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I hope you enjoyed it. Jump onto birdultrasound.com.au for all of my other good stuff! Steve.

@@birdultrasound4653 Busy working through it, amazing library of content!

My pleasure. Please be sure to jump onto birdultrasound.com.au where y ou will find all of my newest material. There is a mountain of fresh webinars to enjoy on all sorts of ultrasound topics. Happy scanning, Steve Bird

Hi Marek. I am glad you enjoyed it. A bit of fun really! But still an important message. I am also so pleased you are enjoying the material on birdultrasound.com.au Thanks for your support mate, I really appreciate it. Happy scanning, Steve.

My pleasure, I am glad you enjoyed it. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. The website material has a lot of examples where I show the transducer position and how I adjust the patient position to achieve the images. I am sure you will enjoy it. Happy scanning, Steve Bird.

@@birdultrasound4653hi Stephen. I subscribed a long time ago

For sure, please send me a private email to stayintouch@birdultrasound.com.au and we can make it happen for you. Steve.

@@birdultrasound4653 thanks Dr..

Yes, they are very common. I see them in suprapinatus, subscapularis and infraspinatus very commonly in normal volunteers. I often wonder how often they are called pathology. Have you had a peek at my website birdultrasound.com.au ? This RUclips channel only has a few tasty bits and pieces on it. If you like the style and content the website has mountains of material on most ultrasound topics. Happy scanning, Steve Bird

@@birdultrasound4653 Thank you. Im already on your website - great resource!

Yes, I think we all have!! It is when you see them in asymptomatic, young volunteers that you ned to question exactly what they are. Once you start looking you realise how common these little pits are. Have you had a peek at my website birdultrasound.com.au ? This RUclips channel only has a few tasty bits and pieces on it. If you like the style and content the website has mountains of material on most ultrasound topics. Happy scanning, Steve Bird

It is a good question, b don't think so as Geode cysts are subchondral in nature (under the hyaline cartilage) as compared to synovial herniation cysts which are at the margin of the hyaline cartilage where the joint capsule inserts onto the bony skeleton. Have you had a peek at my website birdultrasound.com.au ? This RUclips channel only has a few tasty bits and pieces on it. If you like the style and content the website has mountains of material on most ultrasound topics. Happy scanning, Steve Bird

Thanks heaps! Yes, I will indeed keep it up. If you visit birdultrasound.com.au you will see all of my latest and up to date material, ready to enjoy. Happy scanning, Steve Bird

Yes! this can be impressive and also very painful. The rule with hydroxyapatite is that it must come through an enthesis. So it must be adjacent to the enthesis. Once it it is the tendon it can track along the tendon for quite some length and oftern forms a fairly linear pathway along the tendon fibres. But it is always in contact with the enthesis where it is originating from! Steve

Yes, hydroxyapatite is calcific tendinosis. Same thing. It happens at the enthesis only as the hydroxyapatite is a bone salt and needs to migrate from the bone, through the enthesis into the degenerative tendon. Then it can migrate back as well! So it is always adjacent to the enthesis, and you can see it easily on a plain radiograph. The mid patellar or Achilles calcifications are dystrophic calcifications from old tendinosis, tear, trauma etc. I can't distinguish from heterotypic ossification on ultrasound, but the radiographs may be able to differentiate. They are going to be ignored either way. Steve

@@birdultrasound4653 so these enthesofytes at the insertion of the achilles that grow out from the bone can resolve itself? Never heard this before, interesting.

@@NiekVink Enthesophytes are a little different. An enthesophyte is gone growing into an adjacent soft tissue structure like a tendon, ligament or retinaculum. An enthesophyte occurs due to a problem at the enthesis. The enthesis organ unit is designed to keep the osteocytes on the bone side and the tenocytes on the soft tissue side. When the enthesis is damaged by traction stresss or by a seronegative arthritis insult the osteocytes can grow into the adjacent soft tissue. So the enthesophyte is actually a peninsula of bone growing into the tendon territory. As it is made of actual bone it is not reversible and once you have an enthesophyte it is yours to keep forever. This is different from calcific tendinosis (hydroxyapatite) which is a bone salt that can pass from the bone, through the enthesis into the tendon and then may pass back again so it is something that can resolve with time. Steve

It was an extensive collection of them!! Steve

I was also surprised by the extent. It makes a very pretty ultrasound appearance. Nice on the plain radiograph as well. Steve

It sure is! I love using Doppler in my shoulder examinations now. I use it for several different diagnoses. Shortly I am uploading a new webinar onto birdultrasound.com.au Please check it out. It is called "Where is that flow in the cuff" and it outlines all the applications I have for Doppler in my shoulder ultrasound examinations. I hope you enjoy it. Happy scanning, Steve Bird

