Case Studies

Scott’s thoughts on finding fractures with ultrasound.

I am often asked, “Can ultrasound detect fracture?”   The short answer, “Yes.”   If you have been following our case study posts on the sound experience website you will have seen our recent fracture series describing what we see. And there will be a few...

Fractures can be seen on ultrasound. Part 2

A fractured fifth metatarsal is not a rare ultrasound imaging finding.   In the last post we presented you with a case of a patient who had rolled her right ankle, leading to a fracture of her fifth metatarsal bone, among several other injuries. Finding a...

Fractures can be seen on ultrasound. Part 1

A fractured fifth metatarsal, but nothing seen on x-ray.   A 24-year-old woman was referred for ultrasound, having rolled her right ankle playing netball.  The injury had occurred approximately two months prior to referral, but the right ankle was still swollen,...

Shoulder pain: remember the exceptions. Part 3

Does Teres minor muscle atrophy matter?   In the previous two posts, we introduced a case of shoulder pain in a competitive swimmer, and picked off the first of two questions we had posed ourselves, discussing some ideas regarding what might cause the teres minor...

Shoulder pain: remember the exceptions. Part 2

What causes isolated teres minor atrophy?    In the last post we introduced a case of shoulder pain in a competitive swimmer. Here's a recap of what we found when we scanned her shoulder:   "The examination indicated:  Subdeltoid/subacromial bursal fluid may...

Shoulder pain: remember the exceptions. Part 1

Which findings explain the symptoms? The case of teres minor.   A 21-year-old woman presented with ongoing shoulder pain. She was a high-level competitive swimmer, and found her pain increased during sets, or was a constant, low-level ache. She experienced pain...

Tendon injury and the continuum. What hurts, and why?

Tendon injury: multiple findings within the same tendon.   A 62 year old competitive badminton player presented having injured his left Achilles while playing approximately 6 weeks earlier. He had been sore since the injury despite conservative management and was...

How to tendinopathy 3: using the ultrasound report

A guide to using the findings in an ultrasound report indicating tendinopathy.   In the previous two posts we have talked about the continuum model of tendinopathy according to Jill Cook’s research group. The idea that tendinopathy is a process of injury, the...

How to tendinopathy: 2

Ultrasound in the clinical picture of tendinopathy: guiding management decisions.   In the previous post, we left you with the idea that ultrasound imaging can visualise the stages of the tendon continuum according to Cook et al.,1,2 and that management of tendon...

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