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Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
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.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Practice Cases
Worklist 1
13 topics, 1 hr. 7 min.
Wk 1, Case 1, Knee MR - Practice
Wk 1, Case 1, Knee MR - Review pt 1
6 m.Wk 1, Case 1, Knee MR - Review pt 2
3 m.Wk 1, Case 1, Knee MR - Review pt 3
10 m.Wk 1, Case 1, Knee MR - Review pt 4
10 m.Wk 1, Case 2, Knee MR - Practice
Wk 1, Case 2, Knee MR - Review
13 m.Wk 1, Case 3, Knee MR - Practice
Wk 1, Case 3, Knee MR - Review
9 m.Wk 1, Case 4, Knee MR - Practice
Wk 1, Case 4, Knee MR - Review
11 m.Wk 1, Case 5, Knee MR - Practice
Wk 1, Case 5, Knee MR - Review
10 m.Practice Cases
Worklist 2
10 topics, 40 min.
Wk 2, Case 1, Knee MR - Practice
Wk 2, Case 1, Knee MR - Review
18 m.Wk 2, Case 2, Knee MR - Practice
Wk 2, Case 2, Knee MR - Review
6 m.Wk 2, Case 3, Knee MR - Practice
Wk 2, Case 3, Knee MR - Review
3 m.Wk 2, Case 4, Knee MR - Practice
Wk 2, Case 4, Knee MR - Review
9 m.Wk 2, Case 5, Knee MR - Practice
Wk 2, Case 5, Knee MR - Review
6 m.Practice Cases
Worklist 3
10 topics, 53 min.
Wk 3, Case 1, Knee MR - Practice
Wk 3, Case 1, Knee MR - Review
16 m.Wk 3, Case 2, Knee MR - Practice
Wk 3, Case 2, Knee MR - Review
16 m.Wk 3, Case 3, Knee MR - Practice
Wk 3, Case 3, Knee MR - Review
9 m.Wk 3, Case 4, Knee MR - Practice
Wk 3, Case 4, Knee MR - Review
11 m.Wk 3, Case 5, Shoulder MR - Practice
Wk 3, Case 5, Shoulder MR - Review
4 m.Practice Cases
Worklist 4
10 topics, 1 hr. 6 min.
Wk 4, Case 1, Shoulder MR - Practice
Wk 4, Case 1, Shoulder MR - Review
27 m.Wk 4, Case 2, Shoulder MR - Practice
Wk 4, Case 2, Shoulder MR - Review
8 m.Wk 4, Case 3, Shoulder MR - Practice
Wk 4, Case 3, Shoulder MR - Review
17 m.Wk 4, Case 4, Shoulder MR - Practice
Wk 4, Case 4, Shoulder MR - Review
5 m.Wk 4, Case 5, Shoulder MR - Practice
Wk 4, Case 5, Shoulder MR - Review
12 m.Practice Cases
Worklist 5
10 topics, 46 min.
Wk 5, Case 1, Shoulder MR - Practice
Wk 5, Case 1, Shoulder MR - Review
8 m.Wk 5, Case 2, Shoulder MR - Practice
Wk 5, Case 2, Shoulder MR - Review
4 m.Wk 5, Case 3, Shoulder MR - Practice
Wk 5, Case 3, Shoulder MR - Review
19 m.Wk 5, Case 4, Shoulder MR - Practice
Wk 5, Case 4, Shoulder MR - Review
3 m.Wk 5, Case 5, Shoulder MR - Practice
Wk 5, Case 5, Shoulder MR - Review
15 m.Practice Cases
Worklist 6
10 topics, 54 min.
Wk 6, Case 1, Shoulder MR - Practice
Wk 6, Case 1, Shoulder MR - Review
17 m.Wk 6, Case 2, Hip MR - Practice
Wk 6, Case 2, Hip MR - Review
15 m.Wk 6, Case 3, Hip MR - Practice
Wk 6, Case 3, Hip MR - Review
10 m.Wk 6, Case 4, Hip MR - Practice
Wk 6, Case 4, Hip MR - Review
7 m.Wk 6, Case 5, Hip MR - Practice
Wk 6, Case 5, Hip MR - Review
7 m.Practice Cases
Worklist 7
10 topics, 18 min.
Wk 7, Case 1, Hip MR - Practice
Wk 7, Case 1, Hip MR - Review
4 m.Wk 7, Case 2, Hip MR - Practice
Wk 7, Case 2, Hip MR - Review
4 m.Wk 7, Case 3, Hip MR - Practice
Wk 7, Case 3, Hip MR - Review
4 m.Wk 7, Case 4, Hip MR - Practice
Wk 7, Case 4, Hip MR - Review
5 m.Wk 7, Case 5, Hip MR - Practice
Wk 7, Case 5, Hip MR - Review
4 m.Practice Cases
Worklist 8
10 topics, 25 min.
