ANSWER TO PREVIOUS FELLOW'S CHALLENGE
Linda
Wagner-Weiner
The
diagnoses of the patients whose radiographs were shown in the March/April 2004 PROJ issue are
given below. As no patient history
accompanied the radiographs in the challenge, other plausible and acceptable
diagnoses are given in some cases where there may be more than one
interpretation of the xray.
|
1. |
Legg-Calve-Perthes / avascular necrosis of left hip |
|
2. |
Fusion of spinous processes of C2-C3 (child with
JIA) |
|
3. |
Severe
osteoporosis with verterbral compression (patient diagnosed with SLE in
1960's; this radiograph was taken >10 years after diagnosis) |
|
4. |
Protrusio
acetabuli (teenage girl with long-standing RF+ arthritis) |
|
5. |
Fusion
of carpal bones (teenage boy with systemic onset arthritis) |
|
6. |
Takayasu's
arteritis |
|
7. |
Slipped
capital femoral epiphysis, left hip |
|
8. |
Calcinosis
(patient with dermatomyositis for >10 years) |
|
9. |
Avascular
necrosis of bilateral knees at medial condyles (patient with SLE) |
|
10. |
Frostbite
(occurred at age 5 years; patient evaluated as teenager with complaints of
pain and abnormal appearance of fingers) |
|
11. |
Osteosarcoma
|
|
12. |
Fusion
of spinous processes of C2-C4 and C5-C7 (9 year old boy with systemic onset
arthritis since age 18 months) |
|
13. |
Cervical
cord impingement at C4-C5 level (this is the MRI of patient in radiograph #
12; note that impingement is at the one cervical level which is
not fused and where motion is able to
take place) |
|
14. |
Sequela
of right hip septic arthritis |
|
15. |
Chronic
recurrent multifocal osteomyelitis, left clavicle |
|
16. |
Arthritis,
right wrist (child with oligoarthritis) |
|
17. |
Periosteal
reaction of bilateral fibulas, R>L
(patient with sarcoidosis and recurrent lower leg pain) |
|
|
|
The
winner of this fellow's challenge (with 12 correct answers!) is:
Jonathan
Akikusa, M.D.