Michael L. Richardson

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Posterior dislocation of the sternoclavicular joint is a rare injury. It can be associated with life-threatening complications. Computed tomography is the imaging modality of choice with which possible associated injuries can be detected. Acute injuries are managed with closed reduction under general anaesthesia. A fracture-dislocation is inherently more(More)
Over the past few years, several studies have demonstrated favorable clinical outcomes and low complication rates using the ankle Tightrope® syndesmosis fixation system. The traditional surgical procedure of screw fixation for syndesmosis injury is associated with high complication rates of loosening, screw fracture, nonanatomic fixation, and postoperative(More)
HTLV-1-associated myelopathy (HAM), also known as tropical spastic paraparesis (TSP), is a chronic progressive demyelinating disease that affects the spinal cord and white matter of the central nervous system. The lifetime incidence of HAM in HTLV-1 carriers is estimated to be less than 5%. Typical time of onset is in the fourth decade of life, with a(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)
We report a case of a 50-year-old man with extensive metallosis 20 years after right total hip arthroplasty. CT demonstrated osteolysis and radiodense debris surrounding the right hip joint. Although the radiographic appearance of metallosis has been well documented in the literature, the CT appearance of metallosis after total hip arthroplasty has been(More)
We present a case of lunate fracture diagnosed which was diagnosed with cross sectional imaging. Lunate fractures are rare, and most cases in the literature were reported almost exclusively before the era of computed tomography (CT) and magnetic resonance imaging (MRI). We present the imaging findings in our patient with a brief review of the literature.
Mycetoma, also known as Madura foot, is a rare soft-tissue granulomatous infection caused by Actinomyces or true fungi. The MRI "dot-in-circle" sign has been described as a characteristic finding of mycetoma. This sign represents spherical T2 bright masses containing central and intervening low-signal-intensity foci. However, other soft-tissue masses can(More)
We present a case of an abdominal cavity myolipoma which herniated through a low transverse abdominal (Pfannenstiel) incision, and presented as an enlarging abdominal wall mass. Magnetic resonance imaging (MRI) prior to surgery demonstrated an encapsulated solid tumor mass demonstrating fat signal and and increased T2-weighted signal. Postsurgical(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)