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Musculoskeletal Ultrasound imaging

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https://www.readbyqxmd.com/read/27914184/the-potential-use-of-ultrasound-magnetic-resonance-imaging-fusion-applications-in-musculoskeletal-intervention
#1
Christopher J Burke, Jenny Bencardino, Ronald Adler
We sought to assess the potential use of an application allowing real-time ultrasound spatial registration with previously acquired magnetic resonance imaging in musculoskeletal procedures. The ultrasound fusion application was used to perform a range of outpatient procedures including piriformis, sacroiliac joint, pudendal and intercostal nerve perineurial injections, hamstring-origin calcific tendonopathy barbotage, and 2 soft tissue biopsies at our institution in 2015. The application was used in a total of 7 procedures in 7 patients, all of which were technically successful...
December 3, 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27833696/ultrasound-detection-of-patellar-fracture-and-evaluation-of-the-knee-extensor-mechanism-in-the-emergency-department
#2
Kiersten Carter, Arica Nesper, Laleh Gharahbaghian, Phillips Perera
Traumatic injuries to the knee are common in emergency medicine. Bedside ultrasound (US) has benefits in the rapid initial detection of injuries to the patella. In addition, US can also quickly detect injuries to the entire knee extensor mechanism, including the quadriceps tendon and inferior patellar ligament, which may be difficult to diagnose with plain radiographs. While magnetic resonance imaging remains the gold standard for diagnostic evaluation of the knee extensor mechanism, this can be difficult to obtain from the emergency department...
November 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27796481/-imaging-options-in-pediatric-rheumatology
#3
D Windschall
There has been growing interest in the use of imaging modalities in pediatric rheumatology for the past 15 years. Nowadays, highly sensitive imaging techniques can be used to detect early stages of pediatric rheumatic diseases in addition to the physical examination. Magnetic resonance imaging and musculoskeletal ultrasound play the most important role. Moreover, these two techniques are of great value in differential diagnostics and therapy monitoring. The use of imaging methods with a high radiation exposure could therefore be greatly reduced over the last decade...
December 2016: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/27777821/development-of-a-protocol-for-spect-ct-in-the-assessment-of-wrist-disorders
#4
Aude Le Corre, Kym Phuong Huynh, Rasmeet Singh Dhaliwal, Gregory Ian Bain
Background Single-photon emission computed tomography and computed tomography (SPECT/CT) is a hybrid diagnostic imaging modality that allows clinicians to integrate their diagnostic evaluations and deliver a definitive diagnosis in musculoskeletal disorders. Specifically, in identification of osseous pathology, the conventional bone scan delivers greater specificity compared with magnetic resonance imaging (MRI). However, use of SPECT/CT enhances the sensitivity and specificity. Use of this modality denotes the possibility to specify the lesion more accurately and precisely while grading the activity according to osseous structural changes...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27755645/characterization-of-rotator-cuff-tears-ultrasound-versus-magnetic-resonance-imaging
#5
Kelechi R Okoroha, Nima Mehran, Jonathan Duncan, Travis Washington, Tyler Spiering, Michael J Bey, Marnix Van Holsbeeck, Vasilios Moutzouros
Ultrasound and magnetic resonance imaging (MRI) are both capable of diagnosing full-thickness rotator cuff tears. However, it is unknown which imaging modality is more accurate and precise in evaluating the characteristics of full-thickness rotator cuff tears in a surgical population. This study reviewed 114 patients who underwent arthroscopic repair of a full-thickness rotator cuff tear over a 1-year period. Of these patients, 61 had both preoperative MRI and ultrasound for review. Three musculoskeletal radiologists evaluated each ultrasound and MRI in a randomized and blinded fashion on 2 separate occasions...
