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https://read.qxmd.com/read/37583741/the-effectiveness-of-student-led-musculoskeletal-and-vascular-ultrasound-workshops-at-a-single-institution-a-retrospective-survey-analysis
#21
JOURNAL ARTICLE
Jane J Kim, Jeffrey J Li, Quang Nguyen, Eric Neilson
Introduction Point-of-care ultrasound (POCUS) is a rapidly evolving field of diagnostic medicine as its low cost, portability, and versatility have made handheld ultrasound (US) probes an invaluable tool for many modern physicians. Despite US's benefits as a bedside evaluative tool, many medical schools have not integrated POCUS into their pre-clerkship medical education due to a lack of equipment and faculty. The first objective of our study was to determine whether student tutors (STs) would be effective resources to teach musculoskeletal (MSK) and vascular US to preclinical medical students...
July 2023: Curēus
https://read.qxmd.com/read/37576422/update-of-contrast-enhanced-ultrasound-in-musculoskeletal-medicine-clinical-perspectives-a-review
#22
REVIEW
Shao-Yu Chen, Yao-Wei Wang, Wen-Shiang Chen, Ming-Yen Hsiao
Contrast-enhanced ultrasound (CEUS) uses an intravascular contrast agent to enhance blood flow signals and assess microcirculation in different parts of the human body. Over the past decade, CEUS has become more widely applied in musculoskeletal (MSK) medicine, and the current review aims to systematically summarize current research on the application of CEUS in the MSK field, focusing on 67 articles published between January 2001 and June 2021 in online databases including PubMed, Scopus, and Embase. CEUS has been widely used for the clinical assessment of muscle microcirculation, tendinopathy, fracture nonunions, sports-related injuries, arthritis, peripheral nerves, and tumors, and can serve as an objective and quantitative evaluation tool for prognosis and outcome prediction...
2023: Journal of Medical Ultrasound
https://read.qxmd.com/read/37574521/the-burden-of-entheseal-involvement-in-systemic-lupus-erythematosus-a-comparative-ultrasonograghic-study
#23
JOURNAL ARTICLE
Ahmed Emerah, Shaimaa Mostafa, Lobna Kotb, Yomna Amer, Basma Ismail, Shymaa A Sarhan
BACKGROUND: Imaging is crucial for identifying and diagnosis of the musculoskeletal (MSK) symptoms, which are one of the most typical manifestations of systemic lupus erythematosus (SLE). For the joints, tendons, and entheseal sites, ultrasonography has shown to be sensitive and accurate for the diagnosis of both inflammation and structural damage. AIM: The goal of the current investigation is to determine the prevalence and the distribution of entheseal abnormalities in SLE patients, using musculoskeletal ultrasonography (MSUS) and to assess the relationship between entheseal sonographic changes and the SLE disease activity...
August 14, 2023: Clinical Rheumatology
https://read.qxmd.com/read/37565129/pediatric-residents-perceptions-of-a-point-of-care-ultrasound-collaboration-with-emergency-medicine
#24
JOURNAL ARTICLE
Brandon M Wubben, Megan Oberbillig, Cory Wittrock, Kacie Rytlewski, Caitlin K Thirnbeck, Christian Junker, Amy Stier
Background Pediatric residencies expanding their point-of-care ultrasound (POCUS) education face barriers, including a lack of established curriculum and qualified educators. Prior studies report partnerships between pediatrics and pediatric emergency medicine (PEM); however, many non-PEM emergency medicine (EM) physicians with POCUS fellowship training also have experience with pediatric POCUS and represent an alternate educational partner. Objectives To improve pediatric residents' POCUS skills through collaborative education with EM and evaluate perceptions of the teaching format and instructors...
