Posts Categorized: MSK

At a glance, how would you assess this ankle?

This 43-year-old female presents with ankle pain and paresthesia. Using images 1 through 5, what is your diagnosis?   When looking at image 6, note four tendons in the medial flexor compartment. This is known as “the sign of too many tendons”. The arrows in image 6 point to a complex longitudinal split tear of… Read more »

ACL contusion patterns: The importance of medial sided contusions

This 52-year-old male presents with knee pain following an injury one week ago. Q1 – What is the most likely mechanism of injury in this individual with an ACL tear? Q2 – What are the potential internal derangements associated with this knee contusion pattern?   A1 – Image 7 demonstrates an acute ACL tear (blue… Read more »

Be kind to your AC joint. It can only take so much.

Many of us have experienced pain in the shoulder. It is often attributed to some deep-seated joint abnormality, and we wonder if it is the dreaded rotator cuff tear. However, one of the most common causes of shoulder pain is premature degeneration from overuse of the acromioclavicular (AC) joint, the so-called “joint on top”. If… Read more »

As a rule of thumb, just remember… the higher the slope, the further the fall

Chloe Kim, Red Gerard, and soon, Mikaela Shiffrin are representing the USA well in Pyeongchang, South Korea. So, let’s have a look at a winter sports case! This 17-year-old female fell during a winter-related sporting accident, and now presents with right thumb pain. You are shown three finger coil images. Image 1 uses a coronal 3D… Read more »

When your hip has had enough of all that dancing and snapping

This 20-year-old female presents with hip pain. You are getting two clues for the price of one. First, look at images 1 and 2. Hip pain is quite an amorphous symptom. It can come from the joint, the groin, the sacrum, the pubis, or even the spine. We all have a tendency to gravitate towards… Read more »

|MRI Online| Master the Shoulder – Rotator Cuff Review

Colleagues, If you are looking for somewhere to start with our video series, MRI Online, the Shoulder series is a great choice. It’s short, it’s accessible and you’ll be able to put the learnings into practice right away. We will revisit the shoulder in additional series later this year, so stay tuned. The Shoulder series starts… Read more »

Can you classify this shoulder injury?

This 17-year-old presents with acromioclavicular (AC) separation. How do we classify shoulder injuries in young adults at ProScan?   Image 1 (green line) indicates a measured distance 11mm between the acromion and clavicle (normal in males is 7mm; females is 6mm). Note edema surrounds the clavicle. No microtrabecular fracture.   Injury is classified according to… Read more »

What is the cartilage telling us?

This 61-year old woman presents with weakness, limited range of motion, and pain of the left shoulder. No history of recent injury is present. Q1 – With regard to the bone lesion, which of the following findings is present in the MRI study? (a) Perilesional osseous edema (b) Rim of sclerosis (c) Cartilaginous matrix (d)… Read more »