Updated Musculoskeletal US Examination of the Hip
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This document lists different types of hip pathologies including anterior, lateral, medial, and posterior structures as well as longitudinal and transverse structures of the hip. It also lists common hip conditions such as rheumatoid arthritis, osteoarthritis of the hip, calcium pyrophosphate deposition disease, and greater trochanteric pain syndrome.
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4. knee investigationsFahad Zakwan
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This document discusses various imaging modalities used to evaluate knee injuries, including plain X-rays, CT scans, MRI, and angiography. Plain X-rays can show abnormal joint space, subluxation, and associated fractures. CT angiography provides detail on avulsions and fractures. MRI is indicated for all multiligament knee injuries as it can identify ligament, meniscal, cartilage, and tendon injuries. It also helps determine treatment plans by identifying the type and location of injuries. Vascular investigations include assessing pulses, temperature, color, and ankle-brachial indices to evaluate arterial flow and determine if further arterial studies are needed.Webinar interventions Dr Abdallah Allam 
Webinar interventions Dr Abdallah Allam Abdallah Allam
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provides basic knowledge of ultrasound guided interventions and used injectants
Hosted by : smile makers
Sponsored by hyalomedUltrasound Guided Minimally Invasive Interventions for the Common Painful Con...
Ultrasound Guided Minimally Invasive Interventions for the Common Painful Con...Abdallah Allam
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Ultrasound guided minimally invasive interventions can effectively treat common painful hand and wrist conditions like carpal tunnel syndrome, trigger finger, and de Quervain's disease. For carpal tunnel syndrome, a study of 129 patients found 100% had relief of symptoms after ultrasound-guided injections with no complications. For trigger finger, ultrasound-guided injections and partial releases provided relief in 81.7% of patients at 6-month follow up. For de Quervain's disease, ultrasound-guided injections and releases led to 91.4% relief within 1 month and no recurrences at 6-month follow up. The techniques allow for accurate needle placement and treatment of these painful conditions with minimal invasiveness and good patient outcomes.Ultrasound Guided Botulinum Toxin Injection and Nerve Block for Management of...
Ultrasound Guided Botulinum Toxin Injection and Nerve Block for Management of...Abdallah Allam
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Presented at the annual congress of the Tunisian society of Physical Medicine and Rehabilitation.
Disclosure: Sponsored by IPSEN Tunisia Case presentation. Cairo MSK US grand-round 9-2018
Case presentation. Cairo MSK US grand-round 9-2018Abdallah Allam
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A 26-year-old right-handed female presented with chronic bilateral hand tingling. Ultrasound revealed bilateral carpal tunnel syndrome caused by extension of the myotendinous junction of the flexor digitorum superficialis tendons of the index and middle fingers on both sides. Surgery was performed to address the condition.Ultrasound guided intervention treatment for knee osteoarthritis: Tips and T...
Ultrasound guided intervention treatment for knee osteoarthritis: Tips and T...Abdallah Allam
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Ultrasound guided treatment can help with knee osteoarthritis. It is important to visualize the needle and scan the knee before injecting medications. The proper injectate choice depends on the stage of osteoarthritis - corticosteroids, hyaluronic acid, platelet-rich plasma, or Botox may be used. Early stage patients may benefit from dry needling or PRP while moderate cases use PRP with hyaluronic acid and advanced or systemic cases use bone marrow concentrate or laser ablation synovectomy. Injections can also target the adductor canal, popliteal plexus or genicular nerves. Proper technique is important for successful treatment.Case presentation ESRD 40th
Case presentation ESRD 40thAbdallah Allam
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This document describes a case study of a 38-year-old female farmer who was diagnosed with De Quervain's tenosynovitis (DQT) in her right wrist. She was initially treated with NSAIDs and corticosteroid injections, which provided only temporary relief. When her symptoms recurred and surgery was recommended, she was instead treated with ultrasound-guided injections of methotrexate into her wrist. This led to gradual improvement in her pain levels over subsequent weeks and months, with no pain reported after 10 months. The document discusses DQT and the rationale for using methotrexate injections as an alternative to surgery or repeated corticosteroid injections.Ultrasound guided interventions; Knee - Ankle - Foot
Ultrasound guided interventions; Knee - Ankle - FootAbdallah Allam
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This document discusses various musculoskeletal conditions including osteoarthritis of the knee, posterior tibial tendon dysfunction, and plantar fasciopathy. It then outlines pharmacological treatments for pain such as local anesthetics, corticosteroids, and hyaluronic acid. Regenerative medicine techniques are also mentioned including dry needling, platelet rich plasma, and stem cells. Potential complications of interventions like neurovascular injury, allergic reactions, vasovagal responses, and infection are briefly listed.Ultrasound guided interventions for the Brachial Plexus
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This document discusses various types of arm pain including those caused by neurovascular injury, allergy, and vasovagal responses as well as drug related issues. It then categorizes arm pains into those originating from the spine such as radicular pain or complex regional pain syndrome, and those involving the shoulder, elbow, forearm, hand and wrist. Finally, it recommends selective root blocks for treating radiculopathy that has resisted conservative measures.
