In the next transucer position, we're going to scan the rectus femmeris tendon, the direct tendon uh at the uh anterior inferior iliac spine. I'm going to place the transducer on the uh rectus femmeris muscle which uh is appearing here as a ovalshaped structure and then following this muscle to uh proximal uh and then if we are reaching the uh hip joint area and also the anterior inferior elix spine area we will see that the uh cross-sectional area will become smaller and smaller uh and until the rectus femmeris becomes uh indeed uh tendonous. So here we can see the hip joint. This is the femoral head and the rectus femmeris is uh really uh close and is uh inserting to the anterior inferior uh spine. So uh here we can see the hip joint. This is the uh femural head right there and the anterior inferior iliac spine is sloping up right there and you can see the uh hypercoic tissue right here. This is indeed the rectus femmeris tendon. And what we are going to do is uh we will uh slide with the transducer from medial to lateral in order to see the full origin at the uh inferior iliac spine. uh we're going to observe for any tendonous changes of the uh uh the the the tendon the direct tendon and of course also signs of avulsion uh uh or calcifications in this area. So we're going to search for any uh uh hypercoic reflections in this tendonous area. Um the tendon might also be more hyperccoic due to a tendinopathy and maybe the tendon uh can also show some uh tearing some partial tearing which would leave a anooic zone within uh the tendon. Uh the direct tendon can be seen. The indirect tendon cannot be seen. So uh that is a little bit difficult in this position because uh uh due to its oblquity it's fully anotropic and it's hard to see for that we have a different uh position. Um yes. So after having checked the uh the tendon itself, we can [snorts] go back to uh transverse view and then uh search uh for the quadriceps uh and do a check of the rectus femmeris muscle belly itself and following the rectus femmeris down to knee level. And then uh don't only observe the muscle fibers of the rectus femmeris but also for the internal tendon which can be observed uh right there uh which is the uh combination of the indirect tendon and also partly the direct tendon as an upon aotic expansion flowing into the muscle belly.
