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
Femoral offset
Femoral offset is a measurement for the characterization of hip morphology.
Usage
Femoral offset is used for quantitative characterization of hip morphology and is in particular used for preoperative planning of hip endoprosthesis. Restoring femoral offset is considered to be important for the...
Article
Femoral head-neck offset (femoroacetabular impingement)
Femoral head-neck offset is a measurement for the characterization of hip morphology.
Usage
Femoral head-neck offset is used for quantitative characterization of the femoral head-neck junction, in particular in the setting of suspected femoroacetabular impingement for the detection of cam morp...
Article
ARCO classification of osteonecrosis
The ARCO classification (Association Research Circulation Osseous classification) is one of the staging systems used in the assessment of femoral head osteonecrosis. It was originally created in 1994 and periodically revised. The most recent revision from 2019 2 includes the use of radiographs a...
Article
Ischial spine sign
The ischial spine sign is a radiographic sign on the AP view of the pelvis, for the diagnosis of acetabular retroversion, which poses a form of pincer morphology and predisposes to femoroacetabular impingement.
Acetabular retroversion seems to be a result of a rotation of the entire acetabular ...
Article
Musculoskeletal imaging (dual-energy CT)
Dual-energy CT has a number of clinical applications in the assessment of the musculoskeletal system particularly in the realm of artefact reduction and material composition.
Detection of bone marrow edema
Similar to the concept of using virtual non-contrast imaging, virtual non-calcium images...
Article
Prosthetic hip infections
Prosthetic hip infections are one of the most severe complications of total hip arthroplasties.
Epidemiology
Prosthetic hip infections complicate around 0.57% of total hip arthroplasties 1.
Risk factors
Risk factors for prosthetic hip infections can be separated into pre-operative and post-...
Article
Pincer morphology (femoroacetabular impingement)
Pincer morphology refers to an abnormality of the acetabulum, in particular, acetabular overcoverage, which can be focal or global and is one cause of femoroacetabular impingement.
Terminology
Pincer morphology is also referred to as 'pincer deformity', though according to the Warwick agreeme...
Article
Cam morphology (femoroacetabular impingement)
Cam morphology refers to an abnormal morphology of the femoral head-neck junction interlinked with an osseous asphericity of the femoral head. It is one possible cause of femoroacetabular impingement (FAI).
Terminology
Cam morphology is also commonly referred to as 'cam deformity', 'cam lesion...
Article
Posterior interosseous nerve syndrome
Posterior interosseous nerve syndrome is a nerve compression neuropathy of the posterior interosseous branch of the radial nerve, which affects the innervation of the forearm extensor compartment.
Epidemiology
Compressive neuropathies of the forearm are far less common than of the wrist, with ...
Article
Biker's nodule
Biker's nodule refers to a mass in the perineum that occur in cyclists.
Epidemiology
In keeping with bicycling being a male dominated recreational activity, the pathology is most commonly found in young-middle aged males, more commonly during first 6 to 12 months of taking up the sport.
Path...
Article
Iliopsoas bursa
The Iliopsoas bursa, also known as the iliopectinate bursa, is one of the bursae involving the hip. It is the largest bursa around the hip joint. It is located beneath the musculotendinous portion of the iliopsoas muscle, anterior to the hip joint capsule and lateral to the common femoral vessel...
Article
Massive rotator cuff tear
Massive rotator cuff tears are large full-thickness tears usually leading to glenohumeral joint destabilization. Different definitions of a massive rotator cuff tear exist in regard to tear size or the involvement of tendons.
Epidemiology
They constitute up to 40% of all rotator cuff tears 1,2...
Article
Little league shoulder
Little league shoulder is thought to occur due to overuse damage of the proximal humeral epiphysis/metaphysis, seen typically in young baseball players, especially pitchers.
Epidemiology
Although it is most commonly seen in baseball players particularly in pitchers, it also presents in adolesc...
Article
Critical zone tear
A critical zone tear refers to a rotator cuff tear in the critical zone of the rotator cuff, described approximately 8-20 mm proximal of the insertion site.
Epidemiology
Common in adults and older people not so common in children and adolescents 2.
Clinical presentation
The clinical manifest...
Article
Intrasubstance rotator cuff tear
Intrasubstance rotator cuff tears also known as concealed interstitial delaminations (CID) are concealed partial-thickness rotator cuff tears neither extending to the articular nor the bursal side of the rotator cuff.
