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We present the case of an insufficiency fracture of the femoral shaft in a 61-year-old man who had received bisphosphonate therapy to reduce the fracture risk from lytic renal cell carcinoma metastases to the spine. Approximately 1.5 years after beginning monthly intravenous infusions of zoledronic acid (Zometa), the patient complained of persistent thigh(More)
We present the case of an 85-year-old woman who sustained a subtrochanteric femoral shaft insufficiency fracture after receiving bisphosphonate therapy for osteoporosis. After more than 6 years of taking risedronate sodium (Actonel) and daily supplemental calcium carbonate and vitamin D, the patient developed right anterior thigh pain that was worse with(More)
We present a case of an 85-year-old woman with extensive metallosis of the left hip joint secondary to prosthetic polyethelene liner dislocation and wear. Radiographs demonstrated amorphous cloudy radiodensities surrounding the prosthesis, a feature we have called the "cloud sign." The presence of amorphous cloudy radiodensities as a radiographic sign of(More)
Although case reports have always had a place at the foundation of medical knowledge, established radiology journals have increasingly focused their efforts on major research studies. This de-emphasis of case reports has resulted in a dearth of opportunities to publish them. Case reports continue to mark the frontiers of what we know as physicians, and have(More)
A young adult male pedestrian was struck by a car and sustained a closed complete rupture of both heads of the biceps brachii muscle belly, among other injuries. Rupture of the biceps brachii muscle belly is a rare injury, and complete muscle belly rupture of both long and short heads from direct blunt force trauma has not been reported outside of military(More)
The Accreditation Council for Graduate Medical Education (ACGME), the body that accredits medical residency programs in the United States, has established Residency Review Committees (RRC) for each specialty. Representatives of these committees evaluate training programs throughout the country to determine whether they meet established standards for(More)
A 53-year-old man presented with cervical myelopathy. magnetic resonance imagine (MRI) revealed a predominantly extraskeletal, extradural lesion extending along the posterior aspects of the C2 to C5 vertebral bodies, with greater than 60% spinal canal compromise and severe cord compression. Bone involvement was present, but was thought to be secondary.(More)
Radiography is the most common imaging method for assessing the progress of fracture healing. However, accurate assessment may be confounded by fracture complexity in which a combination of anatomic overlay and hypertrophic callous can be visually misleading. We present just such an instance in which delayed fracture healing was further elucidated using(More)