I am passionate about my job, i try to progress and always keep learning. I spent so many time studying books, going to congress, workshops etc. Your videos are my reference now : so clear, detailed and look so easy. What a contribution you are making to the "community"!!! I almost feel ashamed getting this for free... Just a question : for this specific region, once you have mastered the positionings, do you think an analysis from a dorsal decubitus position would be of interest in order to make an easier comparative study, or there is a risk of missing elements compared to your lateral positioning? Lucky patients you have, keep up the great work!! Cheers from France
Thank you for your kind words. The supine position can work well, it’s certainly the way I begin my study by examining the anterior hip joint and labrum and iliopsoas. Then if you bend up both knees and use a transverse plane you can run the probe distal to proximal to ‘milk’ and push the bursal fluid up to the greater trochanter - this gravity dependent position may help see bursal fluid because this fluid often dissipates (spreads out) when rolled decubitus. The side to side comparison can be done for glut min and med but for the posterior superior facet of G.Medius, it’s a bit tricky and not as ergonomic for your shoulder. All the best
Good refresher and lined up LS glut min with angling but you should rotate and angle prob for the TS also as you had very oblique ts glut min with anisotropy.
Yes now that I rewatch I cringe - i wasn’t really optimizing at that point it was more to use the anisotropy to show the superficial margin and outline not the best image for tendon echotexture. I’d normally rock onto the anterior footprint of the probe and write zoom in with better frequency optimisation. I think also the video is just a bit darker than the original cine..
In transverse the TF muscle belly is anterior and overlies the Glut min with hip flexion. If you watch 3min 13sec roughly you see the muscle belly TFL in long is a large triangle that tapers to a point over the Glut min insert and anterior facet. The glut med is more posterior. I agree it was a while back taught that any muscle overlying min tendon is medius muscle - this is not true as it is hip flexion dependent. I have a good dissection hip article if you need.
