Showing posts with label knee. Show all posts
Showing posts with label knee. Show all posts

Wednesday, November 13, 2019

Lateral Meniscus Variant

Lateral meniscus variant with posterior root entirely attaching to intercondylar/meniscofemoral ligaments (coronal reformat, black arrow) and no tibial root attachment. There are at least partial capsular attachments; however, the cartilage defect (white arrows) subjacent to the meniscus (sagittal reformat, black arrow) suggests hypermobility. The meniscus is c-shaped, rather than discoid. Still on the Wrisberg spectrum?

https://www.ajronline.org/doi/full/10.2214/AJR.04.1785




Intermediate-weighted 3D CAIPIRINHA SPACE TSE reformats at 0.6 mm isotropic spatial resolution at 1.5T

14 y/o s/p Martial Arts injury. Noticed a growth on X-ray

Ticks and fleas. The osteochondroma is pretty easy to see. Also ligamentum mucosum/infrapatellar plica edema (sprain vs frictional inflammation) and something in the prefemoral fat.

How would you describe the hoffa's and pre femoral findings? 

What do you recommend as far as the osteochondroma for follow up (if anything?)

Phillip Tirman MD  

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Friday, November 8, 2019

PCL injury


57 y/o female skidded off bike. 

CR taken 1 month prior to MRI. ACL + PCL fibres are intact.

How old would you judge this injury? Recent month or older?

CR 10/2019


MRI 11/2019






Björn Jobke, MD




Thursday, October 31, 2019

29-year-old man, 4 days post twisting injury

29M 4 days post twisting injury with ACL tear (yellow arrow)

Note acute avulsion Posterior Horn medial meniscal root (red arrow)



Blue arrow indicates torn Popliteofibular ligament
There are Gr I sprains of the LCL complex and Gr I Popliteal myotendinous strain

White Arrow indicate torn Arcuate ligament  with posterolateral pericapsular edema
 Excellent reference by Humberto Rosas

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