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Creator: Tsung-Yung Tang; Shau-Gang Shyu; Chueh-Hung Wu
Duration: 2:19
Journal: American Journal of Physical Medicine & Rehabilitation
This video demonstrates an ultrasound-guided 5-in-1 injection for trigger point injection in the trapezius, levator scapulae and rhomboid muscles, and nerve hydrodissection of the spinal accessory nerve and dorsal scapular nerve for a patient with upper back pain with neuropathic characteristics.
Creator: Yi-Chian Wang, Rachel J. Lew, Chia-Wei Lee, Yi-Pin Chiang
Duration: 3:37
Journal: American Journal of Physical Medicine & Rehabilitation
Extensor Tendinopathy (Tennis Elbow) is a common term used to describe pathology of the forearm extensor tendons that converge to anchor the muscles to the lateral elbow. During traditional ultrasonography using the longitudinal scanning method, it is difficult to determine which component of the common extensor tendon (CET) is affected. This video presents the addition of a transverse scan to better visualize the tendons that join and form the CET. Two cases seen in our ultrasound clinic were demonstrated. The findings from the transverse scan helped to provide modifications of specific wrist and hand activities to facilitate recovery.
Creator: Byung Joo Lee & Donghwi Park
Duration: 0:28
Journal: American Journal of Physical Medicine & Rehabilitation
Video 1: This is a dynamic ultrasonography of normal individual. Posterosuperior labrum appears as a fibrillary hyperechoic triangle, coursing around the shoulder joint capsule. During the ABER maneuver, there was no detachment of labrum or joint fluid leakage, although the PS labrum was pressed slightly by the pressure from ABER posture.
Creator: Ming-Yen Hsiao, Chen-Yu Hung, Ke-Vin Chang, Levent Özçakar
Duration: 0:12
Journal: American Journal of Physical Medicine & Rehabilitation
Dynamic examination of the the long head of the biceps tendon at the proximal insertion is performed by supinating and pronating the forearm while keeping the upper arm fixed.
Creator: Hung-Jui Chuang, Ming-Yen Hsiao, Chueh-Hung Wu, Levent Özçakar
Duration: 1:29
Journal: American Journal of Physical Medicine & Rehabilitation
Ulnar nerve subluxation or snapping triceps syndrome is the condition of anterior sliding of the ulnar nerve or part of the triceps muscle over the medial epicondyle during elbow flexion. This video presents the real-time dynamic visualization of the entire process of ulnar nerve subluxation and snapping triceps during joint movement of the elbow using ultrasonography.
Creator: Kai-Shiang Chang, Yu-Hsuan Cheng, Chueh-Hung Wu, Levent Özçakar
Duration: 4:10
Journal: American Journal of Physical Medicine & Rehabilitation
This video shows the dynamic images for the iliotibial band snapping hip syndrome, which could not be detected by the MRI exam. If an individual has lateral hip pain and correlated history, dynamic ultrasound imaging is the best modality to diagnose iliotibial band snapping hip syndrome.
Creator: Byung Joo Lee & Donghwi Park
Duration: 0:35
Journal: American Journal of Physical Medicine & Rehabilitation
Video 2: This is a dynamic ultrasonography of a 36-year-old man with posterosuperior labral tear. Although the PS labrum appears as a fibrillary hyperechoic triangle in neutral position, hypoechoic lesion is distinct in PS labrum. During the ABER maneuver, leakage of the joint fluid through torn PS labrum can be seen. In this case the fluid flow through the tear is admittedly a subtle finding and the presence of a GHJ effusion (not seen in this case) may make this examination more difficult.
Creator: The video demonstrated tracking the brachial plexus from the supraclavicular to root level and ultrasound guided injection to the cervical roots of C5 and C6.
Duration: 2:39
Journal: American Journal of Physical Medicine & Rehabilitation
The video demonstrated tracking the brachial plexus from the supraclavicular to root level and ultrasound guided injection to the cervical roots of C5 and C6.
Creator: Ming-Yen Hsiao, Shaw-Gang Shyu, Chueh-Hung Wu, Levent Özçakar
Duration: 1:15
Journal: American Journal of Physical Medicine & Rehabilitation
The video shows dynamic ultrasound imaging for type A intrasheath subluxation of the peroneal tendons. Transposition of the peroneal longus and brevis tendons during ankle dorsiflexion and evertion is demonstrated.
Creator: Carl PC CHEN
Duration: 2:14
Journal: American Journal of Physical Medicine & Rehabilitation
