RESUMEN
Osseous alterations adjacent to the posteromedial tubercle of the talus that lead to posterior ankle impingement and their imaging findings have been much less well described than alterations of the posterolateral tubercle. We present 5 cases of osseous abnormalities at the posteromedial tubercle of the talus depicted on magnetic resonance imaging in subjects with chronic symptoms at this location, with no history of local trauma, who had presented with posteromedial mechanical pain and/or tarsal tunnel syndrome. The symptoms were related to mechanical changes of the bony and soft tissue structures, leading to posterior impingement, and to neurovascular bundle entrapment at the tarsal tunnel, leading to tarsal tunnel syndrome.
Asunto(s)
Corticoesteroides/administración & dosificación , Articulación del Tobillo/patología , Imagen por Resonancia Magnética/métodos , Osteofito/patología , Astrágalo/anomalías , Adulto , Articulación del Tobillo/fisiopatología , Artralgia/diagnóstico , Artralgia/terapia , Dolor Crónico , Femenino , Estudios de Seguimiento , Humanos , Inyecciones Intraarticulares , Masculino , Procedimientos Ortopédicos/métodos , Osteofito/terapia , Dimensión del Dolor , Medición de Riesgo , Muestreo , Astrágalo/patología , Resultado del Tratamiento , Adulto JovenRESUMEN
We report a rare case of bilateral anterior shoulder dislocation associated with coracoid processes fracture after a seizure episode in a 37-year-old woman. This combination of findings is rare, especially by the presence of bilateral coracoid processes fracture. Possible mechanisms related are direct trauma of humeral heads over the coracoid processes or sudden pull of biceps short head attachment site during uncontrolled contractures. Few reports published similar combination of injuries, and to our knowledge, this is the first to demonstrate its acute features by magnetic resonance imaging. A review of the literature is also presented.
Asunto(s)
Fracturas del Húmero/etiología , Convulsiones/complicaciones , Luxación del Hombro/etiología , Lesiones del Hombro , Adulto , Femenino , Humanos , Fracturas del Húmero/diagnóstico , Imagen por Resonancia Magnética , Escápula/lesiones , Luxación del Hombro/diagnósticoRESUMEN
OBJECTIVE: The overuse injuries in the hip joint occur commonly in sports practitioners and currently due to technical advances in diagnostic imaging, especially magnetic resonance imaging (MRI), are often misdiagnosed. Recently, a group of people were reported, all female, with pain and swelling in the pelvic region.T2-weighted MRI showed increased signal in the enthesis of the iliotibial band (ITB) along the lower border of the iliac tubercle. We report a case of a 34 year old woman, non-professional runner, with pain at the iliac crest with no history of trauma and whose MRI was compatible with the proximal iliotibial band syndrome. .
As lesões por sobrecarga na articulação do quadril ocorrem comumente em praticantes de esporte e atualmente, por causa do avanço das técnicas de diagnóstico por imagem, especialmente a ressonância magnética (RM), são frequentemente diagnosticadas. Recentemente, foi estudado um grupo de pacientes, todos do sexo feminino, com quadro de dor e edema na região do tubérculo ilíaco. A RM ponderada em T2 demonstrava aumento de sinal na êntese da banda iliotibial (BIT) ao longo da margem inferior do tubérculo ilíaco. Relatamos um caso de uma mulher de 34 anos, corredora não profissional, com quadro de dor na crista ilíaca sem história de trauma e cuja RM era compatível com a síndrome da banda iliotibial proximal. .
