Cadaveric Musculoskeletal Ultrasound Guided Injection Course

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1 Cadaveric Musculoskeletal Ultrasound Guided Injection Course David Baker HCPC, MCSP, PG Cert Musculoskeletal Sonography Robert Mast BSc Physiotherapy HCPC, MCSP, PgCert Musculoskeletal Sonography Suresh Sudula Consultant Physiotherapist/Sonographer in Diagnostic and Interventional Musculoskeletal Ultrasound Dr Matt Szarko Stuart Wildman MSc, BSc (Hons) Physiotherapy, HCPC, MCSP, MMACP, PG Dip, Training MSK Sonographer 24th Oct th Oct 2015 St George's University Hospital 4th floor, Room H4.18B Hunter Wing Blackshaw road Tooting

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3 Summary This comprehensive, two day, cadaveric musculoskeletal ultrasound guided injection course in London, offers you the next best training tool to performing injections on patients. It provides a unique opportunity to learn and develop your injection skills directly on the anatomy you will encounter in your clinic! With a blend of short lectures and dynamic, hands-on practicals with soft preserved cadavers you will have plenty of opportunity to fine tune your skills. With a maximum of 3 delegates per ultrasound machine, and a high tutor:delegate ratio, you will have regular feedback and practical time. There will be a strong clinical focus throughout the course and the majority of peripheral joint injections will be covered. There is a 10% discount for ACPOMIT members. Content There will be endless opportunities to challenge your anatomical knowledge, utilising the wide range of educational tools available at St George's including anatomical prosections, models and the cadavers. The knowledge of Dr Matt Szarko (Academic Lead and Senior lecturer in Anatomy at St Georges University of London) will also be available, to answer those challenging anatomical questions when orientating yourself to the cadavers! Your lecturers for the two days are experienced MSK clinicians, all trained to a high level with MSK Ultrasound and with extensive clinical experience of integrating ultrasound into their MSK clinics, and Radiology environments.

4 Objectives By the end of this course you will be able to: - Optimise an ultrasound image and demonstrate a basic ultrasound examination of upper and lower limb target structures. - Describe the sonographic appearance of commonly encountered pathologies in selected upper and lower limb regions, as well as the adjunctive role of ultrasound-guided procedures in the treatment of these pathologies. - Outline the steps necessary for successful completion of an ultrasound-guided procedure and dynamically track needles using ultrasound guidance. - Discuss the role of ultrasound-guided procedures in the evaluation and management of MSK conditions. - List the steps necessary to perform aseptic advanced ultrasound-guided MSK Interventions. Day 1 Time Activity 8.45 Coffee and registration 9.00 Introduction to the course and meet the tutors 9.15 The sonographic differences between patients and cadaver 9.30 Aseptic techniques: US guided interventional procedures The technique of performing injections on cadavers - considering probe covers, ultrasound gel position, needle visualisation Visualising the needle: Using probe skills to optimise visualisation of the needle The Knee Break Ultrasound guided interventions for knee pain : Presentation followed by dissection room practice of US guided procedures on soft cadavers: Intra-articular knee, Bakerâ s cyst, aspiration, Pes anserinus injection. Bursal injections around the knee The Knee - Continued practice of injection techniques with cadavers Lunch Ultrasound guided interventions for the Hip

5 Time Activity Break Presentation followed by dissection room practice of US guided procedures on soft cadavers: Hip joint, trochanteric bursa Ultrasound guided interventions for the ankle and foot Presentation followed by dissection room practice of US guided procedures on soft cadavers: Intrarticular techniques, Plantar fascia, 1st MTP joint. Peroneal sheaths, Tib post sheath, Mortons Neuroma Review selected techniques from the day Close Day 2 Time Activity 9.00 Review of the weekend so far...! 9.15 Appraisal of the evidence..are US guided injections more accurate? Do they reduce side effects? Do they improve patient outcome? 9.30 Injectable substances..what can be used? and what is the evidence behind their useage? 9.45 Ultrasound guided interventions for shoulder pain Break Presentation followed by hands on practice of US guided procedures on soft cadavers. Covering: Subacromial Subdeltoid bursa, Glenohumeral joint, Acromioclavicular joint, Long head of biceps sheath Continued practice of injections around the shoulder Lunch Ultrasound guided Interventions for wrist and hand conditions Break Presentation followed by hands on practice of US guided procedures on soft cadavers: Radio-carpal joint, DeQuervains tenosynovitis, carpal tunnel syndrome. Hand: First CMC joint, trigger finger/thumb, finger joints Ultrasound guided interventions for elbow pain Presentation followed by hands on practice of US guided procedures on soft cadavers. Covering: Common extensor, common flexor, radiohumeral joint, distal biceps Opportunity to review techniques from the weekend Close

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