Ultrasound Guided MSK Procedures - NorthShore€¦ · Ultrasound Guided MSK Procedures Ward...
Transcript of Ultrasound Guided MSK Procedures - NorthShore€¦ · Ultrasound Guided MSK Procedures Ward...
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Ultrasound Guided MSK Procedures
Ward McCracken, D.O.
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Disclosures
• I have no disclosures
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Workshop Break Down
• 20 minutes - Introduction
• 30 minutes - Scan
– Knee (IA, tendon guidance, Baker Cyst)
– Foot / Ankle (Achilles)
– Shoulder (Gleno-humeral)
• Other scans (if time - hip, hand, etc.)
• 5-10 minutes - questions
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Introduction
• Normal Tissues
• Scanning Artifacts
• Common Procedures
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Terminology
• “Echoic”
– Hyper-echoic (brighter)
– Hypo-echoic (darker)
– An-echoic (black)
• Axis
– Long vs Short Axis
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Normal Tissues
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Tendon• Achilles
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Muscle
• Biceps Brachiii
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Nerve (vs Tendon)
• Median Nerve
(arrow heads)
• Flexor carpi
radialis (open
arrow)
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Ligament
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Artifacts
• Anisotropy
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Anisotropy
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Artifacts
• Anisotropy
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Artifacts
• Anisotropy
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Artifacts
• Shadowing
?
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Common Procedures
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Hip - Intra-articular Injection
Common Indications:
• Osteoarthritis
• FAI
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Hip - Intra-articular Injection
Anatomy
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Hip - Intra-articular Injection
• Intra-articular Hip
Joint CapsuleNeedle
Medication
Femoral
Head
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Knee - Injections / Aspirations
• Baker’s Cyst
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Baker’s Cyst?
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Baker’s Cyst?
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Knee – Intra-articular Injection / Aspiration
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Patellar Tendon
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Achilles Tendon
• Ruptured Achilles
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Achilles
• Ruptured Achilles – Plantar Flexion Gap
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Glenohumeral Injection
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References
• Jacobson, Jon. Fundamentals of Musculoskeletal Ultrasound,
3E. Elsevier: 2017.
• Malanga G, Mautner K. Atlas of Ultrasound Guided
Musculoskeletal Injections. McGraw-Hill Education / Medical:
2014.
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