October 18, 2016: Orthopedics
https://www.readbyqxmd.com/read/27748074/preliminary-definitions-for-the-sonographic-features-of-synovitis-in-children
#6
Johannes Roth, Viviana Ravagnani, Marina Backhaus, Peter Balint, Alessandra Bruns, George A Bruyn, Paz Collado, Lorenia De la Cruz, Severine Guillaume-Czitrom, Troels Herlin, Cristina Hernandez, Annamaria Iagnocco, Sandrine Jousse-Joulin, Stefano Lanni, Vibke Lilleby, Clara Malattia, Silvia Magni-Manzoni, Consuelo Modesto, Ana Narrodi, Juan-Carlos Nieto, Sarah Ohrndorf, Linda Rossi, Anne-Marit Selvaag, Nanno Swen, Tracy Ting, Nikolay Tzaribachev, Patricia Vega-Fernandez, Jelena Vojinovic, Daniel Windschall, Maria-Antonietta D'Agostino, Esperanza Naredo
Objectives Musculoskeletal ultrasonography (US) has the potential to be an important tool in the assessment of disease activity in childhood arthritides. To assess pathology, clear definitions for synovitis need to be developed first. The aim of this study was to develop and validate these definitions through an international consensus process. Methods The decision on which US techniques to use, the components to be included in the definitions as well as the final wording were developed by 31 ultrasound experts in a consensus process...
October 16, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27742023/current-perspectives-on-imaging-for-systemic-lupus-erythematosus-systemic-sclerosis-and-dermatomyositis-polymyositis
#7
Sharon L Kolasinski, Andrew S Chi, Angel J Lopez-Garib
Systemic rheumatic diseases frequently pose diagnostic challenges to the clinician. The precise nature of the disorder can be obscure and different disorders can present with similar symptoms, such as joint pain. Plain radiographs provide an appropriate starting point for detection of joint abnormalities. Musculoskeletal ultrasound and MRI offer greater sensitivity in detecting synovitis, tenosynovitis and bony erosions, among other features. However, due to the rarity of these diseases and lack of prospective longitudinal trials, a broader picture of the epidemiology of these findings and their implications for treatment and outcomes remains to be determined...
November 2016: Rheumatic Diseases Clinics of North America
https://www.readbyqxmd.com/read/27738500/a-pictorial-review-of-signature-patterns-living-in-musculoskeletal-ultrasonography
#8
Su Young Kim, Ji Hyun Cheon, Won Jun Seo, Geun Young Yang, Yun Mi Choi, Kyung Hoon Kim
The musculoskeletal system is mainly composed of the bones, muscles, tendons, and ligaments, in addition to nerves and blood vessels. The greatest difficulty in an ultrasonographic freeze-frame created by the examiner is recognition of the targeted structures without indicators, since an elephant's trunk may not be easily distinguished from its leg. It is not difficult to find descriptive ultrasonographic terms used for educational purposes, which help in distinguishing features of these structures either in a normal or abnormal anatomic condition...
October 2016: Korean Journal of Pain
https://www.readbyqxmd.com/read/27738295/ultrasound-findings-of-delayed-onset-muscle-soreness
#9
Victor Longo, Jon A Jacobson, David P Fessell, Kenneth Mautner
The purpose of this series was to retrospectively characterize the ultrasound findings of delayed-onset muscle soreness (DOMS). The Institutional Review Board approved our study, and informed consent was waived. A retrospective search of radiology reports using the key phrase "delayed-onset muscle soreness" and key word "DOMS" from 2001 to 2015 and teaching files was completed to identify cases. The sonograms were reviewed by 3 fellowship-trained musculoskeletal radiologists by consensus. Sonograms were retrospectively characterized with respect to echogenicity (hypoechoic, isoechoic, or hyperechoic), distribution of muscle involvement, and intramuscular pattern (focal versus diffuse and well defined versus poorly defined)...
November 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27720522/fully-automated-muscle-ultrasound-analysis-musa-robust-and-accurate-muscle-thickness-measurement
#10
Cristina Caresio, Massimo Salvi, Filippo Molinari, Kristen M Meiburger, Marco Alessandro Minetto
Musculoskeletal ultrasound imaging allows non-invasive measurement of skeletal muscle thickness. Current techniques generally suffer from manual operator dependency, while all the computer-aided approaches are limited to be semi-automatic or specifically optimized for a single muscle. The aim of this study was to develop and validate a fully automatic method, named MUSA (Muscle UltraSound Analysis), for measurement of muscle thickness on longitudinal ultrasound images acquired from different skeletal muscles...
