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Fragestellung: Die radiologische Unterscheidung zwischen Enchondromen (EC) und atypischen chondrogenen Tumoren (ACT) ist anhand der Radiologie allein oft schwierig, jedoch wichtig für das weitere Vorgehen - „Watch and Wait“, Biopsie oder entsprechende operative Versorgung. Unser Ziel [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Purpose Methods and materials Results Conclusion Personal information and conflict of interest References, Purpose: Osteoid osteoma (OO) is a benign bone producing tumor, first described by Jaffe in 1953 [1]. It accounts for 2– 3% of all bone tumors and 10–20% of benign bone tumors and is characterized radiologically by an intracortical nidus, with a variable...

Learning objectives Background Findings and procedure details Conclusion Personal information References, Learning objectives: Neoplastic mimics or „pseudotumors“ can simulate neoplasms on all levels of analysis – clinical, radiologic, and pathologic – and thus represent particular diagnostic pitfalls for the radiologist that can ultimately lead to therapeutic...

A disruption of the proximal tibiofibular joint has been considered a rare and uncommon condition with only few cases reported in literature. Four types of instability or disruption of the proximal tibiofibular joint are classified in literature as subluxation, anterolateral dislocation, posteromedial dislocation, and superior dislocation. We report a case of a 26-year-old soccer player injured during a match. The diagnosis of the anterolateral proximal tibiofibular joint dislocation was established after clinical examination and was also confirmed radiologically. The objective of this paper is to elaborate the mechanism of injury, nonoperative protocols, surgical techniques, rehabilitation schedules and sports guidelines after proximal tibiofibular joint dislocation., {"references":["Ogden JA. The anatomy and function of the proximal tibiofibular joint. Clin Orthop Rel Res 1974;101: 186–191.","Resnick D, Newell JD, Guerra J, Danzig LA, Niwayama G, Goergen TG. 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INTRODUCTION: The proposed MSCT protocol allows early detection of associated facial and skull base fractures, while the classification of the fracture patterns can help in the selection of therapeutic treatment. OBJECTIVES: To determine the value of a defined radiological CT protocols and the incidence of radiologically diagnosed cranial base fractures associated with facial fractures, describe the imaging features of the associated fractures and to classify certain types of fractures in the fracture patterns SUBJECTS AND METHODS: The study included 180 patients with associated fractures of the face and skull base diagnosed by CT. The group of respondents consisted of 158 men and 22 women, median age 41 years, range 18 years to 88 years. For the purpose of comparing different diagnostic computed tomography protocols, the study included 109 patients who have had an examination done on SSCT and 16-slice CT device. For the purpose of the classification of fractures in the fracture patterns, the study included 180 patients with associated face and skull base fractures who have had an examination done on 16-slice CT device. RESULTS: The incidence of associated facial fractures and skull base in patients with blunt head injury int he study is 45.2%. Multislice CT, in 99.4% of patients with craniofacial fractures, adequately shows the extent of the fracture. Statistical analysis singled out three fracture patterns of the associated facial and skull base fractures. CONCLUSION: MSCT is better in depiction and localization of the associated face and skull base fracture than SSCT, and thus better for the diagnostic method. The analysis of this type of imaging display enables development oft he new fracture patterns or classifications. Clearly defined MSCT protocol applied in all patients with blunt head injury and a suspicion of craniofacial fracture enables the systematic standardization of the diagnostic treatment of patients with such indication.

