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61 yo M with knee pain. ? Medial meniscal tear

61 yo M with knee pain. ? Medial meniscal tear. 61 yo M with knee pain. ? Medial meniscal tear. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain. Knee pain.

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61 yo M with knee pain. ? Medial meniscal tear

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  1. 61 yo M with knee pain. ? Medial meniscal tear

  2. 61 yo M with knee pain. ? Medial meniscal tear

  3. Knee pain

  4. Knee pain

  5. Knee pain

  6. Knee pain

  7. Knee pain

  8. Knee pain

  9. Knee pain

  10. Knee pain

  11. Knee pain

  12. Knee pain

  13. Knee pain

  14. Knee pain

  15. Knee pain

  16. Knee pain

  17. Knee pain

  18. Knee pain

  19. Knee pain

  20. Knee pain

  21. Knee pain

  22. Knee pain

  23. Knee pain

  24. Knee pain

  25. Knee pain

  26. Intramuscular dissection of Popliteal Cyst • Pop Cyst – fluid distension of the gastrocnemius-semimembranosus bursa • Joint fluid through a weakened posteromedial joint capsule • Usually extend inferomedially- path of least resistance • ? weakened fascia around muscle- predispose to IM dissection Skeletal Radiol. 2004 Jun;33(6):367-71. Epub 2004 Mar 9.

  27. 38 yo M with mass that developed over 6-8 weeks. No history of trauma Sag PD

  28. 38 yo M with mass that developed over 6-8 weeks. No history of trauma Sag T2

  29. 38 yo M with mass that developed over 6-8 weeks. No history of trauma Sag T2 FS

  30. 38 yo M with mass that developed over 6-8 weeks. No history of trauma Sag T1FS Gd

  31. 38 yo M with mass that developed over 6-8 weeks. No history of trauma Axail PD

  32. 38 yo M with mass that developed over 6-8 weeks. No history of trauma Axail T1

  33. 38 yo M with mass that developed over 6-8 weeks. No history of trauma Axail T1FS Gd

  34. 38 yo M with mass that developed over 6-8 weeks. No history of trauma Axail T1FS Gd

  35. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  36. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  37. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  38. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  39. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  40. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  41. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  42. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  43. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  44. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  45. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  46. 13 y.o male with right knee pain for several months. Osgood-Schlatter’s clinically. ? Osteochondral lesion

  47. OCD • Juvenile OCD usually between 10-20 yrs • Athletically active children • Classic location – lateral aspect of medial femoral condyle • Believed to be due to repetitive microtrauma

  48. OCD • Stable lesions in skeletally immature pts – conservative management • Subchondral bone attached to cartilage or not - • Hyaline cartilage lacks blood vessels and has limited ability to heal

  49. Evolution of OCD Osteochondritis (osteochondrosis) dissecans: a review and new MRI classification.Eur Radiol. 1998;8(1):103-12. Review.

  50. Osteochondritis dissecans of the knee in children.Curr Opin Pediatr. 2003 Feb;15(1):38-44. Review

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