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Пікірлер
@francescogiuseppenisi6962 2 ай бұрын
Top! 🤙
@akbarhemmati5575 2 ай бұрын
so great
@akbarhemmati5575 2 ай бұрын
so great
@lauraleegreen7516 3 ай бұрын
I have had two of these now and they are not treating my pain. Next options?
@MSK_Australia Ай бұрын
My suggestoin would be to have a full assessment with a sports doctor. This is a rare entity and more a diagnosis of exclusion. They should assess your neck and have ruled this out as a cause of scapula pain as an initial step, MRI will help with this. Good luck
@colindavis3441 3 ай бұрын
What other option are there other than botox
@domenicogiannattasio9037 4 ай бұрын
Thank you very much,excellent presentation!
@drgadham 4 ай бұрын
Great teacher ❤
@drgadham 4 ай бұрын
Excellent teaching ❤
@drgadham 4 ай бұрын
Excellent teaching presentation ❤
@drgadham 4 ай бұрын
Great teaching presentation ❤
@Weiyang5268 4 ай бұрын
0:38。1:06
@dr.a.sahmad1676 4 ай бұрын
Sir clinical picture and how you are maneuvering the probe would help a lot in learning. If possible can we see that too. Regards
@dr.a.sahmad1676 4 ай бұрын
❤❤❤
@dr.a.sahmad1676 4 ай бұрын
❤❤❤ Do keep teaching Sir/Maam. MSK is worse of mine.
@uzma2ali 4 ай бұрын
I had the opportunity to watch and listen to Chris in detail, and I found him to be an excellent teacher. However, on a critical note, I believe there is room for improvement in making medical treatment more affordable, rather than increasingly expensive. The commercial aspects of USMSK seem to be quite pronounced
@faridmoshtael6046 5 ай бұрын
Interesting conversation, thank you gents!
@MSK_Australia 5 ай бұрын
Our pleasure!
@Samialexchak 5 ай бұрын
Sonographers also can do it under a prescription not just a PGD
@jamesjarman5003 5 ай бұрын
the picture is flipped from our perspective-scapular bone is right side of image but left side of patient as we see him (eg right is lateral in the ultrasound picture but right is medial on the patient picture). Great video tho!
@Weiyang5268 5 ай бұрын
🔯0:28 Greater Trochanter Syndrome ( Tears /Tendinosis of Glut medius/ minimus ) 🌹Gmin tendon 0:43 當水平[橫]置探頭在大腿短軸的大轉子上。掃出Ant facet和Lat facet 1:04~1:11 顯示著兩面骨回音直綫條構成近90度的ridge(嶺)。 🔶先掃Ant facet/ Gmin腱1:12 ; 1:27 轉探頭90度，做Gmin的長軸掃描: 2:10 2:19，觀察臀小腱的(長軸)在前小面的footprint，再往近心掃向臀小的(腱肉交界)。 ****************************** 3:06 [外]小面的「後1/3」(註: 後1/3是我以爲🤔)，為臀中肌•前腱(ant band腱)的著骨。 🔶掃描Lat facet的Gmed腱時：再回到[水平(橫)置]探頭在大腿短軸的大轉子外側、掃描出Ant facet和Lat facet 兩者構成一交角 近90度的ridge(嶺) 處2:50 ，再，以探頭腹側端爲轉軸心、把探頭背側端朝患者頭側方向轉約40-45度3:19，此即為臀[中]腱AntBand[短軸]掃描3:25！。 註: 臀中腱Gmed 的ant band著於[外]小面、Gmed posterior band 著於[後上]小面 ♦️接著，3:40在剛才[外]小面處朝🔶略向背方、上方移動探頭，即為臀中腱Gmed posterior band 3:45 [後上]小面的(短軸)掃描。 ♦️再做臀中腱的(長軸)掃描3:58:找到臀中腱的footprint，接著，當往近端回溯臀中的腱肉交界時，會發現大轉子[外]小面的骨面的內側會有驟然陡降。 🌹4:19 依然維持探頭以剛才掃描臀中腱長軸方向擺置，但把探頭[向後]滑掃，依體表輪廓平移至GT的[♦️後上]小面，在此處做: 深臀肌、髖外轉肌腱著骨的長軸掃描。 4:39 4:53 🌹大轉子4:58 [後]小面的短軸觀: ******************************* 🌹臀大腱 5:11: 臀大腱並不像臀中/小腱般《著骨》於大轉子的諸小面。 🔸《淺層臀大肌》，止端絕大部份是5:15連接於《髂脛束 》5:21。 (補註: 臀大肌起端: TLFascia外緣、後內側髂背嵴、PSIS外緣、薦骨外緣、尾骨外緣) 🔸《深層臀大肌》則起於髂骨外表面的臀後線後方、薦結節韌帶、臀中肌肌腹] @ 從《臀大腱和ITB相連處的大轉子的再稍後方》5:32，有時可觀察到5:36《臀大腱腱病變》或急性鈣化性腱炎/《轉子滑囊發炎》的積液。 5:48 當患者用指頭壓在大轉子特別痛的一點時， @ 6:05注射《大轉子滑囊》6:37 該🟡大轉子滑囊炎乃位於臀[中]腱（🔶表層）、《臀大肌下層》。探頭通常要往《大轉子外小面的稍背後方》移動6:59，特別是瘦的女性，有時會有《近心端》的《髂脛束症》。此時探頭沿臀中腱短軸一路回溯至臀中肌髂嵴的骨面源起，再轉探頭90度使置於臀中肌長軸走向。而與該處ITB相匯處。7:31檢查該著骨端腱是否增厚或7:40腫脹。
@Mindy-s-channel 7 ай бұрын
very helpful. thank you. I've been on my MSK ultrasound era for a couple years now and the hand and fingers are the trickiest.
