Partial Strain of Adductor Brevis: Thermography, Ultrasound​, ​and MRI study.

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.adductorBrevisThe 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. Untitled.001The thermography exam shows a better situation but still remains an asymmetric distribution of the skin temperature.final.001

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Medial Gastrocnemius Rupture

about ultrasound findings of complete detachment of medial gastrocnemius

In case of major traumas in the calf region, a reminder of its intrinsic anatomy is necessary; I suggest you to read an interesting paper in which all of the tirceps surae anatomical structures are perfectly depicted. https://www.ncbi.nlm.nih.gov/pubmed/25456712

Today I show you the case of a complete detachment of the medial gastrocnemius, togheter with the total rupture of the the so-called intramuscular aponeurosis of the soleus.

Axial Mri

Axial T2w (left) and Stir (right) Mri scans (0.3 Tesla)

The Mri images show a gross fluid collection in the aponeurotic space between medial gastrocnemius and soleus muscle; I always perform the ultrasound dynamic examination, both in the acute phase and especially during resting period. The elastosonography study is also useful in the monitoring of the fluid collection evolution.

The elastosonography study is also useful in the monitoring of the fluid collection evolution.