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Traumatic Plexus brachialis injury on MRI with axillary nerve damage
hi, here a nice MR Neurography of the brachial plexus with posttraumatic damage to ulnar nerve, median nerve, radial nerve, axillary nerve and the lateral portions of some of the cords https://vimeo.com/933580543/f0acf8b571?share=copy i have a video in the classroom too where i show some anatomy, i will link this video to the module. https://www.skool.com/mskrad/classroom/82c3c914?md=0c0eb87051eb4bc0afebbf8e0997c1a6
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New comment Apr 29
Traumatic Plexus brachialis injury on MRI with axillary nerve damage
Little sneak peak from the Virtual MSK Fellowship
Insertional lateral cord plantar fasciopathy Here a nice case, seen couple of times in the online fellowship, you need to see it once and will never forget. And because we see similar great cases around all joints every week in the Q&A sessions, people in the fellowship learn exponentially (10x) compared to traditional methods. so if you are interested of joining the virtual MSK fellowship visit www.virtualmskfellowship.com and schedule a call to learn more, get all your questions answered, and also to analyse your personal situation in your life and job, so we can explore your motivation, opportunities and make sure we can help you to become super confident and super fast in MSK MRI interpretation. Reference: https://www.ajronline.org/doi/full/10.2214/AJR.17.19218
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New comment Apr 14
Little sneak peak from the Virtual MSK Fellowship
serous bone marrow transformation starts at the toes
Here a case of an athlete with a relative energy deficiency in sport (RED-S), that develops a serous bone marrow transformation within just 3 months. https://vimeo.com/925288722/c81d9b3a56?share=copy On a side note, we start to see this more frequently now (since the panedmic), maybe bias, but studies have shown the same: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088734/ The results of this study demonstrated a thirteenfold increase in the number of patients with isolated bone marrow edema like abnormalities of the digits of the feet and hands during the COVID-19 pandemic as compared to the same time interval before the pandemic. Most cases were found in middle-aged (mean 40.3 ± 14,3 years) female patients (80.0%), with no comorbidities, and a low prevalence of the previous diagnosis of COVID-19 infection (27.8%). ... This observational study demonstrated a significant increase in the prevalence of isolated bone marrow edema pattern of the phalanges of the hands and feet in patients with pain and erythema (Chilblain) after the onset of the COVID-19 pandemic, especially in young and middle-aged woman without previously confirmed COVID-19 infections. however in that study, they excluded patients with serous atrophy, so its a DD and not the same. In this case, due to the stress fracture and clinical RED-S, makes a serous atrophy the primary diagnosis. looking for more interesting cases? check out the classroom https://www.skool.com/mskrad/classroom/82c3c914?md=4a7b5580444a441eb701a4a1b37ce75a Please share with colleagues and share your great cases too! best regards Chris p.s. Interested in mastering MSK MRI? checkout www.virtualmskfellowship.com
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New comment Apr 5
serous bone marrow transformation starts at the toes
Tip of the day: hypoperfusion artefakt in muscle
on 3t scanners with fast acquisition we can sometimes see these hypoperfusions, especially in shoulder MRI after Gadolinium. nothing is seen on PD T2 STIR etc, only post KM, indication higher pressure on tissue from positioning, coil padding or even subacromial space (might indicate risk of subacromial impingement (just an idea, no evidence). For more tips and tricks, check out our free skool community, with free lectures and quizzes etc -Chris
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New comment Apr 3
Tip of the day: hypoperfusion artefakt in muscle
Highgrade tear PTT - dont forget the plantar portion
here a lovely case of a runner with a highgrade partial PTT tear https://vimeo.com/926156877/c6f9b82f0a?share=copy
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New comment Mar 23
Highgrade tear PTT - dont forget the plantar portion
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