I teach MSK radiology differently. My practical, well-produced videos explore interesting MSK cases with a bit of humor and storytelling to make complex ideas simple. I cover anatomy, pathology, tips and tricks, and general approaches.
Hi, I’m PD Dr. med. Christoph Agten, an MSK radiologist and mentor. I've published 40+ research papers in top MSK journals, written the bestselling book SPEED MSK, and completed MSK fellowships in Zurich and New York. As a full-time teleradiologist specializing in MSK MRI, I started this channel to help radiologists around the world master MSK.
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Hey doc, How can i Message you? I have a question about my Knee mri, 2 People 2 opinion about my ACL .. i Need help 😐 You can make a RU-vid Video With my pictures, if you Think it is interisting for Other people Best regards
RU-vid is filled with endless amounts of videos about IT band syndrome with physiologist and doctors diagnosing it without an MRI. And you will often see the RU-vid thumbnail with a model pointing to the PLC area with pain on their face with title “how to fix your IT band “. I personally believe this is a severely misdiagnosed problem. I believe most problems are really PLC problems as IT band is not really a distinct structure. Even the new research which tries to debunk “it band” will talk about the fat pad under the IT band which is interesting, but not backed up with any evidence. Whilst ignoring all these other structural elements. I’m personally dealing with some sort of PLC issue probably from running and plan to get an MRI soon. Wondering your thoughts on this. Maybe make a video?
Iliotibial band friction syndrome is seen on MRI with the edema between the IZ Band and lateral femoral condyle. I have a video about runners knee already. And IT band is a distinct anatomic structure. In don't think IT band as an anatomic structure needs to be debunked. Sometimes edema at that location can be seen in asymptomatic people on MRI if it's subtle. It's always good to get MRI for confirmation of a suspected pathology as we often see alter active reasons for knee pain and not the expected diagnosis as clinical assessment in many knee things seems not very specific
@@DrChristophAgten yes what I mean by debunking “IT band”, I mean “IT band syndrome”, just to be clear. However, the IT band as source of injury is really questionable. Looking at cadaver dissections IT band ii looks too continuous, and I’ve heard anatomist just call it the “thick strip” of the connective tissue. So it’s not as distinct as one would think like they show in cartoon anatomical drawings . Yes, it’s a real thing, but part of something else much broader. Anyway, you see people massaging the TFL or the upper insertion areas to “loosen up”the IT band or exercises to strengthen the muscles that contribute to the IT band (glute m. , tfl). But theres research that shows no noteworthy evidence that strengthening these muscles or foam rolling helps in anyway . That’s the majority of these RU-vid videos!To me this is medical misinformation. I understand you can see the swelling in the MRI in that area, but there is no reason to call it “it band syndrome”. And I believe the literature confirms what I am saying. Many reputable papers will state that there is limited evidence for the cause of pain in that area. I’m not gonna list sources here because anytime I cite sources, my comment gets deleted (weird thing with the algorithm). It’s just a catchall term for pain in that area. The causes could be numerous. As your videos expertly show, there’s a level of complexity in that area that does not justify a simple dx ITBS . The pros need to come to term with this in order to advance understanding. Anyway, I’ll leave you alone now, just my two cents..lols! Let’s just call it BSsyndrome.
258 costumers, pricing is only disclosed once we speak with a lead. It's a deliberate decision and keeps the just curious people with no real ambition away.
Dr. Agten, I just had and L5/S1 Lumbar disc herniation extirpation foraminotomy two days ago and my doctor said he found the conjoined nerve roots at the L5 location. He said only about 1% of patients have this. He did his best to remove the hernia, cleaning out the inside disc soft tissue, and then curved back some of the facet bone to give more room for the future. However, my issue now is that my right foot under toes and under foot is mostly numb without feeling and the upward toe curls and right foot inflection up from the floor are almost impossible. This is much worse then prior to the surgery. Again, it's been only two days from the surgery. Have you found this is common for the L5 conjoined nerve roots issue? Would you expect the foot to completely recover with physical therapy and ongoing exercises? The good news is the sharp L5 nerve pain I had on the right side of my right leg chin bone is gone after the surgery. My only concern is preventing a foot drop issue and getting my toe and foot inflection mobility and strength back. What kind of results have been documented with the conjoined nerve roots surgeries as in my case? Thank you! Paul
Video Idea: Dr. Agten I would love a video in which you teach us about your career development. For example residency, fellowships, research and the projects you have done. It would benefit us aspiring radiologist very much, greetings from Berlin :D!
