Musculoskeletal Ultrasound

 
Module Content

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Module 1:

  • Ultrasound artifacts including:
    - anisotropy
    - speed of sound artifacts
    - refractile shadowing
    - comet tail artifact
    - acoustic enhancement
    - acoustic shadowing
  • New technologies including:
    - extended field of view imaging
    - tissue harmonic imaging
    - spatial compound imaging
    - 1.5D transducer arrays
  • Indications for MSK ultrasound including:
    - sport injuries
    - periarticular masses
    - assessment of rheumatologic disorders
    - postsurgical joint assessment
  • Anatomical definitions and conventions including:
    - body sections and anatomical planes
    - body orientations
  • Bones of the hand and wrist
  • The radius and ulna
  • The elbow joint
  • The humerus
  • Tendons of the hand and wrist
  • Ligaments and tendons of the elbow
  • Muscles of the anterior forearm including:
    - flexors of the forearm
    - extensors of the forearm
    - rotators of the forearm
  • Flexors of the wrist, hand and fingers
  • Extensors of the wrist, hand and fingers
  • Muscles of the posterior forearm
  • Patient positioning & examination technique
  • Normal ultrasound appearances
  • Hand & wrist pathology including:
    - soft tissue tumours of the hand and wrist
    - tendon pathology
    - De Quervain's disease
    - trigger finger (or digit)
    - trauma of the tendons and/or ligaments of the hand
    - carpal tunnel syndrome
  • Indications & examination technique for elbow ultrasound including:
    - elbow joint effusion
    - elbow ganglion
    - tennis elbow - lateral epicondylitis
    - golfer's elbow - medial epicondylitis
    - elbow fracture

Module 2:

  • General anatomy of the shoulder including:
    - the scapula
    - the clavicle
    - the shoulder joint
    - the rotator cuff
  • Muscles of the shoulder including:
    - flexors of the upper arm
    - extensors of the upper arm
  • Patient positioning
  • Scanning technique
  • Indications for shoulder ultrasound including:
    - rotator cuff tears
    - intra or extra-articular fluid collections
    - abnormal contour of the subdeltoid bursae
    - elevation of the humeral head
    - calcific tendonitis
    - biceps tendonitis and tenosynovitis
    - dislocation (subluxation) of the biceps tendon
    - biceps tendon tears and/or rupture
    - SA-SD bursal effusion and/or bursitis
    - fracture (Hills Sachs deformity)

Module 3 - Ultrasound of the Foot and Ankle

  • Bones of the lower leg
  • Bones of the ankle and foot
  • Muscles that move the ankle, foot, and toes including:
    - dorsal flexors of the lower leg
    - plantar flexors of the lower leg
    - foot invertors
    - foot evertors
  • Ligaments and tendons of the ankle
  • Indications for ultrasound of the foot and ankle
  • Patient positioning and examination technique
  • Normal ultrasound appearances of tendons
  • Pathology of the ankle and foot including:
    - tendon and/or ligament tears
    - tendonitis and tenosynovitis
    - plantar fasciitis
    - joint effusions
    - ganglions
    - cellulitis
    - Morton's neuroma

Module 4 - Ultrasound of the Knee and Hip

  • Bones of the upper leg
  • The knee joint
  • Ligaments of the knee
  • Muscles that move the lower leg
  • Muscles that move the upper leg
  • Ultrasound of the knee
  • Patient positioning and examination technique including:
    - anterior approach
    - bursae of the knee
    - medial approach
    - lateral approach
    - posterior approach
  • Pathology of the knee including:
    - knee trauma
    - tendon and/or ligament tears
    - tendonitis
    - bursitis
    - meniscal pathology
  • Ultrasound of the Adult hip
  • Indications for Adult hip ultrasound
  • Ultrasound of the infant hip
  • Indications for infant hip ultrasound
  • Miscellaneous topics including:
    - types of joints
    - fibrous joints
    - cartilaginous joints
    - synovial joints
    - the healing process

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Instructor: David Hamments, RT(R), RDMS, RDCS, RVT

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