Category Archives: Bones

Lipoleiomyoma

Ryan Schwope
CT shows a predominantly fat
attenuation, intramural uterine mass. There is rim of surrounding
calcification as well as a few foci of internal soft tissue density at the
superior aspect of the mass 

Ryan Schwope
   MR imaging showed the majority of the uterine mass as hyperintense on T1 weighted imaging (isointense to subcutaneous
fat)

Ryan Schwope
T2 weighted image with fat saturation MRI shows the uterine mass markedly hypointense (isointense to subcutaneous fat)

Ryan Schwope
Post contrast T1 weighted MRI image with fat saturation show mld enhancement of the soft tissue component  along the superior margin of the mass; the majority of the mass is markedly hypointense (isointense to subcutaneous fat)

Uterine
lipoleiomyomas are rare, benign tumors with a variable reported incidence
ranging from 0.03% to 0.2%. The exact etiology of these lesions is
unclear.  It is postulated lipoleiomyomas
either arise from fatty metaplasia of the smooth muscle cells of leiomyomas, or
from misplaced embryonic fat cells in the uterus. CT is highly specific for
the diagnosis when an intrauterine mass is seen containing both macroscopic fat
and soft tissue density. MR can also be confirmatory as the mass will have high
T1 weighted signal which can be confirmed as fat by using a fat suppression. The role of imaging is also to differentiate lipoleiomyoma from an ovarian
teratoma, a much more common entity presenting as a fat-containing pelvic mass.
Lipoleiomyomas require no treatment or follow-up whereas teratomas are
frequently resected. 

References

Giant Cell Containing Lesions of Bone

Reactive

  • Brown tumor of hyperparathyroidism
  • Hemophiliac pseudotumor

Benign

  • Giant cell reparative granuloma
  • Non-ossifying fibroma
  • Giant cell tumor
  • Aneurysmal bone cyst
  • Chondroblastoma
  • Chondromyxoid fibroma
  • Langerhans cell histiocytosis
  • Pigmented villonodular synovitis

Malignant

  • Osteosarcoma
  • Clear cell chondrosarcoma
  • Metastatic carcinoma
  • Malignant fibrous histiocytoma
  • Solitary fibrous tumor metastasis

ILAR Classification of Juvenile Idiopathic Arthritis

Juvenile idiopathic arthritis (JIA) is an umbrella term for a group of abnormalities characterized by chronic articular inflammation and association with HLA alleles. The International League Against Rheumatism (ILAR) has classified JIA into seven subtypes, including an unclassifiable group. These include:

  • Systemic arthritis: Arthritis in one or more joints with or preceded by fever of at least 2 weeks’ duration documented to be daily for at least 3 days, and accompanied by one or more of: evanescent erythematous rash, lymphadenopathy, hepatomegalyor splenomegaly, or both, serositis
  • Oligoarthritis: Arthritis in 4 or fewer joints in the first 6 months. Subtypes include persistent (no more than 4 joints throughout the course of the disease) and extended (more than 4 joints after the first 6 months).

  • Polyarthritis, RF negative: Arthritis affecting 5 or more joints in the first 6 months of disease. RF is negative
  • Polyarthritis, RF positive: Arthritis affecting 5 or more joints in the first 6 months of disease. Two or more tests for RF, conducted at least 3 months apart during the first 6 months, are positive. Considered the pediatric version of adult rheumatoid arthritis.
  • Psoriatic: Arthritis plus psoriasis OR Arthritis plus at least two of the following: dactylitis, nail pitting or onycholysis, psoriasis in a first-degree relative.
  • Enthesis-related: Arthritis plus enthesitis OR Arthritis or enthesitis, plus at least two of the following: presence of or a history of sacroiliac joint tenderness and/or inflammatory lumbosacral pain‡, presence of HLA-B27 antigen, onset of arthritis in a male over 6 years of age, acute (symptomatic) anterior uveitis, history of AS, ERA, sacroiliitis with IBD, reactive arthritis, or acute anterior uveitis in a first-degree relative
  • Unclassified: Arthritis that fulfills criteria in none of the above categories, or fulfills criteria in two or more of the above categories

References

Petty RE, Southwood TR, Baum J, Bhettay E, Glass DN, Manners P, Maldonado-Cocco J, Suarez-Almazor M, Orozco-Alcala J, Prieur AM. Revision of the proposed classification criteria for juvenile idiopathic arthritis: Durban, 1997. J Rheumatol. 1998 Oct;25(10):1991-4.

