Stephen Bird

Hi Xue,

I don’t have much experience in ultrasound for MND,

It looks like tendinosis of these two tendons,

But what is the cause of the tendinosis?

It can’t be overloading of the tendon unless there is some spasticity of the muscle bellies.

MND can give spasticity issues and i wonder if these muscles have spasticity issues overloading the tendons.

Is the neural dysfunction possibly the direct cause of the tendinosis?

Or is it related to the underuse?

I would value comments from anyone who has seen this in cases of MND before.

My first option would be to think it is related to MND spasticity issues of the muscle bellies leading to tendinosis degenerative changes in the tendons


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