Top Tweets for #caseadaymsk
Most fractures are readily seen on ultrasound... if you look Eyes - I still find scaphoid fractures really hard to pick! Here is a nice case from today #caseadayMSK
Plantar foot friction resulting in fat trauma and a resultant plantar foot mass of fat liquefaction. Ultrasound guided aspiration to remove this recalcitrant mass.
#CaseadayMSK
Rectus abdominis and conjoint tendon enthesopathy with an underlying symphyseal bone stress reaction in the setting of inguinal related groin pain. #groinpaininathletes #athletic #pubalgia #caseadayMSK
Bifid Median N post release. Radial branch successful, ulnar branch entrapped in scar.
Sx now only 3rd and radial half of 4th digit. Lack of normal glide on active flexor movement
#caseadayMSK
When a patient presents with 'neuroma' type symptoms in multiple webspaces - always suspect a more proximal cause. In this case a gelatinous subtalar ganglion encroaching into the tarsal tunnel.
#caseadayMSK #MSKrad #MSKUS
Climbing injury. A2 pulley rupture with bowstringing of the flexor tendon from the proximal phalanx
#caseadayMSK
Rotator cuff examination - don't forget the MTJ.
Dont get suckered in to just examining the enthesis and distal tendon - elongate the tendon to assess back to the MTJ.
#CaseadayMSK #MSKrad
Uncommon injury in the post trauma shoulder setting- infraspinatus avulsion fracture
#caseadayMSK
G Med proximal muscle/tendon disruption following trauma (surf boat rowing - impact with side of boat) π£ββοΈ Interestingly lateral branch iliohypogastric nerve involved in scar resulting in lateral ilicac crest dysesthesia
#caseadayMSK
Meralgia parasthetica - LFCN neural hydrodissection. Nice flow of injectate above and below the inguinal ligament.
#caseadayMSK
Calcific tendinopathy of piriformis. A 3 modality correlation.
Is it the cause of this patientβs deep gluteal pain?
Nope- itβs the posterior hip joint OA
Symptoms resolved with diagnostic hip jt block.
DGS- itβs never Piri π€«
#caseadayMSK
pt: I rolled my ankle and heard 3 pops
Yes, yes you did
#caseadayMSK
Adventitial bursa, fat pad degeneration due to focal trauma. Now a palpable and painful plantar foot click
#caseadayMSK
Circular saw vs superficial radial nerve
#caseadayMSK
Upon scanning this sternoclavicular joint- asked the patient if there was any familiar history of inflammatory arthritis?
βYes my wife and her sister have horrible arthritisβ
π³
#CaseadayMSK
Shoulder Geode - not to be mistaken for an erosion. Erosions occur at the tendon or capsular enthesis, where as geodes occur just on the articular side of the capsular insertion. Common under posterior infraspinatus - this anterior supraspinatus location - uncommon.
#CaseadayMSK
Elderly patient with cuff arthropathy. Recent fall and dislocation... how's the size of that hill-sachs lesion! π
#caseadayMSK #shoulder #ultrasound
Recreational runner, 4 weeks pain - ache at end of 5km run.
Not much holding on!
Structure β= Function
#CaseadayMSK
Case 3: Tibial Artery Arteritis causing tibial nerve irritation and soul of foot parasthesia in a #rheumatoid patient.
#caseadayMSK
Mid belly plantar fasciopathy. History of acute spike in running load.
#caseadayMSK
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