July 2023: Curēus
https://read.qxmd.com/read/37547831/musculoskeletal-ultrasound-an-essential-tool-in-diagnosing-patellar-tendon-injuries
#25
JOURNAL ARTICLE
Robert C Manske, Phil Page, Michael Voight, Chris Wolfe
Musculoskeletal (MSK) ultrasound has emerged as a vital tool in diagnosing patellar tendon injuries. Traditional imaging techniques, such as X-rays and Magnetic Resonance Imaging, have certain limitations in assessing soft tissue structures or may not be easily accessible. MSK ultrasound, with its high-resolution, real-time imaging capabilities, offers a cost-effective, safe, and patient-friendly alternative. It allows for accurate visualization of the patellar tendon's structure and function, thereby facilitating the identification of pathological changes such as thickening, thinning, or disruption which aids in diagnosing conditions such as tendonitis, partial tears, and ruptures...
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/37425114/using-msk-ultrasound-in-the-evaluation-of-subscapularis-injuries
#26
JOURNAL ARTICLE
Robert C Manske, Michael Voight, Chris Wolfe, Phil Page
The shoulder is an area that can be prone to a variety of injuries, including subscapularis tendon tears. The subscapularis muscle is one of the four muscles that make up the rotator cuff in the shoulder and plays an essential role in stabilizing the shoulder joint while at the same time facilitating internal rotation of the humerus. Injuries to the subscapularis can occur due to trauma, overuse, or degeneration, leading to pain, weakness, and limited mobility. When injury occurs, subscapularis tendon tears are often difficult to diagnose and evaluate due to their location deep within the shoulder joint...
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/37397635/iliopsoas-strain-demographics-concurrent-injuries-and-grade-determined-by-musculoskeletal-ultrasound-in-72-agility-dogs
#27
JOURNAL ARTICLE
Danny Sack, Debra Canapp, Sherman Canapp, Stephanie Majeski, Jeff Curry, Angela Sutton, Robert Cullen
The objective of this study was to describe patient demographics associated with iliopsoas strains, frequency of common concurrent injuries, and associated strain grades based on musculoskeletal ultrasound. The medical records of 72 client-owned agility dogs that had an iliopsoas musculoskeletal ultrasound (MSK-US) between 2009 and 2015 were retrospectively reviewed. Analyses included patient signalment, physical examination, and diagnostic findings. Twenty-four breeds of canine athletes from 1.5 to 10 y old (median: 5 y, SD: 2...
July 2023: Canadian Journal of Veterinary Research
https://read.qxmd.com/read/37371247/accuracy-of-multimodality-fetal-imaging-us-mri-and-ct-for-congenital-musculoskeletal-anomalies
#28
JOURNAL ARTICLE
Roy U Bisht, Mohan V Belthur, Ian M Singleton, Luis F Goncalves
BACKGROUND: Ultrasonography (US) is the first-line diagnostic tool used to assess fetal musculoskeletal (MSK) anomalies. Associated anomalies in other organ systems may benefit from evaluation via Magnetic Resonance Imaging (MRI). In this study, we compared the diagnostic accuracy of US and MRI to diagnose fetal MSK (primary objective) and non-MSK anomalies (secondary objective). We describe additional findings by low-dose computerized tomography (CT) in two cases incompletely characterized via US and MRI...
June 5, 2023: Children
https://read.qxmd.com/read/37225418/revision-to-the-musculoskeletal-domain-of-the-bilag-2004-index-to-incorporate-ultrasound-findings
#29
JOURNAL ARTICLE
Robert D Sandler, Edward M Vital, Khaled Mahmoud, Athiveeraramapandian Prabu, Claire Riddell, Lee-Suan Teh, Christopher J Edwards, Chee-Seng Yee
OBJECTIVES: To improve the definitions of inflammatory arthritis within the musculoskeletal (MSK) domain of the BILAG-2004 index by incorporating imaging findings and clinical features predictive of response to treatment. METHODS: The BILAG MSK Subcommittee proposed revisions to the BILAG-2004 index definitions of inflammatory arthritis, based on review of evidence in two recent studies. Data from these studies were pooled and analysed to determine the impact of the proposed changes on the severity grading of inflammatory arthritis...
