Andrei Bursuc MD

PM&R doctor working in Montreal

[Neurology Journal @GreenJournal]

Neurology trainees: Bookmark this study resource!

The Resident & Fellow Section Video Collection offers free, searchable teaching videos—filter by topic or subspecialty for focused, relevant learning. Start exploring now: https://t.co/ahZYDCVEtx

#NeurologyRF

[Andrei Bursuc MD @MrBursuc]

@BJSM_BMJ You used an image of dry ice for cryotherapy? I believe regular ice would be what is typically used.

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

Ultrasound-guided axial facet joint interventions for chronic spinal pain: A narrative review
https://t.co/MpwHBxOFMd

[James Noake @DrJN_SportsMed]

Consent✅

'Shock horror' - Occasionally I see upper limb stuff

Here's a simple formula -

Anterior elbow pain + beach weights before Ibiza holiday = biceps tendinopathy

It's not an esoteric median or radial nerve neural tension issue, and its not the neck 🙄

Remember -

Brachialis is the main pure elbow flexor

Biceps brachii (the tendon typically implicated) is the supinator (screw driver test) - and also recruited more in flexion in hammer curl position

Test accordingly

Here -

Anterior approach for distal biceps is often tricky to visualise the very distal insertion at the radial tuberosity - so we need to fully lock out into extension & supinate

But given the obliquity of the tendon, also need to 'heel in' to remain parallel to the tendon

With patience, we can get really nice images of the insertion even in powerfully built patients - plus take advantage of the 'acoustic enhancement' phenomenon via the brachial artery - first image

The cheat code is the medial view 'supinator window' - second image

[JAMA Neurology @JAMANeuro]

Machine learning analysis of patient-clinician conversations identified cognitive impairment with sensitivity 68% and specificity 64%, supporting passive speech-based screening in routine #PrimaryCare.

https://t.co/AYv0uUWDgx

[Ultrasound Imaging @mbecciomd]

Another example that demonstrates how dynamic maneuvers (in particular, the resisted abduction), can clearly show a non-retracted supraspinatus full-thickness tear, difficult on static ultrasound images.
If you have not already read how to do, check https://t.co/bAHrbdC4QA

[Andrei Bursuc MD @MrBursuc]

@DrJN_SportsMed Nice case thanks for sharing!

[Ultrasound Imaging @mbecciomd]

Dynamic Maneuvers improve US detection of SSP tendon tear. A Chile-Switzerland-Italy collaboration!
https://t.co/bAHrbdC4QA
The movies can be seen in Supporting Information here https://t.co/Cm5UDkwo4e
@GSERRANOB_MSK @Rheumatology

[IFCN and its Clinical Neurophysiology journals @ClinicalNeuroph]

[Neuromuscular ultrasound] Tawfik et al. "This review provides a practical framework for brachial plexus ultrasound, covering applied anatomy, systematic scanning approach, sonographic parameters and their interpretation, condition-specific findings, scanning protocols, and an evidence-based summary of its current indications. https://t.co/DkJQrG9XY4

[Peripheral Nerve Society (PNS) @PNSociety1]

Conclusion: Current data suggests oral NR supplementation at these doses cannot be recommended to prevent neuropathy or improve nerve regeneration in humans. Much higher doses may be required to achieve the pharmacological effects seen in earlier models.

[Andrei Bursuc MD @MrBursuc]

@Rheumatology Ai generated summary of articles?

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

A MUST READ
Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography
https://t.co/vVsmAU3AlK

[Andrei Bursuc MD @MrBursuc]

@DrJN_SportsMed Ultrasound for the nerves?

[Tom Quick @TJQPNI]

Gilliatt-Sumner hand is a term for a loss of both median and Ulnar intrinsics with intact median sensation as is seen her (with consent) in a patient with a longstanding undiagnosed thoracic outlet compression #TOS

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

We now have more than 2600 images and videos in the FREE MSUS Database!
https://t.co/ddUAKphI6O
______________
Video Channel https://t.co/WKqhWUWnLL
Textbook: https://t.co/ZstTDdf38P

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

Pathological Ultrasound Findings of the Median Nerve: A Pictorial Review.
Great work by @mbecciomd
https://t.co/kCv97gkGZH

[Rheumatology US Case-based Learning @RheumMSKUS]

Chondrocalcinosis of the knee 👇

Pearls:
- Fibrocartilage CPPD (in the meniscus) occurs at a younger age and is more prevalent than femoral hyaline cartilage CPPD.
- Chondrocalcinosis in both the fibrocartilage and hyaline cartilage is frequent in patients > 80 years old (47% and 23%, respectively).

What is your age cutoff to screen for secondary causes of CPPD?! --> hypophasatesia, hypomagnesemia, hyperparathyroidism and hemochromatosis

Reference for a deeper dive: Cipolletta E, Francioso F, Smerilli G, Di Battista J, Filippucci E. Ultrasound reveals a high prevalence of CPPD in consecutive patients with knee pain. Clin Rheumatol. 2024 Jan;43(1):435-441. doi: 10.1007/s10067-023-06805-3. Epub 2023 Nov 17. PMID: 37975949.

#MSKUS #RheumUS

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

Thenar and hypothenar muscle origins on the transverse carpalligament.
https://t.co/AQYlBR0LnT

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

Dʏɴᴀᴍɪᴄ ᴇxᴀᴍɪɴᴀᴛɪᴏɴ ᴏғ ᴛʜᴇ ᴍʏᴏᴛᴇɴᴅɪɴᴏᴜs ᴊᴜɴᴄᴛɪᴏɴ ᴏғ ᴛʜᴇ sᴜᴘʀᴀsᴘɪɴᴀᴛᴜs ᴛᴇɴᴅᴏɴ ᴛʜʀᴏᴜɢʜ ᴛʜᴇ AC ᴊᴏɪɴᴛ ɪɴ ᴛᴡᴏ ᴘʟᴀɴᴇs.