Diego Lemos

Winter is not coming...is here! 🥶 Just out is the Winter Sports Issue of @SMR_SeminarsMSK right on time for the Winter Olympics! Thanks to our editors @DrHugue @DrPMunk for the invite and congrats to all the authors in this issue #MSKRad #FOAMrad #radres thieme-connect.com/products/ejour…

@genki_sudo Happy belated Birthday Genki-san 🙏🏼

本日、48歳の誕生日を迎えました！ 2週間前から始めたビームライフル射撃を毎日続けていて、今日は20発で150点。まだまだ下手ですが楽しく取り組んでいます。 人生も同じく楽しみながら。世界平和を目指して、これからも頑張ります！ WE ARE ALL ONE

@genki_sudo Congratulations Genki-san…amazing step forward to go back to the glory days of K-1… history is about to be made indeed! 🙏🏼

K-1 WORLD GP 2026 is just the beginning. With global broadcast confirmed, we’re taking K-1 to every corner of the world. Stay tuned—history is about to be made. WE ARE ALL ONE!

『Bonの部屋プレゼント企画』 ゲストとして出演した『朝久 裕貴選手のサイン入りポスターorサイン入りパネル』を【2名様】にプレゼント🎁 ※ポスターかサインかは選ぶことはできません 【応募方法】 ①K-1公式X（@k1wgp_pr）&朝久裕貴（@a_champion__ ）のアカウントをフォロー ②この投稿をいいね&リツイート ＊この投稿に「Bonの部屋」の動画の感想をコメントすると当選率UPかも!? 応募締切：1月27日まで →当選者には後日DMにてご連絡させていただきます🙇‍♀️ 動画もチェック‼️ 前編はこちらから👇🏻 youtu.be/kc0lkQ0wnj8 後編はこちらから👇🏻 youtu.be/ghK5ZxTgNEI

🚘#RIZIN × #クルマテラス🚘 🎊コラボXポストキャンペーン🎊 大晦日大会の感想を書いてくれたら、 当選確率が上がるかも❗️❓ 🎁プレゼント #RIZIN師走の超強者祭り❄️ 出場選手サイン入りポスター(1名) ✅応募方法 1️⃣@kuruma_terrace をフォロー 2️⃣この投稿をリポスト 📆キャンペーン期間 1/1(木)～1/4(日)23:59まで

B

Complete tear of the proximal metacarpal insertion of the radial collateral ligament of the 2nd MCP joint. During dynamic stress, the gap opens clearly with medio-lateral deviation — but notice how I also compress the recesses to move the joint fluid and accentuate the separation. A perfect example of how real-time ultrasound turns subtle findings into unmistakable ones. 💪📸 #mskrad

🔹 Peripheral ulnar TFCC tear — full-thickness and full-width defect of the deep foveal fibers,
extending proximally and partially involving the styloid fibers ⚡️ 💧 The intraarticular fluid (contrast) beautifully outlines the tear,
opening dynamically as the wrist moves 🔄 🩻 This example follows a CT arthrogram,
but we often create similar joint distension with our own US-guided injections 💉 👁️‍🗨️ Learning to recognize the defect under distension
will train your eye to detect it even without it —
that’s where precision begins 🎯

#プレゼント Fight&Life vol.111 明日発売！ UFC322でブランドン・モレノと対戦 平良達郎 選手のサイン色紙 1名様 01）@fight_and_lifeをフォロー 02）このツイートをリツイート＆いいね 応募期間：10月31日(金）23:59まで 雑誌のご予約はamazon.co.jp/dp/B0FSXJZCBZ/

#プレゼント Fight&Life vol.111 明日発売！ ボクシング世界王座に挑戦！ 那須川天心 選手のサイン色紙 1名様 01）@fight_and_lifeをフォロー 02）このツイートをリツイート＆いいね 応募期間：10月31日(金）23:59まで 雑誌のご予約はamazon.co.jp/dp/B0FSXJZCBZ/

Nothing fancy today! The “snow-capped mountain” sign: The “mountain” refers to the rounded contour of the humeral head. The “cap” refers to the increased sclerosis due to avascular necrosis. Sickle cell disease. A simple image, a powerful clue. —Classic signs from my reporting list

