– See: – Herniated Disc in the Child: – Intervertebral Discs: – Anatomy: – disc herniation may vary in severity from disc protrussion to disc extrusion, to finally disc sequestration; – disc containment: – w/ a contained disc herniation, the … Read more
– Dicussion: – a thickened and wafer shaped lateral meniscus varient; – discoid meniscus may range from complete disc to a ring shaped meniscus; – occurs in upto 5% of population (but only a % of these are symptomatic) (prevalence may be higher in orientals (15%)); – … Read more
– See: – Soft Tissue Menu – Desmoplastic fibroma – Fibromatosis – Discussion: – solitary, beinign fibrous tumor of sof tissue; – it may occur at any age; – lesions arise as a slowly enlarging soft tissue mass; – palmer and planter aspects … Read more
– Myelopathy: Diff Dx: – Myopathic Disorders – Stroke / TIA; – Multiple Sclerosis – Amyotrophic Lateral Sclerosis – Thoracic Outlet Syndrome; – Pancoast Tumors – Reflex Sympathetic Dystrophy – Brachial Neuritis (upper & lower motor neurons, sensation is Nl); – Spinal Cord Tumor … Read more
– See: Puncture of the Knee Joint – Discussion: – non-bloody effusion suggests an irrative synovitis that may be caused by degenerative meniscusor a chronic process with no super imposed acute injury; – absence of hemarthrosis is not indication of less severe ligament injury, since severe disruptions often cause only minimal joint … Read more
– Discussion: – also known as Forestier’s disease; – disease involves non-marginal syndesmophytes present at at three successful vertebral levels; – commonly there will be no disc & joint narrowing & nor osteoarthritis; – differentiated from AS, w/ marginal syndesmophytes; … Read more
– Discussion: – glenohumeral arthritis; – look for the characteristic osteophyte at the inferior aspect of the humeral head; – nerve palsy: – w/ atrophy of both the supraspinatus and infraspinatus, consider obtaining an MRI of the shoulder, to evaluate for space … Read more
– Differential Dx: – Brachial Plexus Injury – Brachial Neuritis – Instability – anterior – posterior – multidirectional – Biceps Tendonitis – Avascular Necrosis of the Humeral Head – Degenerative Osteoarthrosis … Read more
– Systemic conditions: (may mimic ulnar entrapment syndrome at elbow) – Syringomyelia – Amyotrophic Lateral Sclerosis – Entrapment of the ulnar nerve distally at the wrist (Guyon’s canal) – Snapping Elbow Syndrome: – syndrome which has yet to be fully described, in which … Read more
– see carpal tunnel syndrome – Overuse Syndromes: – include muscle pain, tendinitis, fibrositis, epicondylitis, & psychological conditions that may contribute to disability; – Vascular Pathology – Anatomic Diff Dx: – Cervical Root Impingement – combination of nerve entrapment & radiculopathy (C6-C7) is not uncommon … Read more