@domenicogiannattasio9037 7 ай бұрын
at 3:10 probe marker is oriented on the left side of patient?many thanks for sharing
@MSK_Australia 7 ай бұрын
yes - biceps medial, probe marker lateral aspect (left side) of patient
@domenicogiannattasio9037 7 ай бұрын
@@MSK_Australia thank you
@domenicogiannattasio9037 7 ай бұрын
@@MSK_Australia can i ask you if probe marker on shoulder left and right, in short axis, are oriented in opposite side: in the right shoulder hour 10 and in left shoulder hour 2? tnx in adv
@MSK_Australia 6 ай бұрын
@@domenicogiannattasio9037 1:10 (short axis) probe marker is postero-lateral (patient's left). 2:00 (long axis) probe marker is antero-lateral (patient's left)
@domenicogiannattasio9037 6 ай бұрын
@@MSK_Australia thsnk you now i have understood
@giovanniportaluri4060 7 ай бұрын
Thanks. Helpful
@ts4491 9 ай бұрын
What are the treatment options for dorsal scapular nerve entrapment?
@hongbingdeng9880 11 ай бұрын
Thank you very much!
@lauraleegreen7516 Жыл бұрын
Can you tell me if this is considered a painful procedure?
@Berizincir Жыл бұрын
Is PRP effective in RCL rupture?
@evilo720 Жыл бұрын
Very useful and detailed. Still get a lot even as a CIPS doctor. Thank you ~~
@MSK_Australia 11 ай бұрын
Glad it was helpful!
@lauraleegreen7516 Жыл бұрын
the question is, how painful is this?? I am in America and was just diagnosed with Dorsal scapular nerve entrapment.
@batman-sr2px Жыл бұрын
How was diagnosis made . Did you try rhis?
@lauraleegreen7516 Жыл бұрын
I saw a spine doctor who made the diagnosis. @@batman-sr2px
@marissaawesome2422 Жыл бұрын
Who gives these shots? Like doctor wise?
@mattgourlay31 Жыл бұрын
Hi marissa. We are Australian based and these injections are usually performed by a radiologist with experience in MSK imaging and intervention or sometimes at point of care with pain specialist. Differential diagnoses have to be considered and perhaps ruled out before trailing a nerve block.
@MusicYoutube-s5u Жыл бұрын
Hi doc, may I ask if I can request an ultrasound to a doctor? Thank you
@MrVeer58 Жыл бұрын
Many thanks for the nice demonstration. Your limb position is probably the best for ulnar nerve sonography at elbow.
@thomasroth1991 Жыл бұрын
Did Kate infact have popliteal entrapment?
@masdog Жыл бұрын
by the looks of it yes
@phajduk86 Жыл бұрын
Best video online regarding the Deltoid ligament in terms of ultrasound assessment
@Weiyang5268 Жыл бұрын
🌹0:58 前彎 、水平內收、水平外展 測試穩定度
@Weiyang5268 Жыл бұрын
🌹1:52 Subtalar Jt
@marekczeladzki7774 Жыл бұрын
Great, thank you! it is harder for me to scan the anterior section of the deltoid, especially the tibio-spring ligament so need to practice a bit more. Find it is easier to scan the posterior and middle parts. Thank you again for your videos - find them super helpful!
@muhammadbaqir3825 Жыл бұрын
Outstanding lecture ❤
@MdMohsinAli-jt6wg Жыл бұрын
great task
@drgadham 2 жыл бұрын
❤good teaching 🎉
@drgadham 2 жыл бұрын
Good teaching ❤
@drgadham 2 жыл бұрын
Good teaching ❤
@sebastians3802 2 жыл бұрын
Thank you so much for this amazing explanation and demonstration. You are doing an excellent job with your channel- much appreciated! By far the most informative lecture of the rotator interval I’ve seen so far. Best regards from Germany
@MSK_Australia 2 жыл бұрын
Thanks Sebastian, we appreciate your kind words. Happy Scanning!
@piotrbak155 2 жыл бұрын
What ultrasound system you guys use ? And what you think which one is best optimal in msk?
@MSK_Australia 2 жыл бұрын
We are radiology based, so in the clinic we use the vendors top tier machines. In reality - the best machine is the best that you can afford
@jimboland1730 2 жыл бұрын
I'm sure there is a lot of very useful information presented here but spoken way too fast looking away from the audience made more difficult by the accent. Maybe a little text block or transcript would be helpful.
@normafernandez8520 2 жыл бұрын
Which doctor should i see for this condition?
@bridieroche-sonographer 2 жыл бұрын
Good job
@bridieroche-sonographer 2 жыл бұрын
Lovely demo! You do mean pronate for cobra view though hey?
@MSK_Australia 2 жыл бұрын
Sure do. The beauty of a one off recording is the mistakes that you make!
@sambourgein2837 2 жыл бұрын
I noticed that you are a sonographer/physio - can physio's do USGI in australia? many thanks (from UK)
@MSK_Australia 2 жыл бұрын
Hi Sam, No - in Australia Radiologists perform ultrasound guided injections (and some sports doctors). In most radiology practices, Sonographers guide the radiologists with their injections
@sambourgein2837 2 жыл бұрын
@@MSK_Australia wow that’s really interesting, thank you. Here in the UK physiotherapists who are competent in USS and USGI can perform them. I wonder if this will change in Aus?
@Weiyang5268 2 жыл бұрын
👌 🌹1:34 🌹2:01 下方關節囊
@Weiyang5268 2 жыл бұрын
👌🌹1:00 1:31 🌹1:43 2:21 Rotator Interval 🌹1:48 2:30 喙肱韌帶 1:50 上肱盂韌帶 🌹3:51 肱二頭腱注射