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25.01.2022 Intersection syndrome. Inflammation, hypertrophy and fibrous hyperplasia. A hyperplastic fibrous sheath at the upper end of the muscle sheath producing an attrition tear of the synovium of the 2nd compartment. ... https://bmjopensem.bmj.com/content/5/1/e000535

25.01.2022 A #Stenner type lesion of the RCL of the PIP 4th digit. Avulsion proximal with retraction and recoiled ligament, in this case sitting proximally over the lateral band of the extensor tendon. Off to the #surgeon

25.01.2022 Had a little Q&A with colleague regarding pericapsular fibrosis and its association with freibergs, plate tears and interdigital nerves. The main take home is that pericapsular fibrosis results in an inter-metatarsal mass that may mimic a Mortons neuroma and is primarily associated with plantar plate tears

24.01.2022 Brachioradialis joining the party in this #DeQuervains stenosing tenosynovitis

23.01.2022 Os Acromiale - failure of fusion of the meso and meta acromion. In this case the os is mobile and bursal surface supra tear in which this condition predisposes is present. Present in 1/20 shoulders. Also cant spell acromion https://radsource.us/os-acromiale/

23.01.2022 High grade CET tear with disruption of RCL and LUCL resulting in Posterolateral Rotatory Instability of the Elbow (PLRI). Corresponding MR in comments https://doi.org/10.1302/2058-5241.160033

23.01.2022 Check out our latest video talking about ultrasound assessment of the Median nerve. https://youtu.be/YoS1NdZKfs8

22.01.2022 The 3 different views for assessing the Biceps Brachii insertion at the elbow. How to assess the long-head, short-head, enthesis and musculo-tendinous junction

20.01.2022 Once you see it! Bernie Sanders is everywhere

18.01.2022 We are really excited to be running this 2 hour live webinar. All you could want to know about ultrasound assessment of the shoulder and more! $30 well spent.

18.01.2022 US Left thigh - ?foreign body

17.01.2022 Tarsal Tunnel ganglion - no definitive neck seen, but assume from the tarsal canal Nice #nerve #anatomy -Medial Calcaneal coming off early. -Lateral Plantar being displaced with the FBLPN coming off afterwards.... - tracking along Medial Plantar to Knot of Henry. See more

17.01.2022 The 'bifid biceps' - in this case the aponeurotic expansion of the anterior supraspinatus https://pubmed.ncbi.nlm.nih.gov/25179795/

17.01.2022 52yo male runner with moderate/severe hamstring origin tendinopathy with partial thickness tear involving both conjoint and semimembranous tendons. Plenty of peritendinous inflammation to boot!

17.01.2022 Monday morning, second coffee... still stuck here

16.01.2022 Resultant pain and weakness post common extensor tendon repair. Thick PIN both proximal to the arcade of frohse - where it enters supinator - and also within the supinator muscle. Note the associated muscle atrophy of supinator

16.01.2022 The current COVID19 pandemic has forced us all to live, learn and work differently. Join us for a unique ONLINE and LIVE interactive learning experience - MSK Australia - Live & Online - Hip to Knee Ultrasound Masterclass https://mskaustralia.com.au/live-online-ultrasound-masterc/

16.01.2022 Dammit COVID, this is the second time this year! Sorry QLD, our Brisbane MSK event is off again!

15.01.2022 This ganglion aspiration is almost as good as calling in sick today to get a 4-day weekend

15.01.2022 A new standard in online ultrasound meetings... coming October 2020

15.01.2022 An unusual case of plantar foot pain - MR demonstrated an intact plantar plate and a small adventitial bursa. Ultrasound revealed superficial plantar vein thrombosis- focally tender to probe pressure

14.01.2022 The best thing about demoing a new system/software version is coffee from the account managers #butfirstcoffee

13.01.2022 Flexor tendon tenosynovitis in the palm of the hand. Synovitis extends into proximal carpal tunnel giving carpal tunnel symptoms.

13.01.2022 Reviewing a patients previous scan. An optomisitc, glass half-full report, however this is the reason that ultrasound is quoted as being less sensitive and undercalls the extent of cuff pathology. Went on to have a surgical repair of the complete tears of supra and infra. Describe what you see!

13.01.2022 5/7 pain post football match. Heavy tackle but able to play through. Now NWB due to pain. Normal #CT ankle. #ultrasound demonstrates calcaneus fracture (periosteal oedema, fat oedema, small cortical irregularity). Subsequent #MRI confirming

12.01.2022 Toe deviation is due to plantar plate insufficiency unless proven otherwise... Here is a case of otherwise - A nice Mortons Neuroma causing deviation with normal plates

12.01.2022 What is your least favorite clinical indication for an ultrasound? And why is it ?piriformis syndrome

12.01.2022 1st MTP jt MCL stenner like lesion with ruptured MCL folding back on itself and only the abductor hallicus tendon seen bridging joint. Subsequent MRI confirming result on replies.

