Radiology Rounds: Elderly male with leg pain
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The elderly male patient is experiencing leg pain due to Paget's disease affecting his femur. Radiology findings include cortical thickening, trabecular thickening, and increased bone size. There is also an incomplete fracture present. Paget's disease leads to pathological changes in bone including a destructive or active phase, combined destructive and proliferative phase, and final sclerotic phase, usually beginning at one end of the bone. Complications can include fractures or sarcoma.
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Paget's disease is a disorder that causes abnormal bone remodeling. It most commonly affects the pelvis, spine, skull, and thighbones. In the active phase, bone resorption occurs, seen on x-rays as osteolytic lesions. Later, bone formation results in osteosclerosis. Complications can include bone deformity, fractures, neurological problems if the spine is involved, and in rare cases, bone cancer. Diagnosis is based on elevated biomarkers and imaging findings characteristic of the different disease phases.
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Nof fracture
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Presentation1.pptx, ultrasound examination of the knee joint.
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Arthritis and arthroplasty- dr. Mahmoud Abdel Kareem
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OSTEONECROSIS 2003.ppt
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A 4-year-old female presented with left knee pain and swelling for one year. Imaging showed a lytic lesion with sclerotic borders near the physis. MRI revealed decreased T1 signal, fluid signal centrally, and an enhancing rim, consistent with an abscess. Intraoperative curettage confirmed the diagnosis of Brodie's abscess, a localized form of osteomyelitis presenting as a well-circumscribed bone destruction surrounded by reactive sclerosis. Brodie's abscess is usually caused by hematogenous spread of bacteria like Staphylococcus aureus to the bone.
Radiology Rounds Hand Pain 6 9 08
A 41-year-old woman presented with hand pain. Radiographs of her hands showed a lacelike appearance of the bones with small lytic lesions affecting the small bones, particularly the middle and distal phalanges. These lesions typically have a lytic or lacy reticular appearance and represent an osteoporotic tunneling process producing destructive lesions involving the bone cortex and medulla. Accompanying soft tissue swelling is also often seen. This presentation is characteristic of sarcoidosis affecting the small bones of the hands.
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The document discusses signs that indicate a supracondylar fracture of the elbow in children, including:
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Radiology Rounds: 62 year old male with pain after fall
A 62-year-old male presented with heel pain after falling from a ladder. Imaging of the lumbar spine revealed an L1 compression fracture. Calcaneus fractures due to falls from heights are sometimes bilateral and associated with compression fractures of the lumbar or dorsal spine in up to 10% of cases. The Bohler angle is used to assess calcaneus fractures, with a decreased angle indicating an intra-articular fracture and a poorer prognosis.
Radiology Rounds: 40 year old female with left flank pain
A 40-year-old female presented with left flank pain. Imaging showed delayed enhancement of the left kidney, cortical medullary nephrographic, and perinephric fluid, indicating possible calyceal rupture or obstructing calculus. The three most common locations for urinary tract stones are the ureteropelvic junction, pelvic brim, and ureterovesical junction. Treatment depends on stone size, with stones 4 mm or smaller likely to pass spontaneously and those larger than 8 mm unlikely to without intervention, while stones between 5-8 mm often pass with medical expulsive therapy.
Radiology Rounds: 27 year old female with abdominal pain
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A 25-year old patient presented with left hip pain after a motor vehicle accident. Posterior wall fractures of the acetabulum are the most common type of acetabular fracture, involving the posterior articular surface, rim, and column. These fractures often result from dashboard impacts and cause transient posterior dislocations of the hip. Follow up imaging with Judet views is needed to best evaluate fractures of the anterior and posterior walls and columns.
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This document discusses neck pain after trauma, specifically a hangman's fracture or traumatic spondylolisthesis of the axis (C2 vertebra). It notes disruption of the spinolaminar line at C2 on C3, indicating a fracture of the pars interarticularis of C2. It provides details on the anatomy of C2 including that it is the only vertebra with a pars interarticularis and helps provide rotation, and discusses the mechanism of injury being hyperextension forces on an already extended neck.
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Courtesy of Laura Avery, MD
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Radiology Rounds: 40 year old female with left flank pain
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- 7. Patient returned with increased pain “ Banana fracture" = tiny horizontal cortical infractions (“Looser lines”) on convex surfaces of lower extremity long bones (lateral bowing of femur, anterior bowing of tibia)