About Paolo Minafra

Musculoskeletal Radiologist - Sport Medicine Physician

Common Peroneal Nerve Schwannoma

Palpable mass on the lateral side of the popliteal fossa.

The mass is characteristically eccentric with respect to the affected nerve, and the nerve is displaced to the periphery of the mass. 

The ultrasound picture allows us to distinguish the internal structure of the lesion accurately and study the entire course of the nerve. 

The histologic architecture of the mass is with more myxoid material peripherally and more fibrous tissue centrally. 

The study with elastosonography shows the different structural characteristics of the various components of the mass, distinguishing between the “softer” mixoids and the “harder” fibrous ones.

My suggestion is always to combine MRI and ultrasound examinations to define these kinds of lesions better.

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.