January 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/27713577/a-narrative-review-of-new-trends-in-the-diagnosis-of-myofascial-trigger-points-diagnostic-ultrasound-imaging-and-biomarkers
#11
John Z Srbely, Dinesh Kumbhare, Liza Grosman-Rimon
Myofascial pain syndrome (MPS) is one of the most common conditions of chronic musculoskeletal pain encountered by primary healthcare practitioners on a daily basis. It is generally accepted amongst the broad profile of healthcare practitioners treating MPS that the presence of discrete, palpable and tender nodules within the muscle, known as myofascial trigger points (MTrP), is necessary to confirm the diagnosis of MPS. Manual palpation is currently the most common technique used to detect MTrP, however, previous research has shown that the reliability of manual palpation for detecting MTrP is poor, and in our opinion unacceptably poor, leading to inconsistent diagnosis of MPS and poor patient outcomes...
September 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27672504/muscle-size-explains-low-passive-skeletal-muscle-force-in-heart-failure-patients
#12
Fausto Antonio Panizzolo, Andrew J Maiorana, Louise H Naylor, Lawrence G Dembo, David G Lloyd, Daniel J Green, Jonas Rubenson
BACKGROUND: Alterations in skeletal muscle function and architecture have been linked to the compromised exercise capacity characterizing chronic heart failure (CHF). However, how passive skeletal muscle force is affected in CHF is not clear. Understanding passive force characteristics in CHF can help further elucidate the extent to which altered contractile properties and/or architecture might affect muscle and locomotor function. Therefore, the aim of this study was to investigate passive force in a single muscle for which non-invasive measures of muscle size and estimates of fiber force are possible, the soleus (SOL), both in CHF patients and age- and physical activity-matched control participants...
2016: PeerJ
https://www.readbyqxmd.com/read/27668218/the-use-of-adipose-derived-progenitor-cells-and-platelet-rich-plasma-combination-for-the-treatment-of-supraspinatus-tendinopathy-in-55-dogs-a-retrospective-study
#13
Sherman O Canapp, Debra A Canapp, Victor Ibrahim, Brittany Jean Carr, Catherine Cox, Jennifer G Barrett
OBJECTIVE: To report clinical findings and outcomes for 55 dogs with supraspinatus tendinopathy (ST) treated with adipose-derived progenitor cells and platelet-rich plasma (ADPC-PRP) therapy. METHODS: Medical records of client-owned dogs diagnosed with ST that were treated with ADPC-PRP combination therapy were reviewed from 2006 to 2013. Data collected included signalment, medical history, limb involvement, prior treatments, physical and orthopedic examination, objective temporospatial gait analysis findings, diagnostic imaging results (radiography, magnetic resonance imaging, musculoskeletal ultrasonography), arthroscopy findings, and outcome...
2016: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/27648165/peripheral-nerve-imaging-not-only-cross-sectional-area
#14
EDITORIAL
Alberto Stefano Tagliafico
Peripheral nerve imaging is recognized as a complement to clinical and neurophysiological assessment in the evaluation of peripheral nerves with the ability to impact patient management, even for small and difficult nerves. The European Society of Musculoskeletal Radiology, suggest to use ultrasound (US) for nerve evaluation due to the fact that, in sever anatomical area, magnetic resonance imaging is not able to give additional informations. US could be considered the first-choice approach for the assessment of peripheral nerves...
August 28, 2016: World Journal of Radiology
https://www.readbyqxmd.com/read/27638153/how-is-shoulder-ultrasound-done-in-italy-a-survey-of-clinical-practice
#15
Marcello Zappia, Alberto Aliprandi, Simona Pozza, Fabio Martino Doniselli, Salvatore Gitto, Luca Maria Sconfienza
OBJECTIVES: To define when an ultrasound examination of the shoulder can be considered complete and how many examinations currently performed in Italy are actually complete according to that definition. MATERIALS AND METHODS: Reports and images of previously performed ultrasound examinations of the shoulder of patients seen in 2014 for interventional procedures were reviewed for the following items, according to guidelines published by the European Society of Musculoskeletal Radiology: long biceps, subscapularis, supraspinatus, external rotators, acromioclavicular joint, subacromial bursa, subacromial space, coraco-acromial ligament, and the posterior recess...
