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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.
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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
So these are Mr Images on a 31 year old with suspected injury to
0:05
the flexor mechanism.
0:08
Sagittal is their images demonstrated full thickness retracted tear
0:13
of the flexor digital profundus from the level of the Palmer
0:18
plate at the feelings. We can, uh,
0:22
confirm this here on the public Corona images with retraction
0:27
of the tendon.
0:28
This coiled app structure at the level of the metacarpal region,
0:32
that's your flexor digital profundus,
0:36
consecutive axial images demonstrate the absence of the flexor digitorum
0:41
profundus at its attachment into the distal phal base.
0:46
As we come more proximally,
0:47
we can see the flexor digitorum profundus inserting at the level of the
0:52
middle phal base. And then as we go more proximally,
0:57
we start to see that flexor digitorum profundus retracted all the level,
1:02
all the way to the level of the M CCP joint.
1:04
So these are imaging findings, typical of J finger,
1:10
with complete disruption of the flexor digitorum,
1:14
profundus,
1:15
and integrity of the flexor superficial tendons.
1:20
Notice on all imaging planes.
Wk 4, Case 2 - Review
HIDEInteractive Transcript
0:00
So these are Mr Images on a 31 year old with suspected injury to
0:05
the flexor mechanism.
0:08
Sagittal is their images demonstrated full thickness retracted tear
0:13
of the flexor digital profundus from the level of the Palmer
0:18
plate at the feelings. We can, uh,
0:22
confirm this here on the public Corona images with retraction
0:27
of the tendon.
0:28
This coiled app structure at the level of the metacarpal region,
0:32
that's your flexor digital profundus,
0:36
consecutive axial images demonstrate the absence of the flexor digitorum
0:41
profundus at its attachment into the distal phal base.
0:46
As we come more proximally,
0:47
we can see the flexor digitorum profundus inserting at the level of the
0:52
middle phal base. And then as we go more proximally,
0:57
we start to see that flexor digitorum profundus retracted all the level,
1:02
all the way to the level of the M CCP joint.
1:04
So these are imaging findings, typical of J finger,
1:10
with complete disruption of the flexor digitorum,
1:14
profundus,
1:15
and integrity of the flexor superficial tendons.
1:20
Notice on all imaging planes.
Report
Patient History
31-year-old male with left finger pain. Evaluate for flexor tendon injury.
Findings
LIGAMENTS: Complete rupture of the ulnar and radial sides of the 4th finger A2 through A4 pulleys.
TRIANGULAR FIBROCARTILAGE COMPLEX: Not evaluated.
OSSEOUS: No fracture or dislocations. No osteoedema.
TENDONS: Sagittal T1 and STIR images demonstrate an intact flexor digitorum superficialis (FDS) with intermediate to high signal intensity, respectively, replacing the 4th flexor digitorum profundus (FDP) tendon within the distal fibroosseous tunnel at the level of the 4th A2-A4 pulleys and at the level of the 4th middle phalanx. Coronal sequences demonstrate laxity of the 4th FDP, which is coiled within the palm adjacent to a normal-appearing FDS. The coil tendon is located at the level of the 4th metacarpal head.
CARPAL TUNNEL AND GUYON’S CANAL: Not evaluated.
GENERAL: Palmar soft tissue swelling involving the entire 4th finger.
Impressions
1.Complete rupture/avulsion of the right 4th finger FDP, which is retracted into the palm and coiled at the level of the metacarpal head.
2.Complete rupture of the 4th finger A2-A4 pulleys.
3.Diffuse soft tissue swelling throughout the palmar aspect of the 4th finger.
4.Intact FDS.
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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