Femoral Fracture

stress fracture mri, it Stress+fracture+mri AP x-ray showing femoral -www.tumorlibrary.com
stress fracture mri, it Stress+fracture+mri AP x-ray showing femoral

Treatment with bisphosphonate therapy appears to be associated with an increased risk of atypical fractures of the femur, according to a report published Online First by Archives of Internal Medicine. “Current evidence suggests that there is an association A study in the current issue of the Journal of Orthopedic Trauma links Merck’s osteoporosis drug Fosamax to a rare type of fracture in the femur. The small, observational study looked at 70 patients who experienced low-energy femur fractures, which occur MONDAY, Sept. 22, 2014 (HealthDay News) — Trends in operative management of femoral neck fractures by orthopedic surgeons applying for board certification have changed over time, according to research published in the Sept. 3 issue of The Journal of Bone Proximal Femoral Fractures in elderly patients are a serious problem in the aging society. Recently, surgical indications have changed due to advancements in medical technology. The purpose of this study was to investigate the outcome of elderly patients Luckily, Haley suffered minimal injuries given the scenario. Her Femoral Fracture required an emergency vet visit, x-rays, fluids, hospitalization, surgical repair and medication. Because Haley has been insured with a PetFirst policy since 2007 The researchers analyzed 477 patients’ data, aged 50 years and older, who were hospitalized with a subtrochanteric or femoral shaft 39 patients with an atypical fracture, of which 32 patients or 82.1% were treated with bisphosphonates, whilst of .

Law360, New York (January 16, 2013, 2:52 PM ET) — Merck & Co. Inc. urged a New Jersey federal court Tuesday to dismiss part of a multidistrict litigation accusing it of negligence and other claims over femur fractures and similar injuries allegedly caused The occurrence of an unusual type of fracture of the femur, or the thigh bone, is very low in patients with osteoporosis, including those treated with the drug family known as bisphosphonates, according to a new study led by a team of UCSF epidemiologists. ABSTRACT Stress fractures are a common overuse problem among military trainees resulting in preventable morbidity, prolonged training, and long-term disability following military service. Femoral neck stress fractures (FNSFs) account for 2% of all stress OTTAWA, Dec. 20 (UPI) — A review of the research by Canadian health officials found a slightly increased risk of “atypical femur fracture” among those who take bisphosphonate drugs. Officials at Health Canada said this serious type of thigh bone fracture .

Another Picture of Femoral Fracture :

Image of the Day 4: Anterior Hip Dislocation-3.bp.blogspot.com
Image of the Day 4: Anterior Hip Dislocation

Medical Surgical Nursing Mnemonics
Medical Surgical Nursing Mnemonics

Fracture Pelvis

Michael Porter, Equine Veterinarian-4.bp.blogspot.com
Michael Porter, Equine Veterinarian

Although there is no conclusive evidence that a hospitalization can lead to dementia, the American Geriatrics Society estimates that about 30% of patients over 70 who undergo surgery—either for a fractured pelvis, hip, or other health issue— come home The man was taken to hospital with suspected head injuries and fractured pelvis. Police attended and are appealing for witnesses to the accident, to help with their inquiries. Call 101 with information. His back was broken in two places. His jaw, collarbone, ribs and pelvis were fractured and his lung was punctured. Two weeks in intensive care, two months in hospital and four years of physiotherapy later, Mr Duggan still suffers every day. “The man has chest injuries, internal injuries and possibly a fractured pelvis,” Mr Elliott said. Metropolitan Fire Brigade spokesman Trevor Woodward said the fact the man had survived the crash was extraordinary. “That’s a very lucky fella,” he said. POLICE are appealing for information after an elderly woman fractured her pelvis after being knocked down by a car in Tunbridge Wells last week. The 74-year-old woman was hit by a car on Vale Road in Tunbridge Wells on November 6 at around 5.30pm (CNN)– German Chancellor Angela Merkel fractured her pelvis in a skiing accident in Switzerland over the holidays, her spokesman told reporters Monday. Merkel was cross-country skiing when the accident occurred. Spokesman Steffen Seibert did not disclose .