@nickatkinone Congrats @nickatkinone 🙏

Welcome my typhoon baby

🕵️‍♂️ Dr. Murphey’s X-Files | Case #001: Closed The mystery has been solved! The “lumpy-bumpy” arthritis case turned out to be Xanthomatosis: a rare condition marked by cholesterol-rich deposition in tendons and soft tissues. 📌 Key takeaways: •Deposition often involves skin and tendons (commonly Achilles, posterior tibial, peroneal, and anterior tibial tendons). •Strongly associated with hyperlipidemia type 2, biliary tract obstruction, and primary biliary cirrhosis. •Don’t forget the congenital form: cerebrotendinous xanthomatosis. #SkeletalRadiology

Pearl: A buckle fracture involves only one cortex and is usually stable. Pitfall: If fracture line extends through both cortices, even with cortical buckling, it’s a complete fracture. Don’t undercall it as a buckle. Wisdom: One cortex buckled = buckle (incomplete). Both cortices broken = complete. Count cortices, not only curves. One view is NO view. —Pearls, pitfalls and wisdom from my reporting list.

T1, T2 FS and DWI 27 yr F with mass in hand Differential diagnosis ?

A ᴠᴇʀɪᴛᴀʙʟᴇ ᴘᴇᴀʀʟ. Rᴀʀᴇʟʏ sᴇᴇɴ ᴀɴᴅ ᴄᴏᴍᴘʟᴇᴛᴇʟʏ ᴜɴᴋɴᴏᴡɴ. Rᴇᴄᴇɴᴛʟʏ ᴘᴜʙʟɪsʜᴇᴅ ʙʏ ᴜs. pubmed.ncbi.nlm.nih.gov/40891799/ Paratenon effusion of the Achilles tendon uopuǝʇ sǝןןıɥɔ∀ ǝɥʇ ɟo uoısnɟɟǝ uouǝʇɐɹɐԀ

🔎 Dynamic Extensor Tendon Test 🖐️✨ To properly assess the central slip at the PIP joint, you must block the DIP joint. This isolates the central band by preventing the terminal tendon from acting. 👉 Conversely, to evaluate the terminal tendon, stabilize the middle phalanx and move only the distal phalanx. These dynamic maneuvers are designed to evaluate the excursion of the extensor apparatus proximal to the rupture site. This becomes extremely useful when there is diagnostic doubt, helping to distinguish a partial tear (where some degree of excursion remains) from a complete tear (where excursion is absent). These simple tests allow precise differentiation of the extensor mechanism components and reveal subtle injuries that static imaging may miss. #mskrad

Proximal Membranous Band Tear of the Lunotriquetral Ligament Diagnosed with Dynamic Stress Ultrasound – Correlation with Arthro-MRI This case underscores the importance of intra-articular contrast studies, which markedly enhance sensitivity in detecting subtle ligament injuries. Static imaging frequently underestimates these lesions: adjacent ligament remnants or tendon segments may remain closely apposed or seated within their footprint, thereby concealing the actual defect. This is exemplified in the conventional MRI study shown here, where identification of the tear proved nearly impossible. By contrast, dynamic stress ultrasound enabled separation of the gap, clearly exposing and confirming the lesion. Although the injury involves the proximal membranous portion of the lunotriquetral ligament—a region of lesser biomechanical relevance—it demonstrates our ability, and obligation, to actively seek out such lesions when patients are initially referred for ultrasound. In doing so, we can direct them toward the appropriate advanced study, ensuring that the true extent of the injury is accurately defined.

📍 Dynamic Phalen Sign on Ultrasound In the longitudinal view of the carpal tunnel during maximal wrist flexion, the flexor retinaculum indents the median nerve, sometimes producing a clear “kinking” or angulation. ⚡ Why symptoms appear: •Focal mechanical compression → abrupt nerve fiber deformation •Altered axoplasmic & microvascular flow → reduced intraneural perfusion •Increased tunnel pressure → amplifies pre-existing entrapment 👉 Ultrasound dynamically reveals the same mechanism behind the clinical Phalen test — real-time visualization of functional nerve strangulation. ⚠️ Disclaimer: I’m not sure if this has been formally described before, but it’s something I use in my own practice.

28/7/2025🩻 Chronic Gout in Hand X-ray – Key Findings: 💥 “Overhanging edges” (rat bite erosions) 🦴 Well-defined juxta-articular "punched-out" erosions with sclerotic margins 🚫 No joint space narrowing (early on) 🧊 Soft tissue tophi 🖐️ Usually affects MCPs, PIPs, and wrists