Case 23-patient with left wrist discomfort.
Patient presents with left wrist discomfort after a FOOSH type injury. No prior surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? A semi-lunar density is seen where the normal left ulnar styloid process should normal be. Malunion or non-union of the ulnar styloid process is common after FOOSH injury. Associated triangular fibrocartilage injuries […]
Case 22-patient with left hand discomfort.
Patient presents with left hand discomfort after a FOOSH type injury. No prior surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? The shaft of the left 5th MC shows a transversely oriented fracture line with impaction. No comminution is detected. Soft tissue swelling is present adjacent to the shaft. The 5th. MCP and […]
Case 21-patient with wrist discomfort.
Patient suffered prior FOOSH type injury. No prior surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? A cannulated screw transfixes the waist scaphoid fracture. This is a common treatment for internal fractures with > 1. 5 mm. displacment. (2) As the majority of the scaphoid (8)%) is covered with articular cartilage, entry points […]
Case 16- 45yo/M with “deep” lower back discomfort.
45 yo/M patient presents with “deep” LBP. No prior trauma, surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? Lateral lumbar spine view The sagittal dimension of the abdominal aorta measures 4.4 cm. well beyond the accepted normal measurement of 3-3.5 cm. (1) The radiodensity seen superimposed the VB is in soft tissue. The […]
Case 20-patient with right wrist discomfort.
Patient presents with left wrist discomfort after a FOOSH type injury. No prior surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? A semi-lunar density is seen where the normal left ulnar styloid process should normal be. Malunion or non-union of the ulnar styloid process is common after FOOSH injury. Associated triangular fibrocartilage injuries […]
Case 19-patient with left wrist discomfort.
Patient presents with left wrist discomfort after a FOOSH type injury. Value of the semi-supinated view. No prior surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? The positioning required for a semi-supinated view (Norgaard view) to visualize metacarpal heads. (1) PA view of left wrist- shows cortical incongruity of the distal metaphysis with […]
Case 18-patient with right jaw discomfort.
Patient presents with right jaw discomfort. No prior trauma, surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? Close examination shows a metallic density within the right TMJ extending inferiorly. The lateral view confirms the right TMJ arthoplasty. DISCUSSION: A study of 103 joints ( post implant) showed improved pain, an increase in maximal incisal opening […]
Case 17- FOOSH type injury
FOOSH type injury on left. No prior trauma, surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? PA view of left wrist. A transversely oriented radiolucency is present at the distal portion of the radial styloid process. PA close up of left wrist. The close up view shows a vertical vertical fracture line with […]
Case 15- neck discomfort.
50 yo/M patient presents with non-specific neck discomfort. No prior trauma, surgeries, carcinoma orcorticosteroid/opioid regimen reported. What do you see? Cervical spine- lateral Cervical spine- close up exam. The C2 disc shows annular calcification. Spondylosis/DISH like change is seen at C4-5 motor unit with degenerative disc disease at C5. The keys finding is the thin […]
Case 14-patient with right shoulder discomfort.
Patient presents with right shoulder discomfort after a FOOSH type injury. Limited ROM is noted. No prior surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? Cortical incongruity is present on the medial side of the right surgical neck. Extensive HBO is seen medial and pseudo- periosteal reaction is seen at the lateral humeral […]