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Nicki Delves is doing a webinar for BMUS on hand trauma with a surgical perspective in a couple of weeks. bmus.org/mediacentre/ev…

Notice the bright reactive change in the fat around the 2nd metatarsal (on the right) just proximal to the inflamed MTP joint. Often overlooked but suggestive of underlying pathology such as osteomyelitis

I am trying to determine what percentage of non-clinical time FCPs (independent or Trust employed) are given. There appears to be quite a variation. Please retweet to reach as many FCPs as possible.

To assess muscle connective tissue in US, especially IM tendon expansion, it is very useful to tilt the probe from a perpedicular orientation of the tendon relative to the probe, to an "elongated" tendon parallel to the probe, and be able to evaluate them properly. #mskrad

Is August too early for Christmas trees?

Just set up for BSR US course BSR in Newcastle (twin course running in Leeds) supported by @GEHealthcare Eric T Dickinson Jon Robinson should be a good days scanning!

just seen: sandwich consumption with consequences: reactive arthritis of the knee and the elbow after salmonella infection ncbi.nlm.nih.gov/books/NBK49983…

Starting at the beginning:o)

interesting case isolated PIP joint contracture due to a solitary short Dupytrens cord and nodule connecting the bases of the proximal and mid phalanx adjacent to the flexor tendons.

Flexor carpi radialis, normally tricky to follow into the palm, but highlighted here by an effusion.

Thickening of the lateral branch of the DPN as it passes over the head of the talus. The lateral branch of the DPN innervates the EDB & EHB, but also provides sensory innervation to the lateral mid foot joints. An uncommon cause of lateral mid foot pain.

Not something you see every day with Ulrasound. 6 months post injury. Not had MR yet.

I am still surprised by how well you can see the terminal parts of the bowel with a standard high frequency probe. This case presented as a subcutaneous lump in the perineal region

I think we need to take another look at the X-ray!

Freiberg's

good video case from Carlo Martinoli of post distal biceps repair complication. youtube.com/watch?v=yAVdv8…

anyone looked at the detail of this paper - appears to confirm what we see anecdotally which always makes me suspicious ;o)

Just booked for BMUS in Cardiff this December - hoping to see some old friends and colleagues finally! Have splashed out on MSK upper limb, DVT and bowel workshops and may even make it to the party!

Supraspinatus tear youtu.be/cvLXhAg_374

Sometimes notice isolated wasting of the most distal part of soleus (and here medial gastrox- presention idiopathic tendonosis) with more proximal muscle appearing relatively normal. Any thoughts on the mechanism? Lorenzo Masci - appologies the for poor video quality ;o)