ELENI ANDIPA General Hospital of Athens G. Gennimatas
|
|
- Bryan Underwood
- 5 years ago
- Views:
Transcription
1 ELENI ANDIPA General Hospital of Athens G. Gennimatas
2 Technological advances over the last years have caused a dramatic improvement in ultrasound quality and resolution An established imaging modality for the diagnosis and follow up of patients with rheumatic diseases.
3 Absence of radiation Multiplanar imaging Bilateral examination Cost efficiency Availability Non-invasive Low patient discomfort Dynamic real time Extension of clinical evaluation
4 High quality equipment Multiple probes 5-20 MHz Color doppler Detailed anatomy Operator-dependant Learning curve
5 3D imaging-extended views Advantages in the acquisition process Machine dependent Evaluation of synovial perfusion Contrast media-harmonic Early diagnosis of arthritis Identification of subclinical synovitis Therapy monitoring Elastography Further research is required 3D imaging
6 Intra-articular structures Fluid Synovitis Bone erosion-osteophytes Cartilage Enthesopathy Peri-articular structures Bursae cysts Tendons Ligaments Muscles Nerves Skin
7 Abnormal hypoechoic or anechoic intraarticular material Displaceable Compressible No Doppler signal OMERACT US Group 2005 hypoechoic cartilage anechoic
8 US is highly sensitive in depicting very small quantities The most aspecific sign Absence of fluid makes joint disease less possible PIP volar aspect transverse
9 Abnormal hypoechoic intra-articular tissue Non-displaceable Poorly compressible May exhibit Doppler signal OMERACT US Group 2005 Dd from other elements, such as blood, pus or crystals can be difficult.
10 Rheumatoid arthritis Septic arthritis Crystal induced arthropathies Amyloid arthropathy Pigmented villonodular synovitis- PVNS Synovial chondromatosis Hemophilic arthropathy Dd cannot be based on US findings alone PVNS
11 fluid synovitis
12 Compression Color Doppler absence of Doppler signal does not exclude the possibility of synovitis FNA synovitis-increased vascularity
13 Color Doppler Correlation between disease activity and the degree of synovial inflammation, as this is documented with doppler technique
14 Dd fluid and synovial hypertrophy Dd active and inactive disease Follow up reduction of synovial hyperemia is associated with positive response to therapy
15 Intra-articular discontinuity of the bone surface Visible in two perpendicular planes OMERACT US group 2005 US can visualize more erosions than radiography Backhaus 1999 humerus head MCP joint
16 Cortical protrusions at the joint margin seen in two perpendicular planes Acoustic shadow OMERACT US group 2005 US more sensitive than radiography in the depiction of early osteoarthritis lesions.
17 One of the major methodological problems is to accurately quantify the changes seen in arthritis Synovial hypertrophy Effusion Doppler signal Bone erosion Which joints? Establishing accurate measurements is vital especially in cases of follow up. RAMRIS 2005 Szkudlarek 2003 Scheel 2005 Backhaus 2009 OMERACT 10 Sharp Symposium 2010 The ESPOIR Cohort 2010
18 Synovial hypertrophy. Grade 0-3 Vascularity. Grade 0-4 Osteophytes. Grade 0-3 Feydy Radiol Clin N Am 2009
19 Normal 1,2-1,9 mm Edema> 2,5 mm early stages Thinning Blurring surface chronic inflammation femoral condyle
20 Gouty arthritis Deposition of crystals on the cartilage Aggregates in the fluid Deposition of crystals within tendons Tophi- erosions US can reliably measure the tophi monitor the therapy Pseudogout. Double-contour sign Crystals in the fluid Gout. Double-contour sign, tophi, erosions Iagnocco Semin Ultrasound CT MRI 2011
21 Abnormally hypoechoic tendon or ligament at its bony attachement Visible in two perpendicular planes May exhibit Doppler signals Bony changes enthesophytes erosions irregularity plantar fascia OMERACT US Group 2005 achilles tendon
22 Hallmark of SpA Rheumatoid arthritis Crystal related arthropathies Osteoarthritis achilles tendon high sensitivity detect minimal entheseal abnormalities before MRI and clinical manifestation Kager fat
23 The synovial membrane lines also the tendon sheath and the bursa. US findings similar to the effusion and synovitis of joints. Bursitis is a common disease entity in RA olecranon bursitis subacromial subdeltoid bursitis