12.01.2022 Have a common flexor tendon that you think should be more vascular? Take the flexors 'off-tone' and watch it come to life! 1. Flex the Elbow 2. Pronate the Forearm 3. Flex the Wrist and Fingers... Voilà

12.01.2022 Runner with increased load resulting in significant medial knee pain, treated for pes bursitis without improvement.Ultrasound confirms tibial plataeu stress fracture - note the swelling and oedema at boney interface. History of increased loading and tenderness/oedema over bone=stress fracture.

12.01.2022 15yo AFL player. Heavy bump 9/7 prior resulting in painful abduction and posterior shoulder pain. Cuff, ACJ and GHJ showed no abnormality so scan was extended to rule out scapula fracture...we have a winner! SS nerve and artery noted in close proximity to fracture. Subsequent CT confirming diagnosis in comments.

12.01.2022 Getting all the bubbles out. Injection life! Dr Glaucomflecken - worth a follow on Twitter or TikTok if you are that way inclined

11.01.2022 Join us for this UNIQUE LIVE and INTERACTIVE ONLINE learning experience as we expand and simplify the sonographic assessment of the Lower Limb. October 9 - 10 https://fb.me/e/14wBN93eS

11.01.2022 Snapping hip or Coxa Saltans Often an asymptomatic click, but can become painful when provoked. Here is one of the nicest examples that we have seen, with gross oedema of the medial fibres of iliacus. https://www.ajronline.org/doi/full/10.2214/AJR.07.2375

10.01.2022 Interesting case of round ligamant varix presenting as a non-reducible indirect inguinal hernia in a 28/40 pregnant woman. Similar case in the literature https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581978/

10.01.2022 Adolecent #shoulder following subluxation event. Glenohumeral haemarthrosis seen in the superior subscapularis recess. Typical ground glass apperance of blood product

10.01.2022 IMPRESSION: No finger fracture. Accompanying dinosaur incompletely imaged, no fracture identified, clinical correlation recommended.

09.01.2022 Gouty tophi in patella tendon which has ruptured resulting in a prepatella bursitis. Not uncommon to see same scenario in triceps tendon with associated olecranon bursitis.

09.01.2022 Spigelian hernia perforating transversus and internal oblique aponeurosis. Hernia remains deep to external oblique aponeurosis which is quite typical with Spigelian hernias which may not display a focal lump but have localised pain.

09.01.2022 Running at full pace, felt a pop. Semi T rupture. 3rd game back. Had a season ending knee injury last year and surgery.... no prizes for the previous injury Dx #ultrasound #hamstring #mskRad #FOAMrad

08.01.2022 Now quite where we wanted to be right now #bali #bintang #covid19

08.01.2022 Do you find the thought of sitting through whole day webinars monotonous and boring? Us too! Join us for 2 palatable sessions. Friday arvo knock offs with femeroacetabular impingement? Saturday morning eggs benny, flat white and hamstring tear classification? Ultrasound education... Practical, Clinical, Live

07.01.2022 Sonographic groin pain assessment - Hernias and much much more! Practically and clinically explained https://fb.me/e/1UGbSVt3Q

04.01.2022 Test run of our live scanning webinar.... all systems go A new standard in #online #ultrasound meetings

03.01.2022 Elite footballer. 1/52 groin pain then rapid increase 1/7 following game. Sx now resolving Adductor Longus small muscle tear with focal compartment intermuscular haemorrhage. Like a mini-compartment syndrome of the thigh. Similar sonographic appearance to myocitis #ultrasound

02.01.2022 Finger injury.... Hmmm Name the diagnosis

02.01.2022 An attritional rupture of both heads of biceps at the elbow. Note the limited retraction with stump abutting radial tuberosity due to the intact bicipital aponeurosis (lacertus fibrosus). Biceps asymptomatic - patient presented with lateral epicondylalgia symptoms

02.01.2022 72yo presented with posterior upper arm discomfort 4 months post fall. Long and lateral head of triceps have avulsed and retracted with a peice of olecranon, medial head remains intact. See comments for right to left comparison.

02.01.2022 Achilles paratendinopathy. Triathlete - rapid increase in volume. A reasonable #achilles with florid paratendinopathy extending into the retrocrural fascia (especially laterally - right of image) & associated kagers fat pad oedema

01.01.2022 Most of the time an accurate clinical assessment leads to the diagnosis of #frozenshoulder. Failed bursal injection with a global loss of range - this should be top of the list! In this female diabetic patient there was also gross fatty infiltration of the deltoid muscle (common in diabetics). Did you know that ultrasound grading of the detotid can be used as a predictor of diabetes and prediabetes? https://pubmed.ncbi.nlm.nih.gov/31423604/