Bone Marrow Edema Case Study

Based on the progress report dated 08/23/16, the patient complains left knee pain upon walking. Discomfort was described as aching, tingling, intense, severe, continuous, pain, discomfort, increasing with movement and varying with activity. Pain is rated as 5/10 without medications and 4/10 with medications.

The patient underwent repeat MRI of his right knee on 1/28/16. As per office notes dated 7/25/16, review of system revealed that the patient has a history of weakness, shortness of breath, joint pain, muscular weakness, stiffness and muscular pain, headache and dizziness, as well as nervousness. The patient presents today stating that he would like to have his rod removed. He says that his right knee continues to give out on him and he wants to go on longer than 2 mile hikes without having knee pain and feeling instability. Examination of the right lower extremity revealed that the patient’s incisions are clean, dry, intact, and well-healed. The patient’s knee demonstrates discomfort with patellar grind-the symptoms are consistent with his last several exams, and are relatively unchanged. Knee is stable to varus and valgus stress, however, valgus stress does cause some discomfort on the lateral side. Distal neurovascular status is intact. Impression includes right displaced comminuted fracture of shaft of right femur, initial encounter for closed fracture; right chondromalacia patellae, right knee, and right sprain of other specified parts of right knee, initial

An MRI is short for magnetic resonance imaging and it uses a magnetic field and radio waves to create very detailed images of the tissues within the body. “Conventional MRI has demonstrated inconsistent diagnostic performance in detecting SLL, LTL, and TFCC tears. The low sensitivity for SLL (40–75 %) and LTL (50–75 %) tears is largely due to their small structure. The accuracy of MR imaging for TFCC tears is higher, at about 71–100 %.” (10) Although they would like to have less invasive techniques like the MRI, they need to get more accurate results like they do from the arthroscopy, before they rely on the MRI only. With such a small area that they want an image of for the TFCC injury, they must really refine the sections of images that they make so they can get a clearer picture. As for using a radiograph as another form of diagnosis, they are not useful in a TFCC injury and they will only help determine if there is osteoarthritis. This is usually a go to for any other injury to see if any big damage has happened, however, it will not be helpful in this

Currently MRI is gaining popularity as a diagnostic tool in knee injuries due to increasing sports injuries and road traffic accidents. The single most common indication of performing a knee MRI is to diagnose internal derangements in an injured knee. ( 73 )

MRI of the left ankle and foot obtained on 01/26/16 showed evidence of moderate to high-grade partial tear of the anterior talofibular ligament and moderate partial tear of the calcaneofibular ligament. There is evidence of mild partial tear of the deltoid ligament. Mild to moderate osseous contusion of the talar body is seen. There is a mild sinus tarsi edema. There is a minimal subtalar and tibiotalar effusions.

This paragraph explained what methods and scans are used to analyze different conditions. For example, while fat metaplasia, erosion, ankylosis, and bone backfill was analyzed using a T-weighted scan, the bone marrow edema is analyzed using the method of a STIR scan.

• CT scan or MRI to see if the bone has moved out of place and if there are any broken-off pieces of bone. These tests can also be used to make sure there are no other injuries to your knee.

Mr. Knee’s general health status. Presence of localized edema is common to see in knee

The research paper “CD47 is an Adverse Prognostic Factor and Therapeutic Antibody Target on Human Acute Myeloid Leukemia Stem Cells” found a new cancer marker to target for treatment of a type of bone marrow cancer.

A 24-month-old boy was brought to the Naval Medical Center with a 2 week history of a growing, painless scrotal mass and difficulty urinating. After physical examination and undergoing biopsy the mass was identified as embryonal rhabdomyosarcoma. A bone marrow biopsy was positive for tumor and the computed tomography (CT) of the chest, abdomen and pelvis were positive for metastatic disease. In order to maximize tumor control it was necessary for the patient to immediately begin multimodality therapy. Although rhabdomyosarcoma (RMS) is a well-known pediatric malignancy in the United States, the cancer is still considered rare and the parents of the patient required further education.

A hematologist is a specialist that treats diseases of the blood, bone marrow, and blood related disorders. They treat patients who have blood disorders. Without hematologists people could die or suffer other severe consequences of an imbalance in their blood or blood forming tissues. Hematologists have a number of different tests that they can perform to diagnosis a patient, and determine which element of their blood they are having problems with. They can also treat cancer.

Per Dr. Williams, your MRI of the right elbow show partial tearing of a tendon at its attachment to the bone. He have placed a consult to ortho to further evaluate and treatment. CAMO should call you within the next 2-3 business days to assist you with scheduling an ortho appt. However, if they do not call within three business days please call them at 916-9900 to assist with scheduling appt.

O: Right Knee: antalgia, no malalignment, no atrophy, swelling in the back of the knee, no ecchymosis, no erythema; no effusion, no warmth,

X-rays of the left knee with anteroposterior, lateral and Merchant views obtained on 07/30/13 revealed a moderately severe left, mild right degenerative changes.

1. Patient #11 TEHC Health Care’s PT was contacted by the Administrator and DON to report to the office for immediate counselling. The PT was counseled on the importance of obtaining verbal order start of treatment. All evaluations are to be returned to the office within 48 hours to be faxed to the physician for written order signature if the Plan of Care has already been sent to the physician. The PT was further counseled that until a verbal or written order is obtained no treatment can be provided without orders or consultation with the physician.