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66yr lady with rotator cuff tendinosis and a clicking scapula.
Elastofibroma dorsi is a pseudotumour consisting of fibroelastic tissue which presents as a painless mass producing clicking on forward scapular motion.The typical appearance is a mass which is isointense to muscle with fatty components deep to the scapula(in this case deep to serratus). Repetitive trauma has […]
This is an unusual injury. This patient was a footballer who was injured during a match but couldn’t say what the mechanism was. The Iliacus swells considerably after the tear due to associated oedema. This streches the overlying nerves and these patients almost invariably complain of thigh dysaesthesia or parasthesia due to streching of the […]
A painful medial aspect of the knee joint.
An MRI was performed and confirmed a tear involving the posterior inferior aspect of the medial meniscus.
This is also well seen on the ultrasound.
Pain over radial aspect of wrist, increased with motion and radiating to radial side of forearm.
Ultrasound confirms De Quervain’s tenosynovitis
A 40 year old lady with left hip joint pain.
A tear is noted of the anterior labrum with small amount of fluid seen adjacent to the labral tear.
A small hip joint effusion is present.
Click on the European Society of Skeletal Radiology link and download the ultrasound protocols on their homepage. Looks like a good guide for those starting out or in need of a reminder.
Also take a look at Petrie De Villiers extensive list of posted cases further down this page.
I attended the ESSR congress in Bruges […]
Hill-Sachs lesion on CR and US
Recurrent shoulder dislocations
CR demonstrates bony Bankart and Hill-Sachs lesions
Direct impact injury to shoulder during dive playing rugby
Localized tenderness antero lat
Plain films not conclusive , ultrasound demonstrated cortical irregularity , with also local cortical and soft tissue changes on MRI, note the absence of more diffuse marrow edema
Patient sustained rugby injury
Initial x ray mentioned # , but were not available for evaluation . Lesion in humeral head noted on follow up x ray
Xray , CT , MRI and isotope studies
Histology proven Giant cell tumor