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.
about monitoring stress injury of the talar dome with dynamic MRI and CBCT exam
Today I present you the clinical picture of a medial talar bone edema and spongious impaction of an elite runner; I’d like to remind you that a bone bruise is a subchondral osseous fracture of the cancellous microarchitecture with accompanied local hemorrhage and edema, so less indication for ultrasound imaging in this case. Yes, with ultrasound we can perfectly see the cortical irregularity but nothing about the definitive staging of the disease, so don’t forget: MRI is the method of choice (Stress Fracture in Runners).
Three months after the study was completed with Cone-Beam Ct scan; try to identify risk factors and training errors predisposing to stress fractures is mandatory.
I always use the dynamic MRI-CBCT examination before the return to activity.