Wk 8, Case 1, Foot/Ankle MR - Practice
Wk 8, Case 1, Foot/Ankle MR - Review
8 m.Wk 8, Case 2, Foot/Ankle MR - Practice
Wk 8, Case 2, Foot/Ankle MR - Review
3 m.Wk 8, Case 3, Foot/Ankle MR - Practice
Wk 8, Case 3, Foot/Ankle MR - Review
4 m.Wk 8, Case 4, Foot/Ankle MR - Practice
Wk 8, Case 4, Foot/Ankle MR - Review
7 m.Wk 8, Case 5, Foot/Ankle MR - Practice
Wk 8, Case 5, Foot/Ankle MR - Review
7 m.Practice Cases
Worklist 9
10 topics, 49 min.
Wk 9, Case 1, Foot/Ankle MR - Practice
Wk 9, Case 1, Foot/Ankle MR - Review
13 m.Wk 9, Case 2, Foot/Ankle MR - Practice
Wk 9, Case 2, Foot/Ankle MR - Review
10 m.Wk 9, Case 3, Foot/Ankle MR - Practice
Wk 9, Case 3, Foot/Ankle MR - Review
8 m.Wk 9, Case 4, Foot/Ankle MR - Practice
Wk 9, Case 4, Foot/Ankle MR - Review
10 m.Wk 9, Case 5, Foot/Ankle MR - Practice
Wk 9, Case 5, Foot/Ankle MR - Review
12 m.Practice Cases
Worklist 10
10 topics, 1 hr. 11 min.
Wk 10, Case 1, Hand/Wrist MR - Practice
Wk 10, Case 1, Hand/Wrist MR - Review
11 m.Wk 10, Case 2, Hand/Wrist MR - Practice
Wk 10, Case 2, Hand/Wrist MR - Review
33 m.Wk 10, Case 3, Hand/Wrist MR - Practice
Wk 10, Case 3, Hand/Wrist MR - Review
7 m.Wk 10, Case 4, Hand/Wrist MR - Practice
Wk 10, Case 4, Hand/Wrist MR - Review
5 m.Wk 10, Case 5, Hand/Wrist MR - Practice
Wk 10, Case 5, Hand/Wrist MR - Review
18 m.Wk 1, Case 2, Knee MR - Review
HIDEInteractive Transcript
Report
Patient History
Right anterior and patella pain. Sharp pain from crepitus. Instability and weakness. Occasional feverish. Increased pain with weight, ascending and descending stairs, kneeling and squatting. All since 30 years. Fractured right knee 12 years old. Realigned right patella. 1 injection.
Findings
Cruciate ligaments: ACL and PCL are intact.
Anterior compartment: Patellofemoral dysplasia, with Wiberg [3] appearance of the patella and a flat Dejour type [B] trochlea. Severe osteoarthrosis with large osteophyte spurring more conspicuous at the lateral patellar articular facet. Class 4 chondromalacia with generalized chondral plate delamination and multifocal penetrating chondral fissures and erosions with underlying subchondral arthropathic cyst formation along the entire lateral patellar articular facet, patellar vertical ridge and lateral femoral condyle, surrounded by nominal osteoedema.
The medial patellofemoral ligament AND lateral patellar retinaculum appear intact.
Medial compartment: Enclosed degenerative fraying of the posterior horn and body of the meniscus without tears. Kellgren-Lawrence grade 2 osteoarthrosis. Class 1-2 chondromalacia. No osteochondral defects. Intact medial collateral ligament.
Lateral compartment: Intact meniscus. Kellgren-Lawrence grade 2 osteoarthrosis. Class 1-2 chondromalacia. Osteochondral defects. Intact lateral collateral ligament complex.
Extensor compartment: Mild distal quadriceps tendinosis. Evidence of prior tibial tuberosity transfer with surgical screws at the distal patellar tendon attachment.
Borderline increased tibial tuberosity to trochlear groove (TT-TG) distance which measures 1.5cm in length. No patellar tendinosis.
Borderline patella alta with an Insall-Salvati ratio 1.5cm.
Flexor compartment: Normal. Unremarkable neurovascular bundle. No bursal cysts.
Small joint effusion without internal debris or free bodies.
No soft tissue masses.
Impressions
1. Patellofemoral dysplasia with Wiberg 3 appearance of the patella and a flat Dejour type B trochlea.
2. Findings result in excessive lateral pressure syndrome with severe anterior compartment osteoarthrosis and class 4 chondromalacia mostly involving the lateral patellar articular facet, patellar vertical ridge and lateral femoral condyle.
3. Evidence of prior tibial tuberosity transfer with surgical screws at the distal patellar tendon attachment. Borderline increased tibial tuberosity to trochlear groove (TT-TG) distance which measures 1.5 cm in length. Borderline patella alta with an Insall-Salvati ratio of 1.5cm.
4. Enclosed degenerative fraying of the posterior horn and body of the medial meniscus without tears.
5. Kellgren-Lawrence grade 2 osteoarthrosis of the medial and lateral compartments.
6. Posteromedial recess 4mm osseous body.
Case Discussion
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Gitanjali Bajaj, MD
Assistant Professor
University of Arkansas for Medical Sciences
Edward Smitaman, MD
Clinical Associate Professor
University of California San Diego
Brian Y. Chan, MD
Assistant Professor of Musculoskeletal Radiology
University of Utah
Tags
Musculoskeletal (MSK)
MRI
Knee
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