Epidemiology
According to cadaver studies they are the most common form of p...
Article
Articular-sided rotator cuff tear
Articular-sided rotator cuff tears are partial-thickness rotator cuff tears extending from the articular side into the rotator cuff.
Epidemiology
Articular-sided rotator cuff tears commonly occur in athletes with overhead activity 1.
They are more common than bursal-sided tears and most commo...
Article
Antineutrophil cytoplasmic antibody
Antineutrophil cytoplasmic antibodies (ANCAs) are a heterogenous class of IgG autoantibodies raised against the cellular contents of neutrophils, monocytes and endothelial cells 1. Under indirect immunofluorescence (IIF) microscopy, three ANCA staining patterns are observed, based on the varying...
Article
Palmar radial bursa
The palmar radial bursa (plural: palmar bursae) is one of the bursae in the palmar surface of the hand. It is the smaller bursa, surrounds and communicates with the flexor pollicis longus tendon sheath at the metacarpophalangeal joint and usually extends around 1-2 cm proximal to the proximal ed...
Article
Chondral fissure
Chondral fissures are a type of chondral injury, more accurately cracks, cleavages or crevices of cartilage extending from the articular surface to the deeper chondral layers. They usually develop as a result of high compressive forces 1 and are often found in the patellar or trochlear cartilage...
Article
Carpet lesion
Carpet lesion is a term for focal chondral delamination, where articular cartilage is peeled off the subchondral bone plate as a result of shearing forces. It is a frequent finding on hip arthroscopy and is associated with femoroacetabular impingement 1,2, particularly cam morphology 6.
Termino...
Article
Palmar ulna bursa
The palmar ulna bursa is one of the bursae in the palmar surface of the hand.
Gross anatomy
The palmar ulnar bursa is usually the larger bursa and encases the majority of the flexor tendons. It typically originates at the level of the pronator quadratus muscle and continues distally to approxi...
Article
Stress response
Stress response or stress reaction is the early result of bone failing to withstand a repetitive, cumulative loading force.
Terminology
Stress response of bone is synonymously used with 'stress reaction' and is an early form of osseous 'stress injury', which also encompasses a stress fracture ...
Article
Tibial torsion
Tibial torsion refers to the rotation or twist along the longitudinal axis of the lower leg or more specifically the tibial bone.
Usage
Internal tibial torsion is a cause of in-toeing gait a common rotational variant in toddlers, usually resolving spontaneously by the age of 5 years 1. Externa...
Article
Torsion (bone)
Torsion in bone refers to the rotation or contortion along the longitudinal axis of the bone.
The long bones, particularly the femur, humerus and tibia are most commonly affected by torsional abnormalities, that can be developmental or post-traumatic or can arise from overuse 1.
Torsion is mea...
Article
Groin pain
Groin pain is a symptom manifesting in a wide spectrum of clinical disorders and diseases in athletes and non-athletes.
The Doha agreement in 2014 identified and classified groin pain in athletes and defined the following clinical entities 1,2:
adductor-related, pubic-related, inguinal-related...
Article
Bone lesion description (mnemonic)
A mnemonic for describing bone lesions (of any type) in a logical order:
All Sensible People Must Make Clear/Proper Sense
CAMPS
Mnemonics
All Sensible People Must Make Clear/Proper Sense
A: age (maturity of skeleton)
S: site (bone name and location within bone) and size
P: pattern of dest...
Article
Rhabdomyoma
Rhabdomyomas are rare benign mesenchymal tumors that can be classified as:
cardiac rhabdomyoma
extracardiac (non-cardiac) rhabdomyoma
adult rhabdomyoma
fetal rhabdomyoma
genital rhabdomyoma
Article
Acetabular retroversion
Acetabular retroversion denotes an abnormal posterior angulation of the superolateral acetabular rim, resulting in excessive coverage of the femoral head and metaphysis along the anterior border 1,2.
Epidemiology
Acetabular retroversion is a common abnormality affecting 5 to 20% of the genera...
Article
Version
Version is the measure of the rotation of a joint socket along its transverse axis, and is the opposite of torsion, which measures the rotation of a long bone along its longitudinal axis. Abnormal angulation of a joint socket results in early mechanical dysfunction, instability, impingement, and...
