0:00

So let's go to the second case or the case number six.

0:04

And this is a very nice case

0:07

that is a differential diagnosis of, uh, muscle tear,

0:12

muscle injury.

0:14

And I'm gonna show here in a moment.

0:16

And this case is a case of, uh, uh,

0:22

thrombus, uh, deep, uh, vein thrombosis, right?

0:25

That's the history, 20-year-old male

0:28

with posterior knee pain.

0:31

So this first image that I'm gonna show you right here,

0:36

we can see a defect filling defect

0:40

inside this, uh, inside the veins

0:43

of the medial gastro namal muscle.

0:45

Look here. Uh, we can see this, uh,

0:48

filling defect right here.

0:50

If we see this, uh, region at the axial plane.

0:54

We can see here, here is the popal artery.

0:58

Here is the popal vein,

1:00

and we can see this vessel, uh,

1:03

coming out from the popal vein,

1:06

and they trifurcate right here.

1:10

And we can see this filling defect inside this veins

1:15

at the medial gastros.

1:19

And these are the findings of the, uh,

1:21

deep venal s thrombosis, right?

1:23

A feeling defect, uh, thickening of the wall of the vessels

1:28

and edema around the vessels and edema around the muscles

1:32

and inside the muscles,

1:34

and sometimes edema at the, uh, at the soft tissue

1:39

around the area of the

1:42

deep venous thrombosis right here.

1:44

So let me show you the Corona plane

1:47

because the Corona plane is beautiful to see this case.

1:50

Look here, look that.

1:52

And so you can see the vessel coming out, coming off the

1:57

popal vein,

1:59

and we can see the feeling the defect inside the vessel

2:04

and the bifurcation,

2:05

and later the trifurcation of the, one of the vessels.

2:09

So this is a classic finding

2:11

and this is a differential diagnosis of, uh, muscle injury

2:15

of, uh, popal cyst, uh, ruptured.

2:19

So we have to keep that in mind.

2:21

And also the musculoskeletal ultrasound, uh,

2:25

with Doppler can, uh, help a lot to do this diagnosis.