It Depends

If someone asks me what’s best between Mri and Ultrasound imaging in the study of muscles? I usually give the same answer: always use both modalities! It depends on what kind of informations you need to know from them. Take a look at the following images.

This is the case of an high degree strain of the biceps femoris, in a 17 years old professional football player. One month after injury a fibrotic scar is evident along the course of the proximal tendon-aponeurosis. Great panoramicity of Mri scan but with ultrasound exam you can best appreciate the real extent and morphology of the calcifications.

compara zecca

Coronal and axial Mri scans: comparison between T1w and Pdw Spair acquisitions

 Sagittal dynamic ultrasound exam of the same patient

zecca

The elastosonography evaluation well depicts the calcification hardness but stable scarring evolution; irregular thermoregulation is evident in the injured left thigh after one month.

I always use the thermographic camera during the recovery period, morover when the athletes come back to specific sport activity.

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