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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.

9,467 subscribers

52,348 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 • 9 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.

31,642 次观看 • 3 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.

Armored Heat

10,212 次观看 • 9 个月前

Just to put in to perspective some of the Coventry tears that are STILL continuing this morning... This is the 'definite red card' Pires should have got for a 'blatent elbow' in the first half. 🥴 #twitterclarets

Just to put in to perspective some of the Coventry tears that are STILL continuing this morning... This is the 'definite red card' Pires should have got for a 'blatent elbow' in the first half. 🥴 #twitterclarets

TurfCast - Burnley FC Fan Channel

50,462 次观看 • 1 年前

#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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Mario Pompermayer MD, RhMSUS

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I don't know if this is generally known, but Gryphline figured out that some players like me would actually do this: If you fill an empty pool with Jingcao fluid, it becomes a healing onsen!

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19,605 次观看 • 2 个月前

The Underrated Muscle That Shields Your UCL 🛡️ The Flexor Digitorum Superficialis (FDS) doesn’t get enough credit. It’s the muscle that bends the first two knuckles of your fingers—and it also happens to be one of the primary defenders of your UCL. 📚 Research consistently shows that the FDS, along with the Flexor Carpi Ulnaris (FCU), plays a crucial role in protecting the medial elbow during throwing. These two muscles: 🔗 Cross the inside of the elbow 🎯 Align perfectly to counteract valgus stress 🛡️ Can dynamically shield the UCL when properly trained 🧠 But it’s not just about strength—timing matters too. During the throw, the muscle-tendon chain must stiffen at just the right moment to offload stress from the UCL. ✅ How to train it: 💥 High-load, short-burst contractions ⏳ Low-load, long-duration holds and movement work This builds both strength and endurance—two critical layers of protection. 👉 Other muscles like the Pronator Teres (crosses the elbow and pulls laterally) and even the FDP (runs to the fingertips) may assist too—but the FDS should be a priority if you care about elbow durability. Protect your UCL. ⚡️RETWEET THIS AND WE WILL DM YOU VIDEOS OF OTHER VARIATIONS THAT WE LIKE!

The Underrated Muscle That Shields Your UCL 🛡️ The Flexor Digitorum Superficialis (FDS) doesn’t get enough credit. It’s the muscle that bends the first two knuckles of your fingers—and it also happens to be one of the primary defenders of your UCL. 📚 Research consistently shows that the FDS, along with the Flexor Carpi Ulnaris (FCU), plays a crucial role in protecting the medial elbow during throwing. These two muscles: 🔗 Cross the inside of the elbow 🎯 Align perfectly to counteract valgus stress 🛡️ Can dynamically shield the UCL when properly trained 🧠 But it’s not just about strength—timing matters too. During the throw, the muscle-tendon chain must stiffen at just the right moment to offload stress from the UCL. ✅ How to train it: 💥 High-load, short-burst contractions ⏳ Low-load, long-duration holds and movement work This builds both strength and endurance—two critical layers of protection. 👉 Other muscles like the Pronator Teres (crosses the elbow and pulls laterally) and even the FDP (runs to the fingertips) may assist too—but the FDS should be a priority if you care about elbow durability. Protect your UCL. ⚡️RETWEET THIS AND WE WILL DM YOU VIDEOS OF OTHER VARIATIONS THAT WE LIKE!

Armored Heat

38,821 次观看 • 1 年前

THIS 👇 is what healing looks like….2 years ago, I could barely recall this story without breaking down in tears and emotion. I’ve talked about it numerous times since then, with those who were there and on stage in front of an audience. Everytime I tell it, it gets a little easier. I process it a little more….and now I can tell this story without breaking down in tears. I haven’t forgotten the emotion of the event, I’m not a robot or have become immune…I have PROCESSED it and HEALED. The more you talk about your trauma, whatever that may be, the more you will heal…I promise….i did it. 🫶