24 Synovial cysts are common complications of RA Result of increased intraarticular fluid One of the first pathological findings, described by US synovial hypertrophy increased vascularity ruptured massive
25 Degeneration of periarticular soft tissue Common in hand and foot Cystic masses filled with viscous fluid Lack synovial lining Anechoic Close to joint simple uncomplicated ganglion cyst ganglion cyst of the elbow compressing the ulnar nerve
26 giant cell tumor complicated ganglion cyst
27 Periarticular tendon examination is an important part of the evaluation of the joint Tendon ruptures and tenosynovitis are the most common pathologies in rheumatological diseases. tenosynovitis target pattern-transverse image
28 Hypoechoic or anechoic thickened tissue With or without fluid Seen in two planes May exhibit Doppler signal OMERACT US Group % of patients with RA
29 Chronic synovial inflammation Weakening of the tendon Corticosteroids Involvement of supporting structures causes dislocation thinning of the supraspinatus dislocation of the long head biceps
30 Absence of the tendon Retraction Effusion Hypoechoic line hand, supraspinatus, patellar, tibialis posterior, Achilles extensor carpi ulnaris supraspinatus patellar tendon
31 Location Distance between the torn ends Early planning of surgical repair Dynamic evaluation achilles tendon flexor carpi unaris supraspinatus
32 Swelling Abnormal echotexture Discontinuity Dd from tendinitis partial tear tendinitis
33 US can depict ligaments Hand and wrist Elbow Shoulder Knee Foot Demonstrate pathology elbow: ulnar collateral ligament rupture of the talofibular ligament wrist: fibrocartilage complex
34 Inflammatory changes Ruptures rupture of the biceps milk-alkali syndrome gastrocnemious abscess
35 Frequent extra-articular manifestations in RA US is highly sensitive (88%) and specific (96%) in the diagnosis of CTS Normal: cross-sectional area CSA mm 2 Pathological: CSA>15mm 2 increased CSA increased vascularity
36 High frequency probes >20 MHz Oedema, fibrosis, thickening Rheumatoid nodules normal skin nodules oedema, thickening
37 Diagnostic or therapeutic purposes Synovial biopsy Steroid injection Fluid aspiration Ganglia aspiration
38 Evaluation of patients with regional pain syndromes Identification of changes associated with early arthritis Study of inflammatory activity Therapy monitoring Guidance for invasive procedures Grassi Best Practice & Research 2005
39 Optimizing diagnosis Measuring disease activity Identifying prognostic factors Wells Ultrasound in Med. & Biol 2011 Iagnocco Semin Ultrasound CT MRI 2011
40 Thank you
Ultrasound in Rheumatology
Arthritis Research UK Primary Care Centre Winner of a Queen s Anniversary Prize For Higher and Further Education 2009 Ultrasound in Rheumatology Alison Hall Consultant MSK Sonographer/Research Fellow Primary
More informationUltrasound in Rheumatology
Ultrasound in Rheumatology Alison Hall Consultant MSK Sonographer Research Institute for Primary Care & Health Sciences, Keele University Department of Rheumatology, Cannock Hospital, Royal Wolverhampton
More informationReporting Ultrasound Findings and Diagnosis
Reporting Ultrasound Findings and Diagnosis Rodina Nestorova MD Rheumatology Centre St. Irina, Sofia Bulgarian MSUS Society Basic MSU Course 14-16 Jan 2016 Plovdiv, Bulgaria ULTRASOUND REPORT COLLECTION
More informationUS finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기
US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기 Shoulder US Biceps tendon & Rotator Cuff Long Head of Biceps Tendon Subscapularis tendon Supraspinatus tendon Infraspinatus tendon Teres
More informationSonographic appearance of chronic inflammatory rheumatism
Sonographic appearance of chronic inflammatory rheumatism Poster No.: C-2237 Congress: ECR 2013 Type: Educational Exhibit Authors: H. Elfattach, F. Houari, O. Addou, M. Maaroufi, S. Tizniti ; 1 1 1 1 2
More informationPragmatic ultrasound in the diagnosis of soft tissue rheumatic pain. Plamen Todorov
Pragmatic ultrasound in the diagnosis of soft tissue rheumatic pain Plamen Todorov INTRODUCTION Soft tissue rheumatism: nonsystemic, focal pathological syndromes involving the periarticular structures.
