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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.
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Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
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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 10, Case 4, Hand/Wrist MR - Review
HIDEInteractive Transcript
Report
Patient History
75 M with pain in left thumb and difficulty moving it after injury.
Findings
LIGAMENTS: The proper ulnar collateral ligament (pUCL) is torn and detached from its insertion at the volar ulnar aspect of the thumb proximal phalanx. The ligament remains attached at its insertion in the ulnar volar aspect of the metacarpal head but projects superficial to the adductor pollicis tendon insertion.
The accessory ulnar collateral ligament (aUCL) remains attached at the ulnar sesamoid and volar plate.
The adductor aponeurosis is also intact.
The proper and accessory radial collateral ligaments and abductor aponeurosis remain intact.
OSSEOUS: Mild radial subluxation of the thumb proximal phalangeal base.
Focal cortical irregularity at the volar ulnar aspect of the thumb proximal phalangeal base at the site of pUCL detachment.
Bone bruise with osteoedema at the ulnar sesamoid.
Moderate osteoarthrosis and penetrating chondromalacia at the thumb MCP and IP joints.
TENDONS: The adductor pollicis tendon lies deep to the displaced and detached pUCL . The extensor pollicis longus and brevis and flexor pollicis longus are intact.
GENERAL: Thumb carpometacarpal joint capsulitis and periarticular soft tissue swelling
Impressions
1. Full-thickness tear of the left thumb proper ulnar collateral ligament (pUCL) with detachment from its insertion at the volar ulnar aspect of the proximal phalanx. The ligament remains attached at its insertion on the ulnar volar aspect of the thumb metacarpal head but projects superficial to the adductor pollicis tendon insertion. The accessory ulnar collateral ligament (aUCL) remains attached at the ulnar sesamoid and volar plate. Findings compatible with a Stener lesion. Consider a hand surgery consultation.
2. Mild radial subluxation of the thumb proximal phalangeal base.
3. Bone bruise at the ulnar sesamoid.
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
Hand & Wrist
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