Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.
4,166 results found
Article
Myxoid pleomorphic liposarcoma
Myxoid pleomorphic liposarcomas are extremely rare aggressive malignant neoplasms arising from adipocytic tissues characterized by a mixture of pleomorphic and myxoid features and the absence of genetic fusions and amplifications seen in well-differentiated liposarcoma and other lines of differe...
Article
Pleomorphic liposarcoma
Pleomorphic liposarcomas are high-grade malignant neoplasms arising from adipocytic tissues characterized by a variable number of pleomorphic lipoblasts and the absence of areas of well-differentiated liposarcoma and other lines of differentiation.
Epidemiology
Pleomorphic sarcomas are rare an...
Article
Supra-acromial bursa
The supra-acromial bursa is one of the five main shoulder bursae.
Gross anatomy
located subcutaneously
superior to the acromion
not usually in communication with neighboring bursae or the glenohumeral joint 1,2
Related pathology
Cases of supra-acromial bursitis have occasionally been repor...
Article
Dedifferentiated liposarcoma
Dedifferentiated liposarcomas (DDLPS) are malignant adipocytic soft tissue neoplasms that have progressed from primary or recurrent atypical lipomatous tumors/well-differentiated liposarcomas and are characterized by a much higher rate of recurrence, metastasis in about one-fourth of the cases a...
Article
Coracoclavicular bursa
The coracoclavicular bursa, also known as the supracoracoid bursa, can be found within the angle separating the trapezoid and conoid segments of the coracoclavicular ligament 1,3. It is surrounded by varying amounts of fibro-fatty tissue. Smaller bursae associated with the coracoid process or ei...
Article
Well-differentiated liposarcoma/atypical lipomatous tumor
Well-differentiated liposarcomas (WDLPS) or atypical lipomatous tumors (ALT) are locally aggressive adipocytic soft tissue neoplasms and are the most common form of liposarcomas.
Terminology
The terminology well-differentiated liposarcoma and atypical lipomatous tumor depend on the localizatio...
Article
Epithelioid hemangioma
Epithelioid hemangiomas are benign vascular neoplasms made of epithelioid endothelial cell morphology usually seen in cutaneous and subcutaneous tissues.
Epidemiology
They have been observed in all age groups with a peak incidence in the 4th decade. There is no gender predominance 1.
Diagnosi...
Article
Epithelioid hemangioma of bone
Epithelioid hemangiomas of bone are benign intraosseous vascular neoplasms of epithelioid morphology which show locally aggressive behavior.
Terminology
The following terms are not recommended 1:
histiocytoid hemangioma
hemorrhagic epithelioid hemangioma
spindle cell hemangioma
Epidemiolo...
Article
High-grade surface osteosarcoma
High-grade surface osteosarcomas are sporadic and high-grade malignant osteoid-forming tumors emerging from the bony surfaces similar to parosteal and periosteal osteosarcomas.
Epidemiology
High-grade surface osteosarcomas are very rare and constitute <1% of all osteosarcomas. There seems to b...
Article
Osteochondromyxoma
Osteochondromyxomas (OMX) are very rare benign tumors with both a chondroid and osteoid matrix mostly seen within the Carney complex.
Epidemiology
Generally, osteochondromyxomas are extremely rare. Within the Carney complex, they occur in about 1% of the patients and are usually seen early in ...
Article
Herring (Lateral Pillar) classification of Legg-Calvè-Perthes disease
Classification of Legg-Calvè-Perthes disease based on the height of the lateral pillar:
Group A : No involvement of the lateral pillar with no density changes identified.
Group B : at least 50% of the lateral pillar height maintained
Group C: less than 50% of the lateral pillar maintained
Th...
Article
Deep infrapatellar bursitis
Deep infrapatellar bursitis refers to an inflammation of the deep infrapatellar bursa and is an uncommon condition in children.
Epidemiology
Risk factors
Sports and activities involving a great amount of running and jumping are considered risk factors for developing deep infrapatellar bursiti...
Article
Prepatellar quadriceps continuation
The prepatellar quadriceps continuation is formed by the extension of the rectus femoris tendon connecting the patellar and quadriceps tendons.
