👨⚕️👨⚕️ A 25-year-old man presents with progressive pain and swelling of the left wrist for the past 6 months. X-ray demonstrates marked osteolysis of the distal radius with progressive disappearance of the bone. Laboratory studies are normal, and biopsy rules out malignancy, revealing proliferation of lymphatic vessels.
✅️ No history of trauma.
What is the most likely diagnosis? 🩺🩺🩺
🔥 Difficult Diagnosis 🔥
Nothing fancy today. Just fundamentals that matter.
Lipohemarthrosis on a cross-table lateral knee radiograph equals an intraarticular fracture until proven otherwise.
In this case:
•The cross-table lateral shows a clear fat–fluid level.
•The AP view localizes the injury to the lateral tibial plateau.
•This is consistent with a Schatzker type II fracture.
Teaching point:
In acute knee trauma:
•Always obtain AP and cross-table lateral views.
•A non–cross-table lateral can miss lipohemarthrosis. Missing lipohemarthrosis means missing an intra-articular fracture.
Basic radiographs. Correct technique. High yield.
—my reporting list
This 43-year-old patient presented with bilateral pain, swelling, and stiffness in the hands and feet.
Her chest radiograph was abnormal.
Most likely diagnosis?
Corticosteroid injections: relief, not a magic fix.
When do they help?
When do they harm?
And how do we make the most of them?
Clear, practical insight—no hype, just facts.
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#TheArmDoc
Hidden X Suture Technique (also known as Inverse Figure 8 Suture)
Surgeons often favor this technique for its ability to minimize visible scarring and provide strong tissue support.
Credit: Prof. Dr. Abdullah Serdar Acikgoz / Cerrahpasa Gynecol Oncol
#surgicalskills#training #medical #suture #medicina #surgery
The lower leg consists of four compartments that are released during a fasciotomy procedure. Here are some insights on how to ensure that all compartments have been successfully accessed.
#legfasciotomies#orthopaedics#trauma#orthotwitter#orthoX#meded
Sometimes things aren’t as they seem - so, always be prepared - this adult patient has traumatic symphysis pubis and left SI injuries. The left SI injury appears to be incomplete.