Hyperparathyreoidism jumps out to me, there is a variant with high Parathyroid hormone and high normal calcium that can be missed, because Calcium is not high enough to be in the range, where it is supposed to be in the standards of care. Those patients really profit from 4 gland surgical exploration and the search for ectopic glands. This would prevent years of unnecessary pain and end organ damage. Especially, when the patient displays all the CRAB criteria.
Gibt es auch mal ein Video vom Cuboid Syndrom? War letztens selbst davon betroffen, leider kennen es viele Ärzte (in D) nicht. Es war mehr als problematisch, es ihnen zu erklären, obwohl nur allein im Rö die Sublux zu erkennen war, im MRT (3 Std. nach Reponierung) die Verletzungen rundherum, mit betroffener Peroneus brevis Sehne, gesprengter Geröllzyste, keine Meinung zum Lig. bifurcatum, Kapselverletzungen,etc. Laut Ärzte hatte ich nichts, außer Arthrose. Traurig-traurig.
I have a partial supraspinatus tear, and I went for an MRI yesterday to find out that I have a small cyst😢. Might be going for surgery to repair the tendon soon
I have had severe hip/buttocks pain from a fall in March. An MRI of my spine was done which shows multiple disk herniations from L2 to S1 but we knew this. I've had 4 back surgeries. I always have back pain. No big deal. But the hip pain. Very big deal. It's been 5 months and I have not been able to get an orthopod to look into my hip. Finally my PCP stepped out of her lane and ordered an MRI of my hip. Two labral tears. Anterior and Anterior superior. No mention of thickness of tear. (I am a retired nurse and still couldn't get anyone to listen to where the pain actually was.) I have been in PT for 5 months now with each week getting worse. My PT has apparently been concerned about an AVN, which I didn't know, but all she could do was send notes to my PCP and the emergency clinic doctor who referred me. I'm sure he never saw her notes. I went to two other surgeons. Both wanted to inject my back without telling me where and why. I've been 5 months mostly in bed/chair and on crutches. Now, because of the time frame, the ball of my hip is flattened and the acetabulum is mishappen. The fix for me now is a total hip replacement sadly. Though I guess at 69, that's easier than a labral tear repair esp since running is not in my future. Thanks for this.
Hi Thanks for your feedback. I will try to take things slower. Much appreciated. Sometimes I'm in a rush between reports. This video was part of the accelerator program (which is inactive).
Does anyone have a popping sensation when walking normally ? I had an mri done and thought it was illiopsoas muscle but but doctor said it’s a chondrolabral separation but it pops every time I walk normally
Hi Dr. Christoph! I really really like what your are trying to do here, and that is to get the knowledge out to the people. But in this video your clicking-rate and fast-talking prevented me from learning....anything I`m afraid😞. And I`m a knee-guy (physio) at work. But please keep up the good work you are doing🙂
Thanks for the feedback. I'll slow down. It was not initially produced for RU-vid, but for MSK Accelerator. With quick and dirty production. I'll try to not do it this way in the future although some more old videos like this will be released over summer
I would never have called that. Apparently far too "normal a case" for such a quiz. Imagine that: a ganglion with oedema. 😂 OK, bone infarct caused by the geode is special. Good work, Chris! Did they accept your answer?
Thank you so much for your wisdom Dr. Agten! Honestly useful, I always look at the localizers/scouts and skim scans before starting the report, but I’m guilty of taking bathroom/food breaks in the middle of reads. 🙈 Thanks for the heads up. Hope you’re having a wonderful weekend!
I have my own telerad company. I don't recommend telerad after residency . Get a proper consultant job for a few years. Maybe even try to specialise before going telerad.
Hi Christoph. Why did you expect a Thymoma with that location. The vast majority of thymomas are in the anterior mediastinal region. Less than 4% arise in other sites.
