Today's call summary · MSK Radiology

Today's call summary

Free Q&A MSK Radiology School

Attachments Free Q&A MSK Radiology School

Meeting records Transcript

Summary

Christoph Agten welcomed attendees Iman and Anisha to a Q&A session, despite initial technical issues with Anisha's links and audio problems experienced by Carlos Molina. Anisha presented three cases: a lateral meniscal tear unlikely to be discoid, a radial tear of the medial meniscus with extrusion and degeneration, and a shoulder post-labral repair that was upgraded from a SLAP 1 to a SLAP 2 tear. Iman presented two cases: chronic hand pain indicative of inflammatory arthropathy, and chronic foot pain with a subchondral insufficiency fracture or stress reaction.

Details

Meeting Introduction and Technical Issues Christoph Agten welcomed attendees, Iman and Anisha, to a Q&A session. He initially faced issues with Anisha's provided links, noting that several were missing numbers and not working (00:00:00). Christoph also addressed microphone issues, confirming that Katarina Pausek could hear him, while Carlos Molina experienced audio problems and was advised to rejoin the call (00:03:30) (00:06:25).
Anisha's Knee Case: Lateral Meniscal Tear Anisha presented a case involving a lateral meniscal tear, asking if it could be discoid (00:03:30). Christoph Agten concluded that it was unlikely to be discoid due to insufficient substance and the typical triangular appearance of a discoid meniscus (00:05:01). He further described the tear as a "flipped meniscus" with a large intercondylar fragment, emphasizing that it was a special form of a bucket handle tear, and advised against using the term "hemi bucket" (00:10:23).
Iman's Hand Case: Rheumatoid Arthritis Iman presented a case of chronic pain in a hand, leading to a discussion on rheumatoid arthritis (00:06:25). Christoph Agten identified synovitis in multiple compartments and tenosynovitis as strong indicators of inflammatory arthropathy, recommending a rheumatological review and lab tests despite the absence of erosions (00:07:45).
Anisha's Knee Case: Radial Tear of Medial Meniscus Anisha presented a second knee case involving a radial tear of the medial meniscus with extrusion and degeneration (00:13:00). Christoph Agten described it as a large radial tear, noting the truncation of the meniscus and substance hanging into the meniscotibial gutter, explaining that the loss of ring stress caused the meniscus to squeeze out (00:15:00). He also discussed bony irregularities and bone marrow edema in the medial tibiofemoral area, suggesting chronic friction and advising descriptive reporting rather than specific grading (00:17:49).
Iman's Foot Case: Chronic Pain and Isolated Lesion Iman's second case involved chronic pain in a 73-year-old male with an isolated lesion in the lateral cuneiform bone, prompting a query about the lesion's isolated nature (00:21:17). Christoph Agten attributed the finding to a subchondral insufficiency fracture or stress reaction, potentially exacerbated by compensatory overuse, and noted associated tendinopathy in the peroneal tendons (00:22:41).
Anisha's Shoulder Case: Post-Labral Repair Anisha's final case involved a shoulder post-labral repair, with a question about a SLAP lesion type (00:26:10). Christoph Agten initially observed fraying and degeneration of the superior labrum but noted that an arthrogram revealed widening of the recess and contrast within the labrum, leading him to upgrade the diagnosis from a SLAP 1 to a SLAP 2 tear (00:28:35). He also discussed the appearance of the MGHL and SGHL ligaments, noting potential injection-related findings and variations in ligament nomenclature (00:33:56).
Meeting Conclusion and Tool Promotion Christoph Agten concluded the Q&A session by promoting "finalscribe," his voice recognition tool, offering a seven-day free trial (00:37:16). He encouraged attendees to provide feedback on the tool's quality, particularly for non-English outputs, as he could not personally verify them .