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Musculoskeletal Ultrasound imaging

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https://www.readbyqxmd.com/read/29122473/automated-radiology-operative-note-communication-tool-closing-the-loop-in-musculoskeletal-imaging
#1
William Moore, Ankur Doshi, Priya Bhattacharji, Soterios Gyftopoulos, Gina Ciavarra, Danny Kim, Michael Recht
RATIONALE AND OBJECTIVES: Correlation of imaging studies and reference standard outcomes is a significant challenge in radiology. This study evaluates the effectiveness of a new communication tool by assessing the ability of this system to correctly match the imaging studies to arthroscopy reports and qualitatively assessing radiologist behavior before and after the implementation of this system. MATERIALS AND METHODS: Using a commercially available communication or educational tool and applying a novel matching rule algorithm, radiology and arthroscopy reports were matched from January 17, 2017 to March 1, 2017 based on anatomy...
November 6, 2017: Academic Radiology
https://www.readbyqxmd.com/read/29101982/acr-appropriateness-criteria-%C3%A2-imaging-after%C3%A2-total%C3%A2-knee-arthroplasty
#2
Mary G Hochman, Yulia V Melenevsky, Darlene F Metter, Catherine C Roberts, Jenny T Bencardino, R Carter Cassidy, Michael G Fox, Mark J Kransdorf, Douglas N Mintz, Nehal A Shah, Kirstin M Small, Stacy E Smith, Kathy M Tynus, Barbara N Weissman
Total knee arthroplasty (TKA) is the most commonly performed joint replacement procedure in the United States and annual demand for primary TKA is expected to grow by 673% by 2030. The first part provides an overview of imaging modalities (radiographs, CT, MRI, ultrasound, and various nuclear medicine studies) and discusses their usefulness in the imaging evaluation of TKA. The second part focuses on evidence-based imaging and imaging-guided intervention algorithms for the workup of TKA and its complications, including routine follow-up, component wear, periprosthetic infection, aseptic loosening, granulomas/osteolysis, conventional and rotational instability, periprosthetic fracture, patellar complications, and a variety of periprosthetic soft tissue abnormalities...
November 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29075524/diagnostic-errors-in-musculoskeletal-ultrasound-imaging-and-how-to-avoid-them
#3
REVIEW
Małgorzata Serafin-Król, Artur Maliborski
The article reviews the major challenges related to the principles of the correct technique of musculoskeletal ultrasound (MSK US). All the crucial aspects of correct MSK soft tissue diagnosis have been discussed, including equipment settings, use of recent image software innovations and ultrasound standoff pads, and correct transducer positioning. The importance of the fundamental principles of MSK US, facilitating good quality image and limiting the occurrence of artifacts, has been highlighted. The most common artifacts of the musculoskeletal system have been described, including those that diagnostically helpful, such as the presence of echo enhancement deep to a fluid-filled structure, or an acoustic shadow behind a calcification...
September 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/29075519/evaluation-of-musculoskeletal-symptoms-among-physicians-performing-ultrasound
#4
Paweł Wareluk, Wiesław Jakubowski
AIM OF THE STUDY: Owing to its wide availability, relatively low cost and lack of negative effect on the patient, ultrasound has become the most commonly and readily used imaging modality. However, scanning for increasingly long periods of time on a given day and in a given week tends to negatively affect sonographers' health, primarily resulting with the overuse of the musculoskeletal system, as multiple muscles and joints are engaged during scanning. This research has been aimed at evaluating the prevalence and type of musculoskeletal symptoms among diagnostic medical sonographers, as well as identifying their professional profile...
September 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/29051166/epidemiology-of-imaging-detected-tendon-abnormalities-in-athletes-participating-in-the-rio-de-janeiro-2016-summer-olympics
#5
Mohamed Jarraya, Michel D Crema, Lars Engebretsen, Oleg M Teytelboym, Daichi Hayashi, Frank W Roemer, Abdalla Y Skaf, Ali Guermazi
BACKGROUND: Tendon abnormalities are prevalent among both elite and non-elite athletes. Cross-sectional imaging modalities are used to confirm and evaluate the severity of such lesions. AIM: To describe the demographics, prevalence, anatomical location and characteristics of tendon abnormalities in athletes who participated in the Rio de Janeiro 2016 Summer Olympic Games. METHODS: We recorded all sports injuries reported by the National Olympic Committee (NOC) medical teams and the Organizing Committee medical staff during the Rio 2016 Summer Olympics...
