2005-2006 sailaja yadavalli hubert chin raymond hong nisha patel weiling chang charles (chuck)...
TRANSCRIPT
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2005-2006• Sailaja Yadavalli • Hubert Chin• Raymond Hong• Nisha Patel• Weiling Chang • Charles (Chuck) Kenney • Arash Tehranzadeh• Tyler Crawford• Crispina Han• Jong Liu• Alison M. Nguyen• Noaman Siddiqi• Shelly Marette• Imtiaz Ahmed
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Charles Kenney
• 45 y/o male with shoulder pain
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Coronal T2Fsat
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ا ااا
OblSag T2Fsat
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SLAP 6
• Unstable flap tear of the superior labrum
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Charles Kenney
• 6 y/o boy
injury while wrestling with brother
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6 y/o boy injury while wrestling with brother
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6 y/o boy injury while wrestling with brother
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6 y/o boy injury while wrestling with brother
STIR Coronal
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6 y/o boy injury while wrestling with brother
T1 Coronal
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T1 T2 Fsat Post Gad
6 y/o boy injury while wrestling with brother
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2 month and 4 month F/U
6 y/o boy injury while wrestling with brother
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Osteofibrous Dysplasia with Pathologic Fracture
• Rare fibroosseus lesion of bone
• Primarily involves the cortex, multiple lytic expansile lesions with intervening sclerosis, bowing deformity
• Most common in tibia--reports of fibula, ulna, radius, humerus
• Young children <10 yrs
• Continuum with adamantinoma, ossifying fibroma
• Unpredictable natural history
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Sailaja Yadavalli MD, PhDWilliam Beaumont Hospital, Royal Oak, MI
• 57 year old female with painful bump along distal leg
No history of trauma
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Very superficial mass associated with a tubular structure with flow within
57 year old female with painful bump along distal leg. No history of trauma
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Ax STIR
Ax T1FS/Gd
Cor T1
57 year old female with painful bump along distal leg. No history of trauma
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Cor T1 Cor STIR Cor T1FS/GdCor T2
57 year old female with painful bump along distal leg. No history of trauma
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Vascular Leiomyomapath proven
• AKA Angioleiomyoma or Angiomyoma
• Usually in adults - fourth to sixth decade
• F>M
• 89% - 94% in the extremities
• Lower extremity more common
• Slow growing small subcutaneous mass
• Often painful
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Sailaja Yadavalli MD, PhDWilliam Beaumont Hospital, Royal Oak, MI
• 52 year old african american male who felt a pop in his left leg and pain
Comes to the Emergency Center
Has history of thigh swelling for several years
History of Factor IX deficiency
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11/2006
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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Findings
• Fracture of left distal femur
• Well defined lucent lesion at fracture site
• Remodeling of femur
• Significant soft tissue swelling
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07/2002
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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06/2006
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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06/2006
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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11/2006
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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11/2006
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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Findings
• Fracture of left distal femur
• Well defined intramedullary lesion at fracture site
• Remodeling of femur
• Multiple masses in the thigh, some with fluid-fluid levels
• Similar masses seen on both sides on prior x-rays and CT studies
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11/2007
Cor STIR Cor T1 Cor T1FS/Gd
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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Ax T1 FS
Ax STIR Ax T1
Ax T1 FS/Gd
11/2007
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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11/2007
Ax STIR
Ax T1
Above level of fracture
Hematomas of different ages
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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11/2007Sag T1FS/Gd
52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years
History of Factor IX deficiency
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Findings
• Fracture of left distal femur
• Multiple hematomas with blood products of different ages in the thigh
• No significant enhancement of the intramedullary lesion at fracture site
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ORIF and Biopsy
• Intramedullary chronic hematoma
• Chronic hematomas in the thigh
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Arash Tehranzadeh
• 48 year old male with ankle pain. Patient has renal failure and is on dialysis.
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48 year old male with ankle pain. Patient has renal failure and is on dialysis.
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48 year old male with ankle pain. Patient has renal failure and is on dialysis.
Findings: Tibial cyst without osteoarthrits.
DDX: Brown Tumor vs. Giant cell
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Arash Tehranzadeh
• Professional football player with acute ankle injury
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Professional football player with acute ankle injury
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Professional football player with acute ankle injury
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Professional football player with acute ankle injury
Findings: Acute near complete Achilles tendon tear.
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Arash Tehranzadeh
• 22 year old professional basketball player for LA Lakers with foot/ankle acute inversion injury during game.
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22 year old basketball player for LA Lakers with foot/ankle acute inversion injury during game.
![Page 43: 2005-2006 Sailaja Yadavalli Hubert Chin Raymond Hong Nisha Patel Weiling Chang Charles (Chuck) Kenney Arash Tehranzadeh Tyler Crawford Crispina Han Jong](https://reader035.vdocuments.mx/reader035/viewer/2022062802/56649ec45503460f94bce247/html5/thumbnails/43.jpg)
22 year old professional basketball player for LA Lakers with foot/ankle acute
inversion injury during game.
Findings: Anterior talo-fibular ligament tear.