Article
Wolff's law
Wolff's law summarizes the dynamic nature of the 3D microarchitecture of bone. Mechanical forces (or the lack of them) dynamically alter the thickness of cortical bone and the thickness and orientation of trabeculae.
Lack of sufficient mechanical loading (e.g. bed rest) results in resorption a...
Article
Anterior abdominal wall hernia
Anterior (or ventral) abdominal wall hernias (herniae also used) are a subgroup of abdominal wall herniae that are differentiated by the location of the hernia.
epigastric hernia
incisional hernia
port site hernia
interparietal (interstitial) hernia
parastomal hernia
paraumbilical hernia
...
Article
Groin herniation
Groin hernias (herniae also used) may be congenital or acquired, and represent a large proportion of all abdominal wall hernias.
The subtypes based on location are:
inguinal hernia
direct inguinal hernia
indirect inguinal hernia: five times commoner than direct
Amyand hernia
pantaloon hern...
Article
Cirrhosis (musculoskeletal manifestations)
There are several musculoskeletal complications that can arise in the setting of cirrhosis 1:
stigmata of portal hypertension, mainly abdominal wall varices
hemorrhagic complications due to coagulopathy:
spontaneous rectus hematoma
postparacentesis abdominal wall bleeding
infective complica...
Article
Transverse tibiofibular ligament
The transverse tibiofibular ligament is part of the tibiofibular syndesmosis.
Gross anatomy
The transverse ligament is a thick round ligament, which takes a horizontal course between the posterior tibia and the edge of the lateral malleolar fossa distal to the posterior tibiofibular ligament a...
Article
Posterior inferior tibiofibular ligament
The distal posterior inferior tibiofibular ligament (PITFL) is a strong ligament of the tibiofibular syndesmosis.
Gross anatomy
The posterior tibiofibular ligament is formed of multiple collagen bundles with interposed fatty tissue and courses obliquely downward from the posterior distal tibia...
Article
Pyogenic granuloma
A pyogenic granuloma, also known as lobular capillary hemangioma, is a common lesion found arising from the skin and mucous membranes. Sometimes it may be difficult to differentiate them from malignancy, clinically or on imaging.
Terminology
Despite its name, a pyogenic granuloma is not a tru...
Article
Musculoskeletal arteriovenous malformations
Musculoskeletal arteriovenous malformations (AVM) are typically congenital, growing with age and may not manifest until adolescence or adulthood. Spinal AVMs are discussed separately.
Rarely they can be acquired e.g. post traumatic vascular malformation.
Clinical presentation
Patients can pr...
Article
Proximal row carpectomy
Proximal row carpectomy (PRC) is a surgical technique used in some patients with advanced degenerative change in the wrist. The proximal row of carpal bones are excised, converting the wrist joint into a simple hinge-type radiocarpal articulation. The procedure reduces pain from the joint while ...
Article
Tibiotalar spurs
Tibiotalar spurs are bony proliferations of the anterior tibial plafond and the anterior talus.
Epidemiology
Tibiotalar spurs are very common in professional athletes 1.
Clinical presentation
They can be found in asymptomatic individuals or in patients who present with anterior ankle pain.
...
Article
Paratenonitis
Paratenonitis describes the inflammation of the paratenon, a membrane-like structure in tendons without synovial sheath 1,2.
Terminology
Paratenonitis has sometimes also been referred to as "peritendinitis" 2 or "paratendonitis" 3.
Epidemiology
Paratenonitis is common but the frequency depen...
Article
Anterolateral recess of the ankle joint
The anterolateral recess of the ankle joint also known as the anterolateral gutter is a triangular or pyramidal formed topographical space of the anterolateral aspect of the ankle 1-4.
Gross anatomy
The space may contain joint fluid in asymptomatic individuals and is defined by the following a...
Article
Anterolateral ankle impingement
Anterolateral ankle impingement is one of the impingement syndromes of the ankle and can occur as a posttraumatic sequel of an inversion injury 1-6.
Terminology
Anterolateral ankle impingement has been known under the term anterolateral 'meniscoid lesion', which is the result of synovitis in t...
Article
Anteromedial impingement of the ankle
Anteromedial impingement of the ankle is one of the ankle impingement syndromes and can occur as a late effect of a traumatic injury 1-3.
Epidemiology
It is one of the less common ankle impingement syndromes 2. It can occur as a result of a previous plantar flexion and inversion injury and can...