May 24, 2023: Rheumatology
https://read.qxmd.com/read/37223935/das28-3-crp-is-a-reliable-measure-of-disease-activity-in-pregnant-women-with-rheumatoid-arthritis
#30
JOURNAL ARTICLE
Charles Raine, Coziana Ciurtin, Elizabeth C Jury, David J Williams, Derrick Bennett, Jessica J Manson, Ian Giles
OBJECTIVES: The disease activity of rheumatoid arthritis (RA) in pregnancy is most commonly assessed with the modified Disease Activity Score (DAS)-28, the DAS28(3)CRP. However, the performance of the DAS28(3)CRP in pregnancy has not been compared to musculoskeletal ultrasound (MSK-US) as a gold standard. We performed a prospective pilot study to test the hypothesis that pregnancy-related factors limit the reliability of the DAS28(3)CRP. METHODS: Pregnant women with RA were recruited from an Obstetric Rheumatology clinic and assessed during pregnancy (second (T2) and third (T3) trimesters) and postpartum with DAS28(3)CRP and MSK-US scores, with quantification of power Doppler (PD) signal in small joints (hands and feet)...
May 18, 2023: Clinical and Experimental Rheumatology
https://read.qxmd.com/read/37163452/characterization-of-a-musculoskeletal-syndrome-of-enthesitis-and-arthritis-in-patients-with-atopic-dermatitis-treated-with-dupilumab-an-interleukin-4-13-inhibitor
#31
JOURNAL ARTICLE
Catherine D Hughes, Joseph Nathan, Libin Mathew, Andrew E Pink, Richard T Woolf, Catherine Smith, Bina Menon, Bruce Kirkham
OBJECTIVE: To characterize the presentation and outcomes of patients with atopic dermatitis (AD) who developed musculoskeletal symptoms after treatment with dupilumab, a human IgG4 monoclonal antibody that blocks the functions of interleukin-4 (IL-4) and IL-13, key pathologic pathways in AD. METHODS: This article reports an observational cohort of patients receiving dupilumab who developed new-onset musculoskeletal symptoms after dupilumab therapy at our center...
October 2023: Arthritis & Rheumatology
https://read.qxmd.com/read/37071943/phase-aberration-correction-for-ultrasound-imaging-guided-extracorporeal-shock-wave-therapy-eswt-feasibility-study
#32
JOURNAL ARTICLE
Hongnam Kim, Ilseob Song, Jinbum Kang, Yangmo Yoo
Image guidance of extracorporeal shock wave therapy (ESWT) is important to enhance its efficacy while lowering pain in patients. Real-time ultrasound imaging is an appropriate modality for image guidance, but its image quality substantially reduces due to severe phase aberration from the different speed of sound between soft tissues and a gel pad, which is utilized to control a therapeutic focal point in ESWT. This paper presents a phase aberration correction method for improving image quality in the ultrasound imaging guided ESWT...
July 2023: Ultrasonics
https://read.qxmd.com/read/37057397/ultrasound-patterns-and-disease-progression-in-medullary-sponge-kidney-in-adults
#33
JOURNAL ARTICLE
Mirela Liana Gliga, Cristian Chirila, Paula Maria Chirila
Our paper presents the ultrasound (US) patterns of a rare kidney disease-medullary sponge kidney (MSK)-that have not been described before in comparison with other causes of medullary hyperechogenicity and correlates them with the severity of the disease and prognosis. This is a clinical observational study of all US examinations in the Nephrology Department over a period of 6 years. The abdominal US focused on the kidneys was recorded. US characteristics of the medulla and cortex were analyzed. We found 10 patients with characteristic daisy flower (DF) kidneys...
April 14, 2023: Ultrasonic Imaging
https://read.qxmd.com/read/37035255/the-use-of-msk-ultrasound-in-the-evaluation-of-elbow-ulnar-collateral-ligament-injuries
#34
JOURNAL ARTICLE
Robert C Manske, Michael Voight, Chris Wolfe, Phil Page
As physical therapists, understanding the anatomy and biomechanics of the musculoskeletal system is essential for accurate diagnosis and effective treatment outcomes. Musculoskeletal ultrasound (MSK-US) is one tool that has revolutionized the way physical therapists evaluate musculoskeletal pathology. Specific to the elbow, assessing the ulnar collateral ligament (UCL) proves especially beneficial for providing both diagnosis and treatment planning. By directly visualizing static and dynamic loads to the ligament, physical therapists can gain valuable information about underlying pathology and guide the therapeutic decision-making process...
