Clinical Cases / News
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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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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