Article
Posteromedial ankle impingement
Posteromedial ankle impingement is one of the impingement syndromes of the ankle. It usually follows an injury of the deltoid ligament 1-4.
Epidemiology
It is one of the less common ankle impingement syndromes 2. It is associated with a previous ankle sprain and deltoid ligament injury 1-3.
C...
Article
Venous lake (disambiguation)
The term venous lakes may refer to:
cutaneous venous lakes, often occurring on the lower lip 1
osseous venous lakes occurring in the skull 2
placental (venous) lakes 3
Article
MRI of the wrist (an approach)
MRI of the wrist is a fairly frequent examination in musculoskeletal radiology practice and not quite as common in general radiological practice. This approach is an example of how to create a radiological report of an MRI of the wrist with coverage of the most common anatomical sites of possibl...
Article
Hallux sesamoid fracture
Hallux sesamoid fractures are the commonest foot sesamoid fractures, with the medial sesamoid fractured more frequently than the lateral one 1. These hallucal sesamoids are also vulnerable to weight-bearing stress injury 2.
Radiographic features
A sharp fracture line is seen separating irregul...
Article
MRI of the ankle (an approach)
MRI of the ankle is one of the more frequent examinations faced in daily radiological practice. This approach is an example of how to create a radiological report of an MRI of the ankle with coverage of the most common anatomical sites of possible pathology, within the ankle without claim for co...
Article
Coracoacromial arch
Coracoacromial arch is a term for different bony and ligamentous structures, which form the superior border supraspinatus outlet 1-4.
Gross anatomy
It comprises the following anatomical structures from anterior to posterior 1:
coracoid process
coracoacromial ligament
acromioclavicular joint...
Article
T sign (elbow MRI)
The T sign is seen on a coronal T2 or fat-saturated intermediate-weighted MRI of the elbow. It refers to the interposition of joint fluid between the ulnar insertion of the ulnar collateral ligament and the sublime tubercle and indicates a partial undersurface tear of the distal anterior bundle ...
Article
MRI of the elbow (an approach)
MRI of the elbow is a fairly frequent examination in musculoskeletal radiology practice and not quite as common in general radiological practice. This approach is an example of how to create a radiological report of an elbow MRI with coverage of the most common anatomical sites of possible patho...
Article
MRI of the shoulder (an approach)
MRI of the shoulder is one of the more frequent examinations faced in daily radiological practice. This approach is an example of how to create a radiological report of an MRI shoulder with coverage of the most common anatomical sites of possible pathology.
Systematic review
A systematic revie...
Article
MRI of the knee (an approach)
Knee MRI is one of the more frequent examinations faced in daily radiological practice. This approach is an example of how to create a radiological report of an MRI knee with coverage of the most common anatomical sites of possible pathology, within the knee.
Systematic review
A systematic rev...
Article
Toes (lateral view)
The lateral toe projection is part of the three view series examining the phalanges of any specified toe(s), and distal half of the associated metatarsals.
Indications
This view evaluates all phalanges of a specified toe(s) for any fractures or dislocation, allowing the establishment of dorsal...
Article
Genu valgum
Genu valgum (layperson term: knock-knee) denotes the valgus deformity of the knee, where the lower leg is bending outwards in relation to the axis of the femur.
Pathology
Etiology
Systemic conditions (e.g vitamin D deficiency) most commonly result in bilateral, whilst focal lesions (e.g. phys...
Article
Genu varum
Genu varum (bow legs) denotes the varus angular deformity of the knee joint, where the leg is bowing outwards at the knee, while the lower leg is angled medially.
Pathology
Genu varum is physiologic in neonates and infants and reaches its peak between 6 to 12 months. During normal growth the t...
Article
Meniscotibial ligaments
The meniscotibial ligaments, also known as coronary ligaments, attach the knee menisci to the tibial plateau 1-6 and have a role in rotatory knee stability and anterior tibial translation 7-10.
Gross anatomy
The meniscotibial ligaments attach the menisci to the tibial condyles at various locat...
Article
Prostaglandin-induced cortical hyperostosis in infants with cyanotic congenital heart disease
Prostaglandin-induced cortical hyperostosis in infants is a well-known side-effect from the treatment of cyanotic congenital heart diseases. Prostaglandin-E1 (injectable form), and prostaglandin-E2 (oral form) are E-type prostaglandins (PGE), that are commonly used in newborns with cyanotic cong...
Article
Elbow radiograph (checklist)
The elbow radiograph checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
Elbow ...
