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Mashup Score: 24Extensor carpi ulnaris (ECU) tenosynovitis - 1 month(s) ago
The patient is a 24-year-old right-handed amateur female tennis player who presented with a 4-week history of progressively worsening left ulnar-sided wrist pain (USWP). Onset of pain was gradual, with no inciting traumatic event. Specifically, her pain was most severe when hitting her two-handed backhand. Symptoms associated with instability such as wrist ‘clunking’ and neurological symptoms such as paresis or paresthesia were absent. Physical examination revealed point tenderness over the distal ulna. To assess the patient’s wrist pain, plain X-rays and ultrasound were obtained for initial investigation. An MRI was subsequently requested to rule out coexistent pathology. Plain film radiography is typically the initial imaging modality used for the investigation of USWP. It is safe, fast and inexpensive and useful for excluding fractures, dislocations, arthritis or positive ulnar variance (associated with …
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 42Calf injury in a padel player - 2 month(s) ago
Calf injuries are common in sports that involve high speed running, increased running loads and rapid acceleration and deceleration such as in padel. Padel is a racquet sport that combines elements of tennis and squash played on an enclosed court surrounded by glass walls. In calf injuries, the medial head of the gastrocnemius is most commonly injured as the muscle extends over two joints (knee and ankle) and contains a high density of type 2 fast-twitch muscle fibres.1 A padel player in his early 30s presented with acute pain in his right posterior calf after making an abrupt forward step to accelerate after initially running back during a match. Ultrasound examination was performed 7 days after the injury and demonstrated complete rupture of the distal medial gastrocnemius aponeurosis with extension of the tear into the free gastrocnemius aponeurosis (figure 1). There was also a large intermuscular haematoma and dissociative movement between the medial gastrocnemius and soleus muscle
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 41Calf injury in a padel player - 2 month(s) ago
Calf injuries are common in sports that involve high speed running, increased running loads and rapid acceleration and deceleration such as in padel. Padel is a racquet sport that combines elements of tennis and squash played on an enclosed court surrounded by glass walls. In calf injuries, the medial head of the gastrocnemius is most commonly injured as the muscle extends over two joints (knee and ankle) and contains a high density of type 2 fast-twitch muscle fibres.1 A padel player in his early 30s presented with acute pain in his right posterior calf after making an abrupt forward step to accelerate after initially running back during a match. Ultrasound examination was performed 7 days after the injury and demonstrated complete rupture of the distal medial gastrocnemius aponeurosis with extension of the tear into the free gastrocnemius aponeurosis (figure 1). There was also a large intermuscular haematoma and dissociative movement between the medial gastrocnemius and soleus muscle
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
⚠️ What do you know about imaging of extensor carpi ulnaris (ECU) tenosynovitis? 🤷♂️ 🤷♀️ Become more expert in this area by reading this #ImagesInSEM article which uses an example case study of a 24 y/o female tennis player 🎾 READ ➡️ https://t.co/n9oCE4Ol6G https://t.co/wIT4yt10LW