0:00

This is, uh, just one last case of this here.

0:03

Um, first of all,

0:04

before we get to this, uh, first MTP joint

0:06

that looks extremely inflamed, notice how all

0:09

of the muscles are hyperintense on T two.

0:12

Um, that is probably not diffuse infectious myositis.

0:17

Um, that is more likely a patient who is diabetic

0:22

and has diffuse diabe, diabetic myopathy.

0:24

Very common to see kind

0:26

of diffuse signal within those muscles.

0:28

But what we're showing you here,

0:29

and of course that's a setup for this patient,

0:31

placed spas 'em at risk.

0:33

That nice smooth joint surface of the first MTP joint, uh,

0:37

has been kind of destroyed very irregular.

0:39

There's subluxation of the joint.

0:41

We have marked hyper enhancement of the bone marrow

0:44

on both sides of the joint.

0:46

The joint is destroyed.

0:47

And so this being, um, a case of infection

0:50

and septic joint, um, of the first toe, um, you see,

0:55

um, terrible destruction of the bone surfaces,

0:58

hypo 10 signal on t2, not a normal, uh, anatomy

1:02

that we're being able to find.

1:04

And so this was, uh, severe infection there.