Case studies and articles
The Sound Experience team publish regular educational case studies, research digests and opinions.
A painful Achilles tendon; first impressions and an ultrasound examination. Do the findings impact the rehabilitation?
After slipping down a hill, a 61-year-old man presented with a painful Achilles region. First impressions show a tendon most closely fitting with Cook and colleagues’ definition of degenerative tendinopathy, but why then the pain?
Our grading system is based on anatomy, not numbers.
Serial ultrasound examination of a quadriceps muscle injury. Our grading system is based on anatomy, not numbers. A 61-year-old man presented suffering from right anterior thigh pain following tripping and essentially doing the splits.
Foot injury: medial cuneiform fracture.
An 18-year-old woman presented suffering from left foot pain after having her left foot stood on while playing rugby at an out of town tournament three weeks prior. Following an ultrasound examination, x-ray and a finally a CT scan she was booked for surgery.
Ankle injury: spiral fibula fracture
A 60-year-old man presented with left ankle pain after rolling his left ankle. His ankle was extensively bruised and swollen. We explored the injury with ultrasound and X-ray and diagnosed spiral fibula fracture. Urgent surgery was required.
Indicators of intra-articular pathology on ultrasound. Part 2
In the second part of this two part post, learn why indicators of intra-articular pathology seen on ultrasound may require further investigation.
Indicators of intra-articular pathology on ultrasound. Part 1
In the first part of this two part post, learn why indicators of intra-articular pathology seen on ultrasound may require further investigation.
Fractures can be seen on ultrasound. Part 2
In this second instalment about a patient with a fractured fifth metatarsal, we focus on the ability of ultrasound to detect fractures.
Fractures can be seen on ultrasound. Part 1
In the first of a two part post, we learn about a patient with a fractured fifth metatarsal, where X-ray did not show a fracture.
Shoulder pain 3: remember the exceptions
In the previous two posts, we introduced a case of shoulder pain in a competitive swimmer, and discussed ideas regarding what might cause the teres minor atrophy seen in the report findings. The second question, “does teres minor atrophy matter?” turns out to be much harder to answer.
Shoulder pain 2: remember the exceptions
In the last post we introduced a case of shoulder pain in a competitive swimmer. In this post, learn what causes isolated teres minor atrophy?
Shoulder pain 1: remember the exceptions
Which findings explain the symptoms? The case of teres minor. A 21-year-old woman presented with ongoing shoulder pain. She was a high-level competitive swimmer, and found her pain increased during sets, or was a constant, low-level ache.
Cuboid fracture: work practices during COVID19 restrictions
How we maintained high-quality healthcare within an environment of physical distancing during the Covid-19 lockdown environment.
Tendon injury and the continuum. What hurts, and why?
Multiple findings within the same tendon for a 62-year-old badminton player presenting with Achilles injury.
The ankle 3: consider the foot?
A diagnosis of a complex foot injury. Ankle or foot? An 18-year-old man presented having injured his left ankle approximately four days earlier. He required a wheelchair for two days, and was using crutches after that.
The ankle 2: medial and lateral pain
A woman presented to clinic after hurting her ankle while running. It was tender on the medial and lateral sides, and she described the pain as being “deep inside”. Her x-ray was clear, though she was wearing a moonboot. What do you think her diagnosis was?
The ankle 1: inversion injury including lateral ligaments
A 19-year-old woman presented having suffered an injury to her left ankle. Two weeks earlier she tripped on a medicine ball and forcefully inverted her ankle. Read about this ankle inversion injury: including the lateral ligaments.
Traumatic isolated Lis Franc ligament rupture - 44 yo female
Read about the clinical findings of a 44-year-old who heard a snap from her left foot, following right foot surgery.
Posterior tibial tendon insertion pain -15 yo male
A 15-year-old male suffered left ankle eversion injury while playing soccer and has had poor subsequent response to physiotherapy.