Gross anatomy
The quadriceps tendon is a multilayer structure, where each of the four components of the muscle (vastus medialis, vastus lateralis, vas...
Article
Subtalar instability
Subtalar instability refers to an unstable talocalcaneal or subtalar joint and is difficult to diagnose.
Epidemiology
Subtalar instability occurs in patients with lateral ankle instability in up to 10-25% 1.
Associations
Clinical conditions associated with subtalar instability include the fo...
Article
Metastatic calcification
Metastatic calcification refers to a type of soft tissue calcification caused by elevated serum calcium salts.
Terminology
Some consider the inclusion of the word "metastatic" in the name unfortunate as it implies that there is a cancerous component, which in the vast majority of cases is untr...
Article
Intraneural hematoma
Intraneural hematomas are a very rare condition where bleeding occurs within peripheral nerves leading to functional impairment of the affected nerve due to compression of the nerve fibers.
Epidemiology
Intraneural hematomas are extremely rare, with less than 20 cases reported in the literatu...
Article
Cuneiform bones
There are three cuneiform bones in the tarsus of a normal human foot, they are from medial to lateral:
medial cuneiform
intermediate cuneiform
lateral cuneiform
History and etymology
Cuneiform means wedge-shaped from the Latin words 'cuneus' meaning wedge and 'form' referring to shape.
Article
Insertional cyst
Insertional cysts are usually well-defined, smooth-walled intraosseous cysts found at the insertion sites of tendons and ligaments.
Pathology
Etiology
They are thought to be a consequence of bone resorption due to chronic traction and avulsion stresses at the insertional sites of tendons and ...
Article
Periosteal ganglion cyst
Periosteal ganglion cysts or periosteal ganglia are rather rare types of ganglion cysts that affect the periosteum.
Clinical presentation
Clinical symptoms depend on the location, they have been reported to present with pain, as a firm, painless swelling and were found incidentally.
Pathology...
Article
Medial cuneiform fracture
Isolated medial cuneiform fractures are rare, and fractures of the medial cuneiform are more commonly seen in combination with other fractures of the foot.
Epidemiology
Most commonly, fractures of the cuneiform bones occur in combination with other fracture-dislocations of the midfoot 3. When...
Article
Intra-articular ganglion cyst
Intra-articular ganglion cysts are ganglion cysts within the joints. They typically show an intracapsular, extra-synovial location. They can occur within all the joints and can present with pain, swelling and sometimes even locking symptoms.
The following ganglion cysts are examples 1-8:
knee
...
Article
Hoffa fat pad ganglion cyst
Hoffa fat pad ganglion cysts are intra-articular ganglion cysts and are the most common mass-like lesions within the Hoffa fat pad.
Epidemiology
Hoffa fat pad ganglion cysts are rare and less common than cruciate ligament ganglion cysts 1,2.
Clinical presentation
Ganglia within Hoffa’s fat p...
Article
Posterior cruciate ligament ganglion cyst
Posterior cruciate ligament (PCL) ganglion cysts are intra-articular ganglion cysts and represent one type of many cyst-like lesions around the knee.
Terminology
Posterior cruciate ligament ganglion cysts are also referred to as 'posterior cruciate ligament cysts' or 'ganglia' 1.
Epidemiology...
Article
Lesions of the prepatellar quadriceps continuation
Lesions of the prepatellar quadriceps continuation are partial or complete tears of the prepatellar quadriceps continuation, that can occur with or without patellar or quadriceps tendon tears and can cause anterior knee pain.
Pathology
Disruption and separation of prepatellar quadriceps conti...
Article
Adult hypophosphatasia
Adult hypophosphatasia is generally considered a milder form of hypophosphatasia.
Clinical presentation
It is usually classified as hypophosphatasia occurring after 18 years of age and typically diagnosed after middle age 2. It is normally not associated with low bone mass in general but can h...
Article
Popliteus bursa
The popliteus bursa also known as subpopliteal recess is a synovial lined knee expansion or recess and located in the posterolateral corner of the knee.
