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MH—MSK Ultrasound

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27 papers 100 to 500 followers Technical Guidelines and articles on diagnostic musculoskeletal ultrasound - Memorial Hermann Orthopedic and Sports Physical Therapy Residency
By Dexter Upton Sports Physical Therapist
Levon N Nazarian, Jon A Jacobson, Carol B Benson, Laura W Bancroft, Asheesh Bedi, John M McShane, Theodore T Miller, Laurence Parker, Jay Smith, Lynne S Steinbach, Sharlene A Teefey, Ralf G Thiele, Michael J Tuite, James N Wise, Ken Yamaguchi
The Society of Radiologists in Ultrasound convened a panel of specialists from a variety of medical disciplines to reach a consensus about the recommended imaging evaluation of painful shoulders with clinically suspected rotator cuff disease. The panel met in Chicago, Ill, on October 18 and 19, 2011, and created this consensus statement regarding the roles of radiography, ultrasonography (US), computed tomography (CT), CT arthrography, magnetic resonance (MR) imaging, and MR arthrography. The consensus panel consisted of two co-moderators, a facilitator, a statistician and health care economist, and 10 physicians who have specialty expertise in shoulder pain evaluation and/or treatment...
May 2013: Radiology
Shane Koppenhaver, Danny Harris, Amanda Harris, Erin O'Connor, Max Dummar, Theodore Croy, Michael Walker, Tim Flynn
BACKGROUND: Rehabilitative ultrasound Imaging (RUSI) is increasingly used in the management of musculoskeletal conditions as it provides an objective measure of muscle function while being less invasive than needle electromyography. While research has documented the ability to reliably measure trunk muscles in patients with back pain, no study to date has used RUSI to quantify infraspinatus muscle function in patients with shoulder impingement syndrome (SIS). HYPOTHESIS/PURPOSE: The purpose of this study was to examine the intra-rater and inter-rater reliability of measuring infraspinatus muscle thickness with RUSI and to compare such measures during resting versus contracted muscle states and in the symptomatic versus asymptomatic shoulders in patients with SIS...
April 2015: International Journal of Sports Physical Therapy
Jackie L Whittaker, Deydre S Teyhen, James M Elliott, Katy Cook, Helene M Langevin, Haldis H Dahl, Maria Stokes
The use of ultrasound imaging by physical therapists is growing in popularity. This commentary has 2 aims. The first is to introduce the concept of rehabilitative ultrasound imaging (RUSI), provide a definition of the scope of this emerging tool in regard to the physical therapy profession, and describe how this relates to the larger field of medical ultrasound imaging. The second aim is to provide an overview of basic ultrasound imaging and instrumentation principles, including an understanding of the various modes and applications of the technology with respect to neuromusculoskeletal rehabilitation and in relation to other common imaging modalities...
August 2007: Journal of Orthopaedic and Sports Physical Therapy
Alessandro Schneebeli, Michele Egloff, Amelia Giampietro, Ron Clijsen, Marco Barbero
OBJECTIVE: To examine intra- and interrater reliability of thickness and cross-sectional area (CSA) measurements of the supraspinatus muscle using rehabilitative ultrasound imaging (RUSI). METHODS: Two physical therapists acquired b-mode images of the supraspinatus muscles in twenty-five healthy subjects. Thickness and CSA were measured. Intra- and interrater reliability were examined. RESULTS: Intrarater reliability for thickness was high, (ICC1...
April 2014: Journal of Bodywork and Movement Therapies
Amee L Seitz, Caralyn J Baxter, Kristen Benya
Alterations in scapular muscle activity have been theorized to contribute to abnormal scapular motion and shoulder pain, but pose challenges to quantify in the clinic. Rehabilitative Ultrasound Imaging (RUSI) has proved useful identifying dysfunction of lumbar regional stabilizing muscle activity, specifically contractile behavior. Although, recent examinations of scapular stabilizing trapezius muscle function using RUSI did not detect alterations individuals with shoulder pain or differences in muscle thickness between varying external loads in asymptomatic individuals, a potential confounder to prior results, scapular dyskinesis has not been controlled...
August 2015: Manual Therapy
Jonathan T Finnoff, Jay Smith, Evan R Peck
The shoulder is the most common region to be evaluated with musculoskeletal ultrasound. The shoulder's complex anatomy enables an exceptional range of mobility at the expense of static stability. Consequently, the shoulder is susceptible to a multitude of traumatic and atraumatic injuries. This article presents an overview of shoulder anatomy, recommends a standardized approach to the sonographic shoulder evaluation, and discusses common sonographically apparent pathology of the shoulder.
