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MSK Search pattern. John C.S. Cho, DC Department of Radiology Logan College of Chiropractic. Cervical Spine. Lumbar Spine. Shoulder. Elbow. Wrist. Hand. Knee. Ankle. Foot. Quiz. 1. 25 y.o male with LBP.                                            <>. 2. 50 y.o female asymptomatic.

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Msk search pattern
MSK Search pattern

John C.S. Cho, DC

Department of Radiology

Logan College of Chiropractic












1 25 y o male with lbp
1. 25 y.o male with LBP

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2 50 y o female asymptomatic
2. 50 y.o female asymptomatic

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3 foot pain
3. Foot pain

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4 multiple joint pain
4. Multiple joint pain

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1 ankylosing spondylitis
1. Ankylosing Spondylitis

  • M:F= 3:1-10:1

  • HLA-B 27 in 96%

  • “Dagger sign”

  • “Trolley-track sign”


2 paget s disease
2. Paget’s disease

  • Elevated alkaline phosphatase; normal/hypercalcemia; hydroxyproline

  • 3 phases

  • Cx- malignant degeneration (~1%)

    • Osteosarcoma> fibrosarcoma, MFH, chondrosarcoma


3 jones fx
3. Jones fx.

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  • 1.5 cm distal to the 5th metatarsal tuberosity


4 rheumatoid arthritis
4. Rheumatoid Arthritis

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5 plasmacytoma
5. Plasmacytoma

  • Malignant proliferation of plasma cell

  • Early stage of multiple myeloma

  • Bence Jones proteinuria; A/G ratio; Hypercalcemia; normochromic normocytic anemia

  • 20% 5-yr survival rate


6 osteosarcoma
6. Osteosarcoma

  • 10-25; 60-75

  • Lung metastases (15%); Skeletal mets uncommon

  • Malignant degeneration from radiation, paget’s


References
References:

  • University of Washington: www. rad.washing.edu

  • Learning Radiology


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