PMC8107658_01
Case 1 USS pre-injection (larger, distal lesion).
10.1177_2050313X211011813-fig1.jpg
PMC8107658_01_10.1177_2050313X211011813-fig1.jpg
fig1-2050313X211011813
The distal lesion measured 13.5 mm in length x 5.2 mm in width (Figure 1) the proximal lesion measured 7.9 mm x 2.8 mm (Figure 2).
Case 1 USS pre-injection (smaller, proximal lesion).
10.1177_2050313X211011813-fig2.jpg
PMC8107658_01_10.1177_2050313X211011813-fig2.jpg
fig2-2050313X211011813
The distal lesion measured 13.5 mm in length x 5.2 mm in width (Figure 1) the proximal lesion measured 7.9 mm x 2.8 mm (Figure 2).
Case 1: second injection without USS. We find that a medial approach rather than a plantar approach is more comfortable for the patient.
10.1177_2050313X211011813-fig3.jpg
PMC8107658_01_10.1177_2050313X211011813-fig3.jpg
fig3-2050313X211011813
In this instance, palpation-guided injection and fenestration was undertaken (Figure 3).
Case 1: USS post second injection (larger, distal lesion).
10.1177_2050313X211011813-fig4.jpg
PMC8107658_01_10.1177_2050313X211011813-fig4.jpg
fig4-2050313X211011813
For purposes of audit, the patient was reviewed at 12 months post procedure and a further USS examination was undertaken showing a significant regression of both nodules: the distal nodule to 6 mm x 1.9 mm (Figure 4) and the proximal nodule to 2.4 mm x 1.2 mm (Figure 5).
Case 1: USS post second injection (smaller, proximal lesion).
10.1177_2050313X211011813-fig5.jpg
PMC8107658_01_10.1177_2050313X211011813-fig5.jpg
fig5-2050313X211011813
For purposes of audit, the patient was reviewed at 12 months post procedure and a further USS examination was undertaken showing a significant regression of both nodules: the distal nodule to 6 mm x 1.9 mm (Figure 4) and the proximal nodule to 2.4 mm x 1.2 mm (Figure 5).
PMC8107658_02
Case 2: USS pre-injection.
10.1177_2050313X211011813-fig6.jpg
PMC8107658_02_10.1177_2050313X211011813-fig6.jpg
fig6-2050313X211011813
Subsequently, an USS examination was requested (Figure 6).
Case 2: USS post injection.
10.1177_2050313X211011813-fig7.jpg
PMC8107658_02_10.1177_2050313X211011813-fig7.jpg
fig7-2050313X211011813
The USS demonstrated a small hypoechoic mass sited in the same area as previously demonstrated but with reduced dimensions, as seen in Figure 7 (note: as this coincided with the start of the Covid-19 pandemic, the lesion was scanned by ourselves rather than by the local sonography team who were only taking emergency cases at that time, and therefore no definitive dimensions are offered).