More informationUrgent Cases and Foreign Bodies
Urgent Cases and Foreign Bodies Catherine J. Brandon, MD, MS University of Michigan Ann Arbor, MI, USA Introduction: Patients added on to the schedule from the emergency department or as urgent add-on
More informationGout. Crystal deposition disease: Imaging perspectives. Crystal associated arthropathies. Clinical Stages of Gout 07/06/60
Crystal associated arthropathies Crystal deposition disease: Imaging perspectives Warapat Virayavanich, MD Ramathibodi hospital, Mahidol University Commonly seen arthropathy MSU (gout) CPPD HADD Uncommon
More informationClinical Practice Guideline. Ultrasound in Rheumatological Settings. Version
Clinical Practice Guideline Ultrasound in Rheumatological Settings Version 1.1.2017 November 2017 Table of Contents Abbreviations...3 Introduction...4 Diagnostic Musculoskeletal Ultrasound...6 Definition
More informationUltrasound Evaluation of Masses
Ultrasound Evaluation of Masses Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Disclosures: Consultant: Bioclinica Advisory Panel: GE,
More informationTable of contents. Foreword. Preface. 1 Introduction Historical Perspective 00
Table of contents Foreword Preface 1 Introduction 00 1.1 Historical Perspective 00 2 Fundamentals of musculoskeletal ultrasound 00 2.1 Frequency and wavelength 00 2.2 Generating ultrasound waves 00 2.3
More informationWhy? Ultrasound of the Foot. Ultrasound of the Foot. General Rules. Plantar Fascia. Plantar Fasciitis 18/09/2018
Ultrasound of the Foot Why? Ultrasound of the Foot Plantar fasciitis Plantar fascia fibromatosis Morton s neuroma Intermetatarsal bursitis Adventitial bursitis Plantar plate tears MTP joint synovitis Ganglia
More informationUltrasound of Mid and Hindfoot Pathology
Ultrasound of Mid and Hindfoot Pathology Levon N. Nazarian, M.D. Professor of Radiology Thomas Jefferson University Hospital Disclosures None relevant to this presentation Educational Objective Following
More informationScoring and Grading B-Mode Synovitis and Doppler findings in pediatric MSKUS. Johannes Roth MD PhD FRCPC RhMSUS
Scoring and Grading B-Mode Synovitis and Doppler findings in pediatric MSKUS Johannes Roth MD PhD FRCPC RhMSUS Pathology - Definition Synovitis Synovitis on ultrasonography in children B-mode and Doppler
More informationUltrasound of the Shoulder
Ultrasound of the Shoulder Patrick Battaglia, DC, DACBR Logan University, Department of Radiology Outline Review ultrasound appearance of NMSK tissues Present indications for ultrasound of the shoulder.
More informationProfessor Lisa Stamp
Professor Lisa Stamp Rheumatologist University of Otago, Christchurch 8:30-9:25 WS #65: Joint Injection Techniques 9:35-10:30 WS #75: Joint Injection Techniques (Repeated) Joint/soft tissue corticosteroid
More informationInternational Musculoskeletal Ultrasound Course MITOS
Basic and Intermediate Levels th International Musculoskeletal Ultrasound Course MITOS Final Course Program 30 November - 2 December 2017 Wyndham Grand Athens Hotel Athens Greece www.synthesispco.com/mitoscourse2017
More informationSoft Tissue Rheumatism. Elinor Mody, MD Chief, Division of Rheumatology Reliant Medical Group
Soft Tissue Rheumatism Elinor Mody, MD Chief, Division of Rheumatology Reliant Medical Group Some problems are difficult, but diagnosing and treating most causes of joint pain are not! Common areas of
More informationUltrasonographic Evaluation of Painful Shoulder joint in rural population
Original article: Ultrasonographic Evaluation of Painful Shoulder joint in rural population Dr. Pankaj Garg*, Dr. V.N. Marathe, Dr. S. G. Gandage, Dr.S.G.Kachewar Department of Radiology, Rural Medical
More informationThe Role of Ultrasonography in the Assessment of Rheumatic Diseases. Current and Potential Role of Ultrasonography in Rheumatology
The Role of Ultrasonography in the Assessment of Rheumatic Diseases Karina D. Torralba, MD, MACM, CCD, Assistant Professor of Medicine, Keck School of Medicine, University of Southern California Objective:
More informationCrystal Deposition Disease and Psoriatic Arthritis
74 Crystal Deposition Disease and Psoriatic Arthritis Philip J. O Connor, MRCP, FRCR, FFSEM (UK) 1,2 1 Department of Radiology, Leeds Teaching Hospitals, Chapel Allerton Hospital, Leeds, United Kingdom
More informationGraz, October 3 rd 5 th, 2013
MUSCULOSKELETAL SONOGRAPHY COURSE IN RHEUMATOLOGY INTERMEDIATE LEVEL Graz, October 3 rd 5 th, 2013 This course has been scientifically endorsed by: GENERAL INFORMATION Course opening: Thursday, October
More informationLateral Elbow Pathology
Lateral Elbow Pathology Jon A. Jacobson, M.D. Professor of adiology Director, Division of Musculoskeletal adiology University of Michigan Disclosures: Consultant: Bioclinica Advisory Board: GE, Philips
More informationUltrasound in Rheumatological Conditions:
Ultrasound in Rheumatological Conditions: Status and Perspectives Nancy A. Chauvin, MD Assistant Professor of Radiology Director of Musculoskeletal Imaging The Children s Hospital of Philadelphia University
More informationAPPROPRIATE USE GUIDELINES
APPROPRIATE USE GUIDELINES Appropriateness of Advanced Imaging Procedures (MRI, CT, Bone Scan/PET) in Patients with Shoulder Pain CDI QUALITY INSTITUTE: PROVIDER LED ENTITY (PLE) Compiled by Rob Liddell,
More informationORTHOPAEDIC INJECTION AND ASPIRATION TECHNIQUES
ORTHOPAEDIC INJECTION AND ASPIRATION TECHNIQUES OAAPN October 20, 2016 David H. Sohn, JD MD Chief, Shoulder and Sports Medicine University of Toledo Medical Center When to aspirate? To rule out infection
More informationRotator Cuff and Biceps Pathology
Rotator Cuff and Biceps Pathology Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Disclosures: Consultant: Bioclinica Advisory Board:
More informationDavid Bong (Spain), MD Faculty member of the EULAR MSUS courses since 2011.
