-alls, XR feet Read More »
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
40M 2 months Knee pain, MRI Read More »
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
42yr M Shoulder MRI Read More »
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
82F Hip pain, fell 1 month ago. MRI, marrow question. Please Help. Read More »
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
40M 2 months Knee pain, MRI Read More »
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
43M with complications 2 years after resurfacing hip arthroplasty, CT Read More »
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
Please help, 70M reported history of Prostate Ca, wrist lump x 2 years. MRI. Read More »