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Lipohemarthrosis

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<v ->Not to have, but to see on the imaging study,

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because it provides critical information

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regarding the presence and the pattern of bone injury.

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Now earlier in the course,

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I showed you the first proof of this,

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and that was the lipohemarthrosis.

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So testing your memory, perhaps you can remember

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I talked about two patterns of lipohemarthrosis,

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the one with the fluid levels,

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with three layers, two levels.

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The upper layer representing fat, identical to marrow fat.

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This is fat suppressed.

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Serum, the middle layer, a cell layer below.

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Strong evidence, not certain evidence,

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that a fracture is present.

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I showed you also the second pattern,

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which were bubbles of fat.

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Some believe more hyperacute than layers of fat.

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More typically, they rise to the surface

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of the hemarthrosis, as shown here.

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Faculty

Donald Resnick, MD

Professor Emeritus, Department of Radiology

University of California, San Diego

Carlos H. Longo, MD

Head of Radiology

Hospital Beneficência Portuguesa de São Paulo

Abdalla Skaf, MD

Head of the Department of Diagnostic Imaging Hospital HCor / Medical director of ALTA diagnostics (DASA group)

HCOR / DASA / TELEIMAGEM

Rodrigo Aguiar, MD, PhD

Professor of Radiology

Federal University of Paraná - Brazil

Marcelo D’Abreu, MD

Head of Radiology

Hospital Mae de Deus

Tags

Musculoskeletal (MSK)

MSK

MRI

Knee