Indian Journal of Musculoskeletal Radiology最新文献

{"title":"MRI ankle in juvenile idiopathic arthritis and its comparison with clinical disease activity scores","authors":"P. Rampal, N. Sachdev, Rajat Khurana, Anil Taneja","doi":"10.25259/ijmsr_29_2023","DOIUrl":"https://doi.org/10.25259/ijmsr_29_2023","url":null,"abstract":"\u0000\u0000Juvenile idiopathic arthritis (JIA) is a common cause of morbidity and consequent disability among youth up to 16 years of age. Our study aims to image the ankle joints of JIA patients and correlate the findings with the clinical disease activity scores. Juvenile Arthritis Disease Activity Score (JADAS-27) is used by pediatricians to assess disease activity in JIA patients. There are four factors that determine this score – Global assessment of disease activity by the physician as well as patient/parent, joint count with active disease, and erythrocyte sedimentation rate (ESR). However, these clinical scores are dependent on the clinician’s experience and observation and, therefore, subjective.\u0000\u0000\u0000\u0000Thirty patients of either sex with a clinical diagnosis of JIA as per the International League of Association for Rheumatology definition with clinically involved ankle joints were included in the study. Chronic arthritis due to other causes, such as infection, trauma, and so on, was excluded. All clinically diagnosed cases of JIA were subjected to magnetic resonance imaging (MRI) evaluation on Siemens Skyra 3 Tesla High-Resolution MR system using a dedicated coil for the ankle joint. Six sub-joints for each patient are evaluated, namely - The tibiotalar joint, subtalar joint, calcaneocuboid joint, calcaneonavicular joint, naviculocuneiform joint, and tarsometatarsal joint. Image analysis and scoring shall be done for each patient at each joint as per the Juvenile Arthritis MRI SCORE, consisting of the following parameters-synovial hypertrophy score, cartilage lesion score, bone erosion score, and bone marrow change score. Each of these scores is calculated individually based on the percentage of involved bone volume. All individual scores were summed to get the total MRI Score. The data collected were then statistically analyzed.\u0000\u0000\u0000\u0000A positive correlation was sought between the JADAS-27 score and the total MRI score with the P-value being 0.03. A positive correlation was also found between the total MRI score and the ESR value of the patient (P - 0.02).\u0000\u0000\u0000\u0000MRI findings can be a potential marker of disease activity in JIA patients and these findings could also predict the prognosis accurately in these patients. The findings are objective and comparable to the aforementioned clinical scores.\u0000","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"9 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MRI as an aid to diagnosis of scurvy in absence of classic clinical and radiographic signs","authors":"H. Manek, Foram Gala","doi":"10.25259/ijmsr_28_2023","DOIUrl":"https://doi.org/10.25259/ijmsr_28_2023","url":null,"abstract":"Scurvy, a Vitamin C deficiency disorder leads to impaired synthesis of collagen, osteoid, and dentine, causing cutaneous, dental, and skeletal manifestations, respectively. The radiographic features of scurvy are very well established but the increasing use of magnetic resonance imaging (MRI) in limb pathologies warrants radiologists to be aware of its common as well as atypical magnetic resonance findings. Two children who presented with pain and swelling of the thigh and were proven to have scurvy were included in the study. The first child had cerebral palsy and MRI was performed as radiographs were suspicious for physeal subluxation. MRI confirmed physeal separation of the distal femur with subperiosteal collection. The second patient was developmentally normal and had non-traumatic painful thigh swelling. Radiographs showed a fracture at the distal metaphyseal–diaphyseal junction of the femur. Subperiosteal collection and surrounding muscle edema with heterogenous marrow signal were seen in both the patients on MRI. Inflammatory markers were normal. Follow-up with radiographs after treatment with vitamin C supplementation showed ossification of the subperiosteal hematomas and resolution of the symptoms. These two cases highlight the significance of MRI in reaching a diagnosis in atypical cases of scurvy which has excellent response to Vitamin C supplementation.","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"3 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-dominant leading wrist injuries in Indian professional cricketers","authors":"N. Batta, Abhinetri K.S.V., Vikas Batra, Mukul Mittal, Vineet Jain","doi":"10.25259/ijmsr_23_2023","DOIUrl":"https://doi.org/10.25259/ijmsr_23_2023","url":null,"abstract":"Cricket is a popular sport played worldwide, immensely popular in India, with a high prevalence of wrist and hand injuries varying from 11% to 13%. Among batsmen, the injury rates are higher in the non-dominant leading wrist. These injuries affect the ligaments, bones, triangular fibrocartilage complex, tendons, and neurovascular structures predominantly on the palmar and ulnar aspect of the wrist and occur due to the force vectors transmitted to the wrist during the bat swing. Specific injuries can be explained by the biomechanics of this double grip sport, and its force vector knowledge of these injuries can enable the sports physician to diagnose early and