Anteroposterior compression pelvic fracture with an associated Denis zone II sacral fracture. The symphysis was plated with a 3.5-mm reconstruction plate, and the sacrum was fixed with iliosacral screws. Unstable pelvic fractures typically occur as a Q: My horse was sound when he was turned out one night, and the next morning he was lame in the hind end. It took quite a few diagnostics by my veterinarian before it was determined that he had suffered a slight pelvic fracture. How common is this and what (NaturalNews) If you had serious doubts about an earlier Natural News story on how a woman cured her cancer with carrot juice, as recommended to her by another who had done the same, here’s another carrot juice story that should blow your mind. [1] It was The motorist, believed to be in his 40s, suffered serious chest and leg injuries, a possible fractured pelvis and head injuries during the collision in Point Cook, in Melbourne’s west, yesterday morning. Paramedics were also concerned he may have .

Another Picture of Fracture Pelvis :

fracture is a vertical shear injury on one side of the pelvis -3.bp.blogspot.com
fracture is a vertical shear injury on one side of the pelvis

approaching North
approaching North

Fractured Eye Socket

tweet by St. Louis Post-Dispatch crime reporter Christine Byers -1.bp.blogspot.com
tweet by St. Louis Post-Dispatch crime reporter Christine Byers

A Fractured Eye Socket occurs when the small bones surrounding one or both eyes becomes damaged due to facial trauma. This type of fracture–which is also referred to as an orbital or blowout fracture–can cause severe eye damage in certain patients. Sam Burgess’ NRL grand final heroics continue to grow, with scans revealing the Clive Churchill medallist suffered a Fractured Eye Socket alongside his fractured cheekbone in Sunday’s win over Canterbury. Rugby-bound Burgess, who suffered the injuries in The Washington Post reported earlier today that a friend of Ferguson police officer Darren Wilson says Wilson’s eye socket was broken during his confrontation with Michael Brown: The signs of easing tensions came as a family friend of the officer who Fox News and various other outlets have been reporting that Darren Wilson, the officer responsible for fatally shooting unarmed teenager Michael Brown, had a Fractured Eye Socket when he was brought to the hospital after the incident. This was the central The black teen killed by a white cop in Ferguson, Mo., viciously attacked the officer as he sat in his patrol car, delivering a bone-crunching punch that shattered the cop’s eye socket, a report claimed Tuesday. Officer Darren Wilson suffered an The circumstances surrounding the shooting of unarmed Ferguson, Mo., teen Michael Brown are still unclear as rumors and conflicting information are rampant in news coverage. The scarcity of actual facts was compounded Thursday with CNN anchor Don Lemon .

A man has suffered a suspected fractured eye socket after he and his friend were assaulted and robbed while walking across Pyrmont Bridge. Five teenagers, including a 15-year-old boy, were chased by police and arrested shortly after the attack on the Officer Darren Wilson suffered severe injuries to his face, including a fractured eye socket, during an altercation that ended in the shooting death of Michael Brown on August 9, according to sources close to the Ferguson, Mo. police department. There is .

Another Picture of Fractured Eye Socket :

http://i2.birminghammail.co.uk/incoming/article7930850.ece/alternates -i2.birminghammail.co.uk
http://i2.birminghammail.co.uk/incoming/article7930850.ece/alternates

Ken Laban's Photos - PWMC Christchurch Fundriaser
Ken Laban’s Photos – PWMC Christchurch Fundriaser

Elbow Fracture

 INJURY AT ELBOW WITH FRACTURE DISLOCATION AROUND ELBOW -HAND TRAUMA-1.bp.blogspot.com
INJURY AT ELBOW WITH FRACTURE DISLOCATION AROUND ELBOW -HAND TRAUMA