Gross anatomy
The popliteus bursa is an expansion of the synovial membrane positioned between the posterior portion of the lateral meniscus a...
Article
Split atlas
Split or bipartite atlas is the rare congenital anomaly where the atlas is split into two halves by fusion defects in both the anterior and posterior arches. The osseous defects are spanned by fibrous tissue.
They are usually asymptomatic and found incidentally on spinal imaging. Patients may h...
Article
Comprehensive arthroscopic management of the shoulder
The comprehensive arthroscopic management (CAM) procedure of the shoulder is an arthroscopic joint-preserving technique in the surgical management of glenohumeral osteoarthritis.
History
The comprehensive arthroscopic management was first described by Millet et al. 2010 1.
Indications
The co...
Article
Pars interarticularis
The pars interarticularis or simply pars (plural: partes interarticulares) is the part of a vertebra located between the superior and inferior articular processes.
Gross anatomy
In the axis and the thoracolumbar spine, the pars interarticularis is a narrow isthmus between the superior and inf...
Article
Carpometacarpal joint
The carpometacarpal (CMC) joints are synovial joints formed by articulations of the distal carpal row and the metacarpal bones.
Gross anatomy
Articulations
The carpometacarpal joints are made up of a number of bony articulations 1.
first carpometacarpal: distinct synovial curved saddle joint...
Article
Osteoarthritis of the shoulder
Osteoarthritis of the shoulder or glenohumeral osteoarthritis is referred to as progressive damage of the glenohumeral cartilage associated with bony erosions pain and a loss in function of the glenohumeral joint.
Epidemiology
The glenohumeral joint is one of the less common joints affected by...
Article
Busoga hernia
Busoga hernias, also known as Gill-Ogilvie hernias in Europe 1 (alternative plural: herniae), are a variant of the direct inguinal hernia involving the conjoint tendon.
Epidemiology
Busoga herniae have been noted to occur most commonly in young, athletic men with a well-developed abdominal mus...
Article
Interfoveolar ligament
The interfoveolar ligament, formerly known as the ligament of Hesselbach, (TA: ligamentum interfoveolare) is a tendinous structure that forms from the transversus abdominis muscle 1.
Gross anatomy
A band of fibers run from the inferior and posterior aspect of transversus abdominis muscle to i...
Article
Shoulder hemiarthroplasty
Shoulder hemiarthroplasty is a form of partial shoulder joint replacement for the management of pathologies concerning the proximal humerus.
History and etymology
The first shoulder arthroplasty was constructed by Péan in 1893. The current 3rd generation arthroplasties have been introduced by ...
Article
Shoulder resurfacing arthroplasty
Shoulder resurfacing arthroplasty is a form of partial shoulder joint replacement for the management of pathologies concerning the humeral head.
History and etymology
The first shoulder arthroplasty was performed by Péan in 1893. The current 3rd generation arthroplasties were introduced by Nee...
Article
Hip arthroplasty (overview)
Hip arthroplasties are a very common form of joint replacement for the treatment of different pathologic conditions of the hip joint, including osteoarthritis of the hip, Inflammatory arthritis and osteonecrosis as well as fracture of the proximal femur1-3.
The term hip arthroplasty comprises...
Article
Gertzbein and Robbins classification
The Gertzbein and Robbins classification assesses the position of transpedicular screws.
Classification
Transpedicular screw position is graded from A to E based on the extent by which the screw breaches the cortex of the pedicle 1-3:
A: fully intrapedicular position without breach of the ped...
Article
Uncovertebral arthrosis
Uncovertebral arthrosis is osteoarthritic changes seen at the uncinate process of the cervical spine. It is a common site of arthrosis regularly observed at the lower cervical vertebrae.
Clinical presentation
Clinical presentation will vary; it could be a sudden onset of pain, stiffness or eve...
Article
Black line sign
The black line sign refers to a hypointense linear area in the articular cartilage on magnetic resonance imaging, first described in the trochlear groove 1-3.
These lesions have been found also in all other regions of articular cartilage in the knee and not only on T2 weighted images but also i...