August 2010: Physical Medicine and Rehabilitation Clinics of North America
T C Winter, S A Teefey, W D Middleton
In summary, musculoskeletal sonography is a rapidly growing field of interest around the world. Outside of America, it is often the first and definitive imaging modality fordisorders of the musculoskeletal system. Musculoskeletal ultrasound offers rapid, inexpensive, real-time examination of the structures of interest with easy comparison to the contralateral side. Principles of one area of musculoskeletal sonography easily generalize to other areas.
May 2001: Radiologic Clinics of North America
Tzvetanka Petranova, Violeta Vlad, Francesco Porta, Goran Radunovic, Mihaela C Micu, Rodina Nestorova, Annamaria Iagnocco
Ultrasonography (US) is a helpful imaging tool in the evaluation of the musculoskeletal system. It has some advantages over the other imaging techniques, such as plain radiography, computed tomography and magnetic resonance imaging, represented by the non-invasiveness and multiplanar imaging capability, repeatability, lack of radiation burden, good patient acceptance, and relatively limited costs. US offers an excellent resolution and a possibility for real-time dynamic examination of the joints and surrounding soft tissues, as well as enables monitoring of therapeutic response...
June 2012: Medical Ultrasonography
Roy Settergren
OBJECTIVE: The purpose of this case study is to describe the treatment of a patient with tendinopathy using sonographically guided dry needling. Tendinopathies are a highly prevalent problem in musculoskeletal medicine, and no one form of treatment has gained universal acceptance as being superior to another. CLINICAL FEATURES: A 30-year-old woman with a 4-month history of anterolateral right shoulder pain was diagnosed with supraspinatus tendinopathy upon physical examination, which was confirmed with diagnostic sonography...
March 2013: Journal of Chiropractic Medicine
Eugene S Yim, Gianmichel Corrado
Ultrasound offers sports medicine clinicians the potential to diagnose, treat, and manage a broad spectrum of conditions afflicting athletes. This review article highlights applications of ultrasound that hold promise as point-of-care diagnostics and therapeutic tools that can be used directly by clinicians to direct real-time management of athletes. Point-of-care ultrasound has been examined most in the context of musculoskeletal disorders in athletes, with attention given to Achilles tendinopathy, patellar tendinopathy, hip and thigh pathology, elbow tendinopathy, wrist pathology, and shoulder pain...
November 2012: Current Sports Medicine Reports
Aaron R L Dawes, Peter H Seidenberg
CONTEXT: Sports-related injuries of the hip are a common complaint of both competitive and recreational athletes of all ages. The anatomic and biomechanical complexity of the hip region often cause diagnostic uncertainty for the clinicians evaluating these injuries. Therefore, obtaining additional diagnostic information is often crucial for providing injured athletes with a prompt and accurate diagnosis so they can return to activity as soon as possible. Musculoskeletal ultrasound is becoming increasingly important in evaluating and treating sports-related injuries of the hip...
November 2014: Sports Health
David J Berkoff, Joy English, Daniel Theodoro
The use of point-of-care ultrasound (US) by non-radiologists is not new and the expansion into sports medicine practice is relatively young. US has been used extensively to evaluate the musculoskeletal system including the diagnosis of muscle, tendon and bone injuries. However, as sports medicine practitioners we are responsible for the care of the entire athlete. There are many other non-musculoskeletal applications of US in the evaluation and treatment of the athlete. This paper highlights the use of US in the athlete to diagnose pulmonary, cardiac, solid organ, intra-abdominal and eye injuries...
February 2015: British Journal of Sports Medicine
Angelo Corazza, Davide Orlandi, Emanuele Fabbro, Giulio Ferrero, Carmelo Messina, Riccardo Sartoris, Silvia Perugin Bernardi, Alice Arcidiacono, Enzo Silvestri, Luca Maria Sconfienza
Ultrasonography (US) is an established and well-accepted modality that can be used to evaluate articular and peri-articular structures around the shoulder. US has been proven to be useful in a wide range of rotator cuff diseases (tendon tears, tendinosis, and bursitis) as well as non-rotator cuff abnormalities (instability problems, synovial joint diseases, and nerve entrapment syndromes). Diagnostic accuracy of shoulder US when evaluating rotator cuff tears can reach 91-100% for partial and full thickness tears detection, respectively, having been reported to be as accurate as magnetic resonance imaging in experienced hands...
