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Fundamentals of Musculoskeletal Ultrasound E-Book

Fundamentals of Musculoskeletal Ultrasound E-Book

Jon A. Jacobson

(2012)

Additional Information

Book Details

Abstract

FUNDAMENTALS OF MUSCULOSKELETAL ULTRASOUND packs a big punch for such a compact book. It teaches the resident, clinician and even medical student, how to perform and read musculoskeletal ultrasounds, while highlighting the basic anatomy needed to perform and interpret ultrasounds and the salient points needed to make diagnosis. Key anatomy, concepts, diseases and even controversies are highlighted, rather than presenting a lengthy tome covering the A to Z's of musculoskeletal ultrasound.

  • Organized in a simple, outline format (emphasizing lists and tables) for easy access to information.
  • Features almost 1200 high quality images that clearly demonstrate essential concepts, techniques and interpretation skills.
  • Provides step-by-step instructions on how to perform musculoskeletal ultrasound techniques and interpret musculoskeletal ultrasound findings.
  • Reviews sonographic anatomy of peripheral joints to help you understand the anatomy so you can interpret ultrasound scans with confidence.
  • Reviews the sonographic appearances of common musculoskeletal pathologies to clearly differentiate one condition from another.

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Fundamentals of Musculoskeletal Ultrasound, 2/e i
Copyright Page iv
Dedication v
Preface vii
Acknowledgments ix
Table Of Contents xi
Cine Clip Video Contents xiii
1 Introduction xiii
2 Basic Pathology Concepts xiii
3 Shoulder Ultrasound xiii
4 Elbow Ultrasound xiv
5 Wrist and Hand Ultrasound xiv
6 Hip and Thigh Ultrasound xv
7 Knee Ultrasound xv
8 Ankle, Foot, and Lower Leg Ultrasound xv
9 Interventional Techniques xvi
1 Introduction 1
Chapter Outline 1
Equipment Considerations and Image Formation 1.e1
Scanning Technique 1.e2
Image Appearance 1.e3
Sonographic Appearances of Normal Structures 1.e5
Sonographic Artifacts 1.e6
Miscellaneous Ultrasound Techniques 1.e10
Color and Power Doppler 1.e12
Dynamic Imaging 1.e12
References 1.e14
2 Basic Pathology Concepts 2
Chapter Outline 2
Muscle and Tendon Injury 2.e1
Bone Injury 2.e6
Infection 2.e8
Arthritis 2.e12
Rheumatoid Arthritis 2.e12
Psoriatic Arthritis 2.e14
Gout 2.e15
Osteoarthritis 2.e15
Myositis and Diabetic Muscle Infarction 2.e17
Soft Tissue Foreign Bodies 2.e17
Peripheral Nerve Entrapment 2.e21
Soft Tissue Masses 2.e23
Lipoma 2.e23
Peripheral Nerve Sheath Tumors 2.e25
Vascular Anomalies 2.e26
Ganglion Cysts 2.e28
Lymph Nodes 2.e29
Malignant Soft Tissue Tumors 2.e29
Bone Masses 2.e33
References 2.e37
3 Shoulder Ultrasound 3
Chapter Outline 3
Ultrasound Examination Technique 5
General Comments 5
Position No. 1: Long Head of Biceps Brachii Tendon 5
Position No. 2: Subscapularis and Biceps Tendon Dislocation 7
Position No. 3: Supraspinatus and Infraspinatus 8
Position No. 4: Acromioclavicular Joint, Subacromial-Subdeltoid Bursa, and Dynamic Evaluation 15
Position No. 5: Infraspinatus, Teres Minor, and Posterior Glenoid Labrum 16
Rotator Cuff Abnormalities 18
Supraspinatus Tears and Tendinosis 18
General Comments 18
Partial-Thickness Tear 20
Full-Thickness Tear 25