Article
Antiglide plate fixation
Antiglide plate fixation is an open reduction internal fixation (ORIF) technique used in oblique diaphyseal fractures of the distal fibula.
Usage
They are used to counteract vertical shear forces during axial loading in the diaphyseal bone and to prevent sliding/shortening of the fracture fra...
Article
Wrist
The wrist is a complex synovial joint formed by articulations of the radius, the articular disc of the distal radioulnar joint and the carpal bones.
Terminology
Somewhat confusingly, the term carpus can be used as a synonym for the wrist joint as a whole, or in a more restricted sense to refer...
Article
Van Wyk Grumbach syndrome
The Van Wyk Grumbach syndrome is characterized by chronic hypothyroidism with high levels of thyroid-stimulating hormone (TSH), delayed bone age, precocious puberty but lacking pubic and axillary hair growth 1.
Epidemiology
The acquired form of hypothyroidism is seen in children caused by chr...
Article
Cervical split
The cervical split is a horizontal lucent line over the cervical body seen on the lateral cervical spine projection, simulating a fracture, observed in the context of proliferative osteophytes of the articulation of the uncinate process 1.
Clinical significance
In the context of trauma, the c...
Article
Tile classification of pelvic fractures
The Tile classification of pelvic fractures is the precursor of the more contemporary Young and Burgess classification of pelvic ring fractures.
It takes into account stability, force direction, and pathoanatomy. The integrity of the posterior arch determines the grade, with the posterior arch ...
Article
Cartilage injury (overview)
The term cartilage injury or articular cartilage injury summarizes a spectrum of different cartilage lesions that are usually used in the context of hyaline cartilage damage within diarthrodial joints.
In a narrower sense, the term cartilage injury describes types of articular injury with spari...
Article
Ossification centers of the hand
Primary ossification centers present at birth
Visible on x-ray from birth:
metacarpal diaphyses: 9 weeks in utero
phalangeal diaphyses: 9-12 weeks in utero
Primary ossification centers developing after birth
Ossification of the carpal bones occurs in a predictable sequence, starting with th...
Article
Functional rehabilitation
Functional rehabilitation refers to a comprehensive treatment program, which aims to return athletes or non-athletes fully to their previous level of activity. In athletes, this includes the progress from fairly simple activities like jogging or walking to highly demanding sport-specific activit...
Article
Medial patellofemoral ligament injury
Medial patellofemoral ligament injuries comprise sprains, tears and ruptures as well as avulsion fractures of the medial patellofemoral ligament (MPFL). They occur regularly in association with acute traumatic lateral patellar dislocations and are also found in the setting of multi-ligament knee...
Article
RICE principle
The RICE principle is a simple and effective method in the early management of ligament sprains or muscle strains and contusions, which can be used as a self-care technique and cannot be only prescribed by clinicians but also radiologists.
The RICE principle constitutes of the following measure...
Article
Ivory vertebra (mnemonic)
A mnemonic to remember the differential diagnosis of ivory vertebra is:
LIMPH
M.PHIL (i.e. Master of Philosophy)
Mnemonic
LIMPH
L: lymphoma (usually Hodgkin lymphoma)
I: infection (tuberculous spondylitis)
M: metastases (osteoblastic) and myelosclerosis
P: Paget disease of bone
H: heman...
Article
Anterior cruciate ligament graft impingement
Anterior cruciate ligament graft impingement is a complication of an anterior cruciate ligament (ACL) reconstruction and is usually associated with a decreased range of motion.
Epidemiology
Associations
Anterior cruciate ligament graft impingement is associated with improper tunnel placement ...
Article
Anterior cruciate ligament graft stretching
Anterior cruciate ligament graft stretching or graft elongation refers to a clinical scenario of increased knee laxity in the setting of intact graft fibers and can occur as a complication of anterior cruciate ligament reconstruction.
Epidemiology
Anterior cruciate ligament (ACL) graft stretch...
Article
Anterior cruciate ligament graft tear
Anterior cruciate ligament (ACL) graft tears can occur as complications of anterior cruciate ligament reconstruction or as a consequence of a traumatic reinjury.
