Bs tai sieu am khop co chan ban chan

SIÊU ÂM CỔ CHÂN BÀN CHÂN BS Lê Văn Tài Trung Tâm Y Khoa MEDIC I GIẢI PHẨU II HÌNH ẢNH SIÊU ÂM BÌNH THƯỜNG • Đầu dò độ phân giải cao: – 14 MHz, Power Doppler nhạy CỔ CHÂN TRƯỚC (ANKLE ANTERIOR) MẶT CẮT DỌC NGÁCH CHÀY SÊN TRƯỚC (Longitudinal view- Anterior tibio-talar recess) Mặt cắt dọc ngách chày sên trước (Longitudinal scan of the anterior tibio-talar recess) T = tibia (xương chày); TA = talus (xương sên); SS = synovial space (khoang hoạt dịch); C = capsule (bao khớp); * = articular cartilage (sụn khớp) MẶT CẮT DỌC GÂN CHÀY TRƯỚC (Long axis view - Tibialis anterior tendon) Mặt cắt cắt dọc gân chày trước (Long axis view of the tibialis anterior tendon) ATT = tibialis anterior tendon (gân chày trước); T = tibia (xương chày); TA = talus (xương sên); * = articular cartilage (sụn khớp) MẶT CẮT NGANG CÁC GÂN DUỖI (Axial view Extensor tendons) Mặt cắt ngang gân duỗi (Axial view of the anterior aspect of the ankle) ATT = anterior tibial tendon (gân chày trước); EHLT = extensor hallucis longus tendon (gân duỗi ngón dài); EDLT = extensor digitorum longus tendon (gân duỗi ngón dài); TA = talus (xương sên) Tendon calcifications in the flexor hallucis longus tendon Contusion of the extensor hallucis longus tendon with tendon thickening and a hematoma Cysts and ganglia: Ganglion cyst on the dorsal aspect of the foot (Ganglion) Cyst in relation to the tendon sheath of the extensor hallucis longus Multilocular ganglion cyst in the sole of the foot with connection to the flexor hallucis longus tendon Ganglioncyst on the medial side of the metatarsophalangeal joint of digit Tenosynovitis of the flexor tendon of digit and arthritis of the metatarsophalangeal joint Foot ulcer in a patient with diabetes with tenosynovitis of the flexor digitorum tendons Lesions mimicking plantar fascia pathology: Heel fat pad syndrome with a thin heel fat pad with abnormal mobile fat and effusion between plantar fascia and heel fat pad Foreign bodies: Glass fragments in the sole of the foot Glass fragments in the sole of the foot Wooden splinter in the lateral aspect of the foot with a small abscess at the tip The visibility depends on the angulation of the probe Giant cell tumor with extension around the flexor tendon of digit of the foot Glomus tumor with a subungual mass and bony erosion in digit of the foot Interdigital lymfangioma with a multilocular cystic mass Glomus tumor with hypoechoic vascularized mass and bony erosion Lipoma next to the plantar fascia longitudinal Lipoma longitudinal Lipoma transverse Normal plantar fascia insertion Thrombophlebitis: Thrombophlebitis with thrombus filled veins in the sole of the foot Thrombophlebitis: Thrombophlebitis with a non compressible thrombus filled vein in the sole of the foot extending to the medial ankle Stress Fracture: Arrow is pointing to an alteration in the dorsal cortex of this metatarsal Adjacent is a hypoechoic area that represents bleeding in this area Longitudinal (A and B) and axial (C and D) images over the dorsal side of the second metatarsal shaft of a 24-year-old woman with metatarsalgia Gray scale images (A and C) over the painful area show the presence of a cortical break with periosteal elevation (arrow), early callus formation (c), and a hypoechoic periosteal and soft tissue hematoma (h) Color Doppler images (B and D) show prominent neovascularity at the site of the periosteal elevation and surrounding soft tissue THANK YOU VERY MUCH ... (Long axis view Anterior talo-fibular ligament) Mặt cắt dọc dây chằng sên mác trước (Longitudinal view of anterior talo-fibular ligament) ATF = anterior talo-fibular ligament (dây chằng sên mác trước);... Deltoid ligament) Mặt cắt dọc dây chằng delta (Longitudinal view of deltoid ligament) PTT = posterior tibial tendon (gân chày sau); TC = tibio-calcanear ligament (dây chằng chày gót); TT = tibio-talar... DỌC DÂY CHẰNG MÁC GÓT (Long axis view Calcaneo-fibular ligament) Mặt cắt dọc dây chằng gót mác trước (Longitudinal view of the calcaneo-fibular ligament) PB = peroneus brevis (gân mác ngắn); PL