MSK sonography mix cases.By Steve Ramsey

MSK sonography mix cases.

Steve. Ramsey,PhD. MSc,Rmsks,Rdms,Rvt,Crvs.Crgs

Steve. Ramsey, PhD

Tendinitis (also called tendonitis) is the term used to describe an inflammation of tendons. Tendons are rope-like structures made of strong, smooth, shiny fibers. With repetitive or prolonged activities, forceful exertion, awkward and static postures, vibration, and localized mechanical stress, the tendons fibers can tear apart in much the same way a rope becomes frayed.These tendon changes trigger an inflammatory response. Inflammation is a localized response of tissue to injury. Over time, inflamed tendons become thickened, bumpy, and irregular. Without rest and time for the tissue to heal, tendons can become permanently weakened.

Mass/bursa thickness at the left sternoclavicular joint, a patient with OA.

SCJ =the Sternoclavicular (SC) joint is the only bony joint that connects the axial and appendicle skeletons. The SC joint is a plane synovial joint formed by the articulation of the sternum and the clavicle. Due to the joint’s articulation between the medial clavicle and the manubrium of the sternum and first costal cartilage, the joint has little bony stability. Between the medial clavicle and the manubrium is a dense fibrocartilaginous disc that separates the joints into two distinct synovial compartments.

The intra-articular ligament provides joint stability and prevents medial displacement of the clavicle. This ligament originates from the junction of the first rib and sternum and passes through the SC joint and attaches to the clavicle on the superior and posterior side. The anterior and posterior sternoclavicular ligaments restrain anterior and posterior translation of the medial clavicle. The anterior and posterior Sternoclavicular ligaments originate on the anterior and posterior ends of the clavicle, respectively, and inserts onto the anterior and posterior surfaces of the manubrium, respectively 

The radial collateral ligament of the elbow, which strengthens the side of the wall of the joint capsule of the elbow, is composed of a fibrous band extending between the lateral epicondyle of the humerus (upper arm bone) and the annular ligament of the radius. The annular ligament, in turn, is attached to the margin of the trochlear notch of the ulna, and it encircles the head of the radius, functioning

CET calcification, small tear at the CET and hyperemia in both the CET and the RCL, with pain = tennis elbow, epicondylitis. Tendon disorders have been found to be the result of a complex interaction between inflammatory responses and tendon degeneration. Tendons examined during surgery frequently show damage without the tendon being inflamed. On the other hand, other studies show that inflammation is an early sign of tendon disorders.Therefore, because the term “tendonitis” implies inflammation is present, this term is now rarely used. “Tendinopathy” or “tendinosis” is the preferred term to describe chronic pain associated with an asymptomatic tendon.

Baker cyst of the left posterior fossa of the knee. The intercondylar area is located between the proximal articular surfaces of the medial and lateral tibial condyles. It is non-articular. In the middle of the intercondylar area is:  intercondylar eminence: narrow, raised central part of the intercondylar area · medial and lateral intercondylar tubercles or spines: arise from the central aspect of the intercondylar eminence. Baker’s cyst is caused when excess joint fluid is pushed into one of the small sacs of tissue behind the knee. When this sac fills with fluid and bulges out, it is called a cyst. The excess fluid is usually caused by conditions such as rheumatoid arthritis or osteoarthritis that irritate the knee.

Jumper’s knee — also known as patellar tendonitis or patellar tendinopathy — is an inflammation or injury of the patellar tendon, the cord-like tissue that joins the patella (kneecap) to the tibia (shin bone). . The knee fat pad, or infrapatellar fat pad, is a soft tissue structure which lies just below and under the kneecap (patella). The fat pad is also enclosed by the thigh bone and the shin bone. … Fat pad syndrome is also known as Hoffa’s Syndrom 

mild but noticeable sponge kidney, the patient was doing an ultrasound for 2 years and with a normal result, she has gout disease and her parents had gout she said she stop taken medication 2 years ago. Has painful flanks.Medullary sponge kidney (also known as Cacchi–Ricci disease) is a congenital disorder of the kidneys characterized by cystic dilatation of the collecting tubules in one or both kidneys. Individuals with Medullary sponge kidney are at increased risk for kidney stones and urinary tract infection (UTI 

The plantar calcaneal-navicular ligament (spring ligament) is a thick, broad fibrous band that is located on the bottom portion of the foot.

The spring ligament connects the acicular bone’s plantar (foot side) surface with the Sustentaculum of the calcaneus, a shelf-like facet of the heel bone. 

Suprapatellar recess / bursal fluid we should show the color flow, measures in sagittal and transverse section and do compression view.The patellar tendon attaches the bottom of the kneecap (patella) to the top of the shinbone (tibia). It is actually a ligament that connects to two different bones, the patella, and the tibia. The patella is attached to the quadriceps muscles of the quadriceps tendon. 

The knee trochlea scan from medial to lateral side to show the distant space of the joint and take measurements, the scan is useful for those patients with OA. The patella is a small bone located in front of your knee joint — where the thighbone (femur) and shinbone (tibia) meet. It protects your knee and connects the muscles in the front of your thigh to your tibia. The patella rests in a groove on top of the femur called the trochlear groove.

For more information and articles go to my blog

For those who want to have hands-on MSK training you can contact me at and I will send you the proposal to train you and your sonographers at your clinic. I will share materials with you on a flash drive to help you to pass your exam.

Thank you

Steve Ramsey, Calgary – Alberta – Canada

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