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/36939971/a-proposed-framework-for-point-of-care-musculoskeletal-ultrasound-and-ultrasound-image-guided-interventions-by-physiotherapists-scope-of-practice-education-and-governance
#35
REVIEW
Mike Smith, Sue Innes, Stuart Wildman, David Baker
BACKGROUND: The use of point of care ultrasound (PoCUS) in the management of musculoskeletal (MSK) disorders is a diverse area of PoCUS practice. Its use by clinicians, such as physiotherapists, can occur across a wide range of roles and care pathway configurations; however, professional, educational and regulatory uncertainties can leave clinicians, managers and patients at risk. MAIN BODY: A PoCUS framework approach (previously applied to support PoCUS consolidation and expansion) is used to frame these proposals...
March 20, 2023: The ultrasound journal
https://read.qxmd.com/read/36851863/technical-and-interpretive-pitfalls-in-pediatric-musculoskeletal-ultrasound
#36
REVIEW
Amit Gupta, Narendra Bagri, Stanzin Spalkit, Manisha Jana
The use of musculoskeletal (MSK) ultrasound (US) in pediatric rheumatology has expanded rapidly with various diagnostic and therapeutic indications. Unlike magnetic resonance imaging (MRI), US allows real-time dynamic assessment, evaluation of multiple joints in a single session and comparison with contralateral limb. However, a long learning curve and lack of experience with MSK US in pediatric patients still precludes its routine use at many imaging centers. It is prudent for pediatric radiologists to be aware of normal US appearances of the growing MSK structures to avoid their misinterpretation as pathology...
February 27, 2023: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/36798902/the-use-of-msk-ultrasound-with-quadriceps-muscle-injury
#37
JOURNAL ARTICLE
Robert C Manske, Michael Voight, Chris Wolfe, Phil Page
Quadriceps muscle injury is a common occurrence, especially among athletes. While a careful history and a thorough physical examination are important steps in the assessment of quadriceps muscle pathology, it is still difficult to differentiate the type and severity of the pathology. Because of this difficulty, musculoskeletal ultrasound (MSK-US) is an invaluable tool in the diagnosis of quadriceps muscle or tendon injury. Utilizing this noninvasive imaging technique, medical professionals can easily diagnose and monitor muscle and tendon disorders to quickly determine the correct treatment plan for each individual case...
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/36793580/editorial-msk-ultrasound-and-introduction-of-ijspt-ultrasound-bites-feature
#38
JOURNAL ARTICLE
Robert C Manske, Phil Page, Michael Voight, Chris Wolfe
No abstract text is available yet for this article.
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/36793557/msk-ultrasound-an-ijspt-perspective
#39
JOURNAL ARTICLE
Phil Page, Robert C Manske, Michael Voight, Chris Wolfe
MSK ultrasound is a valuable imaging technique which has become increasingly popular in recent years. This efficient technique proves beneficial in a variety of ways. MSK ultrasound effectively streamlines the process by enabling practitioners to securely and accurately image and assess structures all in one simple step. By allowing healthcare providers to access critical information quickly and conveniently, MSK ultrasound can help identify conditions early when interventions are most effective. Moreover, it may be able to shorten diagnostic times and reduce costs through more cost-effective use of resources such as imaging and laboratory testing...
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/36630982/the-beauty-of-musculoskeletal-ultrasound-spot-diagnoses
#40
JOURNAL ARTICLE
Elena E Drakonaki, Carlo Martinoli, Filip Maria Vanhoenacker, Anna Detoraki, Daniel E Dalili, Miraude Adriaensen
INTRODUCTION:  Ultrasound is a powerful technique in musculoskeletal (MSK) imaging, and it can replace MR imaging in many specific clinical scenarios. This article will feature some common and less common spot diagnoses in musculoskeletal ultrasound. SPOT DIAGNOSIS:  Cases were collected by members of the Educational Committee of the ESSR ( European Society of Musculoskeletal Radiology) with expertise in musculoskeletal ultrasound. Sixteen clinical entities are discussed based on the features that allow US spot diagnosis...
January 11, 2023: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
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