John Hunter's MSK Teaching File
Interesting MRI Cases from University of Washington Department of Radiology

 
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TABLE OF CONTENTS: Misc. MSK MRI

Case 1c: Occult, stress fracture, left hip.

Case 2c: Adductor/pectineus avulusion

Case 3c: Lunotriquetral carpal coalition; possible TFCC tear

Case 4c: Ganglion, 2nd MCP joint of hand

Case 5c: Diabetic osteomyelitis, calcaneus, with large ulcer

Case 6c: Brodie's abcess, distal femur

Case 7c: Stress fracture, distal tibia

Case 8c: Intra-osseous ganglion, distal tibia

Case 9c: TFCC tear

Case 10c: Osteochondral defect, medial talar dome

Case 11c: Partial tear, plantar fascia

Case 12c: Inversion injury ankle with lateral soft tissue disruption and medial talar contusion

Case 13c: Acute achilles tendon rupture

Case 14c: Anterior talofibular ligament tear

Case 15c: Retrocalcaneal bursitis

Case 16c: Bilateral talocalcaneal tarsal coalitions

Case 17c: Pigmented villonodular synovitis, near lateral malleolus

Case 18c: Simple cyst, calcaneus

Case 19c: Partial tear, posterior tibialis tendon

Case 20c: Longitudinal split tear, peroneus brevis tendon

Case 21c: Plantar fibromatosis

Case 22c: Neurilemoma, ankle soft tissues (two cases)

Case 23c: Intra-osseous lipoma, calcaneus

Case 24c: Tear, ulnar collateral ligament of elbow

Case 25c: Tears of common flexor tendon and ulnar collateral ligament of the elbow

Case 26c: Stress reaction, posterior process talus

Case 27c: Soft tissue chondrosarcoma, FHL tendon sheath

Case 28c: Partial tear, anterior tibialis tendon

Case 29c: Ganglion, great toe IP joint

Case 30c: Accessory navicular, Type II (see also Case 99c)

Case 31c: Transient osteoporosis, right hip

Case 32c: Intramuscular lipoma, upper arm

Case 33c: TB C7 vertebral body with retropharyngeal abcess

Case 34c: Longitudinal split tear, peroneus longus

Case 35c: Achilles tendonopathy

Case 36c: Longitudinal split tear, peroneus brevis & partial tear of the peroneus longus tendons

Case 37c: Stress reaction, medial cortex, left femoral neck

Case 38c: Anterior talofibular ligament tear

Case 39c: Stress fracture, femoral neck

Case 40c: Stress fracture, calcaneal tuberosity

Case 41c: Normal ligamentous anatomy of the lateral aspect of the ankle

Case 42c: Osteochondral injury, lateral talar dome with intra-articular loose body

Case 43c: Pignmented villonodular synovitis. ankle

Case 44c: Pectoralis major tear (incomplete) (See Case 105c)

Case 45c: Intra-osseous lipoma, talus

Case 46c: Stress reaction, proximal femur in a runner

Case 47c: ABC (aneurysmal bone cyst), talus

Case 48c: AVN bilateral hips, distal femurs, proximal tibias in a patient with SLE on high-dose steroids

Case 49c: MR arthrogram of hip. Air bubble within the joint with "blooming" on gradient echo images.

Case 50c: Insufficiency fxs pubic root and parasymphseal area in a patient on steroids.

Case 51c: Plantar faciitis

Case 52c: Stress fx, left femoral neck in a young adult female runner

Case 53c: Occult Salter-Harris Type 2 fracture, first metatarsal

Case 54c: Tear, pectoralis major, within the muscle

Case 55c: Disc herniation,right L 4-5 & incidental finding of a left psoas neurofibrosarcoma

Case 56c: Pigmented villonodular synovitis (PVNS), foot

Case 57c: Femoral neck stress fx

Case 58c: Osteochondral defect, medial talar dome

Case 59c: Chondroblastoma, greater trochanter right hip with stress/insufficiency fx femoral neck

Case 60c: Osteomyelitis, calcaneus and talus with septic arthritis tibiotalar and subtalar joints

Case 61c: Normal screening study for hip stress fracture in a female runner illustrating the appropriate MR technique.

Case 62c: Tear, distal biceps tendon at elbow

Case 63c: Stress fracture, sagittal plane, tarsal navicular

Case 64c: Accessory soleus and incidental peroneus quartus

Case 65c: Tear of the common flexor tendon of the elbow at the musculotendinous junction

Case 66c: Dermatomyositis involving the quads and hamstrings bilaterally, with sparing of the adductors

Case 67c: Stress reaction, proximal femur. (See also Case 46c and Case 61c)

Case 68c: Osteochondral defect, lateral talar dome; loose body, posterior lateral joint space

Case 69c: RA with retrocalcaneal bursal erosions

Case 70c: TFC perforation-MR arthrography wrist

Case 71c: Spondylolysis, L5

Case 72c: Stress reaction, posterior talus

Case 73c: Contusion, posterior aspect of the trochlea with intact UCL

Case 74c: Stress fracture, navicular with osteochondral defect in the navicular

Case 75c: Contusions of talus and calcaneus at the posterior facet of the subtalar joint

Case 76c: Increased signal intensity along the sublime tubercle of the ulna at the insertion of the ulnar collateral ligament with thickening of the ligament

Case 77c: Giant cell tumor of tendon sheath, ulnar side of wrist

Case 78c: Stress reaction, right femoral neck. (44.415) Compare to Case 67c, a case of adductor avulsion syndrome ("thigh splints").

