JuanMiranda

16/12/2025🏃‍♂️💥Málaga Marathon (14 Dec 2025) → 1 day later I wanted to see the DOMS, not just feel it. 🧲🦵 Axial FSDP (R thigh): patchy exercise-related edema in VL/VI+adductor magnus+semitendinosus — classic post-endurance micro-trauma, not a tear. #Marathon #MalagaMarathon

Hot-off the press: The Prognostic Impact of Enteropathy and Liver Disease in Common Variable Immunodeficiency @eltipotranquil1 @digestivoHGUGM journals.lww.com/ctg/abstract/9…

26/11/2025.🖐️37M with central dorsal wrist pain. US-guided arthrography showed immediate contrast passage from RC into the MC joint → intrinsic ligament tear. 📸 CT & MR arthrograms confirmed complete lunotriquetral ligament rupture #MSK #Radiology #SLIL #WristPain #MRI #CT🩻

19/11/2025. 🦵 55 y/o woman with knee pain. FSPD #MRI, 1 year apart: 📍 Baseline: large osteochondral defect in the lateral aspect of the medial femoral condyle 🔧 Arthroscopic microperforations (microfracture) ✨ Follow-up: defect filled with fibrocartilage-like tissue👀 #MSK

17/11/2025 – 53 y/o woman with heel pain. Sagittal & axial ankle FSPD MRI: ✅ Insertional plantar fasciopathy 💥 Plantar fat pad edema 💫 Edema deep to FDB + inferior calcaneal process ⚠️ Deep central band fibers disrupted → medium-grade partial tear #Radiology #MSKR #Ankle

24/10/2025🧗‍♂️ 21-year-old climber with sudden pain + “pop” at the PIP joint of the right middle finger. US (volar, sagittal) shows widening between the volar cortex of P1 and the flexor tendons, with fluid occupying the gap → acute A2 pulley injury—classic in climbers. #MSK🖐️🔍

@cristoateo69 @pepelermarx @JM_Zulueta_O @drwillyjara Sí, escríbeme por privado

@themskarchive @pepelermarx @JM_Zulueta_O @drwillyjara ecografía de hombro. Me gustaría saber si usted me puede colaborar respondiendo una pequeña pregunta técnica que me permita poder implementar un método de validación de este nuevo protocolo. Agradezco inmensamente por leerme. Espero me pueda ayudar. Feliz día.

5/6/2024. 👌 Thrilled to have improved MRI protocols with my teammate @pepelermarx! This #shoulder MRI clearly shows a preinsertional partial articular-sided mid-grade supraspinatus tear in three planes 💪. #MRI

21/10/2025.🦵 46F, knee MRI. Coronal & sagittal DP (± fat sat): AVM in Hoffa’s fat pad. 🩸 Serpiginous tubular flow-voids = anomalous arteries 🔎 Perivascular fat signal change → nidus #Radiology #MSK #KneeMRI #AVM #HoffasFatPad #FlowVoid

20/10/2025. ✅🦴 56F, hip pain. AP pelvis + axial L hip: bilateral coxa vara, bilateral acetabular protrusion (severe L), OA advanced on the left with greater trochanter–superolateral acetabular impingement. #Radiology #XRay #HipPain #CoxaVara #ProtrusioAcetabuli #HipOA #MSK

@sbmander1 Right!

@themskarchive AVN with early collapse. Not a bone lesion

9/10/2025. 🟥🦴 What do you see here? (AP pelvis X-ray) Notice the altered trabecular pattern in the right femoral head — with a subtle articular collapse and a well-defined subchondral lytic lesion with sclerotic margins. Any guesses? 👀 #Radiology #MedTwitter

@MedSphereAI Nice!!

@themskarchive We tested a few AI models on this. How did they do?! 🧐 Details: medicalsphere.ai/cases/0bc7bd21…

Axial view.

3/10/2025.🦴⚠️69yo male, h/o bilateral TKA, c/o R knee pain. XR (Right knee): 🟥 Loss of polyethylene + metal-on-metal contact 🟨 Prosthesis loosening 🟩 Capsular distension w/ metallic debris ✅ Left knee: normal ❌ Right knee: advanced metallosis #Metallosis #Radiology #TKA

2/20/2025🚨 Procedure! 🚨 3-min dorsal radiocarpal & distal radioulnar joint injection ✅ under #fluoroscopy → ready for Arthro-CT & Arthro-MRI. Do you prefer #ultrasound or fluoroscopy for guidance? 🔗 More cases: lnkd.in/dv2VxnDC #Radiology #ArthroMRI #ArthroCT

1/10/2025. 🤚✅ Successful dorsal radiocarpal & distal radioulnar joint contrast injection in just 3 min under #fluoroscopy — ready for Arthro-CT & Arthro-MRI. 📸 Final X-ray image . #Radiology #MSKImaging #ArthroMRI #ArthroCT #Fluoroscopy

29/9/2025.🟥 14y boy, h/o distal tibia epiphysiolysis II (7mo ago). MRI shows: Altered physeal/periphyseal signal Edema epi/metaphysis Oval lesion disrupting trilaminar pattern ➡️ Suspicious for physeal bar → risk of growth arrest, deformity, LLD. CT pending for confirmation.

29/9/2025. 📢 New article available PDF free (until Nov 1st!) 🟧 Ultrasound-guided botulinum toxin: uses & techniques 🆓 👉 Download here: sciencedirect.com/science/articl… #Medicine #Ultrasound #BotulinumToxin #Radiology #Research