Table 1 Synopsis of demographics, referring departments, patient history, and principal diagnoses and treatment recommendations as well as a brief statement on whether the treatment recommendations were considered problematic. Abbreviations: AC—acromioclavicular, ACL—anterior cruciate ligament, ALPSA—anterior labroligamentous periosteal sleeve avulsion of the labrum, ER—emergency department, GH—glenohumeral, GLAD—glenolabral articular disruption, GP—general practitioner, HAGL—humeral avulsion of the glenohumeral ligament, INT—Internal Medicine, ISP—infraspinatus, OTS—orthopedic and trauma surgery, PCL—posterior cruciate ligament, PED – Pediatrics, PS—Plastic Surgery, RD—Referring department, SSC—subscapularis, SSP – supraspinatus. Supplementary Tables 1 and 2 provide further details on the reported diagnoses and treatment recommendations, respectively.
MRI Study | Age | Sex | Referral | Reason for exam | Principal reported diagnoses | Principal treatment recommendation | Treatment recommendation(s) problematic? | |
|---|---|---|---|---|---|---|---|---|
Knee | 1 | 75 | Male | INT | Undulating fever and swollen and painful knee | Joint infection with concomitant osteomyelitis and advanced degeneration | Address infection and inflammation (antibiotics) after blood tests | Yes |
2 | 68 | Male | OTS | Worsening symptoms. Medial osteoarthritis | Medial compartmental osteoarthritis with bone changes and meniscus degeneration and chondropathy elsewhere in the joint | Conservative measures. If failing, surgical measures | No | |
3 | 62 | Male | OTS | Medial pain since fall several weeks ago | Insufficiency fracture of the medial femoral condyle and cartilage intact | Rest and avoid weight-bearing. Use crutches or cane | Yes | |
4 | 62 | Male | GP | Clinical suspicion of medial meniscus lesion | Horizontal posterior root tear of the medial meniscus | Conservative measures. If failing, surgical measures | Yes | |
5 | 52 | Female | ED | Joint pain since fall | Medial meniscus tear of posterior horn | Conservative measures. If failing, surgical measures | No | |
6 | 48 | Male | OTS | S/p knee dislocation. After reduction | Rupture of the ACL, medial collateral ligament, bucket handle tear of the medial meniscus (O'Donoghue triad), and rupture of the PCL, medial retinaculum, and popliteus muscle | Surgery. Conservative measures while waiting for surgery | Yes | |
7 | 31 | Female | OTS | Clinical suspicion of ACL or meniscus damage after skiing accident | Partial rupture/overstretching of the proximal ACL and the MCL. Tibial bone bruise | Conservative measures | No | |
8 | 25 | Female | OTS | Radiographic suspicion of bony avulsion of ACL | Bony avulsion of the ACL, impression fracture of the tibial plateau, and radial tear of the lateral meniscus posterior horn | Surgery | Yes | |
9 | 14 | Male | PED | S/p ACL reconstruction. Pain after knee distortion during fall | Partial ACL graft rupture and s/p lateral patellar dislocation | Conservative measures | Yes | |
10 | 14 | Female | PED | Regular follow-up | Constant osteochondroma of the distal femur (cartilage cap: 0.5 cm) | No treatment if asymptomatic. Surgical removal if symptomatic | Yes | |
Shoulder | 1 | 68 | Female | OTS | Palpable mass over shoulder. No pain | Subcutaneous lipoma and advanced attritive changes of the glenohumeral joint (rheumatic disease) | Conservative measures | Yes |
2 | 68 | Female | GP | Impingement syndrome | Degenerative changes of the GH and AC joints. Partial ruptures of the SSP and SSC tendons | Conservative measures. If failing, surgical measures | Yes | |
3 | 63 | Male | OTS | Clinical suspicion of calcific tendinitis. Biceps pathology? | Calcific tendinitis and ISP tendinopathy | Conservative measures | No | |
4 | 61 | Male | OTS | S/p second dislocation | Hill-Sachs lesion, glenoid bone loss of 8%, HAGL and GLAD lesions | Conservative measures. If failing, surgical measures | No | |
5 | 60 | Male | OTS | Traumatic injury three months ago with supraspinatus tendon tear on ultrasound | Massive rotator cuff tear involving SSP, SSC, and ISP tendons with volume atrophy and fatty infiltration, as well as activated AC joint arthritis | Conservative measures. If failing, surgical measures | No | |
6 | 60 | Male | OTS | Acute-on-chronic shoulder pain. Post-instability osteoarthritis | Advanced osteoarthritis of GH and AC joints with SSP and ISP tendinopathy | Conservative measures. If failing, surgical measures | No | |
7 | 34 | Male | GP | S/p second dislocation | Hill-Sachs lesion, glenoid bone loss of 15%, ALPSA and GLAD lesions | Conservative measures. If failing, surgical measures | No | |
8 | 47 | Female | GP | Clinical suspicion of adhesive capsulitis | Adhesive capsulitis | Conservative measures. If failing, surgical measures | No | |
9 | 32 | Male | PS | Palpable swelling over the shoulder. No pain | No pathology, just a strong muscular build | Conservative measures | No | |
10 | 53 | Female | INT | Impingement syndrome for six months. Loss of abduction strength | Intratendinous lesion of SSP tendon with bursitis | Conservative measures. If failing, surgical measures | No | |