effectively treat the athlete, improving their performance and outcome. The main intent of this article is to review the biomechanics and clinical presentation of the most common injuries in the non-dominant or leading wrist of cricketers.","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"6 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138951060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous fracture of the neck of the femora in an adolescent","authors":"Srijita Ghosh Sen, S. Datta, Payel Biswas, Ankur J. Shah","doi":"10.25259/ijmsr_36_2021","DOIUrl":"https://doi.org/10.25259/ijmsr_36_2021","url":null,"abstract":"A healthy adolescent boy presented with bilateral groin discomfort and pain in both lower limbs. Initial radiographs revealed fractures involving both femoral necks simultaneously, a fairly uncommon entity in the presenting age group. After a thorough clinical examination and assessment of the hormonal panel, the patient was found to have secondary hyperparathyroidism and resultant hypocalcemia, which were finally attributed to vitamin D deficiency. On normalization of serum calcium levels, both hips were stabilized post-operatively. This unique case, of simultaneous fracture of both femoral necks owing to metabolic derangements in a child, has been highlighted here.","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"25 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orthopedic hardware in trauma – A guided tour for the radiologist-Associated complications (Part 2)","authors":"Rakhee Kumar Paruchuri, Hema Nalini Choudur, Lalith Mohan Chodavarapu","doi":"10.25259/ijmsr_13_2023","DOIUrl":"https://doi.org/10.25259/ijmsr_13_2023","url":null,"abstract":"With the increasing number of options available for surgical management of fractures now available, it is imperative that radiologists should familiarize themselves with the various hardwares used to provide a good support system for orthopedic surgeons. Understanding fracture union and “why a device may fail” are basic concepts that have been discussed in this review article, as their success is mutually dependent. While it may be easy to identify frank loosening, fracture, or migration of the hardware, it is more important to identify any early signs of these complications. However, before that, as a radiologist, one should be able to accurately identify the hardware type, assess their position, and then identify any potential complications. Another important aspect that is clinically important is the ability to differentiate between aseptic and septic loosening. Apart from these, avascular necrosis, pseudoaneurysms, bursitis, muscle impingement with atrophy, adverse reaction to metal debris, nerve impingements, traumatic neuroma formation, tendon impingement, snapping syndromes, and sarcoma are uncommon complications that may be rarely encountered. While conventional radiology is still the backbone of radiological evaluation, CT, MRI, and Ultrasound can be used as problem-solving tools, further aiding in the diagnosis of any hardware-related complications. In this series, we have also described a checklist based approach of reporting so that the radiologist can accurately identify the hardware, assess their position, and identify any potential complications. We hope that this learning will facilitate the interobserver consensus and standardization of reports.","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"311 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135679076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3T-MRI of finger pulleys - Review of anatomy and traumatic conditions involving them","authors":"Sanjay Desai, Amith Gaitonde, Sruthi Subramanian, Pallavi Lokhande, Karan Asthana","doi":"10.25259/ijmsr_22_2023","DOIUrl":"https://doi.org/10.25259/ijmsr_22_2023","url":null,"abstract":"Injuries to the pulleys often occur in overuse injuries (climbers) and in traffic accidents involving the fingers. The anatomy of the pulleys of the thumb is different from that of the other four fingers. With 3 Tesla magnetic resonance imaging, injuries to the pulleys can be diagnosed by direct and indirect signs. We should be familiar with the anatomy and injuries of the finger pulleys so that we can make an accurate diagnosis, determine the extent, and degree of the pulley injuries, and treat the patient accordingly.","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135617558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnetic resonance imaging patterns of shoulder injuries in strength trainers","authors":"Timothy Ariyanayagam, Venkata Sai Chalapathi Kollimarla, Akhila Rachakonda, Hema Nalini Choudur","doi":"10.25259/ijmsr_31_2023","DOIUrl":"https://doi.org/10.25259/ijmsr_31_2023","url":null,"abstract":"Weightlifting, a recent addition to strength training regimes of elite athletes, offers various benefits such as increased muscle/tendon/bone strength, bone density, metabolism, and cardiac function. Although beneficial, weightlifting can contribute to various shoulder pathologies that include rotator cuff impingement and injuries to tendons/muscles/bones of the shoulder and shoulder girdle, with specific patterns of injury identified on magnetic resonance imaging (MRI). Our pictorial essay, therefore, aims to familiarize radiologists and sports medicine physicians with the mechanisms, various types, and MRI patterns of shoulder/shoulder-girdle injuries, thereby enabling appropriate alterations