Article
Soap bubble appearance (differential diagnosis)
Soap bubble appearance describes a multi-loculated bubbly appearance of lesion or structure.
A soap bubble appearance of a bone lesion refers to:
an expansile lytic lesion with internal trabeculations and preserved cortex, usually of benign nature
but may be used to describe more aggressive ...
Article
Patellotrochlear index
Patellotrochlear index is one of the methods to determine patellar height.
Measurement
Patellotrochlear index is measured on a sagittal MR image with the maximal patellar cartilage thickness and the maximal craniocaudal diameter of the patella.
Two measurements are made:
A: the length of th...
Article
Tanner-Whitehouse method
The Tanner-Whitehouse (TW) method is a way of assessing the bone age of children. There are several variations of this method, but all use a DP radiograph of the left hand and wrist to assess the relative maturity of the bones of the patient.
The TW2 (Tanner-Whitehouse 2) methods 1:
RUS (radiu...
Article
Tuberculous osteomyelitis
Tuberculous osteomyelitis is one of the rarer musculoskeletal manifestations of tuberculosis.
Epidemiology
Tuberculous osteomyelitis accounts for ~20% of musculoskeletal tuberculosis 5.
Clinical presentation
Patients may present with a painful "cold abscess" with a localized mass/swelling +/...
Article
Medial condyle trochlear offset
Medial condyle trochlear offset (MCTO) is a measurement to assess the height of the medial trochlear facet with respect to the trochlear groove 1.
Usage
Medial condyle trochlear offset has been described for the assessment of trochlear dysplasia in skeletally immature patients 1. It measures a...
Article
Ventral trochlear prominence
Ventral trochlear prominence (VTP) describes and measures the bony surplus in the anterior femoral surface at the most superior or proximal aspect of the trochlea.
Usage
Ventral trochlear prominence is used for the assessment of trochlear dysplasia, a risk factor for patellofemoral instability...
Article
Trochlear facet asymmetry
Trochlear facet asymmetry (FA) refers to the condition of the medial facet being abnormally small if compared to the lateral facet in trochlear dysplasia 1.
Usage
Facet asymmetry is also used as a measurement in magnet resonance imaging for trochlear dysplasia to make it more objective 1-3, th...
Article
Trochlear depth
Trochlear depth (TD) measures the depth of the trochlear groove in relation to the femoral condyles.
Usage
Trochlear depth is used for the assessment of trochlear dysplasia, a dysplastic deformity of the femoral head, which is a known risk factor for patellofemoral instability 1-6.
A review o...
Article
Lateral trochlear inclination
Lateral trochlear inclination (LTI) is the inclination angle between the femoral trochlea and a posterior condylar tangential line 1.
Usage
The lateral trochlear inclination angle is used in the assessment of trochlear dysplasia, a dysplastic deformity of the distal femur, which is a known ris...
Article
Letter joints
The letter joints are those articulations that are commonly known by their initialisms, these are:
ACJ: acromioclavicular joint
SIJ: sacroiliac joint
TMJ: temporomandibular joint
This sobriquet was coined by Clyde Helms, an American musculoskeletal radiologist 1. The letter joints together w...
Article
de Carvalho index (knee)
The de Carvalho index is used to measure patellar height and identify patella alta. Similar to the Caton-Deschamps index, it relies upon the length of the patellar articular surface and its distance from the tibia, reducing erroneous measurements in those with long patella bodies, as measured in...
Article
FABER test
The FABER (Flexion, ABduction and External Rotation) test and also sometimes called the Patrick test) is a diagnostic test for pathology of the hip joint or sacroiliac joint.
It is done by having the leg flexed and thigh abducted and externally rotated with the patient lying supine. The knee a...
Article
Bare area (disambiguation)
Bare area is a term that may apply to:
bare area of the liver
bare area of the spleen
glenoid bare area
bare area of a joint where synovium is in direct contact with bone, the site of marginal joint erosion in some inflammatory arthritides
Article
Myxoid soft tissue tumors
Myxoid soft tissue tumors are diversified group tumors of mesenchymal origin with a mucoid or myxoid extracellular matrix, which can be benign or malignant 1-3.
Epidemiology
Incidence depends entirely on the specific tumor with intramuscular myxoma being the most common 2,3 from the benign les...
Article
Wrist radiograph (checklist)
The wrist radiograph checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
Wrist ...
