I was convinced this was going to be an avulsion fx of the extensor digitorum brevis from the lateral calcaneous (kinda big fragments but good location on AP ankle). Unfortunately the CT had other ideas.
@StefanTigges@RyanBPetersonMD@ER_Rad_Hanna@AdamSingerMD Teaching point: EDB avulsion and ant calcaneous process fx can look similar on ankle X-rays (with similar clinical presentation and inversion injury). Proper foot X-rays with obliques to look at the ant calc process should really be considered in this situation.
#WetreadCoW Case 11 Answer: Pseudomyxoma Peritonei
-accumulation of mucinous ascites from mucin producing tumor. This case is the classic mucinous appendiceal tumor s/p multiple debulking surgeries! #FOAMed#FOAMrad#Radres#bodyrad
-seroneg spondyloarthropathy (neg Rheum factor) ➡️ fusion of the spine, SI jts, pubic symphsysis, and sometimes other jts
- assoc w HLA B27 gene
-M>F
-usually presents 3rd-4th decade
-trt: NSAIDS, motion/exercise, TNF-alpha blockers