You reminded me of this case of 4DCT we did for someone who had crackling at wrist on side to side rotation of wrist. Hand sports surgeon couldn’t figure out even on stress flouroscopy. On 4DCT, see how pisiform dislocates in flexion. It was resected and the patient did well afterwards.
All have a fun weekend! We are at 75F-80F tomorrow in Tx and organizing a charity medical camp for our local county. Those nearby- can join us and also get free covid booster or get their sugar checked.
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Sent: Thursday, June 2, 2022 3:31 PM
EXTERNAL MAIL
I am realizing I forgot to share the followup operative update from the locked MCP sesamoid case.
I ended up running to the OR and watching my friend do a sesamoidectomy and the kid is doing great, regaining full range of motion. On the video you can see that under anesthesia he could “unlock” it with some traction, but then it would pop back into that notch and lock up again. Then after he plucked out the sesamoid (radial—typo on initially sharing the case said it was ulnar) the click and locking was gone. I have re-attached the MR image showing it locked for reference
Beautiful case!
You reminded me of this case of 4DCT we did for someone who had crackling at wrist on side to side rotation of wrist. Hand sports surgeon couldn’t figure out even on stress flouroscopy. On 4DCT, see how pisiform dislocates in flexion. It was resected and the patient did well afterwards.
All have a fun weekend! We are at 75F-80F tomorrow in Tx and organizing a charity medical camp for our local county. Those nearby- can join us and also get free covid booster or get their sugar checked.
Avneesh Chhabra, M.D. M.B.A.
Professor Radiology & Orthopedic Surgery
Chief, Division of Musculoskeletal Radiology
UT Southwestern Medical Center, Dallas, Tx
5373 Harry Hines Blvd.
Dallas, Tx-75390-9178
Office: 214-648-2122
avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>
http://www.utsouthwestern.edu<http://www.utsouthwestern.edu/>
________________________________
Sent: Thursday, June 2, 2022 3:31 PM
EXTERNAL MAIL
I am realizing I forgot to share the followup operative update from the locked MCP sesamoid case.
I ended up running to the OR and watching my friend do a sesamoidectomy and the kid is doing great, regaining full range of motion. On the video you can see that under anesthesia he could “unlock” it with some traction, but then it would pop back into that notch and lock up again. Then after he plucked out the sesamoid (radial—typo on initially sharing the case said it was ulnar) the click and locking was gone. I have re-attached the MR image showing it locked for reference
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