June 2006
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Archives

Archive for June, 2006

Shoulder

Patient has a painful shoulder after a mountain biking accident.
X-Ray findings were negative (not done by me).
On ultrasound a fracture through the base of the greater tuberosity is noted, in good position.
Note the small defect at the attachment of the supraspinatus tendon in the region of the proximal aspect of the fracture.

Hip

( Case Reviews and Hip )

A 16 year old boy with a sudden onset of pain over the anterior superior iliac crest, after kicking a ball.
Note the avulsed injury of the apophysis of the anterior superior iliac spine.

Shoulder

Patient is a 40 year old male who lifted a heavy object and experienced a sudden tearing pain in the shoulder.
Note the torn transverse humeral ligament with a medially dislocated long head of the biceps tendon.
The rotator cuff is intact.

Pylorus

Patient is a six week old child with projectile vomiting.
Sometimes we see something different than just joints and tendons!
A classic pyloric hypertrophy with pyloric stenosis.

Shoulder

A partial thickness tear is noted of the articulating surface of the infraspinatus tendon.
Of note is the bone pitting of the bony surface of the greater tuberosity.
When this is seen on ultrasound, an adjacent tear must always be suspected.
The subdeltoid portion of the tendon is still intact and no fluid was seen in the subdeltoid […]

Shoulder

An acute, full thickness tear is noted of the “critical zone” of the supraspinatus tendon with fluid noted in the subdeltoid bursa.

Knee

22 year old rugby player with knee injury.
A “bucket handle” type tear is noted of the mid portion of the medial meniscus.

Knee

Patient is a 35 year old soccer player with a right knee injury.
A partial thickness tear is noted of the proximal aspect of the medial collateral ligament. An oblique tear is noted through the posterior horn of the medial meniscus.
A posterior cruciate ligament tear is also seen.
On slight flexion and extension of the knee, the […]

Finger

A bony avulsed fracture is noted of the volar plate attachment from the proximal aspect of the middle phalanx.
The hyperechoic volar plate is well visualised with the bony fragment still attached to the volar plate.

Shoulder

Patient has pain in the right shoulder.
There is a typical lamellar small intra-substance tear of the supraspinatus tendon.