scholarly journals Avascular Necrosis of Left Femoral Head Following Trivial Trauma and the Need for Early Magnetic Resonance Imaging

Author(s):  
. Pugazhendhi ◽  
K. Arvind Natarajan ◽  
H. Pankaj

Trivial Trauma is one of the causes of avascular necrosis of the femoral head. Even trivial trauma can cause loss of blood supply to the femoral head and results in ischemia and aseptic necrosis. A 68 year old male patient came with 2 month history of left hip pain. X-ray pelvis (fig-1) with both hips which was taken immediately after the trauma, showed no significant bony abnormality and patient was managed conservatively with analgesics. Patient had persisting pain for 2 months which increased in severity and patient developed difficulty walking. Therefore a Magnetic Resonance Imaging (MRI) L hip (fig-2) was done and which showed avascular necrosis grade III of left femoral head. Total hip replacement was then carried out for the patient and patient improved symptomatically. Earlier MRI imaging following trauma could have resulted in early diagnosis and intervention to prevent progression of the disease and salvage the femoral head.


2019 ◽  
Vol 1 ◽  
pp. 2-6
Author(s):  
Asad Naqvi ◽  
Timothy Ariyanayagam ◽  
Mir Akber Ali ◽  
Akhila Rachakonda ◽  
Hema N. Choudur

Objective: The objective of this study was to outline a novel unique concept of secondary impingement of the muscles, myotendons, and tendons of the rotator cuff from hypertrophy as a result of strength training exercises. Methods: In this retrospective observational study, 58 patients were referred for an magnetic resonance imaging (MRI) by the orthopedic surgeon to the radiology department over a period of 1½ years. All patients gave a history of strength training exercises and presented with clinical features of rotator cuff impingement. Results: We identified features of hypertrophy of rotator cuff muscles, myotendons, and tendons in 12 of these 58 patients. This was the only abnormality on MRI. The hypertrophy of rotator cuff muscles and tendon bulk completely filling the subacromial space to the point of overfilling and resulting in secondary compressive features. Conclusion: Rotator cuff impingement is a common phenomenon that can occur with various inlet and outlet pathological conditions. However, rotator cuff impingement may also result from muscle and tendon hypertrophy from strength training regimens. Hypertrophy of the rotator cuff can result in overfilling of the subacromial space, leading to secondary impingement, which we have termed as “pseudo-impingement.”



Author(s):  
Hongzhang Zhu ◽  
Shi-Ting Feng ◽  
Xingqi Zhang ◽  
Zunfu Ke ◽  
Ruixi Zeng ◽  
...  

Background: Cutis Verticis Gyrata (CVG) is a rare skin disease caused by overgrowth of the scalp, presenting as cerebriform folds and wrinkles. CVG can be classified into two forms: primary (essential and non-essential) and secondary. The primary non-essential form is often associated with neurological and ophthalmological abnormalities, while the primary essential form occurs without associated comorbidities. Discussion: We report on a rare case of primary essential CVG with a 4-year history of normal-colored scalp skin mass in the parietal-occipital region without symptom in a 34-year-old male patient, retrospectively summarizing his pathological and Computer Tomography (CT) and magnetic resonance imaging (MRI) findings. The major clinical observations on the CT and MR sectional images include a thickened dermis and excessive growth of the scalp, forming the characteristic scalp folds. With the help of CT and MRI Three-dimensional (3D) reconstruction techniques, the characteristic skin changes could be displayed intuitively, providing more evidence for a diagnosis of CVG. At the 5-year followup, there were no obvious changes in the lesion. Conclusion: Based on our observations, we propose that not all patients with primary essential CVG need surgical intervention, and continuous clinical observation should be an appropriate therapy for those in stable condition.



2010 ◽  
Vol 27 (4) ◽  
pp. 215-216 ◽  
Author(s):  
Killian O'Rourke ◽  
Niall Crumlish ◽  
Darra Murphy ◽  
John Stack ◽  
Brian Murray

AbstractA 31 year-old man with a history of a depressive episode presented with acute severe ‘thunderclap’ headache. Magnetic resonance imaging (MRI) revealed abnormalities typical of cerebral autosomal dominant arteriopathy with subcortical infarcts and leucoencephalopathy (CADASIL), which was subsequently confirmed by genetic analysis. The psychiatric features of this genetic cause of depression and headache are discussed.



Author(s):  
Dr Anubhav Chauhan ◽  
◽  
Dr Deepak Kumar Sharma ◽  
Dr Pankaj Kumar Thakur ◽  
Dr Anchit Wap a ◽  
...  

A nineteen - year - old female presented with a history of binocular diplopia for one week. She had a history of headache, seizures, and memory loss. Magnetic Resonance Imaging (MRI) of brain revealed subependymal astrocytoma as the cause of her symptoms. Our pa tient was a probable case of tuberous sclerosis complex (TSC). Diplopia was the presenting sign in this case diagnosis.



2021 ◽  
Vol 27 (2) ◽  
pp. 88-90
Author(s):  
Jaewoong Jung ◽  
Juhui Park ◽  
Yang Hoon Chung ◽  
Won Seok Chae

Magnetic resonance imaging (MRI) is a useful and safe imaging modality for examining preterm infants. However, MRI examination requires careful precautions, and infants and children are likely to require deep sedation or anesthesia to keep them still during the examination. Sedation has various risks and the greatest concern of sedation is cardiorespiratory events. In addition, delicate titration is also necessary for preterm infants because propofol pharmacokinetics is different from those in older children. We successfully completed sedation of a preterm neonate (gestational age, 32+1 weeks; birth weight, 1,970 g) with a history of frequent apnea through careful assessment and continuous monitoring. We want to suggest alternative options for airway management of the high risk of respiratory complications.



2021 ◽  
pp. 74-75
Author(s):  
Vinaychandra Sulgante ◽  
Vijaykumar S Mane

Avascular Necrosis refers to the bone death in epiphyseal or subarticular location secondary to interruption of blood supply. MRI has become the most sensitive, specic and widely used diagnostic imaging modality for evaluation of AVN of femoral head. The aim was to study the stages of presentation of Avascular Necrosis of femoral head on Magnetic Resonance Imaging in tertiary care centre .It is a Hospital record based descriptive study carried out at the Department of Radio-diagnosis, those patients which showed signs for avascular necrosis of femoral head over a period of three years were included in the study. Staging of Avascular Necrosis of femoral head was done as per Ficat and Arlet classication and distribution was done on the basis of Age, Gender and Laterality. Out of 129 patients with suspected AVN, 68 patients showed features of AVN of femoral head on MRI .It was found that males were commonly affected with mean age group between 31-40 years. Most of the patients had bilateral involvement. It was found that most of the patients presented during stage III of the disease. It was also observed that Coronal sequence of T1w image was useful in diagnosing most cases of AVN and hence can be used as a rapid protocol in diagnosing AVN.



1993 ◽  
Vol 75-B (2) ◽  
pp. 217-221 ◽  
Author(s):  
Y Takatori ◽  
T Kokubo ◽  
S Ninomiya ◽  
S Nakamura ◽  
S Morimoto ◽  
...  


1986 ◽  
Vol 15 (2) ◽  
pp. 133-140 ◽  
Author(s):  
D. Thickman ◽  
L. Axel ◽  
H. Y. Kressel ◽  
M. Steinberg ◽  
H. Chen ◽  
...  


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