Bird Ultrasound | David Smith | Activity https://birdultrasound.com.au/members/dsmith/activity/ Activity feed for David Smith. Fri, 26 Feb 2021 17:08:57 +1100 https://buddypress.org/?v=7.2.0 en-US 30 hourly 2 00892a6253a6127ed2172eb25a851df4 David Smith replied to the topic Subscap Tears in the forum MSK Imaging Fundamentals Series: Shoulder https://birdultrasound.com.au/forums/topic/subscap-tears/#post-11161 Tue, 23 Feb 2021 20:55:21 +1100 What a great thread! Thanks Stephen and Diane!
Dave

]]> 06f2abbda4b255251e85cd4e6575cb29 David Smith started the topic Thoracic Outlet Syndrome in the forum MSK Diagnostic Imaging https://birdultrasound.com.au/forums/topic/thoracic-outlet-syndrome/ Wed, 17 Feb 2021 03:36:52 +1100 Hi Stephen,
I am wondering whether you have any papers and/or US imaging examples that show the role of ultrasound in the evaluation of thoracic outlet syndrome.
Thanks,
Dave

]]> e312fef8913d075cda61f8ba156eed16 David Smith replied to the topic Subscap Tears in the forum MSK Imaging Fundamentals Series: Shoulder https://birdultrasound.com.au/forums/topic/subscap-tears/#post-10766 Tue, 16 Feb 2021 15:51:58 +1100 Hi Stephen,
IMHO, the addition of needle exploration with injection of small amounts of saline into suspicious areas might be the wave of the future to increase US sensitivity for subtle RTC tears.
Dave

]]> 71dfe3619fd8abff9b511675f350192f David Smith replied to the topic Subscap Tears in the forum MSK Imaging Fundamentals Series: Shoulder https://birdultrasound.com.au/forums/topic/subscap-tears/#post-10765 Tue, 16 Feb 2021 15:14:04 +1100 Hi Steve,
Wow, amazing. Thanks for sending these. Many of them are VERY subtle, not obvious at all. Are most of these LAX views?
Dave

]]> b7b8116e28fe412bab9cacf33c0b02d6 David Smith replied to the topic STT joint OA treatment in the forum MSK Guided Interventions https://birdultrasound.com.au/forums/topic/stt-joint-oa-treatment/#post-10764 Tue, 16 Feb 2021 14:40:00 +1100 Hi Steve,
Do you inject in the area shown in the article, or do you move more medially where the FCR is passing over the scaphoid and trapezium? When I scan, it seems that the trapezium as a taller bone process to the radial side of the FCR, and the FCR travels over the two bones just ulnar to that. In the article, they are injecting using the…[Read more]

]]> 77727d0c6e2b4e8e7200242704d8e8d0 David Smith started the topic Subscap Tears in the forum MSK Imaging Fundamentals Series: Shoulder https://birdultrasound.com.au/forums/topic/subscap-tears/ Thu, 28 Jan 2021 04:12:46 +1100 Hi Stephen,
On the webinar, there were not many examples of subscap tears. Could you please share a few examples?
Thanks,
Dave

]]> 86d1485ee462f2dd990d91f5ad815ff2 David Smith started the topic Tear or Strain to Pec Major or Minor Insertion in the forum MSK Imaging Fundamentals Series: Shoulder https://birdultrasound.com.au/forums/topic/tear-or-strain-to-pec-major-or-minor-insertion/ Sun, 24 Jan 2021 06:00:20 +1100 Hi Steve,
Just saw a physiotherapist who hurt his left “shoulder” while doing a bench press. As he brought the weight down to his chest, he felt “something happen”. Since then, he continues to have discomfort and shakiness when he does any similar weight work. A comprehensive US of his shoulder was negative. I didn’t pick up on anything wrong…[Read more]

]]> 92ab23029dde87ca3b314ddf57f06ffd David Smith replied to the topic Ulnar nerve compression in the forum MSK Diagnostic Imaging https://birdultrasound.com.au/forums/topic/ulnar-nerve-compression/#post-8888 Thu, 24 Dec 2020 15:37:43 +1100 Excellent. Thanks Steve. That clears it up. Cheers, Dave

]]> 4956997328b90f9c1afe5599c95f3e62 David Smith started the topic Ulnar nerve compression in the forum MSK Diagnostic Imaging https://birdultrasound.com.au/forums/topic/ulnar-nerve-compression/ Thu, 24 Dec 2020 04:17:53 +1100 Hi Stephen,
I’ve watched your videos discussing the “pacman” phenomenon with the ulnar nerve sometimes getting compressed as it passes the edge of the Osborne Ligament. But when I scan the elbow, I have been struggling to understand exactly where the free edge of the Osborne’s Ligament actually is with relation to the medial epicondyle,…[Read more]

