Wednesday, November 13, 2019

16-year-old with marrow findings on MRI after fall on the wrist


Hi all,

16 year old girl imaged in July after a fall on the wrist. Incidental finding: bone marrow changes in the 2nd to 4th metacarpals and in the proximal phalanx of the 3rd digit. At follow up this month these changes are nearly gone. The girl is asymptomatic. No systemic disease known. Any suggestions?








at
Labels: , , , ,

3 comments:

  1. Hilary UmansNovember 13, 2019 at 1:54 AM

    Why not post traumatic BME? She had an injury to go along with it. Now she’s better.

    ReplyDelete
  2. Andrei DumitrescuNovember 13, 2019 at 7:00 AM

    The distribution pattern would be highly atypical, don't you think? I'm not sure how you could get bone bruises of three metacarpals and one phalanx (and no fracture), unless you have someone hitting each bone with a hammer :)

    ReplyDelete
  3. Hilary UmansNovember 13, 2019 at 6:02 PM

    I'm not saying it was necessarily contusion. Was she immobilized? Could it have been post-immobilization osteopenia? I do think it was related to the trauma and it's a perplexing memory now for you.

    ReplyDelete

Subscribe to: Post Comments (Atom)

OCAD LIVE 2020 Registration is Now Open

Join us for OCAD Live 2020! Saturday, March 28th 10 am - 5 pm UCLA - Santa Monica Orthopaedic Hospital Click HERE to register

  • 15M Runner with "Hip" pain
    No Hip Injury. Instead, subacute partial tear of the Sartorius at its ASIS origin (note reactive BME). At the cranial margin of the FOV we c...
  • Femoral head lesion
    F 62, left hip pain. Suspected impingement. There's a subchondral / subcortical bone lesion at the anterior aspect of the left femoral h...