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Soft Tissue-MSK

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25 papers 0 to 25 followers
Onur Tezel, Umit Kaldirim, Serkan Bilgic, Suleyman Deniz, Yusuf Emrah Eyi, Selahattin Ozyurek, Murat Durusu, Nihal Tezel
OBJECTIVES: Dislocation of the shoulder joint is one of the most common dislocations. The reduction procedure is a painful procedure. In this study, 2 different treatment groups were compared for pain control during shoulder dislocation reduction. It was aimed to evaluate the differences between the groups in reduction, success, length of hospital stay, complications, side effects, patient-physician satisfaction, and ease of application. METHODS: The study was planned to be prospective and randomized...
June 2014: American Journal of Emergency Medicine
Salih Kocaoğlu, Ayhan Özhasenekler, Ferhat İçme, Gül Pamukçu Günaydın, Alp Şener, Şervan Gökhan
INTRODUCTION: The aim of this study was to evaluate the efficiency of ultrasonography (USG) in identifying metacarpal bone fractures in patients admitted to the emergency department (ED) with hand injury. MATERIALS AND METHODS: Patients who were admitted to a training and research hospital's ED during the study period with hand trauma and had suspected metacarpal fractures were included in the study. They were examined for metacarpal fracture by USG and x-ray. Hand radiographs reviewed by an emergency physician were considered to be the criterion standard diagnostic tool...
September 2016: American Journal of Emergency Medicine
Michel D Crema, Andre F Yamada, Ali Guermazi, Frank W Roemer, Abdalla Y Skaf
Magnetic resonance imaging (MRI) and ultrasound are the imaging modalities of choice to assess muscle injuries in athletes. Most authors consider MRI as the reference standard for evaluation of muscle injuries, since it superiorly depicts the extent of injuries independently of its temporal evolution, and due to the fact that MRI seems to be more sensitive for the detection of minimal injuries. Furthermore, MRI may potentially allow sports medicine physicians to more accurately estimate recovery times of athletes sustaining muscle injuries in the lower limbs, as well as the risk of re-injury...
June 2015: Current Reviews in Musculoskeletal Medicine
Romolo J Gaspari, David Blehar, David Polan, Anthony Montoya, Amal Alsulaibikh, Andrew Liteplo
OBJECTIVES: Treatment failure rates for incision and drainage (I&D) of skin abscesses have increased in recent years and may be attributable to an increased prevalence of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). Previous authors have described sonographic features of abscesses, such as the presence of interstitial fluid, characteristics of abscess debris, and depth of abscess cavity. It is possible that the sonographic features are associated with MRSA and can be used to predict the presence of MRSA...
May 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Anna L Waterbrook, Srikar Adhikari, Uwe Stolz, Carrie Adrion
OBJECTIVES: To determine the diagnostic accuracy of emergency physician performed point-of care ultrasound (POCUS) for detecting long bone fractures compared to standard radiography. METHODS: This was a single-blinded, prospective observational study of patients presenting to two emergency departments (ED) with trauma to long bones. The study used a convenience sample of patients seen during the study investigators' scheduled clinical shifts. Patients presenting to the ED with complaints of long bone trauma were included in the study when a study investigator was available in the ED...
September 2013: American Journal of Emergency Medicine
Saeed Abbasi, Hooshyar Molaie, Peyman Hafezimoghadam, Mohammad Amin Zare, Mohsen Abbasi, Mahdi Rezai, Davood Farsi
STUDY OBJECTIVE: Emergency physicians frequently encounter shoulder dislocation in their practice. The objective of this study is to assess the diagnostic accuracy of ultrasonography in detecting shoulder dislocation and confirming proper reduction in patients presenting to the emergency department (ED) with possible shoulder dislocation. We hypothesize that ultrasonography could be a reliable alternative for pre- and postradiographic evaluation of shoulder dislocation. METHODS: This was a prospective observational study...
