History: Man with ankle pain. What is the finding? Comment and share below! Find the answer to this case here.
History: adolescent with leg pain at night. This is a classic case of an osteoid osteoma. An osteoid osteoma is a benign osteoid producing bone tumor. They are radiolucent on radiographs and classically have tumor nidus surrounded by reactive sclerosis on radiographs and edema on MRI. Osteoid osteomas represent approximately 10-15% of benign bone tumors … Continue reading
History: Adolescent with leg pain at night. What is your diagnosis for this adolescent with leg pain at night? Comment and share below!
History: 70 year old man with leg pain. This is a case of calcific myonecrosis of the anterior tibialis muscle. Calcific myonecrosis is a rare late complication of compartment syndrome. This patient actually had a history of compartment syndrome 30 years earlier. The current understanding according to this article here is that compartment syndrome initially leads to … Continue reading
History: 70 year old male with leg pain. What is your diagnosis? Comment and share below! Find the answer to this case here.
History: 50 year old man with knee pain. This is an excellent example of a Bosch Bock bump, which is a healed Segond fracture. This finding is nearly 100% specific for prior injury to the anterior cruciate ligament. A Segond fracture is an avulsion fracture of the lateral tibial capsular ligament at the lateral tibial … Continue reading
History: 50 year old man with knee pain. What is your diagnosis? Comment and share below!
History: male involved in high speed motor vehicle accident with chest pain. This is a good example of a ductus diverticulum, or ductus bump. A ductus diverticulum is a focal smooth outpouching of the aortic wall at the aortic isthmus where the obliterated ductus arteriosus (the ligamentum arteriosum) is attached to the aorta. The ductus … Continue reading
History: male involved in high speed motor vehicle accident with chest pain. What is your diagnosis? Comment and share below! Thanks to Justin Tan, M.D. for these images.
History: 70 year old male with hip pain. This is a case of metastatic prostate cancer to bone. Prostate cancer metastases are usually sclerotic (also called osteoblastic), leading to increased opacity on x-rays and CT scans. Prostate cancer metastases also have a preference for the axial skeleton over the appendicular skeleton. The gold standard for determining … Continue reading