MUSCULOSKELTAL SONOGRAPHY COURSE Intermediate Level Sept 30 & Oct 1 & 2, 2016 Dubai, United Arab Emirates Organizing Office: Compass Conferences ENDORSED Organizers Ingrid Möller (Scientific Organizer)
More informationPsoriatic arthritis: early ultrasound findings
Psoriatic arthritis: early ultrasound findings Poster No.: C-0399 Congress: ECR 2014 Type: Educational Exhibit Authors: R. Persechino 1, L. Cristiano 1, A. Bartoloni 1, C. Cantone 2, A. Keywords: DOI:
More informationRheumatology & Immunology. Regional pain syndromes to be covered today. Some definitions. Tendinitis. Bursitis. History. History. Exam.
Rheumatology & Immunology Some problems are difficult, but diagnosing and treating soft tissue syndromes are not! Soft tissue syndromes one of the most common reasons patients present to their doctor.
More information"EULAR endorsed course"
MUSCULOSKELTAL SONOGRAPHY COURSE InterMediate Level 15 17 September, 2017 Dubai, UAE Organizing Office: Compass Conferences "EULAR endorsed course" Organizers Ingrid Möller (Scientific Organizer) Esperanza
More informationBenefits of Aspiration and Injection JOINT INJECTIONS. Injection Indications. Mechanism of Action 1/11/2016
Benefits of Aspiration and Injection JOINT INJECTIONS Mark Niedfeldt, M.D. Medical College of Wisconsin Decrease or resolution of pain Decrease or resolution of inflammation Decrease or resolution of effusion
More informationUltrasound assessment of most frequent shoulder disorders
Ultrasound assessment of most frequent shoulder disorders Poster No.: C-2026 Congress: ECR 2014 Type: Educational Exhibit Authors: S. P. Ivanoski; Ohrid/MK Keywords: Trauma, Athletic injuries, Arthritides,
More informationAspiration, Intra-articular and Soft Tissue Injections. MR KEWAL SINGH, MS(orth), FRCS(Eng)
Aspiration, Intra-articular and Soft Tissue Injections MR KEWAL SINGH, MS(orth), FRCS(Eng) Indications for Aspiration Haemarthrosis Septic arthritis Symptomatic relief of a large effusion Crystal-induced
More informationThe Egyptian Journal of Hospital Medicine (October 2017) Vol. 69 (4), Page
The Egyptian Journal of Hospital Medicine (October 2017) Vol. 69 (4), Page 2294-2300 Role of Magnetic Resonance Imaging and Ultrasonography in Diagnosis and Follow Up Rheumatoid Arthritis in Hand and Wrist
More informationWhen Pads of Fat are a Welcome Sight: Fat Pads in Acute Musculoskeletal Imaging
When Pads of Fat are a Welcome Sight: Fat Pads in Acute Musculoskeletal Imaging Poster No.: C-2444 Congress: ECR 2013 Type: Authors: Keywords: DOI: Educational Exhibit M. Zakhary 1, M. Adix 2, C. Yablon
More informationArthritis due to deposition diseases: differential diagnosis in conventional radiology
Arthritis due to deposition diseases: differential diagnosis in conventional radiology Poster No.: C-1599 Congress: ECR 2016 Type: Educational Exhibit Authors: A. P. Pissarra, R. R. Domingues Madaleno,
More informationIntroduction to Musculoskeletal Ultrasound. Disclosures. Evidence Based Medicine Key References 8/30/2017
Introduction to Musculoskeletal Ultrasound Johannes Roth MD, PhD, FRCPC, RhMSUS Professor of Pediatrics University of Ottawa Gurjit S Kaeley MBBS, MRCP, RhMSUS Professor of Medicine Division Chief Director
More informationMR IMAGING OF THE WRIST
MR IMAGING OF THE WRIST Wrist Instability Dissociative Pattern apparent on routine radiographs Non-dissociative Stress / positional radiographs Dynamic fluoroscopy during stress Arthrography MRI / MR arthrography
More informationDisclosures. Ultrasonography. Conventional radiography (XR) Magnetic resonance imaging. Conventional CT 10/27/2013
What I can see in my gout patient that I couldn t before: the role of advanced imaging in gout diagnosis and monitoring Disclosures ND is supported by the Health Research Council of New Zealand I have
More informationUltras ono graphic Evaluation of Rotator Cuff Tendons in Patients with Rheumatoid Arthritis
