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ABDOMINAL WALL ENDOMETRIOSIS: Lower rectus abdominis Intramuscular mass, immediately, deep to c-section scar. Young cross fitter came in to r/o muscle injury with non cyclic pain (which is a frequent presentation in spite of being ectopic endometrial tissue) #msk #ultrasound #sportsimaging

JP Munoz • MSK

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13,760 次观看 • 7 个月前 •via X (Twitter)

#msk #ultrasound

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Abdominal wall pain: differential diagnosis A 28-year-old soccer player presented with right periumbilical pain of 2 months' duration. An MRI was performed, which showed no abnormalities in the abdominal wall. He was diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES), and perineural injection was performed, with no improvement in symptoms. He came to the clinic for a second opinion, presenting with tenderness on palpation of the middle third of the rectus abdominis muscle, which increased with trunk resistance flexion. The pain decreased after this test was performed after muscle inhibition. An ultrasound assessment was completed, revealing no abnormalities in the discomfort, but evidence of increased thickness and decreased echogenicity of the tendon at its origin in the pubic ramus, associated with significant pain on sonopalpation, related to tendinosis. An evaluation was completed with a thoracic spine examination, revealing significant pain at the level of the spinous process of T8 (the rectus abdominis muscle is innervated by the T7-T12 thoracoabdominal nerves). It was decided to treat the patient with ultrasound-guided injections around the rectus abdominis tendon with 1 cc of triamcinolone and 1 cc of 2% lidocaine, and periradicular injections of the right T8 muscle with 2 cc of betamethasone and 1 cc of 2% lidocaine. The symptoms resolved immediately, and the patient did not reappear during the following two months of follow-up.

Abdominal wall pain: differential diagnosis A 28-year-old soccer player presented with right periumbilical pain of 2 months' duration. An MRI was performed, which showed no abnormalities in the abdominal wall. He was diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES), and perineural injection was performed, with no improvement in symptoms. He came to the clinic for a second opinion, presenting with tenderness on palpation of the middle third of the rectus abdominis muscle, which increased with trunk resistance flexion. The pain decreased after this test was performed after muscle inhibition. An ultrasound assessment was completed, revealing no abnormalities in the discomfort, but evidence of increased thickness and decreased echogenicity of the tendon at its origin in the pubic ramus, associated with significant pain on sonopalpation, related to tendinosis. An evaluation was completed with a thoracic spine examination, revealing significant pain at the level of the spinous process of T8 (the rectus abdominis muscle is innervated by the T7-T12 thoracoabdominal nerves). It was decided to treat the patient with ultrasound-guided injections around the rectus abdominis tendon with 1 cc of triamcinolone and 1 cc of 2% lidocaine, and periradicular injections of the right T8 muscle with 2 cc of betamethasone and 1 cc of 2% lidocaine. The symptoms resolved immediately, and the patient did not reappear during the following two months of follow-up.

sergio serrano belmar

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A Showcase of Abdominal Muscles This video provides an in-depth look at the muscles that shape and support the core: Rectus Abdominis Transverse Abdominis Internal & External Obliques We extend our gratitude to Dr. Mendieta for co-authoring and sponsoring this video

A Showcase of Abdominal Muscles This video provides an in-depth look at the muscles that shape and support the core: Rectus Abdominis Transverse Abdominis Internal & External Obliques We extend our gratitude to Dr. Mendieta for co-authoring and sponsoring this video

Anatomy Standard

25,945 次观看 • 1 年前

The usefulness of the fibrillar pattern and pennation angle in the ultrasound diagnosis of muscle injury A 17-year-old patient who, while braking while playing football, feels a sharp pain in the anterolateral region of the proximal third of the thigh that prevents him from continuing to play sports. Typically, the axial plane (the short axis of the muscle) is used to study fibrillar tears, with a high diagnostic sensitivity. However, on many occasions, it can be easier to scan through the long axis of the muscle to visualize the different muscle fascicles and the pennation angle in their entirety, being able to make the diagnosis by observing the interruption and loss of tension of the muscle fascicles associated with the loss of the normal pennation angle. In the present case, the normal fibrillar pattern is initially visualized in the medial region of the rectus femoris muscle until the presence of a fibrillar tear in the posterolateral myofascial junction of its proximal third, where there is a sudden interruption of the fibrillar pattern due to the presence of an intramuscular hematoma.

