Great Job Dr.s Dey, Trace and Bonney!
1. LCL, popliteus tendon, and PFL
2. High PPV of arthroscopically confirmed posterior horn tears of the lateral meniscus
3. Posterior Cruciate Ligament; Anterior Cruciate Ligament
4. LCL or Biceps femoris
5. Osteonecrosis of the femoral head
6. Above or below the fovea capitis
7. Fracture of the femoral neck
8. Evaluate joint congruence, evaluate for intra-articular fragments, search for associated bone and soft tissue injuries
9. Biceps femoris, rectus femoris, gastrocnemius muscles.
10. Stretching injury with unaccustomed prolonged or overly vigorous eccentric exercise; Muscle enlargement and fluid signal with preserved architecture
11. More sensitive - allows dynamic viewing and hernia has anisotropy to origin muscle, may see the fascial defect
12. Zonal
Bonus:
Stan Kroenke who owns the LA Rams and Arsenal of London, England; Shahid Khan who owns the Jacksonville Jaguars and Fulham
Wednesday, February 27, 2019
Saturday, February 2, 2019
February Quiz
Hey We are Back and it's 2019. May it be better for you than last year.
1. What are the 3 main stabilizers of the posterolateral corner?
2. Disruption of the popliteomeniscal fascicle is associated with what?
3. Posterolateral corner injuries are most commonly associated with tears of what cruciate ligament? Grade III injuries are associated with failed reconstruction of what cruciate ligament?
4. You see a larger lateral margin avulsion from the fibular styloid, you are likely to have avulsion fractures of what?
5. In the setting of hip dislocation, providers want to reduce quickly to reduce the risk of what?
6. In the setting of dislocation and a fracture of the femoral head, it should be described as above or below what?
7. What contraindicates closed reduction in the setting of hip dislocation?
8. What is the purpose of CT in the setting of post reduction hip?
9. The 3 most commonly strained muscles?
10. DOMS - what setting does it typically occur? What is the typical T2 finding?
1. What are the 3 main stabilizers of the posterolateral corner?
2. Disruption of the popliteomeniscal fascicle is associated with what?
3. Posterolateral corner injuries are most commonly associated with tears of what cruciate ligament? Grade III injuries are associated with failed reconstruction of what cruciate ligament?
4. You see a larger lateral margin avulsion from the fibular styloid, you are likely to have avulsion fractures of what?
5. In the setting of hip dislocation, providers want to reduce quickly to reduce the risk of what?
6. In the setting of dislocation and a fracture of the femoral head, it should be described as above or below what?
7. What contraindicates closed reduction in the setting of hip dislocation?
8. What is the purpose of CT in the setting of post reduction hip?
9. The 3 most commonly strained muscles?
10. DOMS - what setting does it typically occur? What is the typical T2 finding?
11. What advantage(s) does ultrasound have in the setting of muscle hernia?
12. Myositis Ossificans has a what type of organization as it matures?
Bonus:
The article on muscle injury briefly mentions a football team. Who currently owns two different types of football teams in 2 different countries that speak the same language and what teams are they?
Saturday, December 15, 2018
Movember Quiz Answers
Congrats to Drs Dey, Vosburg, Bonney and Bulzan - y'all did great. Below are the answers for this month's quiz - We will see you in February!
1. Males 30-49 years because of occupational exposure and risk taking behavior. Runners - affect male genitalia. (historically not currently - military) (2 points)
2. Thumb - protection when clenched in the palm. (1 point)
3. More than 24 hours after injury, use methamphetamines, or have evidence of multiple freeze-thaw-refreeze injuries (3 points)
4. SPECT-CT - precise anatomical localization of functional information for surgical planning. Define exact level of bone necrosis. Better evaluate small digits and tips of distal phalanges. Evaluate response to treatment. (3 points)
5. Penile fracture - is a tear in the tunica albuginea with rupture of corpus cavernosum. Freudian slip in the original question - sorry - 1 point
6. T1 and T2 hypointense thickening (plaques) of the tunica albuginea. Acute - enhancement of plaque. (2 points)
7. Liposarcoma - frequently demonstrates thickened septa or enhancing soft tissue components. Scrotal liposarcomas are larger and may demonstrate local invasion or metastatic disease. 3 points
8. Lymphoma - most common bilateral tumor (also most common secondary neoplasm involving the testes). 1 or more T2 hypointense masses with enhancment. Restricts on DWI and ADC (3 points).