September 16, 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27635596/ultrasound-features-of-the-first-metatarsophalangeal-joint-in-gout-and-asymptomatic-hyperuricaemia-comparison-with-normouricaemic-individuals
#16
Sarah Stewart, Nicola Dalbeth, Alain C Vandal, Bruce Allen, Rhian Miranda, Keith Rome
OBJECTIVE: The first metatarsophalangeal joint (1MTPJ) is frequently affected in gout. The aim of this study was to identity ultrasound features of the 1MTPJ in people with gout and people with asymptomatic hyperuricaemia compared with normouricaemic controls. METHODS: Participants with gout (n=23), asymptomatic hyperuricaemia (n=29) and age- and sex-matched normouricaemic control participants (n=34) underwent a grey-scale and power Doppler ultrasound assessment of bilateral 1MTPJs by a single musculoskeletal radiologist...
September 16, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27622415/concepts-in-diagnosing-scoring-and-monitoring-tenosynovitis-and-other-tendon-abnormalities-in-patients-with-rheumatoid-arthritis-the-role-of-musculoskeletal-ultrasound
#17
REVIEW
Mihaela C Micu, Florian Berghea, Daniela Fodor
In the last years, important advancements have been made in implementing high resolution imaging related information inside the global management algorithm in RA patients. Musculoskeletal ultrasound has already proven its utility in visualizing directly the joint synovial tissue, the synovial vascularization and in monitoring the response to therapy. Recently, much attention has been given to the presence of tenosynovitis, as a constant, complementary but different facet of the inflammatory involvement in RA...
September 2016: Medical Ultrasonography
https://www.readbyqxmd.com/read/27620544/physician-training-ultrasound-and-accuracy-of-diagnosis-in-rotator-cuff-tears
#18
Michael Day, M Phil, Richard A McCormack, Samir Nayyar, Laith Jazrawi
INTRODUCTION: Ultrasonography offers a fast and inexpensive method to evaluate the rotator cuff in the office setting. However, the accuracy of ultrasound is highly user dependent. The purpose of this study is to investigate the learning curve of an orthopaedic surgeon in using ultrasound to diagnose rotator cuff tears. METHODS: A sports medicine fellowship trained orthopaedic surgeon was taught how to perform and interpret an ultrasound examination of the shoulder by a musculoskeletal radiologist...
September 2016: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/27553213/novel-algorithms-for-the-pragmatic-use-of-ultrasound-in-the-management-of-patients-with-rheumatoid-arthritis-from-diagnosis-to-remission
#19
Maria Antonietta D'Agostino, Lene Terslev, Richard Wakefield, Mikkel Østergaard, Peter Balint, Esperanza Naredo, Annamaria Iagnocco, Marina Backhaus, Walter Grassi, Paul Emery
The absence of specific guidance on how to use ultrasound (US) to diagnose and manage patients with inflammatory arthritis, especially with rheumatoid arthritis (RA) has hindered the optimal utilisation of US in clinical practice, potentially limiting its benefits for patient outcomes. In view of this, a group of musculoskeletal US experts formed a working group to consider how this unmet need could be satisfied and to produce guidance (additional to European League against Rheumatism (EULAR) imaging recommendations) to support clinicians in their daily clinical work...
November 2016: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/27548649/an-orthopedist-s-guide-to-shoulder-ultrasound-a-systematic-review-of-examination-protocols
#20
Kelms Amoo-Achampong, Benedict U Nwachukwu, Frank McCormick
BACKGROUND: The utilization of musculoskeletal ultrasound has expanded within the setting of the orthopedic clinic as a cost-effective, point-of-care diagnostic tool for shoulder pathology. In experienced hands, ultrasound exhibits capabilities equivalent to that of magnetic resonance imaging in the diagnosis of many shoulder diseases including full-thickness and partial-thickness rotator cuff tears. Although similarly effective in identifying additional shoulder disease processes, major obstacles to its widespread use include user dependence and intrinsic limitation to extra-articular diagnosis...
August 22, 2016: Physician and Sportsmedicine
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