October 19, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29037656/demystifying-shoulder-pain-with-electrodiagnosis-and-musculoskeletal-ultrasound-imaging
#6
EDITORIAL
Dimitrios Kostopoulos, Mohini Rawat
No abstract text is available yet for this article.
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29022101/microflow-imaging-new-doppler-technology-to-detect-low-grade-inflammation-in-patients-with-arthritis
#7
A K P Lim, K Satchithananda, E A Dick, S Abraham, D O Cosgrove
AIM: To assess the efficacy of microvascular imaging in detecting low-grade inflammation in arthritis compared with Power Doppler ultrasound (PDUS). METHOD AND MATERIALS: Patients presenting for ultrasound with arthralgia were assessed with grey-scale, PDUS and Superb Microvascular Imaging (SMI). Videoclips were stored for analysis at a later date. Three musculoskeletal radiologists scored grey-scale changes, signal on PDUS and/or SMI within these joints. If a signal was detected on both PDUS and SMI, the readers graded the conspicuity of vascular signal from the two Doppler techniques using a visual analogue scale...
October 11, 2017: European Radiology
https://www.readbyqxmd.com/read/28988266/effect-of-arm-position-on-width-of-the-subacromial-space-of-upper-string-musicians
#8
Elliot V Smithson, Elizabeth Reed Smith, Gary McIlvain, Mark K Timmons
OBJECTIVE: Musicians often end their musical career due to musculoskeletal injury. A leading source of shoulder pain in upper string musicians is rotator cuff disease (RCD). Multiple factors contribute to its development. Compressive overload of the soft tissues of the subacromial space resulting from a decrease in the width of the subacromial space has been identified as an extrinsic factor contributing to RCD development. The purpose of this study was to characterize the width of the subacromial space by measuring acromial-humeral distance (AHD) of upper string musicians, while their arms are in standard playing positions...
September 2017: Medical Problems of Performing Artists
https://www.readbyqxmd.com/read/28983679/safety-of-omitting-routine-bleeding-tests-prior-to-image-guided-musculoskeletal-core-needle-biopsy
#9
Yuri Shif, Justin W Kung, Colm J McMahon, Jennifer Ni Mhuircheartaigh, Yu Ching Lin, Megan E Anderson, Jim S Wu
PURPOSE: To evaluate the safety of withholding preprocedure international normalized ratio (INR) and platelet testing in patients undergoing musculoskeletal (MSK) core needle biopsy (CNB). MATERIAL AND METHODS: Initially, a retrospective review of 1,162 consecutive patients undergoing MSK CNB with preprocedural INR and platelet testing was performed. Clinical (age, gender, bleeding disorder, liver disease, anticoagulation use, INR > 2, platelet count <50,000/ul) and biopsy factors (imaging modality, lesion type, biopsy needle gauge, number biopsy samples) were tested for association with bleeding complications...
October 6, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28946529/management-of-refractory-sciatic-neuropathic-pain-using-ultrasound-guided-pulsed-radiofrequency
#10
Dong Gyu Lee, Yun Woo Cho, Kil-Ho Cho, Min Cheol Chang
BACKGROUND AND OBJECTIVE: Nowadays, pulsed radiofrequency (PRF) is being used to control several types of musculoskeletal pain. Herein, we report a successful application of ultrasound (US)-guided PRF for a patient with refractory sciatic neuropathic pain. CASE REPORT: We applied US-guided PRF to a 50-year-old man, suffering from refractory neuropathic pain on the left foot following sciatic neuropathy for a period of approximately 6 months. We performed PRF on the level of piriformis muscle because the lesion of the sciatic nerve was presented digitally from the level of piriformis muscle on the magnetic resonance images...
September 22, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/28900524/distal-intersection-syndrome-progressing-to-extensor-pollicis-longus-tendon-rupture-a-case-report-with-sonographic-findings
#11
Ross Mattox, Patrick J Battaglia, Frank Scali, Kathy Ottolini, Norman W Kettner
The purpose of this case report is to describe the value of musculoskeletal ultrasound (US) in diagnosing both distal intersection syndrome (DIS) and rupture of the extensor pollicis longus (EPL) tendon in the same patient. A 38-year-old female presented for evaluation of a painful bump of unknown etiology on the dorsolateral aspect of her non-dominant wrist. US demonstrated tenosynovitis distal to Lister's tubercle of the EPL and extensor carpi radialis tendon sheaths, consistent with DIS. Immobilization therapy was employed, during which time the patient suffered rupture of the EPL tendon...