Epidemiology
An anterior cruciate ligament graft injury occurs in ~7% of patients with an anterior cruciate ligament reconstruction ...
Article
Veil of obscuration sign (shoulder)
Veil of obscuration sign is a sign of posterior shoulder dislocation. It is generally seen on AP radiographs depicting a comminuted fracture of lesser tuberosity that projects over the glenohumeral joint giving rise to a "cloud-like" density or "veil of bone" density, which hides a posterior sho...
Article
Bowl of grapes sign
The bowl of grapes sign has been described in synovial sarcoma. It refers to the characteristic multilobulated lesion subdivided by multiple septa, forming large cystic foci with regions of hemorrhage.
Article
Lateral collateral ligament injury of the knee
Lateral collateral ligament injuries of the knee are rare in isolation and usually occur in the context of a posterolateral corner injury or in association with other ligamentous or meniscal injuries.
Terminology
A lateral collateral ligament injury of the knee is also referred to as the fibul...
Article
Spinoglenoid notch syndrome
Spinoglenoid notch syndrome is caused by compression of suprascapular nerve due to a ganglion cyst at the spinoglenoid notch resulting in shoulder pain and posterior shoulder tenderness.
Clinical presentation
On clinical examination, there is posterior shoulder tenderness, discomfort in extern...
Article
Intramedullary nailing
Intramedullary nailing is an internal fixation technique mainly used for the surgical management of long bone diaphyseal fractures and since more recently, also in metaphyseal and periarticular fractures.
Indications
Indications of intramedullary nailing are the following 1,2:
extra-capsular ...
Article
Rhomboid fossa of the clavicle
Rhomboid fossa of the clavicle is recognized as a concave impression of the inferior surface of the sternal (medial) end of the clavicle 1. It is a normal anatomical variant that can be seen unilaterally (more often) or bilaterally.
Epidemiology
It is more common in males than females, and you...
Article
Distal humeral fracture
Distal humeral fractures are traumatic injuries involving the epicondyles, the trochlea, the capitellum and the metaphysis of the distal humerus and are often the result of high energy trauma such as road traffic accidents or a fall from a height. In the elderly, they may occur as a domestic acc...
Article
Interphalangeal joint (disambiguation)
The interphalangeal joints (IPJs) may refer to either:
interphalangeal joints of the fingers
interphalangeal joints of the toes
Article
Side strain
Side strain or oblique abdominal muscle strain refers to a tear or strain type muscle injury of the oblique abdominal muscles seen in certain sports.
Epidemiology
Side strain is a rather uncommon injury mostly seen in certain athletes 1-3.
Risk factors
Sports or activities that increase the ...
Article
Abdominal wall injury
Abdominal wall injuries comprise a set of injuries of the abdominal wall and include different forms of muscle injuries, traumatic hernias and injuries to the subcutaneous tissue. They are often overshadowed by the attention to associated “more severe” abdominal visceral injuries.
Epidemiology...
Article
Proximal femoral nail
The proximal femoral nail (PFN) is an osteosynthetic implant designed to treat proximal femoral fractures in the trochanter area with a closed intramedullary fixation method.
Similar to the gamma nail the proximal femoral nail consists of a funnel-shaped intramedullary nail with slight bending ...
Article
Ischiogluteal bursa
The ischiogluteal bursa is located deep to the inferior portion of the gluteus maximus muscle and postero-inferior to the ischial tuberosity 1.
Related pathology
Ischeogluteal bursitis (so-called “weaver’s bottom”) is classically associated with sustained pressure on the ischial tuberosity, se...
Article
Obturator internus bursa
The obturator internus bursa is a narrow, elongated fluid pocket situated between the obturator internus tendon and the posterior surface of the ischium 1 which is usually only visible when distended with fluid. Its shape has been likened to that of a “boomerang” 1, particularly when viewed in t...
Article
Obturator externus bursa
The obturator externus bursa is situated over the posteroinferior aspect of the hip joint. It is a potential communication of the postero-inferior hip joint synovium between the ischiofemoral ligament and the zona orbicularis 1,2.
