Monthly Archives: September 2016

Triceps Tendon Avulsion

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This injury is considered in literature as the “least common of all tendon injuries”, and for this reason often misdiagnosed; I suggest always to pay attention when you find something “calcific“ after a trauma, especially with ultrasound imaging.

Today I show you the case of complete triceps tendon avulsion occurred after a falling injury that had happened eight days back.

triceps-tendon-avulsion

Comparative examination between ultrasound scan and Sagittal T2w Mri Imaging (0.3 Tesla)

The X-ray examination still assumes great importance in this kind of injury.

triceps-tendon-avulsion-xray

Sagittal T2w Mri exam (0.3 Tesla) and plain radiograph of the same patient.

Calf Muscle Contusion

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Professional football player; contusion of soleus muscle at its proximal third, produced by a direct trauma during a match;  interstitial edema and hemorrhage is evident.

soleus-contusion

Multiplanar T2w Mri imaging (0.3 Tesla) of a soleus high degree contusive injury.

Despite of their appearence, contusions tend to have a recovery time significantly shorter then undirect traumas. In this case the athlete never missed a match.

A recognized complication of muscular contusion is myositis ossificans, so it’s very important the ultrasound monitoring.

Intramuscular haematoma and oedema at the postero-medial aspects of the soleus muscle are depicted, with post-traumatic hypervascularity.

Always perform both Mri and dynamic ultrasound imaging for a better definition  of this kind of injury.