to training regimens to prevent further injury.","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135617927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimation of the reference value of pubofemoral distance in normal infants by ultrasonography: A pilot study in Indian population","authors":"Siddhi Chawla, Gaurav Meena","doi":"10.25259/ijmsr_9_2023","DOIUrl":"https://doi.org/10.25259/ijmsr_9_2023","url":null,"abstract":"Objectives: The objectives of this study were to determine the normal values of pubofemoral distance (PFD) and its variation with age, sex, and laterality of hip in infants in the Indian population. Material and Methods: The PFD was measured in 141 infants falling under Grafs categories I, IIa, and IIb (Males: 77 and Females: 64) divided into two groups comprising the neonatal group (<1 month) and postneonatal group (>1–12 months). PFD measurement and Grafs’ method of alpha- and beta-angle measurement were both performed at the same time by doing an ultrasound of the hip. Probe was placed in the coronal plane in lateral decubitus with the flexed position in a neutral position. PFD was measured between the superior pubic rami and femoral head epiphyses. Results: The average PFD in 141 infants (282 hips) was 3.23 ± 0.83 mm. It was 3.15 ± 0.79 mm in the neonatal group (88 patients) and 3.47 ± 0.84 mm in the postneonatal group (53 patients). In males, the average PFD was 3.29 ± 0.85 mm, and in females, it was 3.23 ± 0.81 mm. No significant difference was observed in the average PFD among the two sexes and between the left and right hips of both neonatal and postneonatal groups. Conclusion: The study demonstrates reference PFD values in infants aged 0–12 months in neonatal and postneonatal age groups. Mean PFD values were not significantly influenced by the laterality or sex of the patient in both groups, however, increased with age. Further studies need to be done however to find its values in the cases with developmental dysplasia of the hip to determine the cutoff in such cases.","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136012893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-biopsy spontaneous air in vertebrae: A tell-tale sign of vertebral hemangioma","authors":"Anuj Aggarwal, Geetika Khanna, Nishith Kumar, Dharmendra Kumar Singh","doi":"10.25259/ijmsr_35_2023","DOIUrl":"https://doi.org/10.25259/ijmsr_35_2023","url":null,"abstract":"Although most vertebral hemangiomas are asymptomatic and common incidental findings on radiographs and cross-sectional imaging, few atypical vertebral hemangiomas have aggressive imaging features and are clinically symptomatic. This atypical vertebral hemangioma poses a diagnostic dilemma and needs to be differentiated from aggressive vertebral neoplasm-like metastasis or plasmacytoma. Advances in radiological imaging, particularly MRI, help in differentiating atypical hemangioma from aggressive vertebral neoplasm to a certain extent; however, computed tomography-guided biopsy is often required for histopathological confirmation and further management. The aim of the case report is to highlight the finding of post-biopsy spontaneous gas bubble formation inside the vertebra in aggressive vertebral hemangioma, which helps to differentiate it from aggressive vertebral neoplasms.","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135483597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bicipitoradial bursitis and biceps tendinitis: Repetitive use versus rheumatoid arthritis","authors":"Daniel Victor Šimac, Miroslav Mayer","doi":"10.25259/ijmsr_19_2023","DOIUrl":"https://doi.org/10.25259/ijmsr_19_2023","url":null,"abstract":"Bicipitoradial bursitis (BRB) is the inflammation of the bicipitoradial bursa, a bursa located in the cubital fossa between the biceps tendon and radial tuberosity. It is a relatively uncommon condition mostly attributed to repetitive use; however, it can be associated with other conditions, including rheumatoid arthritis (RA). We present a 52-year-old woman who presented with novel joint pain with swelling lasting 2 months with elevated rheumatoid factor (RF) 246.2 IU/mL and anti-cyclic citrullinated peptide (CCP) antibodies &gt;1200 IU/mL, highly suggestive of RA. It should be noted the patient works as a butcher, with earlier conditions, including carpal tunnel syndrome (CTS) which was operated on. The patient also had numbness of the right hand with electromyoneurography (EMNG) suggestive of CTS relapse and noticed swelling of the cubital fossae. As a part of the workup, a right elbow ultrasound was done showing a mass, which was confirmed by magnetic resonance imaging as BRB. Given the clinical picture, elevated RF and anti-CCP antibodies, and BRB, it was concluded that the patient likely has early RA, and BRB as a result of both repetitive use in combination with the early RA onset which possibly exacerbated an earlier, stable condition. BRB can be large enough to compress local neural structures causing symptoms, which may be an explanation for the EMNG result of CTS relapse, possibly caused by BRB instead as CTS relapse is relatively uncommon. Although a rare condition usually attributed to repetitive use, BRB can also be associated with other conditions including RA as in our case.","PeriodicalId":483262,"journal":{"name":"Indian Journal of Musculoskeletal Radiology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135552249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}