Case 23-patient with left shoulder 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 […]

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 14-patient with right shoulder discomfort.

Patient presents with right shoulder discomfort 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 […]

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 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 disomfort. 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 […]

Case 13- elbow discomfort.

2 cases of female patients who suffered FOOSH type injuries  involving the elbow. One (#06)caught  her high heels on the carpet- walking.   No prior trauma,  surgeries,  carcinoma or corticosteroid regimen reported by either patient. What do you see? LATERAL VIEW- Left elbow The radial necks shows a small cortical infraction. No abnormal fat pads were […]