Med. J. Cairo Univ., Vol. 83, No. 1, June: 395-399, 215 www.medicaljournalofcairouniversity.net Ultras ono graphic Evaluation of Rotator Cuff Tendons in Patients with Rheumatoid Arthritis HALA I. ELGENDY,
More informationShoulder Elbow Wrist/Hand
Shoulder Elbow Wrist/Hand Randy E. Moore DC RDMS RMSK General Musculoskeletal Imaging, Inc. 1 Shoulder Tendinosis : 3 key Ultrasound Findings 1. Increased cellularity thickened and ACR inhomogeneous CLV
More informationJoints Outline 8.1 Joints are classified into three structural and three functional categories (p. 251; Table 8.1) A. Joints are classified by
Joints Outline 8.1 Joints are classified into three structural and three functional categories (p. 251; Table 8.1) A. Joints are classified by structure and by function: Structural classification focuses
More informationCase study #12 Left knee
The patient is a 55 year old female who presents with bilateral knee pain. Patient is a collegiate softball coach and has a very active lifestyle and career that is hampered by her chronic knee pain. She
More informationAdditional File 1. ICD9 Codes for chronic pain related diagnoses Dx Diagnosis Description Codes
Additional File 1. ICD9 Codes for chronic pain related diagnoses Dx Diagnosis Description Dx Diagnosis Description Codes Codes 327.52 Sleep related leg cramps 717 Old bucket handle tear of medial 333.84
More informationChronic knee pain in adults - a multimodality approach or which modality to choose and when?
Chronic knee pain in adults - a multimodality approach or which modality to choose and when? Poster No.: P-0157 Congress: ESSR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit E. Ilieva, V. Tasseva,
More informationJune 26 th 28 th, 2014 Innsbruck, Austria
MUSCULOSKELETAL SONOGRAPHY COURSE FOR RHEUMATOLOGISTS - INTERMEDIATE LEVEL - June 26 th 28 th, 2014 Innsbruck, Austria This course is scientifically endorsed by: GENERAL INFORMATION Course opening: Thursday,
More informationUltrasound of the Knee
Ultrasound of the Knee Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Disclosures: Consultant: Bioclinica Book Royalties: Elsevier Advisory
More informationBulgarian Association for Musculoskeletal Ultrasound
MUSCULOSKELETAL ULTRASOUND COURSE INTERMEDIATE LEVEL ORGANIZATION AND COMMITTEE Scientific Organiser Prof. Annamaria Iagnocco Local Organisers Prof Anastas Batalov Dr Rodina Nestorova Dr Plamen Todorov
More informationElbow. Chapter 2 LISTEN. Mechanism of Injury (If Applicable) Pain
Chapter 2 Elbow LISTEN Mechanism of Injury (If Applicable) Patient usually remembers their position at the time of injury Certain mechanisms of injury result in characteristic patterns Fall on outstretched
More informationSuperficial Lumps and Bumps: Ultrasound Assessment
Posterior knee Superficial Lumps and Bumps: Ultrasound Assessment Walter Mak, MD Department of Medical Imaging St. Michael s Hospital SM SM MGas MGas MGas MGas Synovial lined Synovial cyst: extrusion of
More informationAssessment of crystal deposition diseases with High Resolution Ultrasound
Assessment of crystal deposition diseases with High Resolution Ultrasound Poster No.: C-2223 Congress: ECR 2010 Type: Educational Exhibit Topic: Musculoskeletal Authors: A. Miquel, P. Bienvenot, C. Pradel,
More informationComparative study of high resolusion ultrasonography and magnetic resonance imaging in diagnosing traumatic knee injuries & pathologies
Original article: Comparative study of high resolusion ultrasonography and magnetic resonance imaging in diagnosing traumatic knee injuries & pathologies Dr. Rakesh Gujjar*, Dr. R. P. Bansal, Dr. Sandeep
More information2015 ARDMS Musculoskeletal Sonographer Job Task Analysis Summary Report
P a g e 1 2015 ARDMS Musculoskeletal Sonographer Job Task Analysis Summary Report American Registry for Diagnostic Medical Sonography (ARDMS) P a g e 2 Table of Contents ABOUT THE REPORT... 3 METHODOLOGY...
