good morning OCAD –
Was hoping some of you could help me clarify my thinking on this case.
In the attached PowerPoint I have what looks like a nice case of posterior impingement at the ankle … elongate posterior process, marrow edema process and os, surrounding st edema, some impaction changes at the calcaneus …
then as I am looking at the more proximal slices it looks like the posterior compartment musculature is all fatty replaced. I’ve never noted that as an associated finding before. Should I be considering some more proximal denervation changes or do these two findings go together in a way in which I’m not familiar? Maybe just disuse?
thanks
pete
Peter C. Young, MD
Section Head, Division of Musculoskeletal Radiology University Hospitals Cleveland Medical Center
Case Western Reserve University
posterior impingement with post comp fatty replacement.pptx