Article
Hand radiograph (checklist)
The hand radiograph checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
Hand ra...
Article
Ankle (stress view)
The AP stress view of the ankle is a highly specialized view used to assess the integrity of the syndesmosis and deltoid ligament. It can be performed one of two ways, with gravity or via manual external rotation.
Indications
In intermediate ankle injuries that have no syndesmotic widening on...
Article
Metatarsus primus varus
Metatarsus primus varus is the medial angulation of the first metatarsal and has been associated with hallux valgus 1,2. It is characterized by an intermetatarsal angle >9˚ 3.
Article
Lumbar spine radiograph (checklist)
The lumbar spine checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
The lumbar...
Article
Subchondral fracture
A subchondral fracture is a fracture of the trabecular cancellous bone just beneath the subchondral bone plate without disruption of the articular surface 1.
Epidemiology
Subchondral insufficiency fractures are more common in elderly women 1,4,6. Subchondral fractures due to trauma can occur a...
Article
Thoracic spine radiograph (checklist)
The thoracic spine checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
These ra...
Article
Cervical spine radiograph (checklist)
The cervical spine checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
Although...
Article
Medial clear space (ankle)
The medial clear space is a radiographic measurement that may be useful in the diagnosis of ankle instability, syndesmotic injuries and ankle fractures 5.
Usage
The medial clear space is used in the prediction of deltoid ligament injury 1 and in conjunction with the tibiofibular clear space th...
Article
Tibiofibular overlap
The tibiofibular overlap (TFO) is the overlapping area between the anterior distal tibial prominence and the medial edge of the distal fibula 1-3.
Usage
Together with the tibiofibular clear space (TFCS) and the medial clear space, the tibiofibular overlap space has been used in the diagnosis a...
Article
Tibiofibular clear space
The tibiofibular clear space is a radiographic measure and defined as the space between the groove of the distal tibial prominence and the medial margin of the distal fibula 1-3.
Usage
Together with the tibiofibular overlap and the medial clear space, the tibiofibular clear space has been used...
Article
Shoulder radiograph (checklist)
The shoulder radiograph checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
Sho...
Article
Distal femoral fracture
Distal femoral fractures involve the femoral condyles and the metaphyseal region and are often the result of high energy trauma such as motor vehicle accidents or a fall from a height. In the elderly, they may occur as a domestic accident 1-3.
ICD-11 NC72.6Z
Epidemiology
They are quite rare a...
Article
Cat-scratch disease
Cat-scratch disease, a manifestation of bartonellosis, is a zoonotic bacterial infection caused by the Bartonella henselae microorganism. It is typically caused by a scratch of a cat.
Clinical presentation
The disease has a varying clinical picture ranging between localized lymphadenitis and ...
Article
Phosphaturic mesenchymal tumor
Phosphaturic mesenchymal tumors are the cause of the vast majority of cases of tumor-induced (oncogenic) osteomalacia due to the production of fibroblast growth factor-23 (FGF-23).
Epidemiology
These tumors are extremely rare, with fewer than 500 cases reported in the literature 1. Most occur ...
Article
First metatarsophalangeal angle
The first metatarsophalangeal angle, also known as hallux valgus angle (HVA) or hallux abductus angle, is a measurement used to assess the presence and severity of the alignment of the first metatarsophalangeal joint on a weight-bearing dorsoplantar radiograph of the foot.
Measurement
The angl...
Article
Pelvic brim sign
The pelvic brim sign is seen in the AP view of the pelvis and refers to a thickening of the pelvic brim outlined by the iliopectineal line. It is due to an osteoblastic reaction seen and first described in Paget disease, which leads to cortical thickening and sclerosis 1.
Article
Foot radiograph (checklist)
The foot radiograph checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
Foot ra...
Article
Cancellous bone
Cancellous, trabecular or spongy bone is one of the two macroscopic forms of bone, the other being cortical bone, and comprises 20% of skeletal mass.
Gross anatomy
Cancellous bone is located in the medullary cavity of bone, in particular tubular and short bones, and consists of dense trabecul...
Article
Skull vault osteoma
Skull vault osteomas are benign primary bone tumors that are commonly incidentally discovered. They are less common than paranasal sinus or mandibular osteomas.
Clinical presentation
Skull vault osteomas are typically asymptomatic but may present as painless, slow-growing masses or with compr...