The usefulness of the fibrillar pattern and pennation angle in the ultrasound diagnosis of muscle injury A 17-year-old patient who, while braking while playing football, feels a sharp pain in the anterolateral region of the proximal third of the thigh that prevents him from continuing to play sports. Typically, the axial plane (the short axis of the muscle) is used to study fibrillar tears, with a high diagnostic sensitivity. However, on many occasions, it can be easier to scan through the long axis of the muscle to visualize the different muscle fascicles and the pennation angle in their entirety, being able to make the diagnosis by observing the interruption and loss of tension of the muscle fascicles associated with the loss of the normal pennation angle. In the present case, the normal fibrillar pattern is initially visualized in the medial region of the rectus femoris muscle until the presence of a fibrillar tear in the posterolateral myofascial junction of its proximal third, where there is a sudden interruption of the fibrillar pattern due to the presence of an intramuscular hematoma.

sergio serrano belmar

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Meet Chloe. Doctors told her mother, Alex Gooding, to abort her after discovering Chloe was developing in a C-section scar ectopic pregnancy. But Alex was determined to save her baby’s life and refused. Today, Chloe is a healthy, beautiful 6-month-old baby girl.

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This is a HIFU machine(High intensity focused ultrasound. the only machine in SA. Private sector does not have it. We use it to treat fibroids, adenomyosis, placenta accreta spectrum and abs wall endometriosis. We serve whole of SADC. Closest machine to us is in Nigeria.

This is a HIFU machine(High intensity focused ultrasound. the only machine in SA. Private sector does not have it. We use it to treat fibroids, adenomyosis, placenta accreta spectrum and abs wall endometriosis. We serve whole of SADC. Closest machine to us is in Nigeria.

Honourable Ratshabedi

391,684 次观看 • 1 年前

Here's a video I made breaking down this case of a young woman with a history of schizophrenia who presented to the ER with abdominal pain #FOAMed

Here's a video I made breaking down this case of a young woman with a history of schizophrenia who presented to the ER with abdominal pain #FOAMed

Sam Ghali, M.D.

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Castor oil is GREAT for scars?! 😱 It can actually help break up scar tissue (even old C-section scars!). One woman had multiple abdominal surgeries and her doctor was shocked there was almost no scar tissue left because she’d been using castor oil compresses. Mind blown. Natural remedies still surprising me in 2026! What’s your go-to castor oil hack? Drop it below Castor oil is GREAT for scars?! I had NO idea… did you? Just watched this clip from Barbara O'Neill 👇

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The bird dog exercise works the erector spinae, rectus abdominis, and glutes.

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What happened when we made our Deputy Editor experience period pain? To mark Endometriosis Awareness Month, our Deputy Editor, Giles Whitell, tried the Crampsta — a realistic period pain simulator designed to mimic menstrual cramps. It comes as new data from Endometriosis UK reveals the average time it now takes to receive a diagnosis in the UK has reached 9 years and 4 months. Endometriosis is a long-term condition in which tissue similar to the lining of the womb grows elsewhere in the body. It affects 1 in 10 women, and symptoms can vary widely — but for many, they are severe, painful and life-altering, as The Observer's Phoebe Davis explains. #TapInTapOut

What happened when we made our Deputy Editor experience period pain? To mark Endometriosis Awareness Month, our Deputy Editor, Giles Whitell, tried the Crampsta — a realistic period pain simulator designed to mimic menstrual cramps. It comes as new data from Endometriosis UK reveals the average time it now takes to receive a diagnosis in the UK has reached 9 years and 4 months. Endometriosis is a long-term condition in which tissue similar to the lining of the womb grows elsewhere in the body. It affects 1 in 10 women, and symptoms can vary widely — but for many, they are severe, painful and life-altering, as The Observer's Phoebe Davis explains. #TapInTapOut

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Here's a video I made breaking down this X-Ray of an intoxicated young man who presented to the ER with abdominal pain #FOAMed

Here's a video I made breaking down this X-Ray of an intoxicated young man who presented to the ER with abdominal pain #FOAMed

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With pain, with power and a curse To never know which way to cross. #dawtde #sfawtde

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ANKLE INVERSION INJURY (a 🧵): Quick 4 step lateral checklist for ankle inversion injury: 1- V Metatarsal Fx 2- Calcaneocuboid ligament injury 3- Extensor digitorum brevis (EDB) avulsion 4- ATFL injury #ankleinjury #Ultrasound #MSK

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i would say quite decent bengali in spite of being non-bengali..

