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Vascular Dilatation and Stress Fracture

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<v ->Let me show another case.

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These next two cases is related

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that you just said in your lecture.

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The first one is a 23 year old female

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present with pain in the medial aspect of the knee

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that started two weeks ago

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with intensification of running.

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We can see in these different sequences,

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two things, two things to see.

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There is different areas, different kind of edema.

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We can see at the, but okay like this,

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okay, this is better to take a look.

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In the condyle, the femoral condyle

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we can see this polka dot sign

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with enlargement of the vessels.

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If you look, this is the vessel

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this is stress reaction in the femoral condyle

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is different that whenever we observe the pattern bone

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on the medial on the tibial plateau is different.

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Because we can see the line of fracture here,

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it's a transverse fracture.

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We have different signs in the same place,

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in the medial compartment, one it's stress reaction

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and another one is the true stress fracture.

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And she did bone dyssymmetry,

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the bone dyssymmetry was normal, she was only 22 years old.

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And after six weeks with physiotherapy and rest,

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she did another MR imaging that I will show you here.

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The complete resolution of the stress reaction the edema

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in the complete resolution of the fracture as you can see,

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we can see the residual line of fracture

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the healing fracture here.

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It's very nice to see different patterns of edema

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in different phases of the stress reaction in this case.

Report

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