Clinical Cases / News
55 year old lady presented with a palpable lump over the dorsal aspect of the wrist. No obvious cause or trauma.
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Sonographic features consistent with localised tenosynovitis of the extensor digitorum tendons. There was no evidence of joint synovitis on ultrasound. Bloods revealed normal inflammatory markers and negative RF and Anti-CCP antibodies.
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An ultrasound guided steroid injection into the tendon sheath settled the problem.
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Plain film demonstrating calcific tendinopathy. A common cause of persisting shoulder pain.
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Right hand image pre barbotage procedure. Left hand image post procedure.
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In this instance this procedure provided resolution of this patients chronic shoulder pain.
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Following on from the previous post.
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End results of dissection and aspiration of hydroxyapatite deposits from the rotator cuff.
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Another barbotage procedure done recently in clinic which was very helpful for this gentleman’s shoulder pain.
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X-rays showing advanced medial compartment tibiofemoral osteoarthritis with multiple loose calcified bodies.
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Ultrasound demonstrating bodies where situated within gastrocnemius-semimembranosus bursa (bakers cyst) relatively common presentation with osteoarthritis.
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This lady came into our service recently presenting with a painful left shoulder after a fall some 6 weeks ago.
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Clinically this lady had a full range of movement with no evidence of capsular pattern or restriction.
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Point of care ultrasound revealed a cortical defect in the humeral neck. Given the history and sonographic images (picture 2 and 3) we organised this lady an X-ray.
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Which showed a transverse fracture of the surgical neck associated with impaction and posterior angulation. This lady was seen in fracture clinic.
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Point of care ultrasound and ultrasound guided injections by a team of highly specialised and experienced musculoskeletal practitioners.
Contact us on 01132 860316 or email info@clinic360.co.uk for more information on how we can help you live a pain free life.
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Clinic 360 is a highly specialised ‘one stop service’ established to provide rapid and easy access to diagnostic investigations, point of care diagnostic ultrasound scans and where appropriate pain-relieving ultrasound guided interventions.
For more information please visit our website, link in bio.
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Ultrasound guided hip injection.
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Most common indication is hip osteoarthritis. Can be done in clinic under local anaesthetic as part of conservative management.
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Barbotage Procedure.
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An excellent treatment option for symptomatic calcific tendonosis. As shown in the Supraspinatus tendon of the shoulder in this gentleman.
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The needle is guided into the calcification and dissection using the saline and vacuum as shown in the videos.
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Ultrasound guided hydrodistension is an excellent and safe option for those suffering from frozen shoulder (adhesive capsulitis) #clinic360
Carpal Tunnel syndrome.
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The video demonstrates a significant change in the left median nerve cross-sectional area proximal too and at the level of the flexor retinaculum. In keeping with a degree of median nerve entrapment.
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The video demonstrates the median nerve as we move from proximal to distal.
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Point of care ultrasound for assessment of Osseous injury.
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A 49 year old lady visited clinic 360 with well localised dorsal sided mid-foot pain that began 2 weeks prior. She was a keen runner. An x-ray had already been organised which was reported as normal.
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The sonographic images show a clear discontinuity of the chondral surface of the 2nd MTP shaft with adjacent hyperaemia, in keeping with a stress fracture.
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Though there are limitations in the assessment of bony pathology with ultrasound, this imaging modality is highly sensitive at assessing for chondral injuries that can easily be missed on plain radiograph.
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