about a combined diagnostic approach of muscle injuries using thermography, ultrasound, and MRI exams.
Pain and discomfort in the adductor region of the left thigh immediately after a football match in a professional player. Using thermography, asymmetric distribution of the skin temperature is evident in that site.
I always suggest to execute both MRI and ultrasound examinations; in this case, you can see how it is useful to have a portable device, it allows you to make a preliminary diagnosis before the MRI study and indeed, to observe the follow up of muscle injury directly at the sports center where the team train every day.
The dynamic ultrasound examination shows diffuse muscular edema with a partial tear of the left adductor brevis.The perfect combination of all of these imaging procedures is crucial to better plan the recovery period.
8 days after recovery and physiotherapy period that is the situation on MRI exam. The thermography exam shows a better situation but still remains an asymmetric distribution of the skin temperature.
About diagnostic imaging of postoperative complication of anterior cruciate ligament (ACL) reconstruction.
This is the case of a patient the came to my observation for a palpable mass into the anterior-medial pretibial region, two years after ACL reconstruction.
Tunnel cyst formation is a rare complication after ACL reconstruction, usually occurring 1-5 years post-operatively, which may occasionally be symptomatic. The ultrasound exam in this case is not enough. The study is completed with MRI and Cone-Beam CT examination.
Why Cone-Beam CT? Same diagnostic capability of total-body CT but low radiation dose!
The computed tomography dose index (CTDI) is a commonly used radiation exposure index in X-ray computed tomography (CT); in this case 4,74 mGy was the value detected. 16.98 mGy is the estimated absorbed dose by using a total-body CT scan for the same examination.