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Training Collections
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25% OFF!On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
25% OFF!Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Case Crunch: Rapid Case Review (Free)
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Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
6 topics, 14 min.
6 topics, 35 min.
7 topics, 29 min.
7 topics, 18 min.
Interactive Transcript
Report
Patient History: 64-yo male with right hip pain after doing the splits
Findings
SKELETAL: No macrofracture. No infiltrative or destructive bone lesion.
PELVIS: Not included.
JOINTS: Mild symphysis pubis arthrosis. The hip joint is not entirely included.
ACETABULUM/LABRUM: Not included.
MUSCLES/TENDONS/LIGAMENTS: Complete avulsion of the semimembranosus and conjoined tendon from the ischial tuberosity, without avulsion fracture. A 5-10 mm fluid gap between the ischial tuberosity and hamstring tendons compatible with mild distal distraction. Mild lateral displacement of the hamstring origins relative to the ischium.
Mild soft tissue swelling extends into the hamstring musculature to the mid thigh.
Fluid collection adjacent to the ischium and ruptured hamstrings, 4.2 x 3.4 cm, with increased T1 signal compatible with hematoma.
OTHER/SOFT TISSUE: The anterior muscular compartment is normal. Small bilateral scrotal hydroceles. The anterior thigh is normal. No compartment syndrome. Thickened urinary bladder and suggestion of prostate enlargement with protrusion into the bladder.
Conclusion
1. Complete rupture of the hamstring musculature from the ischium, involving all three hamstring muscles, with 5-10 mm of distal and lateral distraction, soft tissue swelling, 4.2 x 3.4 cm hematoma, and diffuse grade 1 strain of the hamstring musculature. No avulsion fracture.
2. Mild symphysis pubis arthrosis.
Case Discussion
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Jenny T Bencardino, MD
Vice-Chair, Academic Affairs Department of Radiology
Montefiore Radiology
Matthew Chanin, MD
Radiologist
ProScan
Edward Smitaman, MD
Clinical Associate Professor
University of California San Diego
Todd D. Greenberg, MD
Radiologist
ProScan
Tags
Musculoskeletal (MSK)
MRI
Hip & Thigh
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