]]> a6e96746af02a7e5c91df19156086399 David Smith started the topic Fooled by Ruptured Biceps Tendon in the forum MSK Diagnostic Imaging https://birdultrasound.com.au/topic/fooled-by-ruptured-biceps-tendon/ Thu, 17 Dec 2020 04:32:45 +1100 Hi Stephen,
I had a recent case where I could not detect pathology, and when I did an MRI it showed rupture of the proximal tendon of LH biceps. When I reviewed my images, it seemed like I was fooled by the presence of scar tissue in the intertubercular groove. Any tips on not mistaking scar tissue for a LH biceps tendon still in the groove?
Thanks,
Dave

]]> 5352c2977572ea8edc8226c880d8472a David Smith started the topic Gluteus Medius - Dynamic Scanning in the forum MSK Diagnostic Imaging https://birdultrasound.com.au/topic/gluteus-medius-dynamic-scanning/ Thu, 17 Dec 2020 02:15:54 +1100 Hi Stephen,
In your material on the trochanteric tendons of the hip, your mention having the patient separate their ankles to do dynamic testing. Do you mean that the patient rotates the ankles apart, or do the do a full abduction of the legs? Will this help in evaluation for tears or only help show the friction plane between the gluteus medius…[Read more]

]]> a5e6a6b08914ac31d1af9fbe42133e8b David Smith replied to the topic STT joint OA treatment in the forum MSK Guided Interventions https://birdultrasound.com.au/topic/stt-joint-oa-treatment/#post-8599 Thu, 17 Dec 2020 01:53:43 +1100 Great answer Stephen! I will be adding this to my treatments of CMC joint OA. Beautiful tip!
Dave

]]> d85b749e2028e52d3f4e9e57585725ba David Smith started the topic STT joint OA treatment in the forum MSK Guided Interventions https://birdultrasound.com.au/topic/stt-joint-oa-treatment/ Thu, 03 Dec 2020 17:17:33 +1100 Hi Steve,
I’m wondering whether there is an US guided technique to target the rest of the STT joint for interventional treatment. I’m very familiar with injecting the CMC joint, but I wondered whether there might be a way for me to target the STT joint in those patients that have this problem as well.
Thanks,
Dave

]]> 0dca518ce73dea73501e93bc31296f85 David Smith started the topic Morton's Neuroma in the forum MSK Diagnostic Imaging https://birdultrasound.com.au/topic/mortons-neuroma-2/ Wed, 02 Dec 2020 01:12:01 +1100 Hi Steve,
Something I noticed today. When I was trying to locate the digital nerve, I saw something that looked like it, but it was pulsatile. Are the digital arteries typically very close by the digital nerve? In other words, if I see a digital artery, should I be expecting to find the digital nerve nearby as well? Would it be same depth,…[Read more]

]]> af9c3a64d2d00613924bd072df293742 David Smith started the topic Morton's Neuroma in the forum MSK Diagnostic Imaging https://birdultrasound.com.au/topic/mortons-neuroma/ Sun, 22 Nov 2020 16:35:21 +1100 Hi Stephen,
In your live scan on the foot, you were showing how to straighten out the digital nerve with counter pressure with a finger. I could not tell which side of the image was proximal and which was distal. Could you please post a labeled image to clarify?
Thanks,
Dave

]]> 813a0d0f580b39bce85c0c4268b549cf David Smith started the topic Subperiosteal Cysts in Shoulder in the forum MSK Diagnostic Imaging http://birdultrasound.com.au/topic/subperiosteal-cysts-in-shoulder/ Mon, 09 Nov 2020 18:01:13 +1100 Stephen mentions imaging the RC tendon enthesis and checking for subperiosteal cysts. Steve, can you describe a bit more what that looks like on US and maybe include a few images? Thanks.

]]> f6361440c8d84e7fcda83986b55aec2f David Smith started the topic Middle Glenohumeral Ligament in the forum MSK Diagnostic Imaging http://birdultrasound.com.au/topic/middle-glenohumeral-ligament/ Mon, 09 Nov 2020 04:56:51 +1100 I have colleagues who tell me that it is possible to locate the MGHL and IGHL on ultrasound, but I am not sure how to image these structures. I’m interested to hear some tips on this technique. Thanks.

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