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  • 07 - MSK-Nov-09SH

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    The document discusses musculoskeletal (MSK) ultrasound, including the areas of the body that are commonly scanned, such as the shoulder, knee, and hip. It describes the structures that can be examined, such as bones, muscles, tendons and ligaments. A variety of pathologies are visible with MSK ultrasound, including injuries, diseases, masses and infections. The technologies used include high-frequency linear probes and Doppler imaging. The skills required include knowledge of anatomy, good probe manipulation, and the ability to perform dynamic scans and needle guidance. Potential users discussed include radiologists, rheumatologists, sports medicine physicians and physiotherapists.

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    MUSCULOSKELETAL ultrasound scannin

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    The document discusses musculoskeletal (MSK) ultrasound, including the areas of the body that are commonly scanned, such as the shoulder, knee, and hip. It describes the structures that can be examined, such as bones, muscles, tendons and ligaments. A variety of pathologies are visible with MSK ultrasound, including injuries, diseases, masses and infections. The technologies used include high-frequency linear probes and Doppler imaging. The skills required include knowledge of anatomy, good probe manipulation, and the ability to perform dynamic scans and needle guidance. Potential users discussed include radiologists, rheumatologists, sports medicine physicians and physiotherapists.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    9 views13 pages

    07 - MSK-Nov-09SH

    Uploaded by

    dragossites
    The document discusses musculoskeletal (MSK) ultrasound, including the areas of the body that are commonly scanned, such as the shoulder, knee, and hip. It describes the structures that can be examined, such as bones, muscles, tendons and ligaments. A variety of pathologies are visible with MSK ultrasound, including injuries, diseases, masses and infections. The technologies used include high-frequency linear probes and Doppler imaging. The skills required include knowledge of anatomy, good probe manipulation, and the ability to perform dynamic scans and needle guidance. Potential users discussed include radiologists, rheumatologists, sports medicine physicians and physiotherapists.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 13

    Musculoskeletal (MSK)

    Agenda
    • What areas of the body are scanned

    • What structures are examined

    • What pathology is visible

    • What technologies are used

    • What skills are required

    • Who might be interested


    What areas of the body?
    • Shoulder

    • Ankle / heel

    • Knee

    • Hand / wrist

    • Elbow

    • Hip / Groin

    • Other areas
    What areas of the body?
    • Shoulder

    – Most popular (MSK) region imaged by Ultrasound

    – Most accessible of all the large articulate joints

    – Third most common in terms of MSK pain


    (after Lower Back & Carpel Tunnel)
    – Good patient acceptability
    (no need to undress too much!)
    What structures?
    • Bone (surface)

    • Muscles

    • Tendons

    • Ligaments

    • Joints

    • Cartilage

    • Bursa

    • Nerve Bundles

    • Blood vessels
    What pathology?
    • Bone – erosion (Arthritis), crack (Rib), healing (fracture)

    • Muscle injury – tears, haematomas (inter & intra), Myositis, oedema


    What pathology?
    • Tendon disease – tear, tendinitis, tendinosis, tenosynovitis, calcification

    • Joint instability - collateral ligament tear, dynamic changes, tendon failure

    • Impingement – tendon, joint, fat pad, bursitis, nerve, orthopaedic HW


    What pathology?
    • Mass lesions, cysts, fluids - Ganglion cysts, tumours, soft-tissue sarcomas

    • Infection disease - septic arthritis, synovitis, bursitis, abscess, osteomyelitis

    • Foreign bodies / orthopaedic HW


    What technologies?
    • High frequency

    • High resolution

    • (mainly) Linear probes

    • Panoramic imaging

    • Spatial compounding

    • Color / Power Doppler

    • Needle guidance

    • 3D / 4D imaging
    (mostly at research stage)
    What skills?
    • Good knowledge of anatomy & 3D imagination

    • Good probe manipulation skills


    What skills?
    • Good MSK specific scanning techniques
    – Recognize structures (tendon, ligament, nerve, bursa, blood vessel)

    – Eliminating (or taking advantage of) artifacts


    What skills?
    • Good dynamic imaging skills (movement during scanning)

    Posterior Labral Tear

    • Good needle guidance skills


    Who might be interested?
    • Radiology - high end, multi application system
    • Rheumatology - application specific, US = 3rd arm
    • Sports medicine - application specific, portable (?)
    • Orthopaedic surgery - Good at MSK US, but prefer to cut !
    • Physiotherapy - “I don’t diagnose” mentality - need change
    • Paediatric hip - well established, but small market
    • Podiatry - still in its infancy . . .
    • Plastic / maxillo-facial surgery - botox guidance ! . . . yes please !!

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