Osteomyelitis, knee, MR
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1138-Osteomyelitis, knee, MR
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CB1138-Osteomyelitis, knee, MR
Case ReportHistory
Exam
Findings
Findings
Increased T2 signal and patchy loss of T1 signal in the proximal metaphysis of the fibula, compatible with osteomyelitis. Subperiosteal abscess along the anteromedial aspect of the fibular metaphysis, measuring 1.0 x 0.6 cm in axial dimensions and 2.5 cm in craniocaudal dimension.
Reactive edema in the muscles of the anterior, lateral, deep posterior, and superficial posterior compartments, surrounding the proximal fibula. Minimal edema along the investing fascia along the lateral muscular compartment and along the transverse intramuscular septum, likely reactive. No peripheral enhancement to suggest abscess. Mildly prominent popliteal region lymph node, likely reactive.
No other marrow signal abnormalities concerning for osteomyelitis.
No joint effusion or synovitis within the knee to suggest septic arthritis
Impression
No MR imaging evidence for septic arthritis within the knee, as clinically questioned.
