Imaging & Diagnostics
Imaging & Diagnostics: Dr. Alex Jimenez works with top rated diagnosticians and imaging specialists. In our association, imaging specialists provide fast, courteous and top quality results. In collaboration with our offices we provide the quality of service our patients mandate and deserve. Diagnostic Outpatient Imaging (DOI) is a state-of-the-art Radiology center in El Paso, TX. It is the only center of its kind in El Paso, owned and operated by a Radiologist. This means when you come to DOI for a radiologic exam, every detail, from the design of the rooms, the choice of the equipment, the hand-picked technologists, and the software which runs the office, is carefully chosen or designed by the Radiologist and not by an accountant. Our market niche is one center of excellence. Our values related to patient care are: We believe in treating patients the way we would treat our family and we will do our best to ensure that you have a good experience at our clinic.
The Basic Science of Human Knee Menisci Structure, Composition, and Function
The knee is one of the most complex joints in the human body, consisting of the thigh bone, or femur, the shin bone, or tibia, and the kneecap, or patella, among other soft tissues. Tendons connect the bones to the muscles while ligaments connect the bones of the knee...
Ankle & Foot Diagnostic Imaging Arthritis & Trauma I | El Paso, TX.
Ankle Fractures 10% of all fractures. 2nd m/c following femoral neck Fx. Demographics: active young males and older osteoporotic females Stable Fx: overall prognosis is good Unstable Fx: require ORIF. 15%-20% chances of 2nd OA. Role of imaging is to determine the...
Knee Arthritis: Diagnostic Imaging Approaches II | El Paso, TX.
Sagittal Fluid Sensitivity Sagittal Fluid Sensitive MR slice showing large synovial popliteal (Baker’s) cyst (above top image) and sizeable synovial effusion (above bottom image) Note multiple patchy dark signal areas on both images, representing fibrinoid...
Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis
The knee is the largest joint in the human body, where the complex structures of the lower and upper legs come together. Consisting of three bones, the femur, the tibia, and the patella which are surrounded by a variety of soft tissues, including cartilage, tendons...
Knee Arthritis: Diagnostic Imaging Approaches I | El Paso, TX.
Degenerative Knee Arthritis Knee Arthritis Knee OA (arthrosis) is the m/c symptomatic OA with 240 cases per 100,000, 12.5% of people >45 y.o. Modifiable risk factors: trauma, obesity, lack of fitness, muscle weakness Non-modifiable: women>men, aging, genetics,...
Knee Complaints: Diagnostic Imaging Approach & Neoplasms
Bone Neoplasms Tumor-Like Conditions Bone neoplasms and tumor-like conditions affecting the knee can be benign or malignant. Age at Dx is crucial for DDx In patients <40: Benign bone neoplasms: Osteochondroma, Enchondroma are relatively frequent Fibrous cortical...
Knee Pain & Acute Trauma Diagnosis Imaging Part II | El Paso, TX
Meniscal Tears Acute or chronic. Imaged with MRI (95% sensitivity & 81% specificity) Menisci are formed by a composition of radial and circumferential collagen fibers (97% type 1) mixed with cartilage, proteoglycans, etc. 65-75% H2O Aging can lead to meniscal...
Knee Pain & Acute Trauma Diagnosis Imaging Part I | El Paso, TX
Tibial Plateau Fractures Impaction type fractures predominate Result from valgus or varus stress with or w/o axial loading Associated with periarticular soft tissues injury High-stress injury m/c due to jumps falls and axial loading, often with the splitting of the...
Spinal Infection Diagnostic Imaging Approach | El Paso, TX.
Pyogenic Spinal Infection aka Spondylodiscitis and vertebral osteomyelitis overall are relatively infrequent and may present with bimodal distribution: children and adults >50’s Occasionally considered as two separate entities due to variations in the blood...
Diagnosis of Hip Complaints: Arthritis & Neoplasms Part II | El Paso, TX.
Ischemic Osteonecrosis Ischemic Osteonecrosis (More accurate term) aka avascular necrosis AVN: this term describes subarticular (subchondral) bone death Intramedullary bone infarct: depicts osteonecrosis within the medullary cavity of the bone (above x-ray image)...
Diagnosis of Hip Complaints: Arthritis & Neoplasms Part I | El Paso, TX.
Degenerative Joint Disease (DJD) Macroscopic & Microscopic Appearance of Normal vs. Damaged Articular Hyaline Cartilage by DJD Hip Osteoarthritis (OA) aka Osteoarthrosis Symptomatic and potentially disabling DJD Progressive damage and loss of the articular...
Acute Pelvis & Hip Trauma Imaging Diagnosis Part II | El Paso, TX.
Hip Fractures Garden Classification (above) helps with Dx and correct management of patients M/C Fx are subcapital (80%) Fxs differentiated as intra-capsular (high risk of AVN) & extra-capsular (lower risk of AVN) Garden 1: incomplete undisplaced Fx...
Acute Pelvis & Hip Trauma Imaging Diagnosis Part I | El Paso, TX.
Pelvic Fractures Can Be Stable & Unstable Unstable Fx: a result of high energy trauma with >50% d/t MVA 20% closed Fx and 50% of open Fx result in mortality Mortality is associated with vascular and internal organs injuries Vascular injury: 20% arterial 80%...
Spinal Neoplasms Diagnostic Imaging Approach Part II
Summary Neoplasms The vast majority of clinically suspected bone Mets are found in the axial skeleton and proximal femurs/humeri Radiography is the most cost-effective and readily available initial imaging tool to investigate bone Mets but often fails early metastatic...
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Advanced Chiropractic & Wellness Authority ⚕ Healthcare Educator • Injury, Sciatica Specialist • 915-850-0900 📞
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Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive, cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, practical strength training, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries.We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training and Cross-Fit Rehabilitation Systems for all ages.As an extension to effective rehabilitation, [...]