THIS 👇 is what healing looks like….2 years ago, I could barely recall this story without breaking down in tears and emotion. I’ve talked about it numerous times since then, with those who were there and on stage in front of an audience. Everytime I tell it, it gets a little easier. I process it a little more….and now I can tell this story without breaking down in tears. I haven’t forgotten the emotion of the event, I’m not a robot or have become immune…I have PROCESSED it and HEALED. The more you talk about your trauma, whatever that may be, the more you will heal…I promise….i did it. 🫶

Chinook Crew Chick

34,157 次观看 • 1 年前

PRONATOR TERES IN THE THROWING ARM The Pronator has 2 insertions on the inside of the elbow 1) To the Medial Epicondyle through the Common Flexor Tendon 2) To the medial portion of the Ulna (Deep) In 83% of arms, the Median Nerve Runs right between those two heads Due to throwers commonly having hypertrophied and toned up Pronators, this can become an issue with compression of the Median Nerve which runs down the forearm and into the thumb, index, and middle fingers When tight, it can limit Supination and Elbow extension With Pronation and Supination, it is important to test both Range of Motion and Strength in both the Elbow flexed and extended positions as this will affect the muscle lengths of each Trigger points here typically refer deep into the wrist and Anterior Forearm In chronically “tight” Pronators, check the opposing muscle groups (Supinator and Biceps) as you may find they are significantly restricted and essentially forcing the Pronator to “Drive with the E Brake on” with every contraction OR You may see excessive weakness that allows the Pronator to Bully it into living in the Pronated, shortened position This is a non exhaustive list of some quick nuggets in regards to the Pronator Teres as there are a ton of global and external issues that can play a huge factor here

PRONATOR TERES IN THE THROWING ARM The Pronator has 2 insertions on the inside of the elbow 1) To the Medial Epicondyle through the Common Flexor Tendon 2) To the medial portion of the Ulna (Deep) In 83% of arms, the Median Nerve Runs right between those two heads Due to throwers commonly having hypertrophied and toned up Pronators, this can become an issue with compression of the Median Nerve which runs down the forearm and into the thumb, index, and middle fingers When tight, it can limit Supination and Elbow extension With Pronation and Supination, it is important to test both Range of Motion and Strength in both the Elbow flexed and extended positions as this will affect the muscle lengths of each Trigger points here typically refer deep into the wrist and Anterior Forearm In chronically “tight” Pronators, check the opposing muscle groups (Supinator and Biceps) as you may find they are significantly restricted and essentially forcing the Pronator to “Drive with the E Brake on” with every contraction OR You may see excessive weakness that allows the Pronator to Bully it into living in the Pronated, shortened position This is a non exhaustive list of some quick nuggets in regards to the Pronator Teres as there are a ton of global and external issues that can play a huge factor here

Armored Heat

13,730 次观看 • 3 年前

A lot of You People need to understand how much bad information about lifting comes from Bodybuilding. Not every bodybuilder, but a lot. Here is one great example. Clip 1: Bodybuilding legend Robby Robinson explains how to avoid injury in the deadlift, you need to bend your arms. Yes, you heard that correctly. The literal exact opposite of the truth, the exact mechanism which greatly increases the likelihood of tearing a biceps tendon in the deadlift (which ~never happens for people who do a controlled pull with straight arms) is what Robinson claims you MUST do to avoid injury. This isn't just a small disagreement. This is comically absurd levels of delusion. If it came from some random gym bro that would be one thing, but the important lesson here is that you can ascend to the highest levels of bodybuilding success and fame without knowing the most basic things about training that us mere mortals who have normal genetics and aren't blasting gear HAVE TO LEARN or else we won't succeed. Bent arms facilitating biceps tendon tears is easily understandable via mechanisms: The deadlift is a heavy lift that, if done at a weight heavy enough to spur adaptive stimulus, must be with much more weight than you can curl, then it will tend to forcibly straighten out the arms under load as you lift, which increases the chances of a rupture. But as a real lift demonstration of this phenomenon, I offer you Clip 2 which shows this happening in action: A lifter tearing a biceps tendon on a deadlift which you can literally see happening because of the bent-arm pull. I've never seen this happen in less than the 550-600 range EXCEPT in cases of bent arm pulls exactly like this one. If Robinson hadn't said what he said but I claimed bodybuilders say this, I would be accused of making up things to hate on bodybuilding. But this is just one example of a pattern I've observed over 25 years doing this. I have taught the deadlift to IFBB pros who have stood on the Olympic stage, who told me after the session that they had no idea how to do them until working with me, they just winged it and sort of copied what they saw other people do. If you want to learn how to achieve a bodybuilding look, most bodybuilders know a lot. If you want to understand proper technique for complex lifts and loaded human movement patterns, the bodybuilders who know and understand that are the exception, not the rule.

