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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Start Here
Start Here
3 topics, 3 min. of video
Practice Cases
Week 1
6 topics, 27 min. of video
Practice Cases
Week 2
7 topics, 11 min. of video
Practice Cases
Week 3
6 topics, 17 min. of video
Practice Cases
Week 4
6 topics, 15 min. of video
Practice Cases
Week 5
7 topics, 9 min. of video
End of Course Activities
Course Evaluation
1 topic
0:00
These are sagittal images on a water polo pair
0:05
38 year old who presented with acute injury to the distal
0:09
interphalangeal joint of his middle finger.
0:14
We can see that there is a full thickness retracted tear of the
0:19
terminal extensor tendon at its insertion into the
0:24
dorsal plate of the distal feeling of this finger fluid
0:28
signal intensity allow us to outline the tendon
0:34
gap between the retracted tendon stump and the inspected insertion
0:38
site at the dorsal plate.
0:41
This is in the spectrum of mallet finger with slight,
0:46
uh, flexion deformity at the d I P joint that goes along with
0:51
this type of um, lesion.
0:54
It's important to note that the bone is completely intact.
0:58
We don't see a mallet fracture. The dorsal plate is completely normal,
1:03
cortex is preserved and there is no bone marrow edema.
1:08
So in short,
1:09
soft tissue injury with tear of the extensor tendon at
1:14
the distal interphalangeal joint on this water polo player.
Wk 4, Case 1 - Review
HIDEInteractive Transcript
0:00
These are sagittal images on a water polo pair
0:05
38 year old who presented with acute injury to the distal
0:09
interphalangeal joint of his middle finger.
0:14
We can see that there is a full thickness retracted tear of the
0:19
terminal extensor tendon at its insertion into the
0:24
dorsal plate of the distal feeling of this finger fluid
0:28
signal intensity allow us to outline the tendon
0:34
gap between the retracted tendon stump and the inspected insertion
0:38
site at the dorsal plate.
0:41
This is in the spectrum of mallet finger with slight,
0:46
uh, flexion deformity at the d I P joint that goes along with
0:51
this type of um, lesion.
0:54
It's important to note that the bone is completely intact.
0:58
We don't see a mallet fracture. The dorsal plate is completely normal,
1:03
cortex is preserved and there is no bone marrow edema.
1:08
So in short,
1:09
soft tissue injury with tear of the extensor tendon at
1:14
the distal interphalangeal joint on this water polo player.
Report
Patient History
38-year-old male complaining of 3rd digit pain status post water polo injury in June 2017.
Findings
LIGAMENTS: Normal. No injury to the pulley mechanisms.
OSSEOUS: No evidence of avulsion fractures with special attention to the dorsal aspect of the 3rd distal phalanx.
TENDONS: Complete tear or rupture of the terminal extensor tendon located about 6-7 mm from its insertion at the 3rd distal interphalangeal (DIP) joint capsule associated with diffuse soft tissue swelling dorsally.
The flexor digitorum profundus and superficialis tendons are intact.
Impressions
1.Soft mallet injury of the right 3rd digit with complete rupture of terminal extensor tendon 6-7 mm proximally to its insertion at the DIP joint capsule.
Case Discussion
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Jenny T Bencardino, MD
Vice-Chair, Academic Affairs Department of Radiology
Montefiore Radiology
Todd D. Greenberg, MD
Radiologist
ProScan
Tags
Musculoskeletal (MSK)
MRI
Hand & Wrist
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