Sonoanatomy Lateral Hip tendons - Ultrasound probe positioning

Live ultrasound demonstration for gluteal tendons, TFL, ITB and the trochanteric bursa.
Learn how to distinguish the posterosuperior facet of Gl. Medius from the lateral facet medius. Anterior facet Gl. minimus is also covered.

[@kingdaman8067]

Beautiful demonstration. Thank you

[@Smz511]

I am passionate about my job, i try to progress and always keep learning. I spent so many time studying books, going to congress, workshops etc. Your videos are my reference now : so clear, detailed and look so easy. What a contribution you are making to the "community"!!! I almost feel ashamed getting this for free... Just a question : for this specific region, once you have mastered the positionings, do you think an analysis from a dorsal decubitus position would be of interest in order to make an easier comparative study, or there is a risk of missing elements compared to your lateral positioning? Lucky patients you have, keep up the great work!! Cheers from France

[@bridieroche-sonographer]

Thank you for your kind words. The supine position can work well, it’s certainly the way I begin my study by examining the anterior hip joint and labrum and iliopsoas. Then if you bend up both knees and use a transverse plane you can run the probe distal to proximal to ‘milk’ and push the bursal fluid up to the greater trochanter - this gravity dependent position may help see bursal fluid because this fluid often dissipates (spreads out) when rolled decubitus. The side to side comparison can be done for glut min and med but for the posterior superior facet of G.Medius, it’s a bit tricky and not as ergonomic for your shoulder. All the best

[@achieutran5425]

From Vietnam, thank you so much!

[@Joilsondasilva-q8w]

From São Carlos, São Paulo, Brazil. Helpful ! Thank you. MSK Brazil.

[@Sukhwindersingh-gd5xd]

Best video for lateral hip thanks

[@bridieroche-sonographer]

You're welcome!

[@tikkamir]

There is no audio in this video

[@bridieroche-sonographer]

There is, I’m sorry it’s not working on your system.

[@patrykpatryk6444]

You're awesome! Thank you for the priceless lessons :)

[@drgadham]

Excellent teaching ❤. Kindly share your institution name and contact details. Is there teaching facility at your setup. Thanks.🌟🌟🌟🌟🌟❤️😊

[@bridieroche-sonographer]

You would perhaps find me on linked in.

[@MrVeer58]

Many thanks for a nice demonstration.

[@bridieroche-sonographer]

You are welcome

[@AndrewG-ii4rs]

Brilliant videos - love how you explain anatomy and scanning at the same time. Thanks!

[@bridieroche-sonographer]

Glad you like them!

[@nathanreed5456]

Good refresher and lined up LS glut min with angling but you should rotate and angle prob for the TS also as you had very oblique ts glut min with anisotropy.

[@bridieroche-sonographer]

Yes now that I rewatch I cringe - i wasn’t really optimizing at that point it was more to use the anisotropy to show the superficial margin and outline not the best image for tendon echotexture. I’d normally rock onto the anterior footprint of the probe and write zoom in with better frequency optimisation. I think also the video is just a bit darker than the original cine..

[@nathanreed5456]

@@bridieroche-sonographer I wouldn't cringe still one of the best clips of the lateral hip on KZbin for sure. Thank you for hosting the channel

[@lokeshgupta3733]

I have my doubts regarding the muscle labelled as TFL. I feel it is Gluteus medius. Please enlighten.

[@bridieroche-sonographer]

In transverse the TF muscle belly is anterior and overlies the Glut min with hip flexion. If you watch 3min 13sec roughly you see the muscle belly TFL in long is a large triangle that tapers to a point over the Glut min insert and anterior facet. The glut med is more posterior. I agree it was a while back taught that any muscle overlying min tendon is medius muscle - this is not true as it is hip flexion dependent. I have a good dissection hip article if you need.

[@lokeshgupta3733]

@@bridieroche-sonographer Sincere thanks for the enlightenment. It would be great if you may share the articles.

[@lokeshgupta3733]

@@bridieroche-sonographer Hello, humble request to please share the articles you mentioned in your reply. Thanks

[@bridieroche-sonographer]

@@lokeshgupta3733 you may find this helpful Putzer 2017 pubs.rsna.org/doi/pdf/10.1148/rg.335125171

[@mouhsun]

thanks so much

[@bridieroche-sonographer]

You're welcome