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This document provides an anatomical overview of the ligaments, tendons, fascia, and nerves in the dorsal and plantar aspects of the midfoot. Key structures mentioned include the dorsal talonavicular and calcaneocuboid ligaments, Lisfranc ligament, plantar fascia and its lateral cord, peroneal tendons, flexor tendons and plantar plate under the metatarsal heads, and the heel fat pad.Updated Musculoskeletal US Examination of the Ankle
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This diagram labels the major nerves and vessels of the leg. It shows the anterior tibial nerve and vessels on the front of the leg, the superficial peroneal nerve on the side, and branches of the posterior tibial nerve including the saphenous and sural nerves on the back.Case presentation ( Cairo round)
Case presentation ( Cairo round)Abdallah Allam
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A 35-year-old female patient with a history of SLE, corticosteroid use, and a prior THR presents with chronic right medial knee pain. An ultrasound revealed a fixed subluxation of the medial meniscus entrapping the infrapatellar branch of the saphenous nerve. The diagnosis is a trapped IPS nerve causing her pain. Treatment options discussed include weight loss, lateral wedge insoles, and regenerative medicine. A video link is also provided about dynamic subluxation or dislocation of the medial meniscus.Musculoskeletal Ultrasound examination of the Foot
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This document provides an anatomical diagram of the ligaments and structures on the dorsal and plantar surfaces of the midfoot. It depicts the dorsal talonavicular ligament, dorsal calcaneocuboid ligament, and Lisfranc ligament dorsally. Plantarly it shows the proper plantar fascia, lateral cord of the plantar fascia, heel fat pad, peroneus brevis and longus tendons, metatarsal heads, and flexor tendon and plantar plate.Case presentation 9-3-2017
Case presentation 9-3-2017Abdallah Allam
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A 26-year-old male carpenter suffered cuts to the left ring and little fingers during a quarrel, requiring repair and a splint for 4 weeks. He was referred for rehabilitation due to stiffness, pain, and numbness. Treatment included NSAIDs, neurotonics, pregabalin, pulsed ultrasound, and range of motion exercises, with gradual improvement in range of motion and pain but not the numbness. The document discusses anatomy, causes including fractures and lacerations, diagnosis through history, examination, nerve tests, and ultrasound, and treatments including medical management, rehabilitation, ultrasound-guided interventions, and surgery.Updated Elbow Musculoskeletal US Examination
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This document provides an anatomical diagram of the posterior forearm and lists the muscles of the superficial and deep forearm extensors. Key muscles identified include the extensor carpi radialis longus and brevis, brachioradialis, supinator, anconeus, extensor pollicis longus and brevis, and extensor indicis proprius. The diagram orients the reader to the anterior, medial, lateral, and posterior aspects of the forearm as well as superficial and deep muscle layers.Ultrasound examination of the Ankle
Ultrasound examination of the AnkleAbdallah Allam
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This diagram labels the major nerves and vessels of the lower leg, including the anterior tibial nerve and vessels on the front of the leg, the superficial peroneal nerve on the side of the leg, and branches of the posterior tibial nerve like the saphenous nerve and sural nerve in the back of the leg.Basic sonoanatomy of ultrasound guided interventions of cervical and lumbar s...