Injection treatment to the glenohumeral joint is often needed to treat shoulder problems such as adhesive capsulitis. This can be done through blind palpation technique, fluoroscopic or musculoskeletal ultrasound guidance. In recent years, ultrasound has been proven to increase the accuracy of needle placement into the glenohumeral joint.
Glenohumeral joint injection can be done through the anterior rotator interval approach or the posterior approach techniques. The posterior injection technique offers an easier and a more effective approach to the glenohumeral joint with less extravasation rate as compared with the anterior approach. The video demonstrates how the posterior injection approach is done through ultrasound guidance.
Creator: Wei-Ting Wu
Duration: 00:35
Journal: American Journal of Physical Medicine & Rehabilitation
Using a curvilinear transducer in the oblique coronal plane, and the probe is placed between the coracoid process and acromioclavicular joint. A hypoechoic slip inside the hyperechoic triangular labrum is identified. Proximal portion of the biceps tendon (long head) appeared intact. With forcefully pulling the arm downward, the slip was enlarged with fluid filling the gap.
Creator: Daniel M Cushman, MD
Duration: 0:16
Journal: American Journal of Physical Medicine & Rehabilitation
This video demonstrates needle electromyography on a patient with respiratory synkinesis, with a needle in the right biceps brachii muscle. The first section of the video shows a relaxed patient, with the appearance of motor units associated with the inhalation phase of breathing. Next, the electromyographer asks her to take a deep breath with subsequent activation of numerous atypical motor units, which is done three times. For the last section, the patient holds her breath, and the motor unit stops firing.
Creator: James Hallinan, Edward Smitaman and Brady Huang
Duration: 1:53
Journal: American Journal of Physical Medicine & Rehabilitation
This video shows dynamic ultrasound images with real-time ankle movements. Dynamic scanning in the transverse view showed peroneus longus muscle herniation at the lateral leg during ankle dorsiflexion and eversion. A corresponding MRI also shows the muscle herniation.
Creator: Ming-Yen Hsiao, Chen-Yu Hung, Ke-Vin Chang, Levent Özçakar
Duration: 0:29
Journal: American Journal of Physical Medicine & Rehabilitation
Tracking of the the long head of the biceps tendon from the bicipital groove to the proximal insertion of the superior labrum.
Creator: Thiru M. Annaswamy, Kimberly Davis, Corey Armstead
Duration: 0:06
Journal: American Journal of Physical Medicine & Rehabilitation
Needle electromyography in low cervical paraspinal muscles of a patient with EMG disease demonstrate increased insertional activity and myotonic discharges at 2 different sweep speeds; 20ms (video 1) and 500ms (video 2). Video 1: 20ms sweep displays a myotonic discharge that can appear as fibrillations and positive sharp waves or complex repetitive discharges. Video 2: 500ms sweep reveals the “wax and wane” characteristic specific to myotonic discharges. Myotonic discharges can have variable appearance and sound depending on sweep speed. By definition discharges need to last over 500ms and in 3 or more areas outside of an endplate.
Creator: Yi-Pin Chiang, MD, Chien-Fei Feng, MD, and Henry L. Lew, MD, PhD
Duration: 4:12
Journal: American Journal of Physical Medicine & Rehabilitation

With the July issue of the Journal we are launching a new regular feature: the Video Gallery. The purpose of this Gallery is to combine text with video in the presentation and discussion of a topic of interest in musculoskeletal medicine. The first publication is authored by Chiang and collaborators who made a fantastic effort to write the text and produce the video in a relatively short period of time so we could include it in this issue of the Journal. This first “combined media publication” focus on the use of ultrasound for the examination of the rotator cuff and injection of the subacromial and subdeltoid bursa. Thanks to the effort of the Publisher LWW, the video can be accessed using your smartphone camera QR reader App to scan and capture the QR Code included with the print version of the article or by visiting our website at www.AJPMR.com. I hope you will appreciate this new feature and send us your comments and suggestions for future topics and use of electronic media.

Walter R. Frontera, MD, PhD
Editor-in-Chief

Creator: Alberto Esquenazi, MD
Duration: 0:52
Journal: American Journal of Physical Medicine & Rehabilitation
Video demonstration of a patient using ReWalk. The ReWalk is a lower limb powered exoskeleton that allows thoracic or lower level motor-complete individuals with SCI to walk independently.
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