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High-resolution ultrasonography of the first metatarsal phalangeal joint in gout: a controlled study
Wright, S.A., et al. - To compare high-resolution ultrasound (HRUS) with conventional radiography in the detection of erosions in the first metatarsophalangeal joints (1st MTPJs) of patients with gout and to identify the characteristic sonographic features of gout...Conclusions: These data show that HRUS may assist in the management of gout in two ways: first, by aiding in the diagnosis by identifying the sonographic features that may be representative of the disease, and, second, by allowing the early detection of erosive joint damage and/or tophaceous deposits even in clinically silent joints [more...]

Annals of Rheumatic Diseases, 06/29/07


Aspergillus Meningitis and Discitis from Low-Back Procedures in an Immunocompetent Patient
Kolbe, A.B.L., et al. - We present a case of an immunocompetent patient who developed Aspergillus meningitis, subsequent to discitis, presumed to be from an epidural steroid injection. Magnetic resonance imaging (MRI) of the lumbar spine confirmed the diagnosis of discitis. Fluoroscopic-guided aspiration of the disc showed growth of Aspergillus fumigatus [more...]

Acta Radiologica, 06/29/07


Observer Variation in Computed Tomography of the Sacroiliac Joints: A Retrospective Analysis of 1383 Cases
Geijer, M., et al. - Conclusion: The interobserver variation for the diagnosis of sacroiliitis on CT between two reviewers in a study setting showed good agreement, with moderate agreement between each of the observers and the original clinical reports. CT is a reliable method for evaluating the sacroiliac joints for changes of sacroiliitis [more...]

Acta Radiologica, 06/29/07


Assessment of Anterolateral Rotatory Instability in the Anterior Cruciate Ligament?Deficient Knee Using an Open Magnetic Resonance Imaging System
Okazaki, K., et al. - In the clinical evaluation of the anterior cruciate ligament–deficient knee, anterolateral rotatory instability is assessed by manual tests such as the pivot-shift test, which is subjective and not quantitative...Conclusion: This method is useful to assess the anterolateral rotatory instability of the anterior cruciate ligament–deficient knee [more...]

American Journal of Sports Medicine, 06/29/07


Bone Tumor Mimics: Avoiding Misdiagnosis
Gould, C.F., et al. - This in-depth review of 13 potential bone tumor mimics will assist the radiologist in correctly identifying these benign lesions and in avoiding misdiagnosis and related morbidity. This review will also aid the radiologist in making appropriate recommendations to the referring physician for management or further imaging [more...]

Current Problems in Diagnostic Radiology, 06/28/07


Update on radiology studies of the elbow
Spencer, E.E., et al. - The elbow, with its three separate articulations, is one of the most highly constrained joints in the body, and restoring the injured elbow to its preinjury status can be challenging...Imaging about the elbow can be difficult secondary to the complex nature of the joint but with improved clinical acumen coupled with more sensitive imaging techniques, we might be able to improve our diagnostic yield [more...]

Current Opinion in Orthopedics, 06/28/07


Cystic Changes at Supraspinatus and Infraspinatus Tendon Insertion Sites: Association with Age and Rotator Cuff Disorders in 238 Patients
Fritz, L.B., et al. - Conclusion: Posterior cysts were more common than anterior cysts and showed nearly random distribution among patients, regardless of age and cuff diagnosis. Anterior cysts were closely associated with cuff disorders [more...]

Radiology, 06/28/07


Duverney Fracture: Distinguishing Scintigraphic Features
Yacoub, B., et al. - Duverney fractures are isolated fractures of the iliac wing due to direct lateral compression. The fracture involves the anterior and superior iliac crest. The location and the scintigraphic appearance are distinctive with increased uptake extending from the fracture margin to the superior and lateral margins of the iliac crest [more...]

Clinical Nuclear Medicine , 06/27/07