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Common extensor tendon tear of the elbow. Maximum elbow flexion is extremely useful in better identifying tendon tears. The tears usually have a longitudinal orientation; elbow flexion compresses the tendon like an accordion, opening these longitudinal tears. "BUT," if you see that it opens up a lot with anechogenic... show more

Gonzalo Serrano-Belmar.

9,448 subscribers

52,339 次观看 • 2 年前 •via X (Twitter)

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10 条评论

PhysioOVER9000 的头像

PhysioOVER90002 年前

That is amazing. Literally said wow out loud!

Gonzalo Serrano-Belmar. 的头像

Gonzalo Serrano-Belmar.2 年前

🤣🤣🤙🤙

Uziel Sauceda, MD 的头像

Uziel Sauceda, MD2 年前

That's awesome, would you be able to show the probe position as the elbow flexes? That looks exceedingly difficult to keep the same view as you bend the elbow.

Gonzalo Serrano-Belmar. 的头像

Gonzalo Serrano-Belmar.2 年前

Yes, it is 😁😁.

Michal Angerman 的头像

Michal Angerman2 年前

Wouldn't joint communication mean RCL tear?

Gonzalo Serrano-Belmar. 的头像

Gonzalo Serrano-Belmar.2 年前

In this case, it seems so.

Ade Wagstaff Physio MACP 🏴󠁧󠁢󠁷󠁬󠁳󠁿 的头像

Ade Wagstaff Physio MACP 🏴󠁧󠁢󠁷󠁬󠁳󠁿2 年前

That is ultra cool. Gonna flex everyone elbow tomorrow.

Gonzalo Serrano-Belmar. 的头像

Gonzalo Serrano-Belmar.2 年前

🫶🫶🫶

Paul McCormack 的头像

Paul McCormack2 年前

@AmitBharath

PepeL 的头像

PepeL2 年前

🙌🏼

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$"Most elbow dislocations, unless there's a large fracture, do not need surgery. In fact, a very, very small percentage of them need surgery. You always assume there has to be some degree of tearing whenever it dislocates, but the body does a really good job, especially the elbow, of kind of healing those tears on its own, restabilizing the joint." Brian Sutterer MD breaks down what Alexandre Pantoja's recovery process may look like.$

"Most elbow dislocations, unless there's a large fracture, do not need surgery. In fact, a very, very small percentage of them need surgery. You always assume there has to be some degree of tearing whenever it dislocates, but the body does a really good job, especially the elbow, of kind of healing those tears on its own, restabilizing the joint." Brian Sutterer MD breaks down what Alexandre Pantoja's recovery process may look like.

Ariel Helwani

95,089 次观看 • 7 个月前

Instability of the long head of the biceps tendon (LHBT) is almost always associated with other shoulder pathologies, mainly pathology of the rotator cuff (supraspinatus and subscapularis tear). Therefore, every time we find RC tears, we must explore the stability of the LHBT. The most critical stabilizers are the SGHL, CHL, and the intertwining fibers of the supraspinatus and subscapularis. Here is a case with a high-grade subscapularis tear with continuity of the most superficial fibers/transverse humeral ligament that limits retraction,associated with medial dislocation of the LHBT. With an extension, abduction, and internal rotation maneuvers of the shoulder, we reposition the tendon in the bicipital groove, with subsequent re-dislocation due to external rotation, showing a marked exit snapping, very painful. We can add important dynamic information. #mskrad #MedTwitter

Instability of the long head of the biceps tendon (LHBT) is almost always associated with other shoulder pathologies, mainly pathology of the rotator cuff (supraspinatus and subscapularis tear). Therefore, every time we find RC tears, we must explore the stability of the LHBT. The most critical stabilizers are the SGHL, CHL, and the intertwining fibers of the supraspinatus and subscapularis. Here is a case with a high-grade subscapularis tear with continuity of the most superficial fibers/transverse humeral ligament that limits retraction,associated with medial dislocation of the LHBT. With an extension, abduction, and internal rotation maneuvers of the shoulder, we reposition the tendon in the bicipital groove, with subsequent re-dislocation due to external rotation, showing a marked exit snapping, very painful. We can add important dynamic information. #mskrad #MedTwitter

Gonzalo Serrano-Belmar.