UVOD: Predloženi MSCT protokol omogućuje pravovremeno prepoznavanje udruženog prijeloma kostiju lica i baze lubanje, dok podjela u frakturne obrasce može pomoći u odabiru terapijskog postupka. CILJEVI: utvrditi vrijednost definiranog radiološkog CT protokola i pojavnost radiološki dijagnosticiranih prijeloma baze lubanje udruženih sa prijelomom kostiju lica, opisati slikovne karakteristike udruženog prijeloma i razvrstati pojedine tipove prijeloma u frakturne obrasce ISPITANICI I METODE: U istraživanje je uključeno 180 ispitanika sa udruženim prijelomom kostiju lica i lubanjske baze dijagnosticiranog CT-om. Skupinu ispitanika sačinjavalo je 158 muškaraca i 22 žene, srednje životne dobi 41 godina, u rasponu 18 godina do 88 godina. U svrhu usporedbe različitih dijagnostičkih protokola kompjutorizirane tomografije u istraživanje je uključeno 109 ispitanika kojima je CT pregled učinjen na jednoslojnom i 16-slojnom CT uređaju. U svrhu podjele prijeloma u frakturne obrasce u istraživanje je uključeno 180 ispitanika s udruženim prijelomom kostiju lica i baze lubanje kojima je učinjen pregled na 16-slojnom CT uređaju. REZULTATI: Učestalost udruženog prijeloma kostiju lica i lubanjske baze kod ispitanika u istraživanju iznosi 45,2%. Višeslojni CT uređaj u 99,4% ispitanika sa kraniofacijalnim prijelomom adekvatno prikazuje opseg prijeloma. Statističkom obradom podataka izdvojila su se tri frakturna obrasca udruženog prijeloma kostiju lica i lubanjske baze. ZAKLJUČAK: MSCT je kvalitetniji u prikazu opsega i lokalizaciji prijeloma od SSCT, a time i bolji u dijagnostičkom postupku. Analiza prijeloma takvih slikovnih prikaza omogućuje izradu novih frakturnih obrazaca ili podjela. Jasno definiranim MSCT protokolom primjenjenim kod svih pacijenata s tupom ozljedom glave i postavljenom sumnjom na kraniofacijalni prijelom postiže se sustavna standardizacija u dijagnostičkoj obradi pacijenata sa takvom indikacijom., INTRODUCTION: The proposed MSCT protocol allows early detection of associated facial and skull base fractures, while the classification of the fracture patterns can help in the selection of therapeutic treatment. OBJECTIVES: To determine the value of a defined radiological CT protocols and the incidence of radiologically diagnosed cranial base fractures associated with facial fractures, describe the imaging features of the associated fractures and to classify certain types of fractures in the fracture patterns SUBJECTS AND METHODS: The study included 180 patients with associated fractures of the face and skull base diagnosed by CT. The group of respondents consisted of 158 men and 22 women, median age 41 years, range 18 years to 88 years. For the purpose of comparing different diagnostic computed tomography protocols, the study included 109 patients who have had an examination done on SSCT and 16-slice CT device. For the purpose of the classification of fractures in the fracture patterns, the study included 180 patients with associated face and skull base fractures who have had an examination done on 16-slice CT device. RESULTS: The incidence of associated facial fractures and skull base in patients with blunt head injury int he study is 45.2%. Multislice CT, in 99.4% of patients with craniofacial fractures, adequately shows the extent of the fracture. Statistical analysis singled out three fracture patterns of the associated facial and skull base fractures. CONCLUSION: MSCT is better in depiction and localization of the associated face and skull base fracture than SSCT, and thus better for the diagnostic method. The analysis of this type of imaging display enables development oft he new fracture patterns or classifications. Clearly defined MSCT protocol applied in all patients with blunt head injury and a suspicion of craniofacial fracture enables the systematic standardization of the diagnostic treatment of patients with such indication.

Aim:Non-specific symptoms like weaknes and clinical signs like high temperature in chronically ill patients with long history of seronegative spondiloarthropaty can be misleading because lot of side-effects of long-term therapy. Case report:Male patient, 54 year was admitted to the emergency department because of weaknes and elevated body temperature 38, 3ºC. Patient had three chronical diseases, 20 year long history of systemic lupus eritematodes (SLE), arterial hypertension and insulin-dependent diabetes mellitus. 19 years before partial pancreatectomy with pancreatojejunoanastomosis, cholecystectomy and splenectomy were performed because of necrotizing pancreatitis. Two years before this episode patient suffered of opstructive jaundice because of stenosis of anastomosis which was confirmed with endoscopic retrograde cholangiopancreatography (ERCP) and resolved with sphincterotomy and stenting of anastomosis. First chest X-ray at the admition showed pleural effusion in the right hemithoax base. First biochemistry tests revealed signs of hepatic function lesion, hyperbilirubinemia with 186µmol/L (norm.3-20). C-reactive protein (CRP) was highly elevated 231, 8mg/l (norm.