Complete tear long head of biceps tendon

Based on the ultrasound findings and SonoSkills pathology checklist analysis I concluded: \
– Complete tear of the long head of the biceps tendon.
– The rotator interval is “empty”. No sign of the long head of the biceps tendon.
– The long head of the biceps tendon has partially retracted. It’s still located in the distal intertubercular groove, probably fixated or stabilized by the tendon’s vinculum (suspensory ligament).
– Minor degree of neovascularization.

The clinical examination findings of the orthopedic surgeon could be confirmed. Furthermore, the surgeon knows that there is a partial retraction of the long head of the biceps tendon, and that no other anatomical structures where involved. This information can help his clinical decision making. Continue Reading →

Supraspinatus full thickness tear

Based on the ultrasound findings and SonoSkills pathology checklist analysis I concluded: – Full thickness/ partial width tear supraspinatus tendon – Potentially other partial tears: articular sided near anatomical neck, and mid tendon. – Tendinopathy supraspinatus tendon – Mild sign of neovascularization – SASD bursa effusion – Primary impingement of the supraspinatus tendon and SASD bursa with the coracoacromial ligament during active abduction. Continue Reading →

Quality sonographer and speed

A sonographer asked the question about how to be fast in her job ? and she said

“It is the scanning part itself; it takes me too long to produce an image of good diagnostic quality (in my opinion)”.

This also can be true about many other technologists. Well it is have everything to do with all the points that you mentioned, the machine, the color and the scale you use, the cine lobe and the zoom, the annotation and the physics itself , that why I hate the word sonographer , we are not sono GRAPHER , WE ARE NOT PICTURE TAKER , like radiographer , mamographer, etc The word TECHNOLOGIST is more fit like MRI,CT technologist. Or we must use the word IST, like PHYSIOTHERAPIST, pharmacist, so we are SONOIST.

Forget the word SONOLOGIST as this is taken by the radiologists who have half of our skills as we are the true sonologists .So it is all about the machine and the speed of your critical thinking, don’t be panic sonographer. Do the best by doing the basic. Continue Reading →

Baker’s cysts

Steve Ramsey,PhD -Public Health MSc(hon) in Med Ultrasound

Baker’s cysts are not technically true cysts; they represent distention of the gastroc.-semimembr Bursa through accumulation of fluid, which communicates with the knee joint. Baker’s cysts are usually most prevalent in patients with preexisting intra-articular knee joint pathology such as arthritis (degenerative or inflammatory) or internal derangement (meniscal or anterior cruciate ligament tears, loose bodies, etc). Although Baker’s cysts are most frequently asymptomatic, they may cause posterior knee pain, joint stiffness, and reduced range of motion. Continue Reading →