Tuesday , 19 September 2017

Elbow

Insertional enthesitis of the triceps – Rob Mast (@RMastPhysio) MSK Sonographer and Extended Scope Physiotherapist

MSK ultrasound of the triceps insertion

This patient in his 30's had chronic unilateral posterior elbow pain of varied severity over the past few years . He could not recall and history of trauma, and had no occupational risks that would predispose him to issues in this region. In the past he had been diagnosed with olecranon bursitis and apparently at that time he said there had been noticeable swelling. The more persistent recent pain was a low level ache that was constantly present. There were no other joint complaints, history of back pain or systemic inflammatory signs. Machine used: Sonosite M-Turbo The patient was subsequently refered for …

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Osteochondromatosis of the elbow – Stuart Wildman, Extended Scope Physiotherapist

On moving the transducer medial and lateral but remaining in a longitudinal plane, I was able to identify small hyperechoic foci within the effusion visible in Figures 2 and 3. These appeared to move, with dynamic scanning during flexion and extension of the elbow. The patient was referred for a right elbow MRI to clarify the condition of the joint. The report is as follows... MRI report: Numerous ossified loose bodies are seen throughout the elbow joint highly suggestive of synovial osteochondromatosis. Mild osteoarthritis is also seen with some marginal osteophytes seen arising from the medial and lateral compartments. The …

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