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Training Collections
Library Memberships
Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Black Friday Save 40%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
BLACK FRIDAY SAVE 30%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 6, Case 4, Hip MR - Review
HIDEInteractive Transcript
Report
Patient History
30-year-old male complaining of pain since falling down a slope while carrying a refrigerator, at which time he heard a pop.
Findings
SKELETAL: Mildly depressed osteochondral fracture representing avascular necrosis involving the superior to anterosuperior left femoral head weight-bearing surface measuring 1.6cm in depth, 3.3cm in anteroposterior dimension and 3.2cm in width. The lesion involves at least 75 percent of the weight-bearing surface of the femoral head.
Moderate to severe reactive confluent osteoedema extending down to the intertrochanteric region.
PELVIS: Left sacroiliac joint, iliac blade, iliopectineal and ilioischial lines are intact.
JOINTS: Loss of the normal femoral head sphericity of the bilateral femoral heads with widening of the femoral head-neck junction. The left hip alpha angle is of 71.7 degrees.
Synovial pitting seen at the lateral aspect of the femoral head-neck junction more conspicuous in the right.
Moderate left hip joint osteoarthrosis. Diffuse chondral plate delamination with moderate reactive stress osteoedema involving the superior to anterosuperior acetabulum.
Moderate reactive joint effusion without internal debris or free bodies. Reactive synovitis.
ACETABULUM/LABRUM: Chronic-appearing anterosuperior labral tear with a subcentimeter dystrophic ossification. No displacement. No paralabral cysts.
MUSCLES/TENDONS/LIGAMENTS: Adductor and abductor muscular compartments are intact.
Ligamentum teres, ischiofemoral and iliofemoral ligaments are intact.
OTHER/SOFT TISSUE: Unremarkable pelvic basin contents.
Normal neurovascular bundle.
Impressions
1. Mildly depressed avascular necrosis of the left femoral head measuring 1.6cm in depth, 3.3cm in AP and 3.2cm in width.
2. Background of combined femoroacetabular impingement (FAI) due to cam-type and secondary pincer-type deformity. These last findings are secondary to a chronic repetitive microtraumatic anterosuperior labral tear with a subcentimeter reactive dystrophic ossification.
3. Moderate left hip joint osteoarthrosis with diffuse chondral plate delamination and moderate reactive stress osteoedema involving the superior to anterosuperior acetabulum.
4. Moderate reactive joint effusion with capsulosynovitis.
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
Hip & Thigh
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