September 2017: Journal of Ultrasound
https://www.readbyqxmd.com/read/28889164/reliability-of-ultrasound-imaging-for-lumbar-multifidus-muscle-capturing-video-vs-static-images
#12
Fahed Mehyar, Theresa M Spitznagle, Neena K Sharma
OBJECTIVE: Ultrasound imaging is a widely used method for viewing musculoskeletal tissues. However, capturing movies of lumbar multifidus (LM) muscle with ultrasound imaging (video method) is a relatively new method, and its reliability has not been fully tested. The objective of this study was to compare the intra-rater reliability of two methods of ultrasound imaging of LM muscle, the traditional method (static images) and the video method, in healthy subjects conducted by a novice rater...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/28878470/reliability-of-musculoskeletal-ultrasound-imaging-to-measure-supraspinatus-tendon-thickness-in-healthy-subjects
#13
Ashfaq Ahmad, Mohammad A Mohseni Bandpei, S Amir Gilani, Arooj Munawar, Ishaq Ahmed, Fahad Tanveer
[Purpose] The purpose of this study was to assess intra-rater and inter-rater reliability of musculoskeletal ultrasound (MSKUS) as a tool to measure supraspinatus tendon thickness in healthy subjects. [Subjects and Methods] Twenty healthy subjects were assessed in similar sitting position. Two experienced musculoskeletal ultrasound specialists measured supraspinatus tendon thickness. Tendon was measured twice in one day by each of two raters with an interval of one hour for within day reliability and was re-measured following one week for between days reliability...
August 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28876160/abdominal-draw-in-maneuver-combined-with-simulated-weight-bearing-increases-transversus-abdominis-and-internal-oblique-thickness
#14
Jeong-Soo Kim, Cynn-Heon Seok, Hye-Seon Jeon
The abdominal draw-in maneuver (ADIM) is a method commonly used to reestablish neuromuscular control of the deep spine muscles among individuals with musculoskeletal problems. The purpose of this study was to evaluate the effect of ADIM combined with simulated weight-bearing (SWB) activities in the facilitation of the deep spine muscles. The subjects were 30 young healthy individuals. Ultrasound images were used to measure the relative changes in transverse abdominal (TrA), internal oblique (IO) and external oblique (EO) muscle thickness during a simulated weight-bearing ADIM (SWB-ADIM)...
September 6, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28856021/wrist-ultrasound-examination-scanning-technique-and-ultrasound-anatomy-part-2-ventral-wrist
#15
REVIEW
Cyprian Olchowy, Daniel Soliński, Mateusz Łasecki, Paweł Dąbrowski, Szymon Urban, Urszula Zaleska-Dorobisz
Ultrasound imaging of the musculoskeletal system is an important element of the diagnostic and therapeutic protocol. Clinical decisions, including those regarding surgical procedures, are often based solely on ultrasound imaging. However, detailed knowledge on the anatomy and a correct scanning technique are crucial for an accurate diagnosis. Modern ultrasonographic equipment allows obtaining detailed anatomical images of muscle tendons, ligaments, nerves and vessels of the carpal area. Ventral wrist ultrasound is one of the most common diagnostic procedures in patients with suspected carpal tunnel syndrome...
June 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/28845477/the-rotator-interval-a-link-between-anatomy-and-ultrasound
#16
Giorgio Tamborrini, Ingrid Möller, David Bong, Maribel Miguel, Christian Marx, Andreas Marc Müller, Magdalena Müller-Gerbl
Shoulder pathologies of the rotator cuff of the shoulder are common in clinical practice. The focus of this pictorial essay is to discuss the anatomical details of the rotator interval of the shoulder, correlate the anatomy with normal ultrasound images and present selected pathologies. We focus on the imaging of the rotator interval that is actually the anterosuperior aspect of the glenohumeral joint capsule that is reinforced externally by the coracohumeral ligament, internally by the superior glenohumeral ligament and capsular fibers which blend together and insert medially and laterally to the bicipital groove...
