Case Challenge

Elbow & Forearm

Stephen J Pomeranz

Gain confidence interpreting Elbow MRI with practice cases from MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME. Try it free!

X-Ray (Plain Films)

Case Review

Musculoskeletal (MSK)

Case 1 - 16-year-old male has a right arm contusion after blunt trauma

Case 2 - 8-year-old male presents with left elbow pain

Case 3 - 14-year-old female presents with left elbow pain

Case 4 - 57-year-old male presents with moderate pain on left elbow

Case 5 - 12-year-old male presents with left elbow pain

Case 6 - 47-year-old female presents with left elbow pain

Case 7 - 41-year-old male presents with pain in the right elbow

Case 8 - 16-year-old male presents with an injury to the right elbow

Case 9 - 31-year-old female presents with right elbow pain

Case 10 - 18-year-old male presents with sharp pain in right elbow

Case 11 - 12-year-old male presents with decreased range of motion in left elbow

Case 12 - 78-year-old male presents with right elbow mass

Case 13 - 20-year-old male presents with pop sensation of right elbow

Case 14 - 65-year-old male presents with left posterior elbow pain

Case 15 - 21-year-old male presents with sharp pain in right elbow

Case 16 - 33-year-old male presents with hyperextension injury of left elbow

Case 17 - 61-year-old male with pain and weakness in right elbow

Case 18 - 43-year-old female presents with pain of left elbow

Case 19 - 17-year-old male presents with right elbow pain

Case 20 - 51-year-old male presents with a ruptured right elbow

Case 21 - 44-year-old male presents with right elbow pain

Case 22 - 52-year-old male presents with right elbow pain

Case 23 - 10-year-old male presents with left elbow pain

Case 24 - 24-year-old male presents with pain of right elbow

Case 25 - 31-year-old male presents with sharp, burning pain in right elbow

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 25 unique Elbow MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Elbow MRI Cases

<div>HISTORY:&#160;This 12-year-old male presents with chronic decreased range of motion in left elbow; patient breaks boards with his elbows.(QUIZ ANSWER) PRIMARY FINDING:&#160;Hemangioma.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: No osseous abnormality. Growth plates open. Normal appearance of both the internal and cartilaginous external epicondyle. Normal capitellum, trochlea and radial epiphysis.&#160;Biceps, brachialis, triceps muscles intact. Dominant finding is region of signal alteration bright on STIR measuring 6.4cm longitudinally with several intralesional angular low signal foci or perhaps phlebolith calcifications within the brachialis that continues to the anterior joint line. This lesion has T1 signal characteristics nearly isointense nominally increased in signal intensity to skeletal muscle.&#160;Elbow joint effusion is identified. No intraarticular bodies or synovitis.&#160;Radial collateral, ulnar collateral ligaments intact. Lateral ulnar collateral ligament intact. Normal signal intensity involving origin tendons of both the medial and flexor extensor group.&#160;Normal signal within the cubital tunnel and ulnar nerve.&#160;CONCLUSION: Low flow state malformation, favor hemangioma.1. Intramuscular venous malformation involving anterior musculature above the antecubital fossa, short-axis diameter 34 x 18mm. Greater than 6cm longitudinal extension. Lesion is expected to demonstrate Doppler characteristics of increased vascularity with central phleboliths. This area should demonstrate vigorous postcontrast enhancement.&#160;In addition to soft tissue component, intramedullary malformation component is also identified and should be visible on plain film. In light of patient's inability to fully flex his elbow, consider interventional percutaneous management versus surgical debulking.&#160;2. Elbow joint effusion without intraarticular body. No sloppy hinge syndrome, ulnar or radial collateral ligament tear.&#160;&#160;3. Longitudinal intraosseous component extends in the sagittal plane roughly 4cm.&#160;4. In light of patient's repetitive elbow trauma as a black belt in martial arts, no intramuscular tear. No periarticular contusion; small joint effusion.</div>

Case

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