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0:17

ÉCHOGRAPHIE DU COUDE

0:22

ANATOMIE DE LA FACE POSTÉRIEURE DU COUDE

1:22

ÉCHOGRAPHIE DE LA FACE POSTÉRIEURE DU COUDE

2:33

FOSSETTE OLÉCRANNIENNE

3:08

TENDON TRICIPITAL

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2022

échographie

coude:

face

postérieure

00:00:00

[Music]

00:00:21

and

00:00:25

concerning the posterior face of the cost

00:00:28

from an anatomical point of view that we will be

00:00:29

able to isolate three

00:00:31

essential elements firstly the

00:00:34

cranial Holly fossa which is

00:00:36

essentially occupied by Greece

00:00:38

secondly the insertion of the

00:00:42

triceps brachii tendon which comes to insert itself on

00:00:46

the water the skulls and finally the

00:00:50

lunar nairu this is rumor in fact comes

00:00:53

from the arm where it will pass into the scepter

00:00:57

intervened what the air then under the arch

00:01:00

this earth thing it will occupy the

00:01:03

ulnar canal this occupation is done between

00:01:06

the peaks we deal medial and the water the

00:01:08

skulls and it will come from this

00:01:14

urinary canal to pass between the two

00:01:17

muscular bundles of the flexor an

00:01:19

era of the carpus

00:01:20

[Music]

00:01:26

so we will approach the posterior compartment

00:01:28

of the elbow which is probably the

00:01:30

easiest compartment to understand in ultrasound

00:01:32

although it is not devoid

00:01:33

of interest since we will find

00:01:35

pathologies of tendon, nerve,

00:01:39

joint or soft parts so

00:01:42

to analyze this posterior compartment the

00:01:44

patient the patient will be positioned

00:01:46

three quarters or even water to

00:01:48

the serious examiner to make him place

00:01:51

the palm of the hand on the

00:01:54

examination table thus bending the cost of

00:01:57

[Music]

00:02:02

the first cut made an

00:02:05

axial cut which is a little general since we

00:02:07

will be able to

00:02:09

visualize on this section all

00:02:12

the elements that we will study

00:02:14

later the derudder

00:02:19

interposed between the epic on deale and the

00:02:24

skulls the triceps and in depth the

00:02:30

ole cranial dimple

00:02:32

[Music]

00:02:37

under the triceps brachii we will be able to

00:02:41

find the fossa and cranial ole which

00:02:44

is occupied mainly by

00:02:46

greece which appears hyper ecogene it is

00:02:49

interesting to possibly see a

00:02:51

mobilization of this cranial ole fat

00:02:54

by an effusion which

00:02:56

could mean a pathology either

00:02:58

joint or a fracture at the cult

00:03:02

level of the bony surfaces of the

00:03:06

posterior face of the blow

00:03:07

[Music]

00:03:11

we can now study the tendon of the

00:03:14

triceps brachii in sagittal section we will

00:03:18

sometimes opt for a hypo ecogenic aspect of its

00:03:21

insertion on the skull bed linked

00:03:23

only to isotropic dan artifacts

00:03:27

it will be enough to switch a little the angle

00:03:30

of attack of the ultrasound beam to

00:03:33

find a morphology and an eco

00:03:37

engineering site is normal to tense this

00:03:39

tendon appears hilar fiber it is in

00:03:43

fact the interposition of

00:03:46

tendon layers and fatty layer which

00:03:50

gives it this appearance a little laminated

00:03:52

if we look at the theses of this tendon

00:03:56

in axial section therefore made 90 degrees with

00:04:00

the probe we will be able to

00:04:04

highlight a discreet aspect

00:04:08

fascicles and of this

00:04:11

distal end of the triceps tendon we

00:04:15

should not confuse these digitas ion

00:04:18

intra tendon with possible

00:04:20

partial lesions

00:04:23

[Music]

00:04:28

the analysis of an era an era is carried out

00:04:31

by an axial cut at the level of this

00:04:33

fossa is at the cranial bed it is

00:04:36

interposed between the epic on deal lots the

00:04:38

skulls and an anatomical report narrow

00:04:40

with the medial head of the triceps brachii

00:04:44

by the elevator technique it can be

00:04:47

followed at the level of the arm

00:04:51

up to the inter muscular septum bones

00:04:58

it can be understood but at this level 6

00:05:01

to 8 cm above the water the skulls by

00:05:05

a fibrous arch after the arcades of

00:05:08

Strueth hours

00:05:10

we can also

00:05:13

analyze it and in sagittal section

00:05:18

here we will be able to measure its

00:05:23

thickness

00:05:24

in axial section we will retain a

00:05:31

surface standard of this nerve an era around

00:05:34

8 square millimeters at the part

00:05:37

distally we can follow this nerve an area

00:05:41

just at the level

00:05:47

of the muscular compartment with the

00:05:50

flexor carpal nerves and the

00:05:54

flexor profundus 4 and 5

00:05:58

[Music]

00:06:03

on these cross sections comparison

00:06:06

of the two tunnels an era we see that the

00:06:10

nerve an area right to

00:06:14

ultrasound signs of suffering it is

00:06:15

swollen and this section surface and

00:06:18

largely increased compared to the

00:06:20

contralateral nerves on the sagittal section we

00:06:23

find this thickening with a

00:06:26

loss of the dune air fascicle aspect

00:06:28

and upstream of the tunnel an area the

00:06:33

ultrasound aspect of this nerve becomes

00:06:35

normal again so here the case of a rupture

00:06:39

of the tendon

00:06:41

precipitates halle which is a

00:06:43

relatively rare lesion which occurs in

00:06:45

high-level athletes in

00:06:48

movements called by force extension and

00:06:51

you see the hiatus at the insertion of the

00:06:55

tendon tri so vital and the area which is

00:06:59

occupied by a hematoma

00:07:02

I present to you the case of a

00:07:04

hydromassage without compression we see

00:07:07

that league roma manifests itself by a

00:07:09

collection year cogen in which

00:07:12

float elements of

00:07:14

fatty type hyperic to the genes if we

00:07:17

compresses the posterior area of the elbow the

00:07:21

compression by the probe will expel the

00:07:23

liquid and the cut becomes again we can

00:07:25

say sub normal you have seen that

00:07:28

the analysis is quite easy we can

00:07:30

essentially see the triceps tendon the

00:07:33

ulnar nerve and the milk fossa

00:07:35

cranial in the salt of the posteriors the

00:07:38

patient's position is also

00:07:41

easy to restore and I thank our

00:07:45

mannequin for the whole day to you

00:07:48

the probe

00:07:49

[Music]

00:07:55

on

00:08:00

[Music]

00:08:01

on

Description:

Échographie pratique de la face postérieure du coude (Nicolas SANS)

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