A lot of You People need to understand how much bad information about lifting comes from Bodybuilding. Not every bodybuilder, but a lot. Here is one great example. Clip 1: Bodybuilding legend Robby Robinson explains how to avoid injury in the deadlift, you need to bend your arms. Yes, you heard that correctly. The literal exact opposite of the truth, the exact mechanism which greatly increases the likelihood of tearing a biceps tendon in the deadlift (which ~never happens for people who do a controlled pull with straight arms) is what Robinson claims you MUST do to avoid injury. This isn't just a small disagreement. This is comically absurd levels of delusion. If it came from some random gym bro that would be one thing, but the important lesson here is that you can ascend to the highest levels of bodybuilding success and fame without knowing the most basic things about training that us mere mortals who have normal genetics and aren't blasting gear HAVE TO LEARN or else we won't succeed. Bent arms facilitating biceps tendon tears is easily understandable via mechanisms: The deadlift is a heavy lift that, if done at a weight heavy enough to spur adaptive stimulus, must be with much more weight than you can curl, then it will tend to forcibly straighten out the arms under load as you lift, which increases the chances of a rupture. But as a real lift demonstration of this phenomenon, I offer you Clip 2 which shows this happening in action: A lifter tearing a biceps tendon on a deadlift which you can literally see happening because of the bent-arm pull. I've never seen this happen in less than the 550-600 range EXCEPT in cases of bent arm pulls exactly like this one. If Robinson hadn't said what he said but I claimed bodybuilders say this, I would be accused of making up things to hate on bodybuilding. But this is just one example of a pattern I've observed over 25 years doing this. I have taught the deadlift to IFBB pros who have stood on the Olympic stage, who told me after the session that they had no idea how to do them until working with me, they just winged it and sort of copied what they saw other people do. If you want to learn how to achieve a bodybuilding look, most bodybuilders know a lot. If you want to understand proper technique for complex lifts and loaded human movement patterns, the bodybuilders who know and understand that are the exception, not the rule.

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26,730 次观看 • 3 个月前

#TheCove A bottlenose taken out of the pens from the wild from taiji #Japan tell me with tears in my eyes this dolphin lost its freedom, it lost its family because some have to see these mammals perform, we only have ourselves to blame for this. stop visiting aquariums.Sickening

#TheCove A bottlenose taken out of the pens from the wild from taiji #Japan tell me with tears in my eyes this dolphin lost its freedom, it lost its family because some have to see these mammals perform, we only have ourselves to blame for this. stop visiting aquariums.Sickening

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34,215 次观看 • 1 年前

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Online Comp is very foreign to me. I see it as its own sport with its own rules. I don’t say that as a diss. It is what it is. A lot of the frustrations I might have with it pretty much come with the territory. I’ve been seeing a lot of this but to really think real-world football concepts and strategy will translate cleanly and consistently in such an uncontrolled environment is… a little naive? I know it sounds cool but I’ve never bought it. If I want my game to feel like football, I’ll just tinker with sliders, play the cpu, and hope for the best.

PAC

19,931 次观看 • 1 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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31,428 次观看 • 3 个月前