Viewing 3 reply threads
  • Author
    Posts
    • #51447
      Sameet Memon
      Participant

      Hi Steve,

      I’ve come across many (possibly chronic) shoulder tears that present as echogenic, such as the one in the images. Why does it appear echogenic as opposed to complete loss of that area or potentially hypoechoic? I don’t understand the echogenicity. I thought you might have an answer.

      Many Thanks,
      Sameet

      Attachments:
      You must be logged in to view attached files.
    • #51453
      Stephen Bird
      Keymaster

      Hi Sameet,

      I think this is a really important case for everyone to enjoy,

      I have pondered over this appearance myself many times,

      Today I consider it is a pretty typical full thickness tear.

      The echogenic material is sitting in a hole in the tendon,

      It can be one of two things.

      In your case I think it is peribursal fat that has subluxed into the tendon defect.

      The other option (less likely in this case) is that it is a clot (haematoma)

      Either way it is a full thickness tear,

      A great thing to do is ask the patient to abduct their shoulder while you watch it and you will see that the echogenic material has no connection to the tendon stump and is often squeezed out during dynamic assessment.

      Ahhh, one of the great advantages of ultrasound : Dynamic assessment !

      Great images Sameet,

      Please keep them coming,

      Steve.

    • #51468
      Sameet Memon
      Participant

      Thanks Steve! Very helpful response.

      Can I add interesting MSK cases to this forum?

      Cheers,
      Sameet

    • #51476
      Stephen Bird
      Keymaster

      Please add as many as you like Sameet.

      You are doing some great work,

      Steve.

Viewing 3 reply threads
  • You must be logged in to reply to this topic.

© 2024 Bird Ultrasound | Website by What About Fred

Stay in Touch

Sending

Log in with your credentials

Forgot your details?