Indeed. I used to think it was very difficult to visualise the PITFS. But now I have a good technique. The anatomy is nice and symmetrical. The tibial end of the PITFS is more proximal and the fibular end more distal, just like the AITFS. I scan just lateral to the Achilles tendon. Anchor one end of the transducer on the distal fibula. If you orientate the other end of the transducer to the point of the calcaneum you will see the CFL perfectly. Then rotate the calcanea end of the transducer until you are perfectly axial and you will see the PTFL. Continue the rotation until the transducer points to about the level of the opposite tibial tuberosity and you see the PITFS between the tibia and fibula. You may need firm heel toe pressure to flatten the ligament parallel to the transducer face. Sometimes IO need to bow the Achilles with my opposite hand to make room for the transducer. I feel like I covered this technique on the birdultrasound.com.au website webinars under withe "Fundamentals of ankle ultrasound" or " Challenging aspects of foot and ankle ultrasound" Give it a go and let me know how it works for you. Steve Bird

My pleasure. Please check out peer 2 of the breast series as well as many other ultrasound topics by visiting birdultrasound.com.au It is a one stop shop for all of your ultrasound education requirements! Steve Bird

My pleasure, I am glad you enjoyed it. Please visit birdultrasound.com.au to enjoy the questions and answers as well as a wide range of other ultrasound education material.

My pleasure, I am glad you enjoyed the presentation. Please visit birdultrasound.com.au to enjoy the questions and answers as well as a wide range of other ultrasound education material including another breast ultrasound webinar.. Happy scanning, Steve Bird

My pleasure. I am so pleased you enjoyed the presentation. Please visit birdultrasound.com.au where you will find my best material on just about every ultrasound topic you can think of. Enjoy! Steve Bird.

My pleasure. You will find all of my teaching material available at birdultrasound.com.au There is material on a broad range of topics including MSK, vascular, metal heart, gynae, breast, mens health, head and neck, eye, foreign bodies and more. Please subscribe and enjoy it all.

@@birdultrasound4653 already there and seen most of it :-) but will need to re-watch it. Should have joined long time ago

@@marekczeladzki7774 Better late than never ! Please enjoy the material. Let your colleagues and contacts know about this secret resource to ultrasound success! Steve.

Yes ! Madi, you are 100% correct. I have the transducer on the plantar side and my index finger on the dorsal side. It works really well. You are my favourite proof reader. I love it ! Steve Bird

Thank you.

@@kuenwoolee1590 My pleasure. You will find all of my teaching material available at birdultrasound.com.au There is material on a broad range of topics including MSK, vascular, metal heart, gynae, breast, mens health, head and neck, eye, foreign bodies and more. Please subscribe and enjoy it all.

My pleasure. You will find all of my teaching material available at birdultrasound.com.au There is material on a broad range of topics including MSK, vascular, metal heart, gynae, breast, mens health, head and neck, eye, foreign bodies and more. Please subscribe and enjoy it all.

Yes, a slip of the tongue !!! It would be hard for the medial malleolus to collide with the tibia as it is already the tibia 🤣 Indeed I meant the talus. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

Surely. I'm interested MSK US. So Pay per course seems suitable for me. I'll subscribe a bit later @@birdultrasound4653

Thanks Charlotte I am glad you enjoyed it. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

Yes indeed. It is out of the excellent book by Carlo Martinoli and Bianchi on musculoskeletal ultrasound. www.booktopia.com.au/ultrasound-of-the-musculoskeletal-system-stefano-bianchi/book/9783662499641.html?source=pla&gad_source=1&gclid=EAIaIQobChMI8uGL2eH5ggMVyaZmAh2S5wwFEAQYASABEgKub_D_BwE Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

My pleasure, I am glad you enjoyed it. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

My pleasure, i am glad you enjoyed it. Please visit birdultrasound.com.au and you will find even better material on a wide range of topics. Happy scanning, Steve Bird

Most certainly this is a possibility. I always think when I see peroneal tenosynovitis there is an underlying cause. The most common one is brevis being compressed by longus at the lateral malleolus and causing a compression disrepair phase tendinosis event that sets up the inflammation in the synovial entheseal complex (peroneal tenosynovitis in this case).The second most common cause is a stenosing tenosynovitis where the inferior peroneal retinaculum causes compression of peroneus longus again setting up the same scenario. Then there are other causes like peroneal instability following a superior peroneal retinaculum injury, smoking, obesity, biomechanics factors are all contributors. Then there is systemic disease like rheumatoid disease and this is always a possible contributor. I used to think you needed a prominent peroneal tubercle to create the environment for a stenosing tenosynovitis but now I have seen so many cases where the tubercle is small;l or congenitally absent but the inferior peroneal retinaculum still strangles the peroneus longus at this level. Some of these cases may have had a rheumatoid factor in the background and some certainly did not. It is always good to have systemic processed like rheumatoid or seronegative disease in the back of your mind whenever you soo synovitis anywhere in the body. If it is multi locational, more severe than expected, or there is a history of similar events in different locations in the patient history I am quick to recommend a rheumatologist consultation and work up. It is a game changer if you can make the diagnosis earlier for the patient. I hope you enjoyed the presentation. Be sure to subscribe to birdultrasound.com.au as this is where I have my really nice material. What you see on this RUclips channel is just some examples. On the website there is material on many topics, ops, gynae, breast, head, neck, paediatric, vascular, eye, MSK and much more for you to enjoy. Happy scanning, Steve Bird.

