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MSK Search pattern. John C.S. Cho, DC Department of Radiology Logan College of Chiropractic. Cervical Spine. Lumbar Spine. Shoulder. Elbow. Wrist. Hand. Knee. Ankle. Foot. Quiz. 1. 25 y.o male with LBP. . 2. 50 y.o female asymptomatic. - PowerPoint PPT Presentation
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MSK Search pattern
John C.S. Cho, DCDepartment of Radiology
Logan College of Chiropractic
Cervical Spine
Lumbar Spine
Shoulder
Elbow
Knee
Ankle
Foot
Quiz
1. 25 y.o male with LBP
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2. 50 y.o female asymptomatic
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3. Foot pain
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4. Multiple joint pain
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6. 11 y.o male with left leg pain
Answer
1. Ankylosing Spondylitis
•M:F= 3:1-10:1•HLA-B 27 in 96%•“Dagger sign”•“Trolley-track sign”
2. Paget’s disease
Elevated alkaline phosphatase; normal/hypercalcemia; hydroxyproline
3 phases Cx- malignant
degeneration (~1%) Osteosarcoma>
fibrosarcoma, MFH, chondrosarcoma
3. Jones fx.
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•1.5 cm distal to the 5th metatarsal tuberosity
4. Rheumatoid Arthritis
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5. Plasmacytoma
Malignant proliferation of plasma cell
Early stage of multiple myeloma
Bence Jones proteinuria; A/G ratio; Hypercalcemia; normochromic normocytic anemia
20% 5-yr survival rate
6. Osteosarcoma
10-25; 60-75 Lung
metastases (15%); Skeletal mets uncommon
Malignant degeneration from radiation, paget’s
References:
University of Washington: www. rad.washing.edu Learning Radiology
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