February 2015: European Journal of Radiology
Hannah Hinsley, Alex Nicholls, Michael Daines, Gemma Wallace, Nigel Arden, Andrew Carr
BACKGROUND: ultrasound is a valid cost effective tool in screening for rotator cuff pathology with high levels of accuracy in detecting full-thickness tears. To date there is no rotator cuff tendinopathy classification using ultrasound. The aims of this study are to define a valid high-definition ultrasound rotator cuff tendinopathy classification, which has discriminate validity between groups based upon anatomical principles. METHODS: 464 women, aged 65-87, from an established general population cohort underwent bilateral shoulder ultrasound and musculoskeletal assessment...
July 2014: Muscles, Ligaments and Tendons Journal
Jonathan T Finnoff, Mederic M Hall, Erik Adams, David Berkoff, Andrew L Concoff, William Dexter, Jay Smith
The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilization is by nonradiologists. In sports medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases, and hydrodissections. This American Medical Society for Sports Medicine (AMSSM) position statement critically reviews the literature and evaluates the accuracy, efficacy, and cost-effectiveness of ultrasound-guided injections in major, intermediate, and small joints, and soft tissues, all of which are commonly performed in sports medicine...
January 2015: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Rebecca Feuerherd, Mark A Sutherlin, Joseph M Hart, Susan A Saliba
PURPOSE/BACKGROUND: Differences in humeral torsion have been observed between overhead athletes and non-athletes. Although humeral torsion may be an adaptive process for athletic performance, it may be associated with injury. Methods for measuring humeral torsion have consisted of radiography, computer tomography, and ultrasound imaging. However, diagnostic imaging may be costly and not available to all clinicians. The implementation of clinical assessments may be an alternative way to measure humeral torsion...
December 2014: International Journal of Sports Physical Therapy
Jonathan T Finnoff, David Berkoff, Fred Brennan, John DiFiori, Mederic M Hall, Kimberly Harmon, Mark Lavallee, Sean Martin, Jay Smith, Mark Stovak
The following sports ultrasound (SPORTS US) curriculum is a revision of the curriculum developed by the American Medical Society for Sports Medicine (AMSSM) in 2010. Several changes have been made to the curriculum with the primary aim of providing a pathway by which a sports medicine fellow can obtain sufficient SPORTS US training to become proficient in the core competencies of SPORTS US. The core competencies of SPORTS US are outlined in the learning objectives section of this document. The term "SPORTS US" was purposefully chosen rather than "musculoskeletal ultrasound" (MSK US) because it was recognized by the panel that the evolving field of SPORTS US encompasses non-MSK applications of ultrasound such as the FAST examination (focused assessment with sonography for trauma)...
January 2015: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Joline E Brandenburg, Sarah F Eby, Pengfei Song, Heng Zhao, Jeffrey S Brault, Shigao Chen, Kai-Nan An
The use of brightness-mode ultrasound and Doppler ultrasound in physical medicine and rehabilitation has increased dramatically. The continuing evolution of ultrasound technology has also produced ultrasound elastography, a cutting-edge technology that can directly measure the mechanical properties of tissue, including muscle stiffness. Its real-time and direct measurements of muscle stiffness can aid the diagnosis and rehabilitation of acute musculoskeletal injuries and chronic myofascial pain. It can also help monitor outcomes of interventions affecting muscle in neuromuscular and musculoskeletal diseases, and it can better inform the functional prognosis...
November 2014: Archives of Physical Medicine and Rehabilitation
Paul Michelin, Yohann Delarue, Fabrice Duparc, Jean Nicolas Dacher
OBJECTIVES: The aim of this retrospective study was to measure the inferior glenohumeral capsule thickness of shoulders clinically affected by capsular contracture by comparison to the contralateral asymptomatic side. METHODS: Bilateral shoulder ultrasound (US) examinations of 20 patients with clinically or MRI proven unilateral capsular contracture were retrospectively assessed. Inferior capsule evaluation was performed with a transducer placed within the axilla in maximally abducted shoulders...
October 2013: European Radiology
Henry L Lew, Carl P C Chen, Tyng-Guey Wang, Kelvin T L Chew
With recent advances in computer technology and equipment miniaturization, the clinical application of diagnostic ultrasonography (U/S) has spread across various medical specialties. Diagnostic U/S is attractive in terms of its noninvasiveness, lack of radiation, readiness of use, cost-effectiveness, and its ability to make dynamic examinations possible. Dynamic imaging deserves special emphasis because it is useful in differentiating full-thickness from partial-thickness tendon tears, muscle tears, and tendon and nerve subluxations or dislocations...
April 2007: American Journal of Physical Medicine & Rehabilitation
2014-07-12 15:41:03
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