sbmander

MSK Radiologist

[sbmander @sbmander1]

@BrianSuttererMD He had a pre-existing stress injury or stress fracture that hurt when he fell.

0.0000% chance this caused a stress fracture (or honestly any fracture at all).

Patients just know when things hurt they don’t know what medically actually is happening.

[sbmander @sbmander1]

@generalorthomd 🤣🤣🤣. So embarrassing

[sbmander @sbmander1]

@LenMacPT @generalorthomd I get a skewed “not doing well” post op sample of course but the number of Cyclops lesions after the quad harvest for ACL recon is approaching 100% the last few months

[sbmander @sbmander1]

@generalorthomd @LenMacPT Anecdotal and unscientific because I’m busy/lazy, but so may Cyclops lesions or just generally bad arthrofibrosis after quad tendon graft

[sbmander @sbmander1]

@BrianSuttererMD Cyclops lesion! Egh

[sbmander @sbmander1]

@BrianSuttererMD FYI, when they say grade 2 vs 3 in these high level athletes they usually are talking about BAMIC grading (British Athletic Muscle Injury Classification) not what most think of as grade 2 vs grade 3.

It’s on a 0-4 scale and 2 vs 3 is sometimes hard to differentiate.

[sbmander @sbmander1]

@BallUpTopBrad lol white shooting 0% from the field is way better than Garland overall as a player.

Is this a joke?

[sbmander @sbmander1]

@hjluks Certainly not recently placed! 😬😱

[sbmander @sbmander1]

@northwoods1980 Haha who knows but I agree there’s more to the story!

[sbmander @sbmander1]

@ProFootballDoc I’m sure they would have mentioned Achilles if it was.

Would guess tibialis anterior, tibialis posterior, or peroneus longus.

[sbmander @sbmander1]

@BrianSuttererMD Yes... plenty of physical therapy trials ordered by clueless docs and pt goes from normal knee to severe OA, subchondral fx, and knee replacement in under 6 months.

Can't have a blanket answer on this (though some surgeons def do surgery more than needed as well).

[sbmander @sbmander1]

@northwoods1980 It's bad. Worse than I expected actually.

Takes a lot of time to look at all of the false positives, and it gets confused by simple things.

It's similar to having a bottom of the barrel 1st year resident sending you prelims.

[sbmander @sbmander1]

@benwhitemd Lots of minor things you could quibble with, and maybe some (un)intended downstream consequences in the future with this out in the open.

But everyone knew mammo and neuro were way overinflated and X-Rays way low. Big picture, those were probably correctly adjusted.

[sbmander @sbmander1]

@agtenc @northwoods1980 Agreed.

AI is bad but the bottom 10-20% of rads at most groups are (dare I say it) equally bad? Maybe worse?

Being a non-terrible rad is the easiest defense against AI in the short term.

[sbmander @sbmander1]

@northwoods1980 Looks typical to me, they’re always pretty thick. Way thicker than native MPFL.

I feel like these patients often have issues with scarring, inflammation, maltracking , cartilage damage etc …regardless of how the MPFL looks.

[sbmander @sbmander1]

@BoWang87 What an embarrassing post

[sbmander @sbmander1]

@BrianSuttererMD Most imaging centers don't even have a particularly good or standard rib/oblique protocol. Not a common study.

Hard area to image, breathing artifact, poor fat saturation, atypical field of view, techs not used to it.

Images probably just sucked and they wanted to re-do it.

[sbmander @sbmander1]

@BrianSuttererMD Frankly I’m sure they’re thrilled they don’t have to deal with it.

But yeah, unlikely to make much difference in the end vs what would get done here.