Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
in the lateral approach the visible length of the tendon does/does not demonstrate
a hyperechoic, fibrous echotexture. Dynamic supination/pronation maneuvers
did/did not reveal evidence of fiber failure/tear. The dorsal view does/does not
reveal tapering contour of the tendon attachment, and anechoic tendon footprint on
the radial tuberosity.
Medial Epicondyle LAX
In LAX, the Medial Epicondyle does/does not demonstrate cortical irregularity
and/or enthesophytes as seen with compromised tendon attachment. The Common
Flexor Tendon attachment has/lacks the normal tapering conformity, and welldefined tendon footprint associated with a stable tendon enthesis. The
distal/deeper margin of the epicondyle is the Ulnar Collateral Ligament (anterior
band) region. The UCL fibers are/are not intact. There is/is not Ulnar cortical
disruption as seen with avulsion fracture in throwing athletes. Dynamic valgus
stress does/does not demonstrate excess joint play of >2mm.
Ulnar Nerve/Cubital Tunnel SAX
The Ulnar Nerve is/is not visualized deep within the Ulnar Groove and adjacent to
the bony Medial Epicondyle. Dynamic flexion maneuvers do/do not demonstrate
hypermobility of the nerve/sublaxation. Cross-sectional area of the nerve within the
groove is/is not greater than 10mm2.
Triceps Tendon LAX and SAX
In LAX the Triceps Tendon does/does not demonstrate the normal hyper-echoic,
fibrous echotexture. The Triceps intertion on the Olecranon Process has/lacks the
normal tapering conformity, and well-defined tendon footprint associated with a
stable tendon enthesis. The media and/or lateral muscle head have/do not have
the normal septa-muscle bundle pattern. There are/are not focal areas as with
muscle tear/trigger point. In SAX the Olecranon Fossa Fat Pad is/is not displaced
by fluid.
The Hand/Wrist
Median Nerve SAX and LAX
In SAX the Median Nerve was imaged at the Carpal Tunnel entry, and proximally in
the FDS/FDP interface. Cross-sectional measurements from both locations yielded a
WFR ratio greater than/less than 1.4. In LAX there was/was not
dilatation/fusion contour of the nerve proximal to tunnel entry.
Ulnar Nerve SAX
In SAX the Ulnar Nerve was imaged in Guyons Canal. Cross-sectional measurement
yielded a
mm2 value. A contra-lateral measurement provided a
mm2
value.
Extensor Pollicis Brevis and Abductor Pollicis Longus
In LAX the 1st compartment tendons were/were not hyper-echoic with a distinct
fibrillation pattern. There was/was not sonographic evidence of tendinitis (hypoechoic, thickened, neovascularization).
1st Carpal Meta-Carpal Joint LAX
In LAX, the 1st CMC was identified as the 3rd joint space from the Distal Radius.
There was/was not cortical irregularity of the carpal and/or meta-carpal margins.
Homogenous, non-compressible intra-articular synovial proliferation was/was not
visualized. Color Doppler imaging was positive/negative with non-pulsating signal
over the joint margin.
Ulnar Collateral Ligament LAX
In LAX the Ulnar Collateral Ligament of the Basal/Thumb joint, was hypo-echoic
intact/not disrupted in a static position deep to the hyper-echoic Adductor
Aponeurosis. Hyper-abduction stress did/did not reveal ligament discontinuity as
with Gamekeepers Thumb. Dynamic flexion of the thumb did/did not demonstate
the UCL about the Aponeurosis associated with Stener Lesion.
The visible Acetabular Labrum in /is not suggestive of labral defect/tear. The
capsular condensation of ligament and capsular membrane does/does not
follow/duplicate the Femoral Head-Neck contour. There is/is not sonographic
evidence of capsular effusion.
Ilio-Psoas Tendon LAX and SAX
The IP tendon does/does not demonstrate hyper-echoic with a distinct fibrillary
pattern. Also, it does/does not demonstrate intra-sheath fluid as in tenosynovitis
or hypoechogenicity and thickening from tendinosis.
Gluteus Minimus and Gluteus Medius Tendons LAX
In LAX the GMin and/or GMed tendon(s) demonstrate hyper-echois distinct fibrillary
pattern. Also, it/they do(es)/do(es) not demonstrate hypoechogenicity and
thickening from tendinosis. The ilio-Tibial Band (ITB) does/does not present hyperechoic fibrous echotexture. There is/is not bursal effusion in the GMin and/or GMed
attachment area. Sub-Gluteus Maximus bursal effusion is/is not visualized.
Myofascial trigger points revealed in the Cervical Areas of Dry Needling? muscle by dry
needle technique with noted needle fibrillation, local twitch response, reproduction of
symptoms including but not limited to achiness, burning and electricity. This was
performed for Time?. Noted are typical tissue morphology characteristics of abnormal
density, palpable margins, contracted/fibrotic muscle and fascial tissue with resistance
to penetration. These characteristics reflect abnormal tissue function, innervation and
nervous system communication.
Myofascial trigger points revealed in the Lumbar Dry Needling muscle by dry needle
technique with noted needle fibrillation, local twitch response, reproduction of symptoms
including but not limited to achiness, burning and electricity. This was performed for
Time?.
Noted are typical tissue morphology characteristics of abnormal density,
palpable margins, contracted/fibrotic muscle and fascial tissue with resistance to
penetration. These characteristics reflect abnormal tissue function, innervation and
nervous system communication.
Myofascial trigger points revealed in the Dry Needling UE muscle by dry needle
technique with noted needle fibrillation, local twitch response, reproduction of symptoms
including but not limited to achiness, burning and electricity. This was performed for
Time?. Noted are typical tissue morphology characteristics of abnormal density,
palpable margins, contracted/fibrotic muscle and fascial tissue with resistance to
penetration. These characteristics reflect abnormal tissue function, innervation and
nervous system communication.
Myofascial trigger points revealed in the Lower Ext Dry Needling muscle by dry needle
technique with noted needle fibrillation, local twitch response, reproduction of symptoms
including but not limited to achiness, burning and electricity. This was performed for
Time?. Noted are typical tissue morphology characteristics of abnormal density,
palpable margins, contracted/fibrotic muscle and fascial tissue with resistance to
penetration. These characteristics reflect abnormal tissue function, innervation and
nervous system communication.
A functional movement screen was performed, with all of the following progressions
receiving passing scores: FMS Pass?.
DAY 1
Upper Extremity Exercises performed include: Side Lying Abduction, Plus with Dyna
Disc, Field Goals, Concentric/Eccentric ER, Modified Empty Can, T-curl-alternate
pronation/supination with hand for
Upper Extremity Exercises performed include: Subscapularis, ER Standing, Bilateral
BB3X3, Standing 3-way, Dynamic Blackburn, Scapular retraction-End range for Reps
and Sets x Time.