𝙳𝚛𝚊. 𝙰𝚗𝚊 𝙻𝚊𝚞 🇲🇽

Dynamic ultrasound can reveal knee instability that static imaging may miss. 🔍🦵 During a combined maneuver (valgus stress + anterior drawer + tibial external rotation), ultrasound may show anterior translation of the medial tibial plateau followed by a sudden posterior snap of the posterior horn of the medial meniscus over the posterior tibial rim. Interestingly, this can occur without a visible meniscocapsular tear on ultrasound or MRI, suggesting a dynamic functional instability of the posteromedial meniscus. 💡 Clinical pearl
This finding may represent an early stage of anteromedial rotatory instability (AMRI) and could precede the development of ramp lesions or longitudinal meniscal tears. 🧠 How I figured out a way to explore it
• Left hand: performs the anterior drawer
• Right hand: holds the probe on the posteromedial knee and applies valgus stress
• Body: stabilizes the foot and applies the tibial external rotation Yes… it takes a few limbs. I like to call it “the octopus technique.” 🐙 Dynamic ultrasound = seeing knee biomechanics in real time. #MSKultrasound #KneeInstability #AMRI #Meniscus #SportsImaging #MusculoskeletalRadiology

Día de trabajo en el @ColMexReuma , un reconocimiento especial al personal administrativo. @Merayo_Dr @ReumaIntegral @Reumatika_info

Deseando que todos se encuentren bien @ColMexReuma

Tendon Health across the Ages 🔗 Effect of Aging on Tendon Biology, Biomechanics and Implications for Treatment Approaches DOI: doi.org/10.3390/ijms24… Open access article: mdpi.com/1422-0067/24/2…

Empieza desde ya a hacer #ejercicios de fortalecimiento #muscular Es indispensable para un #envejecimiento #saludable

Uno de los grandes olvidados en la ecografía de codo: el ligamento colateral cubital lateral. Tras luxación o dolor lateral, buscarlo no es opcional. La estabilidad depende de ello. #EcografíaMusculoesquelética #MSKUltrasound#Mskfreak

🖐️ Recurrent motor branch of the median nerve It arises from the median nerve at or distal to the carpal tunnel, with a highly variable origin: it may be extraligamentous, subligamentous, or transligamentous (passing through the flexor retinaculum). In the palm, the branch courses toward the thenar eminence and becomes superficial as it curves around the superficial head of the flexor pollicis brevis. On ultrasound, its origin can usually be identified approximately at the level where the proper palmar digital nerves to the thumb arise: once these digital branches are recognized, a third branch may be seen coursing proximally and radially, becoming superficial and skirting the superficial head of the flexor pollicis brevis. This corresponds to the recurrent motor branch. At this level, it follows a very superficial course, making it particularly vulnerable to traumatic or iatrogenic injury, especially during carpal tunnel release. ⚠️ It is essential to recognize its anatomy and variants, as they are common. The transligamentous variant, in which the branch passes through the flexor retinaculum, carries the highest surgical risk. 🎯 Function: innervates the thenar muscles responsible for thumb opposition. #mskrad

🦴💡 ¿Te interesa el intervencionismo espinal? El Spine Full Hands-On Course ofrece formación práctica avanzada en tratamientos de columna guiados por imagen. Cupos limitados. #Spine_Interventional_Neuroradiology_-_Full_Hands_On_Course_Europe&Welcome_Message" target="_blank" rel="nofollow noopener">esnr.org/event-details/… #SpineCare #Neurorradiología

Mensaje del Dr. Mario Alfredo Chávez López.

Nos vemos en Guadalajara! #todossomosCMR @MerayoDr @Reumatika_info @ReumaIntegral

📣 ¡Cupo LIMITADO! Solo 40 lugares disponibles 🩺 Actualización en Reumatología para Médicos Generales 📍 Hotel Sheraton Expo | 📅 Jue 5 feb | ⏰ 9:00–1:30 📲 Informes e inscripciones (solo WhatsApp): 333 170 57 85 Dra. Ivette Calderón Espinoza (NO llamadas) #CMR #Reumatología

Carta de la Candidata a Vicepresidencia del Colegio Mexicano de Reumatología para los colegiados.

Practical MSK ultrasound training you can apply immediately in clinic. This video is taken from a full lesson inside MSKFreak. Until Monday, all courses are 15% off for Black Friday. 👉 Use code BLACK15 at mskfreak.com #mskultrasound #ultrasoundeducation

2025 ACR - Systemic Lupus Erythematosus Guideline dropped yesterday. Here is what ChatGPT told me about the changes. Link to guideline👇 rheumatology.org/lupus-guidelin…

🧩 ASAS–SPARTAN Revised Classification Criteria for Axial Spondyloarthritis (2025) 👩‍⚕️ Patients with a diagnosis of axial spondyloarthritis (mimics excluded) ➕ 🕒 Chronic back pain ≥3 months 🎯 Age of onset <45 years ⚖️ Classification rule 📸 MRI indicative of axSpA in the sacroiliac joints ➕ ≥4 additional points OR 🦴 Radiographic sacroiliitis ➕ ≥4 additional points OR 🧬 HLA-B27 positive ➕ ≥7 additional points 🧠 SpA Features (and their weights) 🧬 HLA-B27 → 4 points 🔥 Inflammatory back pain → 3 points 🦵 Peripheral arthritis → 1 point 💩 Inflammatory bowel disease → 1 point 👁️ Acute anterior uveitis → 1 point 🦶 Heel enthesitis → 1 point 🧪 Elevated CRP (>5 mg/L) → 1 point 🌿 Psoriasis → 1 point ✅ Cut-off: A total of ≥11 points is required to classify a patient as having axial spondyloarthritis (axSpA). 📋 Note: 🧠 MRI positivity = global evaluation of all MRI sequences showing active + structural lesions. 🦴 Radiographic sacroiliitis = per modified New York criteria. ⚠️ HLA-B27 should not be counted twice. 👨‍⚕️ Clinical features verified by clinician global assessment. #RheumatDocX #MedTwitter #RheumTwitter #rheumatology @IhabFathiSulima @DrAkhilX @CelestinoGutirr

#Myositis evaluation #ACR25 No single test makes the diagnosis -the whole clinical picture matters. 🔹History: proximal weakness, dysphagia, systemic signs 🔹Labs:⬆️CK, aldolase, LDH, AST/ALT, myositis-specific Abs 🔹 Imaging: MRI, CT chest (ILD) 🔹 EMG 🔹 Muscle / skin biopsy

Tercer día de resúmenes #ACReview25 de @SEReumatologia que tengo el gusto de coordinar ¡Equipazo de revisores TOP! 🔝 Link 👉🏻 acr-review.ser.es

Sjögren’s Disease Peripheral Nervous System #ACR25 🧠SSj neuropathies: common —mono, poly (small fiber/vasculitic), and autonomic types 💊Treatment: gabapentin/pregabalin, IVIG or rituximab for immune forms, steroids/cyclophosphamide if vasculitic, supportive care for autonomic

🆕 ACR 2025 Guidelines for Treatment of Systemic Lupus Erythematosus #ACR25 #Lupus #RheumTwitter