Related pathology
Obturator externus bursa may occur in patien...
Article
Gluteofemoral bursa
The gluteofemoral bursa is situated over the lateral aspect of the hip. It sits caudal to the greater trochanter of the proximal femur, positioned beneath the iliotibial band in the region where the tendinous fibers of the gluteus maximus insert 1. Its location over the posterior border of the v...
Article
Subgluteus minimus bursa
The subgluteus minimus bursa is one of the chief bursae situated over the lateral aspect of the hip joint. It is located in the area of the anterior facet of the greater trochanter of the proximal femur, deep to the gluteus minimus tendon, and both medial and superior to its insertion 1,2.
Rela...
Article
Subgluteus medius bursa
The subgluteus medius bursa is one of the chief bursae situated on the lateral aspect of the hip joint. It is located deep to the distal insertion of the gluteus medius tendon, and covers a region of the superior part of the lateral facet of the greater trochanter of the proximal femur 1,2.
Rel...
Article
Gamma nail
The gamma nail or trochanteric nail is an osteosynthetic implant designed to treat proximal femoral fractures in the trochanter area with a closed intramedullary fixation method.
The gamma nail consists of a funnel-shaped intramedullary nail with slight bending to reflect proximal femoral diaph...
Article
Intramuscular degloving injury
An intramuscular degloving injury is a term referred to as a circumferential intermuscular dissociation of inner and outer muscular components with or without retraction. It has been described in the rectus femoris muscle.
Terminology
An intramuscular degloving injury has been also described a...
Article
Rectus femoris muscle injury
Rectus femoris muscle injuries are muscle injuries, which encompass contusions, strains, tears and avulsions of the rectus femoris muscle.
Epidemiology
Rectus femoris muscle injuries are a common injury in athletes, especially in football/soccer players 1. The rectus femoris muscle is most fr...
Article
Quadriceps injury
Quadriceps injuries are injuries affecting the quadriceps muscle or quadriceps tendon and comprise a spectrum of strains, tears, avulsion and contusions up to the quadriceps tendon rupture.
Epidemiology
Quadriceps injuries are common injuries in athletes and the quadriceps muscle is often affe...
Article
Muscle contusion
A muscle contusion (a.k.a. muscle bruising or bruise) is a form of muscle injury usually due to direct impact and associated with intramuscular hemorrhage.
Epidemiology
Muscle contusions are common injuries and are more frequently seen in males 1,2. In athletes, muscle contusions are the most ...
Article
Scaphotrapeziotrapezoid ligament
The scaphotrapeziotrapezoid (STT) ligament is one of the intracapsular, intrinsic midcarpal ligaments 1-3.
Gross anatomy
The scaphotrapeziotrapezoid ligament connects the distal pole of the scaphoid with the trapezium and trapezoid bones in a V-shaped fashion. 1-3.
Attachments
The scaphotrap...
Article
Subtalar joint injection (technique)
Subtalar joint injections are most often performed for osteoarthritis and the posterior subtalar joint is targeted. Ultrasound, fluoroscopy and CT guidance can be used.
Indications
osteoarthritis
diagnostic
Contraindications
Absolute
anaphylaxis to contrast/injectates
active local/system...
Article
Intrapelvic cup migration
Intrapelvic cup migration is a serious complication after total hip arthroplasty, in which the prosthetic acetabular cup migrates or drifts into the pelvic inlet.
Epidemiology
Fortunately, this complication is very rare. There seems to be a female predisposition 1-3.
Risk factors
Factors inc...
Article
Foot
The foot is the most distal part of the lower limb below the leg and ankle. It is a complex anatomical structure and can be subdivided into the hindfoot, the midfoot, and the forefoot. The bones of the foot are:
tarsals (7)
talus
calcaneus
cuneiforms (3)
cuboid
navicular
metatarsals (5)
...
Article
Buttress plate
Buttress plates are osteosynthetic implants commonly used in the metaphyseal area for internal fixation of articular fractures to support intraarticular fragments.
