Ultrasound Case: Chronic Stenosing Tenosynovitus

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Ultrasound Case Chronic Stenosing Tenosynovitus

• Diagnosis Chronic Stenosing Tenosynovitus with
  Longitudinal Split of the Peroneus Brevis Tendon.
• History Patient with chronic lateral ankle pain.
  The patient says he twisted his ankle some years
  ago, and it has never gotten better.
• Findings Long axis view of the Peroneus Brevis
  Tendon with longitudinal split tear (VV) and a
  nodular proliferation of synovium (). The tendon
  has a fibrillar appearance, but it contains a
  dark line corresponding to a partial tear.
• Treatment Ultrasound guided injection with
  steroid and anesthetic.

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Ultrasound Case Chronic Stenosing Tenosynovitus

• Diagnosis Chronic Stenosing Tenosynovitus with
  Longitudinal Split of the Peroneus Brevis Tendon.
• History Patient with chronic lateral ankle pain.
  The patient says he twisted his ankle some years
  ago, and it has never gotten better.
• Findings Power doppler image shows increased
  vascularity of the inflamed synovium surrounding
  the abnormal Peroneus Brevis tendon.
• Treatment Ultrasound guided injection with
  steroid and anesthetic

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