More informationGuidelines for musculoskeletal ultrasound in rheumatology
Ann Rheum Dis 2001;60:641 649 641 REVIEW Rheumatology and Clinical Immunology, Charité University Hospital, Humboldt University, Berlin, Germany M Backhaus G-R Burmester Rheumatology and Physical Medicine,
More informationUltrasound. A Guide to Musculoskeletal. Examination techniques and ultrasonography of normal structures and pathology. Michel Court-Payen, MD, Ph.D.
A GUIDE TO MUSCULOSKELETAL ULTRASOUND 1 A Guide to Musculoskeletal Ultrasound Examination techniques and ultrasonography of normal structures and pathology Michel Court-Payen, MD, Ph.D. A GUIDE TO MUSCULOSKELETAL
More informationWhat can Imaging tell us?
What can Imaging tell us? David Connell FRANZCR, FFSEM (UK) Assoc Professor Dept of Medicine, Nursing & Healthcare Monash University, Melbourne, Australia Assoc Professor Sport & Exercise Medicine Research
More informationThe Joints are Painful & Swollen: Do I give Steroids? Dr Tom Kennedy
The Joints are Painful & Swollen: Do I give Steroids? Dr Tom Kennedy Learning Objectives When to use an acute rheumatology service Appropriate use of steroids by condition Injection or Oral or Intramuscular
More informationCase study #11 Rt. knee
The patient is a 55 year old female who presents with bilateral knee pain. Patient is a collegiate softball coach and has a very active lifestyle and career that is hampered by her chronic knee pain. She
More informationUltrasound Guided Therapeutic Injections in the Treatment of Shoulder Pain: A Multimedia Review
Ultrasound Guided Therapeutic Injections in the Treatment of Shoulder Pain: A Multimedia Review Poster No.: P-0127 Congress: ESSR 2015 Type: Educational Poster Authors: A. Karsandas, J. Tuckett, R. Sinha,
More informationCommon Applications for Sonography and Guided Intervention: Shoulder
Common Applications for Sonography and Guided Intervention: Shoulder Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Disclosures: Consultant:
More informationUpdate - Imaging of the Spondyloarthropathies. Spondyloarthropathies. Spondyloarthropathies
Update - Imaging of the Spondyloarthropathies Donald J. Flemming, M.D. Dept of Radiology Penn State Hershey Medical Center Spondyloarthropathies Family of inflammatory arthritides of synovium and entheses
More informationIndex. radiologic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acromioclavicular joint injuries in football players, 318, 319 ALPSA. See Anterior labroligamentous periosteal sleeve avulsion. Anterior
More informationA 24 year old male patient presented with a swelling on the dorsal aspect of left foot since 3 years. He was operated thrice before, outside, for
A 24 year old male patient presented with a swelling on the dorsal aspect of left foot since 3 years. He was operated thrice before, outside, for same. Came to us with recurrence since last one year with
More informationRheumatoid Arthritis 2. Inflammatory Diseases. Definition. Imaging Signs
Rheumatoid Arthritis 2 Definition " Epidemiology Affects 2% of the population Peak incidence (diagnosis) in 4th and 5th decades Women affected 3 4 times more often than men Increased familial incidence
More informationAOS 3: Rheumatoid Arthritis
AOS 3: Rheumatoid Arthritis Arthritis (General) = inflamed joint - NOT a single disease: covers >100 types - Involves disability + decreased quality of life o Can also occur in young people (not just the
More informationClinical Orthopaedic Rehabilitation Volume 1 and 2
Clinical Orthopaedic Rehabilitation Volume 1 and 2 COURSE DESCRIPTION This program is a practical, clinical guide that provides guidance on the evaluation, differential diagnosis, treatment, and rehabilitation
More informationPractical Reporting of Musculoskeletal Imaging Studies: MRI Elbow
Practical Reporting of Musculoskeletal Imaging Studies: MRI Elbow James F Griffith History Where is pain located? For how long? Trauma if so, what and when Radiographers can get this info Grade. Don t
More informationIndex. Note: Page numbers of article titles are in boldface type.
Magn Reson Imaging Clin N Am 12 (2004) 185 189 Index Note: Page numbers of article titles are in boldface type. A Acromioclavicular joint, MR imaging findings concerning, 161 Acromion, types of, 77 79
More informationShane A. Shapiro, M.D. Assistant Professor, Orthopedic Surgery Mayo Clinic 2012 MFMER slide MFMER slide-3
Ultrasound Foot and Ankle Pathology Disclosures None relevant Shane A. Shapiro, M.D. Assistant Professor, Orthopedic Surgery Mayo Clinic Florida @ShaneShapiroMD 2012 MFMER slide-2 Foot and Ankle Fundamentals
More informationSonographic assessment of adult and juvenile rheumatoid arthritis
Sonographic assessment of adult and juvenile rheumatoid arthritis Poster No.: C-1485 Congress: ECR 2013 Type: Educational Exhibit Authors: C. A. S. Ruano, P. L. Pegado, J. M. G. Lourenco, P. Alves, L.