Usage
They are used to counteract vertical shear forces during axial loading in the metaphyseal area and to prevent sliding/shorte...
Article
Acromioclavicular joint osteoarthritis
Acromioclavicular joint osteoarthritis is a common degenerative condition of the shoulder.
Epidemiology
Acromioclavicular joint osteoarthritis accounts for ~20% (range 12.7-24%) of patients with shoulder pain. It most commonly presents in the fourth decade 3.
Pathology
Acromioclavicular j...
Article
Forearm (PA view)
The posteroanterior forearm view is one of two modified trauma projections in the forearm series, examining the radius and ulna.
Indications
This view is ideal for patients who are unable to move their arm as per the standard forearm positioning technique but require assessment of suspected r...
Article
Forearm (horizontal beam lateral view)
The horizontal beam lateral forearm view is one of two modified trauma projections in the forearm series, examining the radius and ulna.
Indications
This view is ideal for patients who are unable to move their arm as per the standard forearm positioning technique but require assessment of sus...
Article
Distal clavicle osteolysis
Distal clavicle osteolysis is the painful osseous resorption of the distal clavicle.
Epidemiology
Distal clavicle osteolysis most commonly affects young males. It is bilateral in ~20% 1.
Pathology
There are two distinct forms of distal clavicle osteolysis although these have identical hist...
Article
Dorsal bridge plate fixation
Dorsal bridge plate fixation is an open reduction internal fixation technique for extensive comminuted articular and metaphyseal radial fractures.
Terminology
Dorsal bridge plate fixation is also known as dorsal spanning plate fixation.
Indications
The main indication is the treatment of dif...
Article
Myxedema
Myxedema refers to a waxy swelling of the skin classically seen in hypothyroidism.
Terminology
Occasionally myxedema is also used as a synonym for hypothyroidism or as a shortening for myxedema coma.
Historically the term myxedema has also been used for a localized form of skin thickening, es...
Article
Idiopathic calcinosis cutis
Idiopathic calcinosis cutis is one of the recognized subtypes of calcinosis cutis and is diagnosed when there is no underlying disease or iatrogenesis 1.
Clinical presentation
Idiopathic calcinosis cutis may present as:
tumoral calcinosis
juxta-articular calcified lumps in otherwise health...
Article
Carpal instability
Carpal instability refers to the inability of the wrist to maintain its structural stability under physiologic movements and loading forces ultimately leading to derangement of the carpal bones with associated malalignment.
Epidemiology
Associations
Clinical conditions associated with carpal ...
Article
Calcinosis cutis
Calcinosis cutis is the term used for the deposition of calcium salts in the skin and subcutaneous tissues.
Pathology
It is classified according to etiology as 1:
dystrophic (most common): characterized by normal serum calcium and phosphorus, an underlying disease process induces tissue damag...
Article
Radial collateral ligament of the wrist
The radial collateral ligament or radioscaphoid ligament is one of the intracapsular, extrinsic radiocarpal ligaments and a radial stabilizer of the wrist 1-3.
Gross anatomy
The radial collateral ligament connects the radial styloid process with the scaphoid running in a fan-shaped, fairly lon...
Article
Ulnar collateral ligament of the wrist
The ulnar collateral ligament of the wrist is an extrinsic dorsal ulnocarpal ligament and functions as a part of the triangular fibrocartilage complex as an ulnar stabilizer of the wrist 1-3.
Gross anatomy
The ulnar collateral ligament connects the ulnar styloid al process with the triquetrum ...
Article
Anterior oblique ligament of the thumb
The anterior oblique ligament of the thumb is one of several carpometacarpal ligaments of the thumb and also one of its main stabilizers 1.
Terminology
The anterior oblique ligament of the thumb is also known as the ‘beak ligament’. It can be divided into a superficial and a deep component and...
Article
Pudendal nerve block (technique)
Pudendal nerve blocks are performed on those with suspected or proven pudendal neuralgia. Using CT will ensure accurate needle placement, which aims for a perineural pudendal nerve injection in the pudendal canal, also known as Alcock's canal.
Indications
pudendal neuralgia
diagnostic
Contr...