IC

Radiología. Musculoesqueletica.

[IC @CIC0826]

MRI shows a complete transection of the median nerve → Sunderland grade V injury.

Key question: what should we look for on imaging in this scenario?
#MSKrad #Radiology #MRI #PeripheralNerve #MedianNerve

[IC @CIC0826]

Back after a long break — teaching and work took over, but glad to be back sharing MSK cases.

📌 58-year-old male
📌 History: sharp laceration at the volar wrist
Presents with:

Loss of thumb opposition

Decreased sensation in median nerve territory

[IC @CIC0826]

@mskteachingroom @SidThakerMSK @jacja_ @mskradiologyuk @veronica_giotas Ulnocarpal abutment plus Palmer 2b

[IC @CIC0826]

@DrMarwanAl_D @carlespedret Excellent case. A question about type 3: I’ve never seen a case like that, where only the free aponeurosis is affected. I usually see it associated with myoaponeurotic involvement. Have you ever seen a type 3 case?

[IC @CIC0826]

@bhavinj One more thing: the patients I’ve seen with this type of tumor showed a reddish-bluish discoloration of the nail prior to undergoing ultrasound or MRI. Thanks for sharing!

[IC @CIC0826]

@DrFaican LIP?

[IC @CIC0826]

@northwoods1980 As I mentioned, the diagnosis is made clinically. In this case, it already came with suspicion. Likewise in children I always look at the density of the calcaneal processes to see normality. Additionally, the irregularity of the left calcaneus can be useful. Do not give up!😅

[IC @CIC0826]

Sportsly active teenager with intense heel pain.
Tomographic findings of calcaneal apophysitis (Sever's disease).
Although the traumatologist diagnoses it clinically, imaging studies can help make a differential diagnosis (stress fracture, Achilles tendon).
#MSK #radiology

[IC @CIC0826]

@kocjan_andrej Exactly, it 's the same as osteochondrosis of the metatarsus.

[IC @CIC0826]

70-year-old, female with chronic metatarsalgia.
Various images of osteochondrosis in the head of the second metatarsal.
Note the deformity, cortical irregularity of the head of the second metatarsal, with subchondral bone edema on MRI.
#feet #MRI #MSK #radiology

[IC @CIC0826]

@samrad77 @WFUMB Put your hand in the back pocket of your pants! (I didn't know the name 😅). Extremely useful position in daily practice for those small tears that raise doubts with the classic position to assess the supraspinatus.

[IC @CIC0826]

25-year-old male, with chronic pain, which increases in the post-match🏉🏉.
Example of imaging findings of athletic pubalgia and a short summary of secondary cleft.
#MRI #trauma #radiology #FOAMed

[IC @CIC0826]

@teresa_peltz It could be something to bring up to the traumatologist. Although complication rates are not high

[IC @CIC0826]

Female ⚽️ 20 y, chronic knee blockage, without trauma.
Example of ACL ganglion cyst, which when symptomatic must be resected.
Talking to the traumatologist, he is going to undergo arthroscopic cytoreduction (let's wait for the images).
#MSK #radiology #knee #ACL

[IC @CIC0826]

@Rheumatology Good luck, I'm sure it will be great.

[IC @CIC0826]

@handoshera Mucoid degeneration usually keeps the ACL tract only thicker and hyperintense (celery stalk). Ganglions are focal images. However, it is believed that degeneration may predispose to the formation of cysts (elderly patients, which would not be the case☝️)

[IC @CIC0826]

Gran comienzo y puesta en escena del Curso Iberoamericano 2023 y que mejor que sea en tu casa
#cirme2023 #msk #radilogy

[IC @CIC0826]

35 y, omalgia without trauma.
Distal osteolysis of the clavicle (DCO) without trauma occurs due to a repetitive stress mechanism. Exploring a little, the patient was a gym regular and the pain was aggravated when lifting weights🏋️‍♂️.
Interesting reading 🤓
#MSK #FOAMed #radiology

[IC @CIC0826]

Example of subtle signs of aggressiveness of a chondral lesion: the size (> 5 cm), the bone disruption and remodeling, and the margins were signs that made me suspect that it was not a simple chondroblastoma.
Histology confirmed: Central atypical cartilaginous tumor
#bone #msk

[IC @CIC0826]

Chronic pain in the anterior aspect of the knee in a young professional runner.🏃🏃

The findings described demonstrate the signs of jumper's knee or proximal enthesopathy of the patellar tendon, common in the context of repetitive forced extension.

#MSK #knee #trauma #radiology