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 20-year-old male presents with acute pop sensation of right medial elbow while throwing a ball.(QUIZ ANSWER) PRIMARY FINDING:&#160;Full-thickness tear distal UCL.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 recent bone injury. Hypertrophy musculature of the proximal forearm and distal upper arm. Small elbow joint effusion.&#160;Normal signal within the ulnar nerve.Biceps and brachialis insertions, triceps normal.Radial collateral ligament, lateral ulnar collateral ligament and common extensor tendon origin with normal signal intensity.Full-thickness tear distal UCL with stripping along the sublime tubercle and surrounding edema. Retraction minimal. Proximal ligament attachment is intact. Regional hemorrhage or muscle strain involving the medial bundles in the common flexor group.Focal chondromalacia to suggest a component of abutment between the medial or central radial head and opposing capitellum.No mass. No body.&#160;CONCLUSION:&#160;1. Full-thickness insertional tear of the UCL at the sublime tubercle. Retraction minimal. Adjacent edema, regional muscle strain, partial tear of the anterior and posterior proximal fibers of the common flexor group. Intramuscular edematous signal extends longitudinally for 32mm.&#160;2. Component of central humeral articular chondromalacia as relates to sports and chronic microinstability.&#160;3. No microtrabecular or macrofracture.</div>

Case

Full-thickness tear accessory collateral ligament

What is the primary finding in this case?