June 2017: Ultrasound International Open
https://www.readbyqxmd.com/read/28814430/the-2017-eular-standardised-procedures-for-ultrasound-imaging-in-rheumatology
#17
Ingrid Möller, Iustina Janta, Marina Backhaus, Sarah Ohrndorf, David A Bong, Carlo Martinoli, Emilio Filippucci, Luca Maria Sconfienza, Lene Terslev, Nemanja Damjanov, Hilde Berner Hammer, Iwona Sudol-Szopinska, Walter Grassi, Peter Balint, George A W Bruyn, Maria Antonietta D'Agostino, Diana Hollander, Heidi J Siddle, Gabriela Supp, Wolfgang A Schmidt, Annamaria Iagnocco, Juhani Koski, David Kane, Daniela Fodor, Alessandra Bruns, Peter Mandl, Gurjit S Kaeley, Mihaela Micu, Carmen Ho, Violeta Vlad, Mario Chávez-López, Georgios Filippou, Carmen Elena Cerón, Rodina Nestorova, Maritza Quintero, Richard Wakefield, Loreto Carmona, Esperanza Naredo
BACKGROUND: In 2001, the European League Against Rheumatism developed and disseminated the first guidelines for musculoskeletal (MS) ultrasound (US) in rheumatology. Fifteen years later, the dramatic expansion of new data on MSUS in the literature coupled with technological developments in US imaging has necessitated an update of these guidelines. OBJECTIVES: To update the existing MSUS guidelines in rheumatology as well as to extend their scope to other anatomic structures relevant for rheumatology...
August 16, 2017: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/28799047/-muscular-injuries-of-athletes-importance-of-ultrasound
#18
REVIEW
A Loizides, H Gruber, S Peer, M Plaikner
CLINICAL/METHODICAL ISSUE: Muscular injuries represent the most common musculoskeletal lesions. Especially in professional athletes an imaging clarification is essential in order to define the exact location of the lesion, the affected muscles, the extent and degree of the injury as well as to define possible concomitant complications. The best possible therapy can be initiated and a necessary rest period for a low risk resumption of sporting activity can be individually specified. STANDARD RADIOLOGICAL METHODS/METHODICAL INNOVATIONS: Due to technical improvements, for example mobile devices and thus increased rapid availability as well as relative cost-effectiveness compared to other modalities, the imaging evaluation of muscle injury would nowadays be unthinkable without ultrasound...
August 10, 2017: Der Radiologe
https://www.readbyqxmd.com/read/28795411/does-ultrasound-enhanced-instruction-of-musculoskeletal-anatomy-improve-physical-examination-skills-of-first-year-medical-students
#19
Bryant J Walrod, Allison Schroeder, Mark J Conroy, Laura C Boucher, Marcia Bockbrader, David P Way, Kendra L McCamey, Clinton A Hartz, Michael A Jonesco, David P Bahner
OBJECTIVES: Ultrasound imaging is commonly used to teach basic anatomy to medical students. The purpose of this study was to determine whether learning musculoskeletal anatomy with ultrasound improved performance on medical students' musculoskeletal physical examination skills. METHODS: Twenty-seven first-year medical students were randomly assigned to 1 of 2 instructional groups: either shoulder or knee. Both groups received a lecture followed by hands-on ultrasound scanning on live human models of the assigned joint...
August 10, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28777654/changing-musculoskeletal-extremity-imaging-utilization-from-1994-through-2013-a-medicare-beneficiary-perspective
#20
Soterios Gyftopoulos, Paul Harkey, Jennifer Hemingway, Danny R Hughes, Andrew B Rosenkrantz, Richard Duszak
OBJECTIVE: The objective of our study was to assess temporal changes in the utilization of musculoskeletal extremity imaging in Medicare beneficiaries over a recent 20-year period (1994-2013). MATERIALS AND METHODS: Medicare Physician Supplier Procedure Summary Master Files from 1994 through 2013 were used to study changing utilization and utilization rates of the four most common musculoskeletal imaging modalities: radiography, MRI, CT, and ultrasound. RESULTS: Utilization rates (per 1000 beneficiaries) for all four musculoskeletal extremity imaging modalities increased over time: 43% (from 441...
November 2017: AJR. American Journal of Roentgenology
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