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 ultrasound and mri findings of vastus lateralis injury
This is the case of a young rugby player presenting an high degree strain of the vastus lateralis muscle at its proximal insertion, togheter with an aponeurotic fascial injury on the subcutaneous lateral side.
I always suggest to perform both the Mri and ultrasound investigations; with the Mri exam it is evident the bone marrow edema, due to the avulsion injury at the intertrochanteric line, suspected during the clinical evaluation but impossible to see on ultrasound exam.
Coronal (left) and Sagittal (right) PD-Fs Mri scans (1.5 Tesla).
Axial PD-Fs Mri scan (1.5 Tesla). The bone marrow edema and the avulsion injury are evident.