In which direction is the probe marker oriented? The patient's right or left? I'll be candid, as an ER doctor I much prefer sitting while scanning and performing ultrasound guided injections.
Thanks for your video and congratulations on your work. I have a question regarding the ventral attachment of supraspinatus tendon, right next to the long biceps tendon. We see an interface sign, which could point towards a small tiny tear, according to some examiners. Most, however, say it's "normal". Personally I don't believe it's normal, since it's something that is not seen in every patient, but also because there is no good explanation for the interface sign, I mean why should there be fluid in this spot? What is your opinion?
Great questions - the interface sign can be very helpful and for sure can indicate fluid on top of the articular cartilage - the question is if it is a tear you should see it in long and short - if only short then not a tear. I cannot see a tear in long. Furthermore the GE logiq E10 is an amazing machine and I can assure you this interface sign would not show on lesser machines.
Crass position stretches the supraspinatus and exposes it best to evaluate (radiologist therefor prefer it) however, in clinic when scanning a patient with a painful/stiff shoulder, this position can be very uncomfortable for the duration of the scanning. Patient will internal. rotate and abduct the arm or protrude the shoulder. This will make scanning the rotator cuff much more challenging Putting the patient in the SMUG position provides good view of the tendons but avoids patient discomfort or compensation. We have found agreement with many radiologist who have adapted our positioning hope this is useful. R.Laus
Watched alot of vids on this and this is by far the best one
i like this video with nice examples of nature...good job! Can i know if marker probe orientation is to the patient left?
My MSK usg knowledge is close to zero on seeing this lecture.
Lecture is ❤❤❤
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Always, good stuff
great video...and what a quality..
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In which direction is the probe marker oriented? The patient's right or left? I'll be candid, as an ER doctor I much prefer sitting while scanning and performing ultrasound guided injections.
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Wonderfully presented
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Loved the descriptions. Thanks.
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amazing, just amazing.
Thanks for your video and congratulations on your work. I have a question regarding the ventral attachment of supraspinatus tendon, right next to the long biceps tendon. We see an interface sign, which could point towards a small tiny tear, according to some examiners. Most, however, say it's "normal". Personally I don't believe it's normal, since it's something that is not seen in every patient, but also because there is no good explanation for the interface sign, I mean why should there be fluid in this spot? What is your opinion?
Great questions - the interface sign can be very helpful and for sure can indicate fluid on top of the articular cartilage - the question is if it is a tear you should see it in long and short - if only short then not a tear. I cannot see a tear in long. Furthermore the GE logiq E10 is an amazing machine and I can assure you this interface sign would not show on lesser machines.
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Thank you for your useful lecture. I want to know the ultrasound equipment model. This image is so clear.
Logiq GE E10
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Why not the crass position?
Crass position stretches the supraspinatus and exposes it best to evaluate (radiologist therefor prefer it) however, in clinic when scanning a patient with a painful/stiff shoulder, this position can be very uncomfortable for the duration of the scanning. Patient will internal. rotate and abduct the arm or protrude the shoulder. This will make scanning the rotator cuff much more challenging Putting the patient in the SMUG position provides good view of the tendons but avoids patient discomfort or compensation. We have found agreement with many radiologist who have adapted our positioning hope this is useful. R.Laus
@@SMUGultrasoundtraining many thanks for the detailed response.