The warm weather is upon us. This is great news for kids that have been cooped up inside. But as kids hit the playscapes, trampolines and other activities requiring jumping and climbing, parents should be forewarned these activities have the potential WASHINGTON — Atlanta Braves right-hander Gavin Floyd broke a bone in his throwing elbow during Thursday night’s 3-0 victory over the Washington Nationals. Floyd broke the olecranon — the bony tip of the ulna that sticks out behind the elbow — as he made WASHINGTON — What had the makings of a memorable homecoming for Gavin Floyd instead became a reminder of how cruel baseball can be to both the mind and body. Floyd was in the midst of completing a gem before suffering what appears to be a season-ending As the 33 year old woman from Gillingham turned and walked in the opposite direction along the platform, a man crashed into her, causing a fractured shoulder and elbow. Detective constable Michael Stephenson said: “The woman suffered a painful injury and Dr Gupta said the technician suffered severe muscular damage and would require months to recover, while the ward boy, who is believed to have wheeled in the oxygen tank, underwent an Elbow Fracture surgery. Both are being treated at Bombay Hospital. Pediatric obesity is currently an epidemic, with the prevalence having quadruped over the last 25 years. Children diagnosed with obesity can be at risk for various long-term health issues and may be putting their musculoskeletal system at risk. According .

A NATURALISED IRISH citizen had his Elbow Fractured after being attacked by three men in his own driveway over the weekend, in the culmination of what he calls three weeks of racist abuse. Osamah Zaidi moved to Ireland from Pakistan in 2006 and has since Olecranon (point of the elbow) fractures are common orthopedic problems in foals often attributable to being kicked while playing, rambunctious behavior, or falling over backward (which they are more apt to do than older horses). Ms Keilthy attended the emergency department of St John’s Hospital. Counsel said a soft tissue injury was diagnosed but she had a very nasty fracture of the elbow. Counsel said Ms Keilthy was not told to follow through on the injury. However, she MPA Media, publisher of Massage Today, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation’s largest .

Another Picture of Elbow Fracture :

 INJURY AT ELBOW WITH FRACTURE DISLOCATION AROUND ELBOW -HAND TRAUMA-2.bp.blogspot.com
INJURY AT ELBOW WITH FRACTURE DISLOCATION AROUND ELBOW -HAND TRAUMA

Stress fractures after reverse shoulder replacement
Stress fractures after reverse shoulder replacement

Fracture Ankle

Radiographic evaluation-1.bp.blogspot.com
Radiographic evaluation

Minnesota goalie Josh Harding took a significant step in his recovery from a broken ankle on Monday, practicing for the first time since training camp. “It was good getting back out there,” Harding said, per the team website. “It was great seeing all SPOKANE, Wash. (AP) — Washington State quarterback Connor Halliday broke his ankle in Saturday’s loss to Southern California and is out for the rest of the season. That’s according to football coach Mike Leach on Monday. Halliday, the nation’s passing Ankle fractures refer to fractures of the distal tibia, distal fibula, talus, and calcaneus. The ankle joint is composed of 2 joints: the true ankle joint and the subtalar joint. The true ankle joint contains the tibia (medial wall), fibula (lateral wall @PappaMeighen 22 years of hard work I was 3 god damn games away from my dream 3 freakin games away from being drafted and living my dream — Connor Halliday (@c_halliday12) November 2, 2014 That would be Washington State quarterback Connor Halliday According to the American Academy of Orthopaedic Surgeons or AAOS, a fractured ankle can range in severity from a simple break to multiple fractures. A lateral malleolus fracture is a fracture of the fibula—the smaller of the two shin bones—on the Not every broken ankle requires surgery; however, it’s important to have a better understanding of when surgery is needed. Neglecting a broken ankle could lead to ankle arthritis and/or structural deformity — both of which can cause disability and chronic .

A study by researchers at the University of Geneva concludes that prevalent ankle fractures should be considered as osteoporotic fractures and taken into account in fracture-risk assessment. The research was presented at the World Congress on Osteoporosis Many people associate ankle fractures with sports, but you don’t have to be an athlete to develop a serious ankle injury. Ankle fractures, in which there is a partial or complete break in a bone, can happen to anyone. People can break an ankle after a fall The early news on Robert Griffin III’s ankle injury is positive. Redskins coach Jay Gruden said Monday during a press conference that an MRI of Griffin’s ankle showed no fracture. Gruden added that the team is optimistic Griffin will return this season and .

