About Paolo Minafra

Musculoskeletal Radiologist - Sport Medicine Physician

Lateral Soleus Intramuscular Aponeurosis Tear

Monitoring grade II strain injury of the right soleus muscle in a professional football player: it is evident complete strain injury of the lateral aponeurosis involving the middle third of the calf. 

The first examination was made three days after the trauma: 0.3 Tesla MRI

Twenty-eight days after the player is asymptomatic, but what’s about the real situation of the injury? According to recent scientific literature and practical experience, it’s known that a thermal asymmetry above 0,3ºC could show a potential risk of injury due to factors related to workload assimilation, biomechanics, tissue physiology, and nerve dysfunction.

Static and Dynamic Thermography Examination

The study is completed with dynamic B-mode and elastography ultrasound examinations, which show an incomplete scarring formation as expected four weeks after this kind of injury.

Hamstring Conjoint ​Tendon Complete Rupture

about ultrasound, mri and thermography findings of hamstring conjoint complete tear

Today I show you the clinical case of a professional long-distance runner that felt a moderate pain at the proximal posterior side of his right thigh, after a city marathon. The patient came for first to perform an ultrasound exam.

When the injury involves only the tendinous component, less hematoma can be found, so pay attention when you perform the ultrasound examination; the elastosonography exam can help you, in this case, working like a “contrast agent” better depicting the site of injury.

I suggest you always to perform both MRI and ultrasound exams to establish the real amount of the injury.

And what’s about the thermography examination? A clear asymmetry of the skin temperature is evident in the site of injury, with the right thigh 3.4 °C colder than the left side.