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This document discusses pain management techniques for the lower back, including facet joint medial branch blocks, sacral hiatus injections, and sacroiliac joint injections. These techniques involve injecting therapeutic medications into specific areas to diagnose and potentially treat sources of lower back pain.Updated lecture about Ultrasonography of the knee
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The document describes the three grades of medial collateral ligament injuries: Grade I involves microscopic tears or strains and edema near the ligament. Grade II is a partial tear extending into the ligament with edema and thickening. Grade III is a complete rupture where the ligament is fully disrupted and there is hematoma formation. MRI and ultrasound can be used to identify the grade based on edema, fluid patterns, and ligament continuity or disruption.Case Study 2
Case Study 2Abdallah Allam
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Knee OA with persistent lateral pain and painful limitation of the flexion,
Dynamic study
probe is placed transverse over lateral femoral condyle
at 90 degrees flexion the iliotibial band impinges between 2 osteophytes leading to severe pain and limitation of flexion,with extension the iliotibial band moves anterior and lateral away from the osteophytes with relief of pain. Ultrasonography of Hip joint
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This document discusses different types of hip pain including anterior, lateral, medial, and posterior hip pain. It also mentions common hip conditions like rheumatoid arthritis, osteoarthritis of the hip, and calcium pyrophosphate deposition disease that can cause hip pain. The document examines hip pathology and notes a patient presenting with a painful hip with arthritis and 20mm of distance.Why should we do musculoskeletal sonography?
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1- Radiology point of view
2- Physical Medicine point of view
3- Rheumatology point of view
4- 12 golden tips for MSK US Practitioners Case Study 
Case Study Abdallah Allam
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Important points:
1-Extensor tendon subluxation or dislocation can trigger other tendons dislocation or subluxation,
2-The head of metacarpal bones will migrate dorsally==> flexion deformity,
3-Ulnar dislocation of the extensor tendon==> adduction at MCP J==> ULNAR DEVIATION,
4-Lack of MCPJ Extension ==> over-activity of interensic muscles of hand==> hyper-extension of PIP joints==> swan neck deformity,
5- Abnormal Biomechanics==> deformity despite control of RhA activity by medicines,
6-When you do MSK US assessment of RhA patient, don't forget to do dynamic scan,
7- Abnormal biomechanics due to inflammatory attenuation of ligaments==> red flag of future damage.
Neuroimmunology
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The document discusses immune surveillance of the central nervous system and its clinical applications. It introduces the concept of a "metasystem" to control the immune system and references the idea of an "immunologic homunculus".
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Juvenile Idiopathic Arthritis (JIA) is a group of chronic joint conditions affecting children 16 years old or younger, requiring persistent arthritis for at least 6 weeks for diagnosis. It occurs in 100-400 cases per 100,000 children. JIA includes subtypes like systemic JIA characterized by a salmon-colored rash, polyarthritis JIA which can be rheumatoid factor positive or negative, oligoarticular JIA, enthesitis related JIA, and psoriatic JIA. Complications include damage to joints and difficulty walking. Differential diagnoses include transient synovitis.Metabolism and immunity
Metabolism and immunityAbdallah Allam
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Protein phosphorylation is a critical process in cell signaling where proteins have phosphate groups added or removed in response to signals. This addition or removal of phosphate groups regulates the activity of proteins and allows cells to respond to different stimuli by turning protein activity on or off. Phosphorylation is a reversible process that is tightly regulated by kinases which add phosphates and phosphatases which remove them, allowing signals to be propagated within and between cells.
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鏝 USP <797> requirements & compliance strategies
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鏝 Improving environmental monitoring in cleanrooms
･ Watch Now: https://www.nuaire.com/resources/best-sampling-practices-cleanroom-usp-797
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Important points:
1-Extensor tendon subluxation or dislocation can trigger other tendons dislocation or subluxation,
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Multimodal Approaches to Clitoral Augmentation for FGM (PRP _ filler)"
MLS 208 - UNIT 4 A - Tissue Processing - ETANDO AYUK - SANU 1 - Secured.pdf
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MLS 208 - UNIT 1- Lecture Notes - ETANDO AYUK - SANU - Secured.pdf
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Updated Musculoskeletal US Examination of the Hip
- 3. Anterior
- 14. Lateral
- 23. Medial
- 29. Posterior
- 64. Basic pathology
- 65. Rheumatoid arthritis Painful hip with arthritis. Distance 20 mm
- 66. Osteoarthritis of the hip
- 67. CPPD
- 68. Greater Trochanteric Pain Syndrome