Clinical Cases / News
Ruptured Achilles’ tendon in an elderly gentleman following a fall 2 weeks ago. 2nd and 3rd Images show mid portion rupture.
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This gentleman was seen in AE for equinus splitting.
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Vague symptoms of right elbow pain for the last 4 weeks no obvious injury but patient has a manual occupation.
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Sonographic features of marked tendinosis of the distal biceps tendon. Likely partial tear but difficult to fully visualise due to anistropy. Initial management remains the same, education, advice and progressive rehab to improve tendon capacity and tolerance.
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Last image is the patients asymptomatic side for comparison.
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Greater tuberosity fracture that was initially missed on plain film X-ray for a recent patient that attended our service.
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Ultrasound is very sensitive at assessing for bony injuries that may be initially missed on plain film.
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Trigger Thumb.
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A common musculoskeletal complaint causing pain and triggering of the thumb.
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Ultrasound shows a clear thickened A1 pulley in the above image. An ultrasound guided injection around the pulley is a very effective treatment option and is usually curative for this condition.
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Sonographic images of a Morton’s neuroma between the 3rd and 4th web space of the right foot. With a positive Mulder’s sign on dynamic assessment.
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Point of care ultrasound.
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Pathological fracture in the left clavicle.
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Clinically this 77 year old patient with shoulder pain had a full range of shoulder movement no systemic upset and no PMH of note.
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The immediate access to integrated ultrasound provided additional information that lead to the organising of the X-ray and subsequent 2 week wait.
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All of our patients have immediate access to diagnostic assessments and pain relief without a need for a GP referral.
Call our clinic now to book your appointment or email us on info@clinic360.co.uk
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Hemarthrosis that developed in the left knee of a patient following a torsional injury.
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MRI was organised showing a large posterior root attachment tear of the medial meniscus with displacement. This lady was reviewed in orthopaedics for opinion.
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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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