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Feedback from a cross section of professionals who have taken the Foundations: 12 Dialogues training. It's all about facilitating constructive engagement with boys and young men - about being safe and safe to be around. Get in touch

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#MenAtWork

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Consent ✅ Very interesting case!! 🤓🤓🤓 Young teenager - laparoscopic cholecystectomy months ago Persistent debilitating R upper quadrant pain around port scar site Burning, stabbing - provoked by minimal activity eg sitting up, bracing in car turning corners 4 weeks as in-patient in hospital, having further general surgical work up .... MRI, US, CT, bloods normal Off school Examination - +ive Carnett's sign, pain / inhibition on sit up, clearly abdo wall issue POCUS - can appreciate subtle port site hypoechoeic channel through rectus abdominus - this has injured the anterior cutaneous nerve at this level (T9 / T10 - see ACN schematic) Video - US guided nerve block / hydrodissection..... immediate pain relief 🥳 So at least the potential (harmful) hunt for a non MSK / gastroenterological cause can stop now Only one other case report of this in 2022 - but not a typical laparoscopic complication or tick box form. If the block fails to improve pain beyond short term, RF ablation might be helpful - then last resort surgical neurolysis.

Consent ✅ Very interesting case!! 🤓🤓🤓 Young teenager - laparoscopic cholecystectomy months ago Persistent debilitating R upper quadrant pain around port scar site Burning, stabbing - provoked by minimal activity eg sitting up, bracing in car turning corners 4 weeks as in-patient in hospital, having further general surgical work up .... MRI, US, CT, bloods normal Off school Examination - +ive Carnett's sign, pain / inhibition on sit up, clearly abdo wall issue POCUS - can appreciate subtle port site hypoechoeic channel through rectus abdominus - this has injured the anterior cutaneous nerve at this level (T9 / T10 - see ACN schematic) Video - US guided nerve block / hydrodissection..... immediate pain relief 🥳 So at least the potential (harmful) hunt for a non MSK / gastroenterological cause can stop now Only one other case report of this in 2022 - but not a typical laparoscopic complication or tick box form. If the block fails to improve pain beyond short term, RF ablation might be helpful - then last resort surgical neurolysis.

James Noake

15,554 次观看 • 1 年前

Jimmie update. She's having a lot of pain and muscle issues in her back, consistent with a long thoracic nerve injury. But luckily she is happy with how she looks.

Jimmie update. She's having a lot of pain and muscle issues in her back, consistent with a long thoracic nerve injury. But luckily she is happy with how she looks.

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A2 PULLEY HERNIA: Old laceration injury. Current FDS fibers herniating through pulley defect on dynamic assessment #msk #ultrasound #mskultrasound

A2 PULLEY HERNIA: Old laceration injury. Current FDS fibers herniating through pulley defect on dynamic assessment #msk #ultrasound #mskultrasound

JP Munoz • MSK

33,803 次观看 • 3 年前

Consent✅ Another - possible - genicular nerve case Runner, bilateral lateral knee pain Treated as ITB overload; exhausted all non-surgical options so reasonably proceeded to targeted partial ITB release Unfortunately symptoms persisted but changed in nature - 'burning' now (L more than R), slightly more diffuse & symptoms with sitting, not just on exercise POCUS video - Scarred thickened ITB (typical post-surgical legacy) seen, with superolateral genicular NV bundle sat just deep to it Injection - hydrodissection of scar tissue around the NV bundle, freeing up the fascial plane systematically - hard work because of the density of the tissue Post procedure (volume up) - patient essentially pain free on the treadmill - R side (not injected) still painful

Consent✅ Another - possible - genicular nerve case Runner, bilateral lateral knee pain Treated as ITB overload; exhausted all non-surgical options so reasonably proceeded to targeted partial ITB release Unfortunately symptoms persisted but changed in nature - 'burning' now (L more than R), slightly more diffuse & symptoms with sitting, not just on exercise POCUS video - Scarred thickened ITB (typical post-surgical legacy) seen, with superolateral genicular NV bundle sat just deep to it Injection - hydrodissection of scar tissue around the NV bundle, freeing up the fascial plane systematically - hard work because of the density of the tissue Post procedure (volume up) - patient essentially pain free on the treadmill - R side (not injected) still painful

James Noake

19,381 次观看 • 6 个月前

Which is stronger: a wall made of 1,000 layers of paper or a wall made of 500 pounds of stones? Drop your answer in the comment section 👇👇👇

Which is stronger: a wall made of 1,000 layers of paper or a wall made of 500 pounds of stones? Drop your answer in the comment section 👇👇👇

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38,370 次观看 • 2 个月前