By John M.D. O’Neill (auth.), John M.D. O’Neill MB, B.A.O, B.Ch, MRCPI, MSc, FRCR(UK) (eds.)
Ultrasound is a powerful imaging modality more and more used for musculoskeletal assessment via radiologists, basic practitioners, activities drugs experts, and orthopedic surgeons alike. right ultrasound exam and interpretation hinges on thorough wisdom of proper anatomy, artifacts and procedure. Musculoskeletal Ultrasound: Anatomy and approach tackles the basics of ultrasound, from physics, artifact reputation and crucial anatomy to present concerns, resembling the becoming curiosity in ultrasound of the peripheral frightened method. 1000s of photos, illustrations and anatomical photographs supplement concise, easy-to-read textual content and convenient tables. Transducer place and the corresponding ultrasound photo are awarded side-by-side in the course of every one joint exam. ideal for any doctor attracted to this imaging modality, Musculoskeletal Ultrasound is the one reference that interprets crucial info from the web page to the display and into your scientific practice.
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Additional info for Musculoskeletal Ultrasound: Anatomy and Technique
Its fibers pass perpendicular to those of the supraspinatus and can be seen as a thin hyperechoic fibrillar structure medial to the greater tuberosity. 34 The glenohumeral ligaments are not routinely identifiable with ultrasonography. Subacromial Impingement Dynamic assessment of possible subacromial impingement has become an additional component to the shoulder ultrasound examination. 29a). 5. Ligaments of the Shoulder and Acromioclavicular Joints. Transverse humerala Coracohumerala Coracoacromiala Coracoclavicular Glenohumeral (3) Acromioclavicular (superiora ) (4) Suprascapular a Can normally be visualized on ultrasound.
Anisotropy: supraspinatus (SS) tendon. (a) Normal longitudinal hyperechoic ultrasound appearance of the SS tendon. (b) Same position as (a) with transducer angled 5–10°. Hypoechoic areas appear when the transducer is no longer perpendicular to the tendon fibers and simulate pathology. Arrowhead depicts hyperechoic fibers perpendicular to the supraspinatus consistent with the rotator cable. 8 Anisotropy is the different ultrasound echogenicity of normal tissue when the angle of insonation is not 90° to the plane of the structure being imaged.
Shaffer B. Painful conditions of the acromioclavicular joint. J Am Acad Orthop Surg 1999;7:176–188. 14. Mosely HF, Overgaard B. The anterior capsular mechanism in recurrent anterior dislocation of the shoulder. J Bone Joint Surg 1962;44B:913–927. 15. Taljanovic M, Carlson K, Kuhn J et al. Sonography of the glenoid labrum: A cadaveric study with arthroscopic correlation. AJR 2000;174:1717–1722. 16. Schydlowsky P, Strandberg C, Galatius S et al. Ultrasonographic examination of the glenoid labrum of healthy volunteers.