Marlena Jbara

Bilateral radiographs w/ weight-bearing and right ankle MRI performed https://www.cmrad.com/cases/1735748974 Patient was subsequently taken to the OR for a calcaneonavicular coalition. The issue is that I"m having trouble seeing it on the pre-operative images :S

New comment 2d ago

Marlena Jbara

1 like • 5d

https://trk.klclick.com/ls/click?upn=u001.0EHV416q3M7mhbbIN-2FoKN6-2BA7tsEvAhqvr-2F1HsUTfpzTyTfwruBguu0dRORIeme-2FjxTMlYDoZm81AxLKYOs5ucbVVQwrMS5dgKmQMIE-2BK-2FofvuETsjsHxI4OQ0UwI-2BdmH7-2F2nHLg40CSEoBxtgKGIw-3D-3DdtDp_sP5LpKWjZ9WLkD-2BVBIJS4CN5XKabk5h1gncm1JOD0LTzdpu2-2FYDrwsaXkpHp6KQSDiXmRzqjI5JiPcbJTqTKT4fHJfsyun1Fu-2Fk-2Biea9aRwmrjG22t8UoxQ3yyEmLEUI8l23DfwyJwRqG59tPGabKY1q0x4XyaAnx3LRRoIBwNJDk6sJs7ekHAbJ0ywJmsJGLh-2FlQR8QHahWUNiw-2BMZu5hAhxAfnskrL2-2BxA8OcA0KWnkFG3qkbWwIi1PBxHUxcUSI-2BVdPNTTB5s-2BDZxFcT02Kw6e6w7wtg38u1v1lD2sA8-3D

Marlena Jbara

1 like • 5d

Muhammad Abdullah

19d ago

General discussion

Chronic ankle instability following ankle sprain

Wanted to share this case because it has nice follow-up from a case that Dr. Jbara eloquently discussed on her forum https://www.cmrad.com/cases/1152399287 Here is the original case discussion: https://vimeo.com/913815661/79eb159a23?share=copy There have been some healing changes of the low lateral ankle ligaments. Unfortunately, the patient has developed an osteochondral lesion of the anterolateral talar dome—likely secondary to repetitive microtrauma from instability related to ligamentous laxity. Doesn't look like there is instability of the OCL, so I'm guessing the referring provider will opt for conservative management initially Any thoughts on the case and prognosis/management @Marlena Jbara and others?

New comment 18d ago

Marlena Jbara

3 likes • 19d

@Im Beg thank you for your support- this is a complex case- i dont think thats the capsule but rather fibrotic bands and hemarthrosis - see the video case below and the articles attached " The hemarthrosis associated with a lateral ligament complex injury predisposes to a posttraumatic synovitis in the anterolateral gutter, which, over time, may become coalescent and undergo hyalinized fibrosis (Fig 6) (7,12). The hyalinized fibrotic tissue may be round/ linear in morphology or become triangular/meniscoid in shape if it molds to the contour of the anterolateral gutter"

Marlena Jbara

2 likes • 19d

https://vimeo.com/940486620/1911b7e1a1?share=copy

Jacques Manguele

Mar 21

General discussion

Knee x ray 72 yo female with knee pain

Is this a osteochondroma / Hoffa disease / something else ? And is it recommended to ask a MRI for this ?

New comment Apr 3

Marlena Jbara

0 likes • Mar 24

I can see what you mean about the mri being xtra since the arthritis is severe- but if there is new pain and trauma- one would have to make a clinical call whether degree of edema precludes weight bearing. Now would like that mri to see what’s there!

Marlena Jbara

0 likes • Apr 3

@Neil Shaba no radiation and gives me more qualitative information on ligaments menisci and regarding degree of edema. Could guide me to determine weight bearing status. Many insufficiency fractures underestimated on ct. @Neil Shaba

Kay Hermann

Mar 14

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New comment Mar 20