The Elbow...

https://essr.org/content-essr/uploads/2016/10/elbow.pdf

M A B

Humerus

Brachialis muscle

Pronator muscle

Lateral Medial

Brachialis muscle

Humerus

B

Joint Recess

C

Brachialis muscle

F Humerus

Coronoid Recess Joint Effusion & Synovial Thickening

http://www.ultrasoundcases.info/Slide-View.aspx?cat=342&case=4113

Distal Biceps

B

F

Brachialis muscle

Humerus Radius

S

Torn Distal

Biceps

Partial tear https://theultrasoundsite.

co.uk/anterior-elbow-

pain-case-partial-tear-

distal-biceps-tendon/

Full thickness tear

http://www.ultrasoundca

ses.info/Slide-

View.aspx?cat=347&cas

e=7333

Radial & Posterior Interosseous nerves

Common Extensor Tendon

Radius

T

Lateral epicondyle

Lateral Epicondylitis (aka Tennis Elbow)

T

Lateral epicondyle

http://posterng.netkey.at/esr/viewing/index.php?module=viewing_poster&task=viewsection&pi=107326&ti=333662&searchkey=

Common Flexor Tendon &

Medial Collateral Ligament

Radius

T

Lateral epicondyle Medial

epicondyle

Ulna

T

L Ulna

Medial epicondyle

Common Flexor Tendon (aka Golfers Elbow)

Radius

T

Lateral epicondyle

http://www.ultrasoundcases.info/Slide-View.aspx?cat=341&case=6786

Radius

T

Lateral epicondyle

Triceps

Olecranon

T

OR

F

Olecranon Bursitis

Radius

T

Lateral epicondyle http://www.eorif.com/olecranon-bursitis-m7020-72633

http://www.ultrasoundcases.info/Slide-View.aspx?cat=344&case=6909

Cubital Tunnel & Ulna Nerve

T

Lateral epicondyle

ME O

T

N

O

U N

H

The Wrist...

https://essr.org/content-essr/uploads/2016/10/wrist.pdf

T

Lateral epicondyle

ME O

O

U

T

N

N H

T

Lateral epicondyle

ME

O

U N

H

Radial Artery & Nerve

T

Lateral epicondyle

ME

O

U N

H

Scapholunate Ligament

T

Lateral epicondyle

ME

O

U N

H

Distal Radioulnar Joint

T

Lateral epicondyle

ME

O

U N

H

Radiocarpal & Midcarpal Joints

T

Lateral epicondyle

ME

O

U N

H

De Quervain’s Tenosynovitis (Ex Comp I)

http://www.aspetar.com/journal/viewarticle.asp

x?id=74#.WOFQ8TY2zTc

Sca

fcr Pis

d d d

d

s s

s s

a

Lateral epicondyle

O

Proximal Carpal Tunnel

T

Lateral epicondyle

ME

U N

H

Guyon Tunnel & Ulna Nerve

a

T

Lateral epicondyle

ME

O

U N

H

Carpal Tunnel Syndrome

a

http://www.ultrasoundcases.info/Case-List.aspx?cat=350

The Hand...

T

Lateral epicondyle

ME

O

U N

H

Extensor Tendons

a

T

Lateral epicondyle

ME

O

U N

H

Extensor Tendons

a

http://anatomyproartifex.blogspot.co.uk/2011/06/dorsal-hand-dorsal-foots-fraternal-twin.html

T

Lateral epicondyle

ME

O

U N

H

Flexor Tendons

a

T

Lateral epicondyle

ME

O

U N

H

Flexor Tendons

a

http://www.wikiradiography.net/page/Finger+Radiography

T

Lateral epicondyle

ME

O

U N

H

Pulley System

a

http://radsource.us/pulley-lesion-of-the-fingers/

ME

O

U N

Normal Pulleys on Ultrasound

a

http://www.ultrasoundpaedia.com/normal-handfinger/

T

Lateral epicondyle

ME

O

U N

H

a

http://www.aspetar.com/journal/viewarticle.aspx?id=74#.WOJEwzY2zTc

Damaged

Pulley

T

Lateral epicondyle

ME

O

U N

H

a

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825212/

Trigger Finger

O

U N

Dupuytren’s Contracture

a

http://www.nhs.uk/conditions/Dupuytrens-contracture/Pages/Introduction.aspx

https://radiopaedia.org/cases/7543/studies/8361?referrer=%2Farticles%2Fdupuytren-contracture%23image_list_item_135563

O

U N

http://e-ultrasonography.org/journal/view.php?number=113

a

https://radiopaedia.org/cases/avulsion-fracture-at-base-of-middle-phalanx

a

a

Normal MCP Joint

a

http://radsource.us/upper-extremity-sports-injuries/

http://www.cmcedmasters.com/ortho-blog/sagittal-band-rupture

O

http://physiosports.com.au/common-finger-injuries-2/

a

Normal

http://ultrasoundcases.info/Protocol-View.aspx?cat=555&case=4641

http://www.aspetar.com/journal/viewarticle.aspx?id=74#.WPyPRoWcFZU

http://www.emedicinehealth.com/finger_injuries/pag

e6_em.htm

O

U N

a

http://www.ultrasoundpaedia.com/normal-handfinger/

O

U N

a

Whistle stop tour of scanning the upper limb based on the ESSR guidelines

Briefly covering the most common pathologies seen on ultrasound;

▪ Joint effusion/synovial thickening

▪ Tears

▪ Bursitis

▪ Tenosynovitis etc…..

O

U N

a

Very important to;

Known your anatomy & physiology!!

Know the normal appearances of anatomy

Compare with the non-symptomatic side

Dynamically assess

Use Doppler

Correlate ultrasound findings to the patients history

Thank you for listening…