Case 79c: Ganglion, wrist

Case 80c:Occult fracture, distal scaphoid (probably in the region of the scaphoid tubercle)

Case 81c: Osteomyelitis, distal phalynx with presumed foreign body in the plantar aspect. Surgical proof pending

Case 82c: Ulcer over plantar aspect, fifth metatarsal with osteomyelitis in a diabetic

Case 83c: Bilateral osteomyelitis, calcaneus in a diabetic

Case 84c: AVN of talus, cellulitis

Case 85c: AVN both hips with progression on left

Case 86c: Paralabral cyst, anterior labrum, left hip with associated hip dysplasia.

Case 87c: Superior labral tear, left hip, question of acetabular dysplasia on plain films

Case 88c: Intra-muscular lipoma, thigh

Case 89c: Paralabral cyst, posterior labrum of hip

Case 90c: Tear of the lateral aspect of the plantar fascia on the calcaneus

Case 91c: Ganglion, sinus tarsi. 46.361

Case 92c:Partial tear, peroneus longus tendon at the lateral malleolus

Case 93c:Near complete tear, distal biceps tendon. (42.482)

Case 94c:Osteomyelitis with septic arthritis, third MTP joint foot

Case 95c:Psoriatic arthritis with retrocalcaneal bursal erosion (46.720)

Case 96c:Tear of scapholunate ligament with perforation of lunotriquetral ligament(43.483)

Case 97c: Lipoma with tethered cord

Case 98c: Mass (hematoma) in the left sciatic notch compressing sciatic nerve

Case 99c: Bilateral accessory navicular bones (AN Type II) (see also Case 30c)

Case 100c: Stress fracture, left hip (44.415)

Case 101c: AVN right hip with probable femoral head fracture

Case 102c: Right sacral insufficiency fracture (MRI, bone scan)

Case 103c: Chronic partial tear of anterior tibialis tendon

Case 104c: Medial cuneiform fracture

Case 105c: Pectoralis major tendon avulsion at insertion (see Case 44c)

Case 106c: Plantar fasciitis with classic clinical symptoms

Case 107c: Stress reaction (46.415) distal tibia

Case 108c: Osteochondral defects, medial and lateral talar dome

Case 109c: Stress reaction (no actual fracture line identified) middle cuneiform-second metatarsal joint

Case 110c: Patient with renal transplant and iliopsoas bursitis

Case 111c: Iliopsosas bursal ganglion

Case 112c: Paralabral cyst, right posterior hip with impingement on the sciatic nerve

Case 113c: Gout, wrist

Case 114c: Peroneus quartus muscle and tendon, normal variant

Case 115c: Schwannoma, median nerve

Case 116c: Iliopsoas hematoma: patient on coumadin

Case 117c: Osteosarcoma left ilium with metastases to the epidural and paravertebral venous plexus and IVC

Case 118c: Stress fracture, right inferior pubic ramus. (44.415)

Case 119c: Tear, anterior superior labrum with degeneration of articular cartilage

Case 120c: Contusion manubrium and tear of first rib cartilage at manubrial junction (47.400) (see discussion in Case 132c)

Case 121c: Chronic tendonopathy vs partial tear distal achilles tendon at insertion

Case 122c: Stress reaction, middle facet of subtalar joint.

Case 123c: Stress reaction, tibia (45.415)

Case 124c: Calcaneal stress fracture (46.415)

Case 125c: Stress fracture/stress reaction, cuboid bone foot (46.415)

Case 126c: Posterior, inferior labral tear, left hip. This is an unusual location.

Case 127c: Keinbock's disease (AVN lunate)(43.440)

Case 128c: Stress fracture, calcaneus (46.415)

Case 129c: Bilateral hip dysplasia: left anterior superior labral tear. (44.484)

Case 130c: Partial tear, biceps femoris: hamstring partial tear

Case 131c: Schwanomma, right sciatic nerve. (44.364)(in pelvis)

Case 132c: Tear of capsule and interclavicular ligament, left sternoclavicular joint. (47.400) (see also Case 120c)

Case 133c: Stress fracture, proximal third tibia (45.415)

Case 134c: Glomus tumor, palmar aspect of digit (43.369)

Case 135c: Synovial sarcoma (46.374), foot

Case 136c: Distal tibial stress fracture (46.415)

Case 137c: The patient is a black female with sickle cell disease. Note the extensive red marrow reconversion, AVN right hip and both knees and bone infarcts in both femurs. (44.440)

Case 138c: Neurofibromatosis with neurofibrosarcoma, left medial thigh. (44.1831)

"Case 139c"

Normal MR Anatomy*: http://www.indyrad.iupui.edu/learning/mriatlasinfo.html

*from University of Indiana Department of Radiology website


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