Another Picture of Fracture Ankle :

spiral fracture of the shaft of the fifth metatarsal this fracture was -i225.photobucket.com
spiral fracture of the shaft of the fifth metatarsal this fracture was

Foot is high organized structure for weight bearing. For that it have
Foot is high organized structure for weight bearing. For that it have

Fractured Leg

broken leg bone. Broken+leg+one+sticking+-korossy.org
broken leg bone. Broken+leg+one+sticking+

The 49-year-old victim was rushed to hospital with a Fractured Leg but his life is not in danger, sources said. The motive for the attack is still unknown. “He’s doing considerably well after the surgery,” Lane Luzzi wrote in a text. Mike Luzzi also suffered a broken leg in the accident, in which his mount, Tricky Zippy, flipped backward and landed on Luzzi in the paddock. Nose tackle Ian Williams, who required four surgeries to repair a broken ankle suffered last season, may have hit another significant bump in the road. “Ian, we’ll see. It looks like he may have a little bit of a small fracture,” 49ers coach Jim Harbaugh What Criswell saw was injuries that ranged from a compound Fractured Leg, partially collapsed lung, 12 broken ribs, a broken eye socket, jaw that was broken in two different places, nearly every bone in his face was broken and a swollen brain from the fall. NEW ORLEANS – There is a silver lining to the toe injury that sidelined All-Po inside linebacker Patrick Willis for his third straight game Sunday: It’s made it abundantly clear the 49ers got a third-round steal when they selected Chris Borland in May. OXFORD, Mississippi — Ole Miss wide receiver Laquon Treadwell immediately underwent surgery to repair a fractured fibula and dislocated ankle late Saturday night, the school announced late Saturday night. Treadwell, who caught 10 passes for 103 yards and .

Ian Williams suffered a slight fracture in leg and will reportedly miss a few weeks, according to Matt Maiocco of CSNBayArea.com. Continue for updates. Matt Maiocco of CSN Bay Area reported on Ian Williams’ timeline for a return to the 49ers following his Exeter Chiefs full-back Chrysander Botha is set for a lengthy spell on the sidelines after breaking a leg while playing for Namibia. Botha was stretchered off and taken to a local hospital after sustaining the injury in the eighth minute of his country’s Unfortunately, the injury was as bad as originally thought. Following Washington State’s loss to USC, Mike Leach confirmed that Connor Halliday suffered a broken right leg early on in the game. As a result, the prolific quarterback will miss the VICTORVILLE — A 30-year-old Yermo man was transported to Arrowhead Regional Medical Center on Wednesday morning after he lost control of his vehicle and hit a tree on the southbound Interstate 15 offramp at Palmdale Road, California Highway Patrol .

Another Picture of Fractured Leg :

He made the trip okay but when he had to sit in a wheel chair, he -1.bp.blogspot.com
He made the trip okay but when he had to sit in a wheel chair, he

The tubes and wires make it a little difficult to get comfortable, but
The tubes and wires make it a little difficult to get comfortable, but

Sesamoid Fracture

Nasal Bone Anatomy-img.medscape.com
Nasal Bone Anatomy

“I’m OK,” he said as he left the stadium. It’s all an instant replay for Beason, who suffered a Sesamoid Fracture in his right foot in mid-June. Surgery was an option at the time, but the club decided against it, and Beason made a remarkable New York Giants starting middle linebacker Jon Beason is reportedly out for 12 weeks with a Sesamoid Fracture in his right foot, requiring surgery. The injury came during OTAs on Thursday. Kim Jones of NFL Network broke the news on twitter: NYG LB Jon p>The Chicago White Sox announced Friday that first baseman Paul Konerko has a Sesamoid Fracture in his left hand and is expected to miss up to one week. Cleveland, OH (SportsNetwork.com) – The Chicago White Sox announced Friday that first baseman Paul He told BBC Scotland: “I’ve a fracture on the sesamoid bone beside my big toe. “Most of the pain is coming from bone marrow oedema. It will take a while to heal but the season has finished.” O’Hare was suffering from a hamstring injury earlier in the Giants linebacker Jon Beason sustained a sesamoid fracture and torn ligament in his right foot during practice yesterday, which will keep him out for at least 12 weeks, the team announced. Beason said he is hopeful that he’ll be able to return for the Giants defensive coordinator Perry Fewell said last month that New York signed linebacker Jameel McClain as an insurance policy in case Jon Beason went down to injury. That looked like a wise move after Beason suffered a sesamoid fracture in his right foot .

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Another Picture of Sesamoid Fracture :

Fifth Metatarsal Fracture Symptoms-1.bp.blogspot.com
Fifth Metatarsal Fracture Symptoms

Just Being Real
Just Being Real