Learn MSK Sono

Learn MSK Sono Your resource for training in Musculoskeletal Ultrasound

🚨 That “ganglion cyst” on the back of the wrist may not be a ganglion cyst at all…Could it actually be a carpal boss? 🤔T...
08/04/2026

🚨 That “ganglion cyst” on the back of the wrist may not be a ganglion cyst at all…

Could it actually be a carpal boss? 🤔

This is one of the most common pitfalls I see when scanning the dorsal wrist. The ultrasound findings can look very different once you know exactly what to look for—and one simple technique can make all the difference.

🎥 In this week’s Tuesday Tips with Jamie, I cover:
âś… How to distinguish a carpal boss from a ganglion cyst
âś… The ultrasound features that separate the two
âś… The most common scanning mistake
âś… A simple anatomical trick to improve your diagnostic confidence
âś… Ultrasound and X-ray correlation

If you perform MSK ultrasound—or you’re learning wrist anatomy—you won’t want to miss this one.

👇 Click the Reel to watch and let me know in the comments:

Have you ever mistaken a carpal boss for a ganglion cyst?



https://www.instagram.com/reel/Dbn3EH7xNop/?igsh=MWVxcmM3aXBqbWprdw==

🔍 Tuesday Tips with JamieEmpty Cubital Tunnel? Where Did the Ulnar Nerve Go? 🤔Have you ever scanned the cubital tunnel a...
07/14/2026

🔍 Tuesday Tips with Jamie

Empty Cubital Tunnel? Where Did the Ulnar Nerve Go? 🤔

Have you ever scanned the cubital tunnel and couldn’t find the ulnar nerve behind the medial epicondyle?

Before assuming something is wrong, always ask about a history of ulnar nerve transposition. Surgical history completely changes where you should be looking. After transposition, the ulnar nerve is moved anterior to the medial epicondyle, and dynamic MSK ultrasound allows us to evaluate not only the nerve’s appearance but also how well it glides in its new location.

During your examination, look for:
âś… Smooth nerve gliding
âś… Stable anterior position without
compression or instability
âś… Preserved fascicular pattern

Be alert for:
đź”´ Restricted movement
đź”´ The nerve appearing stuck within
postoperative scar tissue, limiting its
normal movement
đź”´ Kinking or recurrent compression
đź”´ Enlargement or loss of the normal
fascicular pattern

🎥 I put together a quick Reel demonstrating these concepts and what to look for during a dynamic examination.

👉 Watch it here:
https://www.instagram.com/reel/DaxWPj4RaFE/?igsh=MW43ZDR2MnBtem1lNw==

If you enjoy practical MSK ultrasound education, follow Learn MSK Sono on Instagram () for weekly , where I share quick scanning tips, clinical pearls, and interesting cases.

💬 Have you encountered a transposed ulnar nerve during an ultrasound exam? What findings have you seen? I’d love to hear your experience!

🦴 Tuesday Tips with Jamie | What Is an Enthesophyte?Have you ever noticed a bright bony projection at a tendon attachmen...
07/07/2026

🦴 Tuesday Tips with Jamie | What Is an Enthesophyte?

Have you ever noticed a bright bony projection at a tendon attachment while scanning and wondered what you were seeing?

One common answer is an enthesophyte—a chronic bony outgrowth that develops where a tendon or ligament attaches to bone.

Recognizing enthesophytes on ultrasound is an important skill because they can easily be mistaken for other abnormalities if you’re unfamiliar with their appearance.

In today’s quick educational reel, I review:
✔️ What an enthesophyte is
✔️ Its characteristic ultrasound appearance
✔️ How to differentiate it from osteophyte and calcific tendinitis
✔️ A few scanning pearls to help build confidence during your MSK exams

🎥 Watch the full reel on Instagram:
https://www.instagram.com/reel/DafUS3MxYEM/?igsh=ZTBzbGMyOWpjajB4

If you enjoy practical musculoskeletal ultrasound education, follow on Instagram for more , scanning tips, and MSK ultrasound education.

⚽️ World Cup Injury Spotlight: Calf Injuries & MSK UltrasoundChristian Pulisic’s recent calf injury is a great reminder ...
07/02/2026

⚽️ World Cup Injury Spotlight: Calf Injuries & MSK Ultrasound

Christian Pulisic’s recent calf injury is a great reminder of how common calf muscle injuries are in soccer—and how valuable musculoskeletal ultrasound can be in their evaluation.

When an athlete presents with acute calf pain, ultrasound can quickly identify the injured structure, detect fluid or hematoma, and most importantly, determine the grade of injury, helping guide treatment and return-to-play decisions.

One of the greatest advantages of MSK ultrasound is its ability to provide real-time, dynamic imaging while scanning directly over the patient’s point of maximal tenderness.

💡 If you’re learning MSK ultrasound, the calf is one of the best exams to master. Its superficial anatomy and predictable injury patterns make it an excellent place to build confidence in muscle imaging and tear grading.

In this reel, I walk through the ultrasound appearance of Grade 1, Grade 2, and Grade 3 calf strains and explain what to look for during your exam.

🇺🇸 Good luck to Team USA tonight!

If you enjoy MSK ultrasound education, follow@learnmsksono on Instagram and Facebook for more , where I share weekly scanning tips, interesting cases, and practical ultrasound pearls.

Don’t Miss the Fluid Hiding in the Recesses 🦵💧Most missed knee effusions aren’t absent… they’re just not where you looke...
04/14/2026

Don’t Miss the Fluid Hiding in the Recesses 🦵💧

Most missed knee effusions aren’t absent… they’re just not where you looked.

Fluid moves freely throughout the joint — so if you’re only checking the suprapatellar recess, you’re leaving blind spots.

🎥 Watch the full reel here:
👉 [https://www.instagram.com/reel/DXHFv5ngHEI/?igsh=OHpuOHJyOWxna2M=]

⸻

🔍 What we’re covering in this video:
• Medial & lateral parapatellar recesses
• Short + long axis views
• Where fluid loves to hide

⸻

📌 Key Takeaways:
• Fluid is mobile — position matters
• Don’t stop at the suprapatellar recess
• Always check medial + lateral recesses
• Use short AND long axis
• Mild flexion helps redistribute fluid

🎯 Complete scan = fewer missed effusions

⸻

đź§  Quick Scan Protocol:
• Suprapatellar recess — short & long axis
• Lateral parapatellar recess — short & long axis
• Medial parapatellar recess — short & long axis

👉 Assess with the knee in mild flexion

👉 Add Power Doppler:
• Evaluate synovium for hyperemia
• Increased Doppler signal → suggests active synovitis
• Helps differentiate simple effusion vs inflammatory process

⸻


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