9. 18F-NaF PET/CT is superior in sensitivity but not specificity - 1 point.
10. Focal incidental prostate activity with maximum SUV of more than 6 should be further evaluated with multiparametric MRI of the prostate.
11. Physiologic
12. Physiologic uptake in the celiac ganglia
Bonus:
C
1. Males 30-49 years because of occupational exposure and risk taking behavior. Runners - affect male genitalia. (historically not currently - military) (2 points)
2. Thumb - protection when clenched in the palm. (1 point)
3. More than 24 hours after injury, use methamphetamines, or have evidence of multiple freeze-thaw-refreeze injuries (3 points)
4. SPECT-CT - precise anatomical localization of functional information for surgical planning. Define exact level of bone necrosis. Better evaluate small digits and tips of distal phalanges. Evaluate response to treatment. (3 points)
5. Penile fracture - is a tear in the tunica albuginea with rupture of corpus cavernosum. Freudian slip in the original question - sorry - 1 point
6. T1 and T2 hypointense thickening (plaques) of the tunica albuginea. Acute - enhancement of plaque. (2 points)
7. Liposarcoma - frequently demonstrates thickened septa or enhancing soft tissue components. Scrotal liposarcomas are larger and may demonstrate local invasion or metastatic disease. 3 points
8. Lymphoma - most common bilateral tumor (also most common secondary neoplasm involving the testes). 1 or more T2 hypointense masses with enhancment. Restricts on DWI and ADC (3 points).
9. 18F-NaF PET/CT is superior in sensitivity but not specificity - 1 point.
10. Focal incidental prostate activity with maximum SUV of more than 6 should be further evaluated with multiparametric MRI of the prostate.
11. Physiologic
12. Physiologic uptake in the celiac ganglia
Bonus:
C
Sunday, December 2, 2018
February Articles
Hey - It is the end of 2018. We are doing well. We haven't sunken into the sea and WWIII hasn't been initiated. So let's be happy. We won't have another quiz until the First Sunday of February in 2019! Enjoy the holidays, hug your family or family pet or both. If neither - share love to someone in your neighborhood. You never know who needs it.
Below are the articles for February. Back to Ortho!!
Traumatic Hip Dislocation: What the orthopedic surgeon wants to know
MR Imaging of Muscle Trauma
Unraveling the Posterolateral Corner
Below are the articles for February. Back to Ortho!!
Traumatic Hip Dislocation: What the orthopedic surgeon wants to know
MR Imaging of Muscle Trauma
Unraveling the Posterolateral Corner
Movember Quiz!
It's the 1st Sunday in December - that means it is quiz time!!!!!
1. Who is most likely to get frostbite? Why do you not want to be a runner in cold places like Alaska or Norway?
2. When the hand is affected by frostbite, which finger is typically spared?
3. Which patients with frostbite should not get thrombolysis?
4. What are some advantages of SPECT/CT in the evaluation of frostbite?
5. What is the definition of penile tear?
6. What is the imaging appearance of Peyronie's disease? What finding would suggest acute phase?
7. What are typical findings that separate liposarcoma from lipoma?
8. Most common bilateral testicular mass? What are the imaging findings?
9. What PET/CT is considered superior in sensitivity to bone scintigraphy for prostate cancer?
10. When should an MR be ordered to evaluate the prostate after a FDG PET/CT?
11. Uptake in the liver on a Choline exam should be considered ___
12. You see uptake in a focus near the aorta near the crura of the diaphragm on a Ga68 PSMA - This may represent?
Bonus:
"Had a dream, I wanted to lick your knees" was sung by:
A. Ariana Grande
B. The Weeknd
C. Camper Van Beethoven
D. Third Eye Blind
E. The Cure
1. Who is most likely to get frostbite? Why do you not want to be a runner in cold places like Alaska or Norway?
2. When the hand is affected by frostbite, which finger is typically spared?
3. Which patients with frostbite should not get thrombolysis?
4. What are some advantages of SPECT/CT in the evaluation of frostbite?
5. What is the definition of penile tear?
6. What is the imaging appearance of Peyronie's disease? What finding would suggest acute phase?
7. What are typical findings that separate liposarcoma from lipoma?
8. Most common bilateral testicular mass? What are the imaging findings?
9. What PET/CT is considered superior in sensitivity to bone scintigraphy for prostate cancer?
10. When should an MR be ordered to evaluate the prostate after a FDG PET/CT?
11. Uptake in the liver on a Choline exam should be considered ___
12. You see uptake in a focus near the aorta near the crura of the diaphragm on a Ga68 PSMA - This may represent?
Bonus:
"Had a dream, I wanted to lick your knees" was sung by:
A. Ariana Grande
B. The Weeknd
C. Camper Van Beethoven
D. Third Eye Blind
E. The Cure
Thursday, November 8, 2018
October Quiz Answers!
Great Job Drs. Dey, Bonney, Trace and Vosburg! Below are the answers to the October Quiz
1. D (1 Point)
2. Extracapsular rupture and gel bleed (2 points)
3. It is an ultrasound artifact (echogenic noise artifact) by free silicone. It is evidence of extracapsular rupture or gel bleed in either a silicone granuloma or lymph node. (2 points)
4. Keyhole (lasso, noose, inverted teardrop, dark open loop), subcapsular line sign, linguine sign (wavy line sign) - (3 points)
5. Screening mammography of an augmented breast with use of both implant-included and implant-displaced views has a 45% sensitivity for detection of cancer, compared with a 67% sensitivity in the nonaugmented breast (1 point)
6. Stability is typically achieved 2-3 years after treatment.(1 point)
7. Typically 2-4 weeks but can be up to 8 weeks. They recommend follow up at 6-8 weeks - if lesion is the same or bigger - biopsy (2 points)
8. Interval change (1 point)
9. Infection (mastitis +/- abscess) and locally advanced breast cancer (2 points)
10. Dermal lymphatic involvement (1 point)
11. Initial treatment and staging - primary lesion, skin involvement, lymph node extent (ipsilateral axillary and distal), distant mets (bone and soft tissue) (2 points).
12. Designate biopsy sites and guide biopsy (2 points).
Bonus:
D. New Order - Blue Monday This has to one of my favorites songs by one of my favorite bands. Sorry - I am very 80's British heavy. It was my thing in middle and high school.
21 total possible points
1. D (1 Point)
2. Extracapsular rupture and gel bleed (2 points)
3. It is an ultrasound artifact (echogenic noise artifact) by free silicone. It is evidence of extracapsular rupture or gel bleed in either a silicone granuloma or lymph node. (2 points)
4. Keyhole (lasso, noose, inverted teardrop, dark open loop), subcapsular line sign, linguine sign (wavy line sign) - (3 points)
5. Screening mammography of an augmented breast with use of both implant-included and implant-displaced views has a 45% sensitivity for detection of cancer, compared with a 67% sensitivity in the nonaugmented breast (1 point)
6. Stability is typically achieved 2-3 years after treatment.(1 point)
7. Typically 2-4 weeks but can be up to 8 weeks. They recommend follow up at 6-8 weeks - if lesion is the same or bigger - biopsy (2 points)
8. Interval change (1 point)
9. Infection (mastitis +/- abscess) and locally advanced breast cancer (2 points)
10. Dermal lymphatic involvement (1 point)
11. Initial treatment and staging - primary lesion, skin involvement, lymph node extent (ipsilateral axillary and distal), distant mets (bone and soft tissue) (2 points).
12. Designate biopsy sites and guide biopsy (2 points).
Bonus:
D. New Order - Blue Monday This has to one of my favorites songs by one of my favorite bands. Sorry - I am very 80's British heavy. It was my thing in middle and high school.
21 total possible points
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