Tendinosis 29
Indirect Signs of Supraspinatus Tendon Tear 30
Tendon Thinning. 30
Cortical Irregularity. 31
Joint Effusion and Bursal Fluid. 31
Cartilage Interface Sign. 32
Infraspinatus Tears and Tendinosis 32
Subscapularis Tears and Tendinosis 33
Rotator Cuff Atrophy 33
Postoperative Shoulder 36
Calcific Tendinosis 38
Impingement Syndrome 40
Adhesive Capsulitis 42
Pitfalls in Rotator Cuff Ultrasound 44
Errors in Scanning Technique 44
Improper Positioning of the Shoulder 44
Incomplete Evaluation of the Supraspinatus Tendon 44
Imaging of the Rotator Cuff Too Distally 44
Misinterpretation of Normal Structures 45
Misinterpretation of the Rotator Interval 45
Misinterpretation of the Musculotendinous Junction 46
Misinterpretation of the Supraspinatus-Infraspinatus Junction 46
Misinterpretation of Pathology 47
Subacromial-Subdeltoid Bursa Simulating Tendon 47
Rim-Rent Tear Versus Intrasubstance Tear 48
Tendinosis Versus Tendon Tear 48
Biceps Tendon 49
Joint Effusion and Tenosynovitis 49
Tendon Tear and Tendinosis 51
Subluxation and Dislocation 52
Subacromial-Subdeltoid Bursa 56
Glenohumeral Joint and Recesses 57
Glenoid Labrum and Paralabral Cyst 61
Greater Tuberosity 63
Pectoralis Major 64
Acromioclavicular Joint 64
Sternoclavicular Joint 66
Miscellaneous Disorders 68
References 71.e2
4 Elbow Ultrasound 72
Chapter Outline 72
Elbow Anatomy 72
Ultrasound Examination Technique 73
General Comments 73
Anterior Evaluation 75
Medial Evaluation 78
Lateral Evaluation 82
Posterior Evaluation 85
Joint and Bursa Abnormalities 85
Tendon and Muscle Abnormalities 93
Biceps Brachii 93
Triceps Brachii 96
Common Flexor and Extensor Tendons 97
Ligament Abnormalities 99
Peripheral Nerve Abnormalities 101
Ulnar Nerve 101
Median Nerve 102
Radial Nerve 105
Peripheral Nerve Sheath Tumors 108
Epitrochlear Lymph Node 108
References 109.e1
5 Wrist and Hand Ultrasound 110
Chapter Outline 110
Wrist and Hand Anatomy 110
Ultrasound Examination Technique 115
General Comments 116
Wrist: Volar Evaluation 116
Median Nerve, Flexor Digitorum Tendons, and Volar Joint Recesses 116
Scaphoid, Flexor Carpi Radialis Tendon, Radial Artery, and Volar Ganglion Cysts 119
Ulnar Artery, Vein, and Nerve (Guyon Canal) 119
Wrist: Dorsal Evaluation 121
Dorsal Wrist Tendons and Dorsal Joint Recesses 121
Scapholunate Ligament (Dorsal Component) and Dorsal Ganglion Cysts 123
Triangular Fibrocartilage Complex 124
Finger Evaluation 124
Volar 124
Dorsal 125
Ligaments 126
Joint Abnormalities 129
Tendon and Muscle Abnormalities 135
Peripheral Nerve Abnormalities 144
Carpal Tunnel Syndrome 144
Ulnar Tunnel Syndrome 147
Radial Nerve Compression 148
Transection Neuromas 148
Ligament and Osseous Abnormalities 148
Scapholunate Ligament Injury 148
Ulnar Collateral Ligament Injury (Thumb) 149
Other Ligament Injuries 151
Osseous Injury 153
Ganglion Cyst 154
Other Masses 158
Giant Cell Tumor of the Tendon Sheath and Similar Masses 158
Dupuytren Contracture 159
Glomus Tumor 159
Miscellaneous Masses 160
References 161.e1
6 Hip and Thigh Ultrasound 162
Chapter Outline 162
Hip and Thigh Anatomy 162
Ultrasound Examination Technique 166
General Comments 166
Hip Evaluation: Anterior 167
Hip Evaluation: Lateral 171
Hip Evaluation: Posterior 174
Inguinal Region Evaluation 175
Thigh Evaluation: Anterior 176
