Alberto Paternain

Médico radiólogo. Clínica Universidad de Navarra. MD PhD. #MSKRad

[RadioGraphics @RadioGraphics]

WB-DW MRI or FDG PET/CT for myeloma response? This review breaks down strengths, pitfalls, and standardized criteria (MY-RADS & Deauville). Learn how to integrate both for accurate posttreatment assessment and improved confidence. https://t.co/PweymUwoFZ

[JP Munoz • MSK @msk_munoz]

You just got slapped 🎶

[Mo Imam @MoAImam]

Fracture of spine

[Dr. Longissimus @DrLongissimus]

[MSK radiologist reading CT chest-abdomen-pelvis]: that infraspinatus is atrophied tendon's gone, wow nice external oblique lipoma, look at that bilateral L5 spondylolysis

[Lung mass and liver mets]:

[Dr. Ameya Kawthalkar @ASK_MSK]

Professional cricket off-spinner with pain at dorsum of 3rd metacarpophalangeal joint.

Tear of ulnar sagittal band at 3rd MCP joint (red arrow) with surrounding edema.

The physios think might be n overuse injury from repeatedly finger spinning the ball. No other trauma.

[Dr. OMID BANDARCHI @OBandarchi]

Vulnerable sites for AVULSION FRACTURES👍

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

Ultrasound quiz
Level: medium
What is the diagnosis?

[PepeL @pepelermarx]

Injury of the infrapatellar plica/mucous ligament with associated Hoffitis in a 17-year-old male patient with anterior knee pain. #Orthopedics #KneePain #MRI #mskrad

[Dr. OMID BANDARCHI @OBandarchi]

SPRING (plantar calcaneonavicular)LIGAMENT COMPLEX connects calcaneus & navicular& is an important stabilizer of medial ankle, together with Posterior Tibial Tendon(PTT) & Deltoid Ligament Complex.

🟥SPRING LIGAMENT COMPLEX includes 3 ligaments...

https://t.co/IZUZIw1DBe

[Oren Gottfried, MD @OGdukeneurosurg]

25 yo had a physical exam for new employment & reduced breath sounds on right led to this result. Thoughts?

[radRounds Radiology Network @radRounds]

Diagnosis? (source: RSNA)

[JP Munoz • MSK @msk_munoz]

CHONDRAL DAMAGE MRI:

MRI 50% sens for grade II or lower vs 75% sens for grade III and greater
Cysts & edema: high association w full thickness even w/o evident surface violation

Pro tip: osteophyte formation is cytokine mediated (TGF-β & BMP-2). Explains marginal osteophytes away from chondral damage

[Alexeys Perez @ARTRORM]

This complete PCL tear is not easy to see. In addition there are uncommon associated injuries such as traumatic radial tear of the posterior root of MM, reverse Segond fracture and Humphrey's ligament tear.

[MSK Teaching Room @mskteachingroom]

➡️Insertional
- mechanical (>tendon changes)
- inflammatory (>enthesis changes)

➡️Non insertional
- mechanical (fusiform thickening of mid tendon)

This case ⬇️
Insertional mechanical (see the degree of tendon changes)
Retrocalcaneal, retroachilles bursitis
Haglund

[JM ZuluetaOdriozola @JM_Zulueta_O]

Quiropráctico, 63 años. Dolor crónico de muñeca tras caída. Estudio de TC artrografía por sospecha de lesión de ligamento escafosemilunar, con pruebas previa entre las que se incluyen RX y RM. Plano coronal modo cine y continuamos.
@pepelermarx @MskSerme @drwillyjara @SermeMsk

[Salvador Pedraza @salvasapedraza]

Patellar Tracking: An Old Problem with New Insights | RadioGraphics https://t.co/TCXe98iHIU

[Daniel Walkley @TendonImaging]

Peroneus Brevis tendinopathy with a longitudinal split, enveloping longus.
The sonographic 'pac man' sign.
#FoamMed #FoamRad #ultrasound

[Prof Omid Khaiyat M.D., PhD @Omid_HopeUni]

Clinically defined types of "muscular dystrophy" based on distribution of predominant muscle weakness

A- Duchenne-type and Becker-type
B- Emery-Dreifuss
C- Limb-girdle
D- Facioscapulohumeral
E- Distal
F- Oculopharyngeal

#muscular #dystrophy

https://t.co/1wticNZyd5

[Ultrasound Imaging @mbecciomd]

Shoulder. Supraspinatus tear.
Importance of dynamic manouvers (AKA do it like @GSERRANOB_MSK ).
In the static sonogram the ssp tendon appears inhomogeneous, note also cartilage interface sign which may be an indirect sign of tear. Full thickness tear is obvious during stress.

[RadioGraphics @RadioGraphics]

Understanding the anatomy and pathologic conditions of the public symphis is key to accurate image reporting and enhanced patient care. https://t.co/NOd3ziJFMG