31,636 次观看 • 2 年前

⚾️ FULL EXPLANATION OF HOW THE ELBOW HANDLES STRESS When you throw a baseball, the inside of your elbow gets hit with a big pulling/gapping force. Your body has three main ways it protects the elbow from that stress. Think of it as three layers of protection working together every time you throw. ✅ Radiocapitellar Joint Compression As the inside of your elbow tries to gap open during a throw, the outside of the joint compresses. The radius and humerus on the lateral side press together, creating a physical barrier that limits how far the elbow can open into valgus. ✅ Forearm Musculature All the forearm muscles that attach to the inside of the elbow help shield it. They anchor to the medial epicondyle and act as active stabilizers during the throw. This group includes the pronator teres, FCU, FCR, FDS, and palmaris longus. The simple takeaway is that the stronger/stiffer these muscles are, the more support they provide to the UCL. Training them through finger flexion, wrist flexion, ulnar deviation, and pronation is extremely effective. ✅ Ulnar Collateral Ligament Whatever force is not absorbed by joint compression and the forearm muscles ends up on the UCL. A UCL on its own can only tolerate roughly 35 newton meters before failure, yet every pitch produces FAR MORE than that. This highlights how essential those first two protective systems really are. 🎯 Conclusion In the big picture, your bones and your ligament offer a set, mostly fixed level of protection. They are important, but they cannot be dramatically changed. Your forearm musculature, on the other hand, is highly trainable. It can get stronger/stiffer pretty quickly and make a meaningful difference in how much stress your elbow can safely handle. If you are looking for the most direct, actionable way to protect your elbow, building stronger forearm muscles is the clearest and most impactful place to focus.

⚾️ FULL EXPLANATION OF HOW THE ELBOW HANDLES STRESS When you throw a baseball, the inside of your elbow gets hit with a big pulling/gapping force. Your body has three main ways it protects the elbow from that stress. Think of it as three layers of protection working together every time you throw. ✅ Radiocapitellar Joint Compression As the inside of your elbow tries to gap open during a throw, the outside of the joint compresses. The radius and humerus on the lateral side press together, creating a physical barrier that limits how far the elbow can open into valgus. ✅ Forearm Musculature All the forearm muscles that attach to the inside of the elbow help shield it. They anchor to the medial epicondyle and act as active stabilizers during the throw. This group includes the pronator teres, FCU, FCR, FDS, and palmaris longus. The simple takeaway is that the stronger/stiffer these muscles are, the more support they provide to the UCL. Training them through finger flexion, wrist flexion, ulnar deviation, and pronation is extremely effective. ✅ Ulnar Collateral Ligament Whatever force is not absorbed by joint compression and the forearm muscles ends up on the UCL. A UCL on its own can only tolerate roughly 35 newton meters before failure, yet every pitch produces FAR MORE than that. This highlights how essential those first two protective systems really are. 🎯 Conclusion In the big picture, your bones and your ligament offer a set, mostly fixed level of protection. They are important, but they cannot be dramatically changed. Your forearm musculature, on the other hand, is highly trainable. It can get stronger/stiffer pretty quickly and make a meaningful difference in how much stress your elbow can safely handle. If you are looking for the most direct, actionable way to protect your elbow, building stronger forearm muscles is the clearest and most impactful place to focus.

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#Shoulder #POCUS shows extensive proliferative tenosynovitis in the long head of biceps tendon in a patient with rheumatoid arthritis. ✅Use anisotropy to follow the tendon distally or proximally and distinguish it from surrounding synovial tissue. ✅Confirm the pathology in orthogonal planes: transverse (short) to longitudinal (long) axis. ✅ Use compression with the transducer to corroborate the OMERACT definition: presence of abnormal hypoechoic (relative to tendon fibers) tissue within the synovial sheath that is not displaceable and poorly compressible, and seen in 2 perpendicular planes; it may exhibit Doppler signals. #Rheumatology #Ultrasound #MSUS #MSKUS #RhUS #FOAMed #MedEd

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22,327 次观看 • 11 个月前

the fact that the scene was supposed to be a happy one where they were laughing and if it wasn't because of behind the scene we wouldn't know that he broke down in tears due to stress from so many filming obstacles. you must have endured a lot my beloved ☹️❤️

the fact that the scene was supposed to be a happy one where they were laughing and if it wasn't because of behind the scene we wouldn't know that he broke down in tears due to stress from so many filming obstacles. you must have endured a lot my beloved ☹️❤️

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108,633 次观看 • 2 年前

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66,435 次观看 • 1 年前

Housing Expert ‘Ken McElroy’ says you should have $30-$40 billion before thinking of owning a $10M house ‘A lot of it depends on your cash flow you can be an extremely high person in a tech business with a lot of equity on paper and buy a house like that’ ‘Same thing with a surgeon but if your gonna retire with something like that it depends on your age but I think you need easily $30-$40B’ ‘All my cards and houses and anything that I have is paid off’

Housing Expert ‘Ken McElroy’ says you should have $30-$40 billion before thinking of owning a $10M house ‘A lot of it depends on your cash flow you can be an extremely high person in a tech business with a lot of equity on paper and buy a house like that’ ‘Same thing with a surgeon but if your gonna retire with something like that it depends on your age but I think you need easily $30-$40B’ ‘All my cards and houses and anything that I have is paid off’

zaza

64,655 次观看 • 2 个月前