Thigh Evaluation: Medial 176
Thigh Evaluation: Posterior 178
Hip Evaluation for Dysplasia in a Child 180
Joint and Bursal Abnormalities 181
Joint Effusion and Synovial Hypertrophy 181
Labrum and Proximal Femur Abnormalities 185
Bursal Abnormalities 187
Postsurgical Hip 188
Tendon and Muscle Abnormalities 193
Tendon and Muscle Injury 193
Snapping Hip Syndrome 200
Calcific Tendinosis 203
Diabetic Muscle Infarction 204
Pseudohypertrophy of the Tensor Fasciae Latae 204
Peripheral Nerve Abnormalities 205
Miscellaneous Conditions 206
Morel-Lavallée Lesion 206
Inguinal Lymph Node 206
Other Soft Tissue Masses 207
Hernias 209
Developmental Dysplasia of the Hip 210
References 211.e2
7 Knee Ultrasound 212
Chapter Outline 212
Knee Anatomy 212
Ultrasound Examination TECHNIQUE 215
General Comments 216
Anterior Evaluation 216
Medial Evaluation 218
Lateral Evaluation 221
Posterior Evaluation 223
Joint Abnormalities 227
Joint Effusion and Synovial Hypertrophy 227
Cartilage Abnormalities 231
Tendon and Muscle Abnormalities 236
Quadriceps Femoris Injury 236
Patellar Tendon Injury 237
Other Knee Tendon Injuries 240
Gout 240
Ligament and Bone Abnormalities 242
Medial Collateral Ligament 242
Lateral Collateral Ligament 242
Cruciate Ligaments 244
Osseous Injury 244
Bursae and Cysts 244
Baker Cyst 244
Other Bursae 247
Ganglion Cysts 249
Peripheral Nerve Abnormalities 249
Vascular Abnormalities 253
References 256.e1
8 Ankle, Foot, and Lower Leg Ultrasound 257
Chapter Outline 257
Ankle and Foot Anatomy 257
Osseous Anatomy 257
Muscle and Tendon Anatomy 257
Ligamentous Anatomy 263
Ultrasound Examination Technique 264
General Comments 264
Anterior Ankle Evaluation 264
Medial Ankle Evaluation 266
Lateral Ankle Evaluation 269
Posterior Ankle and Heel Evaluation 275
Evaluation of the Calf 278
Evaluation of the Forefoot 278
Joint and Bursal Abnormalities 279
Joint Effusion and Synovial Hypertrophy 279
Inflammatory Arthritis 285
Bursal Abnormalities 291
Tendon and Muscle Abnormalities 293
Medial Ankle 293
Lateral Ankle 300
Anterior Ankle and Anterior Lower Leg 307
Posterior Ankle 308
Calf 317
Plantar Foot 321
Ligament Abnormalities 323
Fracture 327
Peripheral Nerve Abnormalities 332
Masses and Cysts 335
References 337.e1
9 Interventional Techniques 338
Chapter Outline 338
Technical Considerations 339
Needle Guidance Overview 339
Approach, Transducer and Needle Selection, and Ergonomics 340
Prepping the Site 341
Needle Visualization 343
Joint Procedures 344
Shoulder 345
Elbow 345
Wrist and Hand 345
Hip and Pelvis 348
Knee 348
Ankle and Foot 352
Bursal Procedures 355
Subacromial-Subdeltoid Bursa 355
Iliopsoas Bursa 356
Greater Trochanteric Bursae 356
Baker Cyst 357
Other Bursae 357
Tendon Sheath Procedures 357
Biceps Brachii Long Head 358
De Quervain Tenosynovitis 358
Iliopsoas 361
Piriformis 361
Tendon Procedures 362
Calcific Tendinosis Lavage and Aspiration 362
Tendon Fenestration (Tenotomy or Dry Needling) 364
Platelet-Rich Plasma and Whole Blood Injection 366
Miscellaneous Procedures 367
Cyst Aspiration 367
Peripheral Nerve Block 368
Biopsy 368
References 369.e1
Appendix Examination Checklists 370
Index 373
A 373
B 373
C 374
D 374
E 374
F 374
G 375
H 375
I 376
J 376
K 376
L 377
M 377
N 377
O 378
P 378
Q 378
R 378
S 378
T 379
U 380
V 381
W 381
X 382