More informationThe Shoulder. By Patrick Ryan, Bobby Law, Jack Beaty, Alex Newhouse and Chuck Nelson
The Shoulder By Patrick Ryan, Bobby Law, Jack Beaty, Alex Newhouse and Chuck Nelson Learning Objectives/Agenda Review the anatomy of the shoulder Describe the main diseases of the shoulder Describe the
More informationPrinciples of Ultrasound. Cara C. Prideaux, M.D. University of Utah PM&R Sports Medicine Fellow March 14, 2012
Principles of Ultrasound Cara C. Prideaux, M.D. University of Utah PM&R Sports Medicine Fellow March 14, 2012 None Disclosures Outline Introduction Benefits and Limitations of US Ultrasound (US) Physics
More informationUltrasound of Shoulder Pathology and Intervention 서울대학교병원재활의학과 김기원
Ultrasound of Shoulder Pathology and Intervention 서울대학교병원재활의학과 김기원 Ultrasound for Shoulder Disorder Advantage Dynamic evaluation Immediate clinical correlation + Intervention Weakness Diagnostic accuracy?
More informationCertificate in Allied Health Performed Ultrasound (CAHPU) Syllabus. Soft Tissue Ultrasound for Physiotherapy
Certificate in Allied Health Performed Ultrasound (CAHPU) Syllabus Soft Tissue Ultrasound for Physiotherapy Page 1 of 7 12/18 Soft Tissue Ultrasound for Physiotherapy Syllabus Purpose: This unit is designed
More informationBrain Atrophy. Brain Atrophy
Aging Central Nervous System Processes Age related brain atrophy Non-age related brain atrophy Cerebrovascular disease Cerebral infarction Hypertensive hemorrhage Carotid artery stenosis and occlusion
More informationUltrasound of the elbow, what the radiologist should know.
Ultrasound of the elbow, what the radiologist should know. Poster No.: C-1679 Congress: ECR 2012 Type: Educational Exhibit Authors: P. Gamo Villegas, J. García Yavar, S. Allodi de la Hoz, J. 1 1 3 2 1
More informationMusculoskeletal Ultrasound
EFSUMB Course Book Student Edition Editors: Jan Tuma, Radu Badea, Christoph F. Dietrich Musculoskeletal Ultrasound Giorgio Tamborrini Ultrasound Center, Switzerland Corresponding author: KD Dr. med. Giorgio
More informationUltraSound Course. International Musculoskeletal MITOS. Athens, Greece. Basic and Intermediate Levels - Course Program. 29 Nov - 1 Dec 2018
Basic and Intermediate Levels - Course Program th International Musculoskeletal UltraSound Course 29 Nov - 1 Dec 2018 Wyndham Grand Athens Hotel Athens, Greece MITOS Musculosceletal Imaging Techniques
More informationThe Painful Elbow, Wrist, and Hand. Jennifer R Marks, MD
The Painful Elbow, Wrist, and Hand Jennifer R Marks, MD The Painful Elbow A 44 yo M presents to clinic complaining of a sore elbow What further questions do you have for this patient? What is on your differential
More informationJoel S Sellers, DO, FAOASM CAQSM, RMSK
Joel S Sellers, DO, FAOASM CAQSM, RMSK This is a sports slide of an Olympic wrestler Chris Taylor 1 This is a Sports Illustrated slide of jockey Johnny Sellers This is a slide of Coach Jim Sellers 2 This
More informationPeripheral Nerve Ultrasound
Peripheral Nerve Ultrasound Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Normal Peripheral Nerve Ultrasound appearance: Hypoechoic
More informationPragmatic use of US in intraarticular and periarticular procedures
Pragmatic use of US in intraarticular and periarticular procedures Plovdiv, 13. January 2018 Dr. med. Giorgio Tamborrini-Schütz www.irheuma.com member of the EULAR Network of Imaging Training Centres Ulrasound
More informationThe Upper Limb II. Anatomy RHS 241 Lecture 11 Dr. Einas Al-Eisa
The Upper Limb II Anatomy RHS 241 Lecture 11 Dr. Einas Al-Eisa Sternoclavicular joint Double joint.? Each side separated by intercalating articular disc Grasp the mid-portion of your clavicle on one side
More informationSeptember 5 th 7 th, 2018 Innsbruck, Austria
MUSCULOSKELETAL SONOGRAPHY COURSE FOR RHEUMATOLOGISTS - INTERMEDIATE LEVEL - September 5 th 7 th, 2018 Innsbruck, Austria This course is scientifically endorsed by: GENERAL INFORMATION Course opening:
More informationMRI KNEE WHAT TO SEE. Dr. SHEKHAR SRIVASTAV. Sr.Consultant KNEE & SHOULDER ARTHROSCOPY
MRI KNEE WHAT TO SEE Dr. SHEKHAR SRIVASTAV Sr.Consultant KNEE & SHOULDER ARTHROSCOPY MRI KNEE - WHAT TO SEE MRI is the most accurate and frequently used diagnostic tool for evaluation of internal derangement
More informationUltrasound of the Hip: Anatomy, Pathology, and Procedures
Ultrasound of the Hip: Anatomy, Pathology, and Procedures Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Outline Hip Joint Native hip
More informationMUSCULOSKELETAL DISORDERS: THE BIGGEST JOB SAFETY PROBLEM. What Are Musculoskeletal Disorders
MUSCULOSKELETAL DISORDERS: THE BIGGEST JOB SAFETY PROBLEM What Are Musculoskeletal Disorders Every year more than 1.8 million workers in the United States suffer painful back and repetitive strain injuries,
More informationMRI SHOULDER WHAT TO SEE
MRI SHOULDER WHAT TO SEE DR SHEKHAR SRIVASTAV Sr. Consultant- Knee & Shoulder Arthroscopy Sant Parmanand Hospital Normal Anatomy Normal Shoulder MRI Coronal Oblique Sagital Oblique Axial Cuts Normal Coronal
More informationSports Medicine Unit 16 Elbow
Sports Medicine Unit 16 Elbow I. Bones a. b. c. II. What movements does the elbow perform? a. Flexion b. c. Pronation d. III. Muscles in motion a. FLEXION (supinated) i Brachialis (pronated) ii (neutral)
More informationOf the many advances that have come into the field of rheumatology today is the art
36 Journal of the association of physicians of india vol 62 october, 2014 review article Musculo-skeletal Ultrasound in Rheumatology Practice Ved Chaturvedi * Abstract In rheumatology ultrasound is a relatively
More informationMUSCULOSKELTAL SONOGRAPHY COURSE Basic Level 4 6 November, 2016 Manama, Kingdom of Bahrain Organizing Office: Compass Conferences ENDORSED
MUSCULOSKELTAL SONOGRAPHY COURSE Basic Level 4 6 November, 2016 Manama, Kingdom of Bahrain Organizing Office: Compass Conferences ENDORSED Organizers Möller (Scientific Organizer) Ayman Fahim (Organizer)
More informationBilateral Shoulder Pain
HR J Bilateral Shoulder Pain, p. 64-69 Clinical Case - Test Yourself Bilateral Shoulder Pain Musculoskeletal Eirini D. Savva, Rafaela M. Smarlamaki, Foteini I. Terezaki Department of Radiology, University
More informationIntroduction to Ultrasound Examination of the Hand and upper
Introduction to Ultrasound Examination of the Hand and upper Emil Dionysian, M.D. Ultrasound of upper ext. Upside Convenient Opens another exam dimension Can be like a stethoscope Helps 3-D D visualization
More informationCase study # 6 Sharon P
Patient is a morbidly obese 70 year old female presenting with left shoulder pain after a severe fall. Patient is in moderate to severe pain with extremely limited range of motion due to extensive shoulder
More informationEULAR 25th Jubilee EULAR Sonography Course Basic, Intermediate and Advanced Musculoskeletal Ultrasound (MSUS) in Rheumatology
EULAR 25th Jubilee EULAR Sonography Course Basic, Intermediate and Advanced Musculoskeletal Ultrasound (MSUS) in Rheumatology Sunday 10th Wednesday 13th June 2018 Amsterdam, Netherlands ORGANISATION AND
More informationEARLY INFLAMMATORY ARTHRITIS. Cristina Tacu Consultant Rheumatologist Brighton and Sussex University Hospital
EARLY INFLAMMATORY ARTHRITIS Cristina Tacu Consultant Rheumatologist Brighton and Sussex University Hospital EIA: Introduction National priority Preventable cause of disability Very common condition High
More informationUltrasound of the Knee Joint. Jun Sung Park,M.D. Bundang General Hospital Dept. of Rehabilitation Medicine
Ultrasound of the Knee Joint Jun Sung Park,M.D. Bundang General Hospital Dept. of Rehabilitation Medicine Clinical History and P/E Chronic or Acute Symptoms Chronic Sx. : possible of systemic articular
More information