August 2013: Annals of Emergency Medicine
Romolo Gaspari, Matt Dayno, Justin Briones, David Blehar
BACKGROUND: The diagnosis of a superficial abscess is usually obtained through history and physical exam but bedside ultrasound (US) and computerized tomography (CT) are sometimes used to assist in the diagnosis. It is unclear which imaging modality is superior for patients with superficial soft tissue infections. We compared the diagnostic accuracy of CT and US in patients with skin and soft tissue infections. METHODS: Patients presenting with a suspected skin abscess that underwent both US and CT imaging were eligible for inclusion...
April 17, 2012: Critical Ultrasound Journal
David J Berkoff, Larry E Miller, Jon E Block
Intra-articular corticosteroid and hyaluronic acid injections provide short-term symptom amelioration for arthritic conditions involving structural damage or degenerative changes in the knee. Conventional palpation-guided anatomical injections frequently result in inaccurate needle placement into extra-articular tissue and adjacent structures. The purpose of this review was to determine the effect of ultrasound guidance on the accuracy of needle placement, clinical outcomes, and cost-effectiveness in comparison with anatomical landmark-guided intra-articular large joint injections, with particular emphasis on the knee...
2012: Clinical Interventions in Aging
Teresa S Wu, Pedro J Roque, Jared Green, Dave Drachman, Kai-Ning Khor, Marcy Rosenberg, Claire Simpson
OBJECTIVE: The primary purpose of this study was to investigate the overall accuracy of bedside extremity tendon ultrasound performed by emergency physicians in the emergency department. We also sought to investigate whether or not bedside tendon ultrasonography can be used to expedite the diagnosis and discharge planning in patients with suspected tendon injuries. METHODS: This was a prospective study conducted at 2 academic level 1 trauma centers. Thirty-four patients were enrolled and underwent a comprehensive physical examination of the injured extremity, followed by a bedside ultrasound evaluation to look for tendon disruption...
October 2012: American Journal of Emergency Medicine
Marieta D Canagasabey, Michael J Callaghan, Simon Carley
INTRODUCTION: Foot and ankle injuries are common in the Emergency Department (ED). Of those requiring radiographs in accordance with the Ottawa Foot and Ankle Rules, approximately 22% have a fracture. Ultrasound is developing as a tool for emergency musculoskeletal assessment--it is inexpensive and rapid, and visualises soft tissue and bony structures. METHODS: This diagnostic cohort study examined if ultrasound could detect acute bony foot and ankle injuries. Ottawa Rules-positive patients over 16 years were eligible...
October 2011: Emergency Medicine Journal: EMJ
Shiang-Hu Ang, Shu-Woan Lee, Kai-Yet Lam
INTRODUCTION: In our local emergency departments (EDs), manipulation and reduction (M&R) of distal radius fractures are performed by emergency doctors, with blind manual palpation, using postreduction x-rays to assess adequacy. We sought to study the effectiveness of ultrasound guidance in the reduction of distal radius fractures in adult patients presenting to a regional ED. METHODS: This was a before-and-after study. Eligible patients were adults older than 21 years who presented to the ED with distal radius fractures that required M&R...
November 2010: American Journal of Emergency Medicine
Srikar Adhikari, Michael Blaivas
OBJECTIVE: The purpose of this study was to determine the utility of bedside sonography to differentiate soft tissue abnormalities from joint effusions. METHODS: We conducted a retrospective review of emergency department (ED) patients presenting with joint pain, erythema, and swelling who received bedside sonography. The ED sonographic examinations were performed by emergency physician sonologists who were not involved in clinical assessment and management of these patients...
April 2010: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Rebecca L Vieira, Jason A Levy
STUDY OBJECTIVE: We determine whether pediatric emergency physicians can use bedside ultrasonography to accurately identify hip effusions in pediatric patients. METHODS: This was a prospective study conducted in the emergency department (ED) of an urban tertiary care freestanding pediatric hospital. A convenience sample of children younger than 18 years and who required hip ultrasonography as part of their ED evaluation was enrolled. Pediatric emergency physicians with focused ultrasonographic training performed bedside ultrasonography on patients' symptomatic and contralateral hips and categorized the findings as "effusion" or "no effusion," according to a priori definitions...