@@birdultrasound4653 great great resources 🙏 thank you

My pleasure, I am glad you enjoyed it. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.@@jayetachoudhury8945

My pleasure, I am glad you enjoyed it. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

My pleasure, I am glad you enjoyed it. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

Thanks for the lovely comment. The videos on this RUclips channel are old material of mine. You can enjoy the new editions which are even better at birdultrasound.com.au You will find comprehensive material relating to rotator cuff assessment on the website. Please enjoy the material and let your contacts and colleagues know about it. Happy scanning, Steve Bird

I am glad you enjoyed my efforts. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

I am glad you enjoyed my efforts. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

My pleasure, I am glad you enjoyed it. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

I am so glad you enjoyed the webinar. Please visit birdultrasound.com.au You will find a mountain of lovely new material. If you use the coupon code : bird10 you will receive a discount. The annual subscription allows you unlimited access to all the material including new material I am adding all the time. Please enjoy the resource and let your colleagues and contacts know about it, Happy scanning, Steve Bird

Hi Amedeo, I am so pleased you have enjoyed this lovely old presentation. This is indeed the indirect head of rectus femoris. ( I called it the reflected head but you will notice this is a 2014 production and I have a greater understanding now). This image is well above the greater trochanter and hence the acoustic window I am using is the muscle bellies of gluteus minimus and medius. The indirect head is inserting onto the supero-lateral aspect of the acetabulum. This technique works perfectly. Please email me at: steve@birdultrasound.com.au I would like to offer you a special deal to enjoy my fresh new material at birdultrasound.com.au If you enjoyed this presentation you will love my new material on a wide range of ultrasound topics. Happy scanning, Steve Bird

Thanks so much for the comment. I am delighted you are enjoying the content. Take a look at birdultrasound.com.au You will find heaps of nice new material similar to what you have enjoyed here but in a wide range of topics. When you subscribe you will receive 12 months of unlimited access to the material including a discussion forum you can ask questions on, tips and tricks, case of the week etc. Everything you watch will generate a CPD certificate for you, At the moment if you use the coupon code SMUG you will receive a discount. Please enjoy, Steve.

Hi Randhir, Yes it is a vintage recording but the content is still quite nice I think. You can see the current updated version of the hip material at birdultrasound.com.au We have been improving our recording technology progressively so you will see some improvements not only in content but also audio and video quality. I am delighted that you enjoyed this presentation. Happy scanning, Steve Bird

Thanks Sab, This is the current case of the week presentation at birdultrasound.com.au The next one comes out tomorrow. Jump on the website and take a look. If you use the coupon code SMUG at the checkout you will save $10 as I am about to present at the SMUG (Sports Medicine Ultrasound Group) meeting. I will continue to record a wide range of interesting topics in this short format, I hope you enjoy them, Happy scanning, Steve Bird

My pleasure, I am glad you enjoyed it. Please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

Hi Niek, You are very kind ! I will continue to upload material onto my You Tube channel. You can enjoy the complete collection of my teaching material by visiting birdultrasound.com.au If you use the coupon code SMUG in the checkout you will save $10 on your 12 month unlimited access subscription. The code SMUG is there as I am about to present at the SMUG (Sports Medicine Ultrasound Group) meeting. Happy scanning Niek, I hope to see you at the website soon, Steve Bird

My pleasure Farid, I am delighted you enjoyed the material, Happy scanning, Steve Bird

I am glad you enjoyed my efforts, Indeed there are more coming, but to see the really good stuff on all topics please subscribe to birdultrasound.com.au so you can enjoy my real material. The stuff on this channel is older material which has been updated on the actual website. Please use the coupon code: anatomy for some sweet discount. Happy scanning, Steve Bird.

Hi R R , I will continue to add more material to my RUclips channel so please keep an eye on it. You will find all of my teaching material available at birdultrasound.com.au There is material on a broad range of topics including MSK, vascular, metal heart, gynae, breast, mens health, head and neck, eye, foreign bodies and more, Please enjoy, Happy scanning, Steve Bird

Thanks Stephen. Your support is always very much appreciated. Happy scanning, Steve Bird