March 2010: Annals of Emergency Medicine
Jennifer L Wiler, Thomas G Costantino, Lisa Filippone, Wayne Satz
BACKGROUND: Ultrasound is a useful adjunct to many Emergency Department (ED) procedures. Arthrocentesis is typically performed using a landmark technique but ultrasound may provide an opportunity to improve arthrocentesis performance. OBJECTIVE: To assess the success of emergency physicians performing landmark (LM) vs. ultrasound (US)-guided knee arthrocentesis techniques. METHODS: This was a prospective, randomized, controlled study of patients requiring knee arthrocentesis who presented to one urban university ED and two community EDs between June 2005 and February 2007...
July 2010: Journal of Emergency Medicine
Brian G LaRocco, George Zlupko, Paul Sierzenski
Quadriceps tendon ruptures are an uncommon knee injury. The diagnosis is often complicated by a limited examination secondary to edema and pain, the insensitivity of radiographs, and the unavailability of non-emergent magnetic resonance imaging. A delay in diagnosis and treatment has been shown to cause significant morbidity. A case report of bilateral quadriceps tendon rupture is presented demonstrating the utility and ease of bedside ultrasound to rapidly confirm the diagnosis.
October 2008: Journal of Emergency Medicine
Lei Chen, Yunie Kim, Christopher L Moore
BACKGROUND: Forearm fractures are common injuries in children. Displaced and angulated fractures usually require reduction. Ultrasound diagnosis and guided reduction offer several potential advantages: (1) the procedure does not involve ionizing radiation; (2) compared with fluoroscopy units, the newer ultrasound units are more portable; and (3) repeated studies can be obtained easily and quickly. OBJECTIVE: The primary objective was to investigate the accuracy of emergency department (ED) physician-performed ultrasound in the diagnosis and guided reduction of forearm fractures in children...
August 2007: Pediatric Emergency Care
Kalev Freeman, Andreas Dewitz, William E Baker
In patients presenting with atraumatic joint pain and swelling, diagnosis is typically made by synovial fluid analysis. Management of an acute suspected hip joint arthritis can present a challenge to the emergency physician (EP). Hip joint effusions are somewhat more difficult to identify and aspirate than effusions in other joints that are commonly managed by EPs. Identification and aspiration of a hip joint effusion under ultrasound guidance is a well-established procedure in the fields of orthopedic surgery and interventional radiology...
January 2007: American Journal of Emergency Medicine
Vivek S Tayal, Nael Hasan, H James Norton, Christian A Tomaszewski
OBJECTIVES: To evaluate the effect of diagnostic soft-tissue ultrasound (US) on management of emergency department (ED) patients with clinical cellulitis. METHODS: This was a prospective observational study in an urban ED of adult patients with clinical soft-tissue infection without obvious abscess. The treating physician's pretest opinions regarding the need for further drainage procedures and the probability of subcutaneous fluid collection were determined. Emergency sonologists then performed US of the infected area, and the effect on management plan was recorded...
April 2006: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Stefano Bianchi, Pierre-Alexandre Poletti, Carlo Martinoli, Ibrahim Fikry Abdelwahab
Traumatic tears of the musculotendinous complex at the lower limb are common in clinical practice but can be difficult to detect and to evaluate because of swelling and pain that can limit proper physical examination. They can affect sedentary subjects or active sports participants involved in amateur or professional activities. In the first group tendons are more commonly affected, while myotendinous tears are common in sports players. The aims of this review article are to review the aetiology and pathomechanism of the most common ruptures affecting the tendons and the main myotendinous junctions of the lower extremity and to describe their ultrasound findings as well as to correlate ultrasound appearance with that of the other imaging modalities...
February 2006: Skeletal Radiology
Stefano Bianchi, Carlo Martinoli, Ibrahim Fikry Abdelwahab
The role of ultrasound (US) in assessing musculoskeletal disorders is persistently increasing because of its low cost, readiness, noninvasiveness, and possibility of allowing a dynamic examination. Secondary to increased sport practice, tendon tears are more frequently observed in daily medical practice. They deserve early diagnosis to allow proper treatment that can limit functional impairment. The aim of this review article is twofold: to illustrate the US appearance of normal tendons and to describe the US findings of the most common tendon tears...
September 2005: Skeletal Radiology
2017-07-04 22:52:27
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