Manual of Musculoskeletal Ultrasound: A Self-Study, Protocol-Based Approach > 영상의학과

his book is a quick start guide that equips students and professionals with musculoskeletal ultrasound image acquisition basics. Written in plain language, it focuses on the common, clinically relevant conditions diagnosable by musculoskeletal ultrasound. With many verbal and illustrative mnemonics, images, and whimsical illustrations, the manual provides many different methods to remember complicated anatomy and examination protocols.

Manual of Musculoskeletal Ultrasound teaches a protocol-based approach designed to help people understand why and how we perform musculoskeletal ultrasound studies. Each chapter covers a different body part and starts with basic anatomy and the clinical questions we want an ultrasound examination of that body part to answer. The protocols within each chapter tell the student precisely how and where to move the probe to obtain and optimize images. It demonstrates what a normal sonographic image should look like and explains what dynamic or structural issues would be abnormal in certain clinical circumstances. The protocol is a checklist that can be practiced on a partner or the reader themself. Chapters also discuss pathologic entities discernable on ultrasound, pitfalls to avoid, and imaging tricks of the trade.

This manual is invaluable for students and practicing clinicians in rheumatology, orthopedics, physiatry, neurology, sports medicine, advanced practice, and sonography.

From the Back Cover

xii Contents

Hand Arthropathies 109

Necessary Anatomy 109

Clinical Comments 110

Pitfalls 128

Method 130

References 139

Anterior Elbow 147

Anatomy 147

Clinical Comments 151

Pitfalls 155

Method 155

References 165

Posterior Elbow 167

Anatomy 167

Clinical Comments 168

Pitfalls 170

Method 171

References 176

Lateral Elbow 177

Anatomy 177

Clinical Comments 180

Pitfalls 182

Method 182

References 188

Medial Elbow 189

Basic Anatomy 190

Clinical Comments 192

Pitfalls 194

Method 195

References 204

Shoulder 207

Basic Anatomy 207

Clinical Comments 211

Pitfalls 227

Method 228

References 248

Anterior Ankle 255

Basic Anatomy (Fig. 11.1) 255

Clinical Comments 258

Pitfalls 267

Method 267

References 275

Contents xiii

Posterior Ankle and Heel 279

Bony Anatomy 280

Clinical Comments 283

Pitfalls 288

Method 289

References 295

Lateral Ankle 299

Basic Anatomy 299

Clinical Comments 303

Pitfalls 309

Method 310

References 319

Medial Ankle 323

Basic Bone Anatomy (Fig. 14.1) 323

Clinical Comments 328

Pitfalls 332

Method 333

References 343

Forefoot and Toes 347

Basic Anatomy 347

Clinical Comments 349

Pitfalls 360

Method 361

References 370

Anterior Knee 373

Basic Anatomy 374

Clinical Comments 377

Pitfalls 379

Method 380

References 388

Posterior Knee 391

Necessary Basic Anatomy: Posterior Knee 392

Clinical Comments 394

Ligament Damage 395

Nerve Damage 396

Blood Vessel Pathology 396

Fabella Pathology 396

Cartilage Damage 397

Meniscal Damage 397

Pitfalls 397

Method 397

References 407

xiv Contents

Lateral Knee 409

Basic Anatomy 410

Clinical Comments 411

Anterolateral Ligament 412

Lateral Collateral Ligament 412

Lateral Meniscus 413

Biceps Femoris Tendon 414

Common Peroneal Nerve 414

Pitfalls 414

Method 415

References 422

Medial Knee 425

Basic Anatomy (Fig. 19.1) 426

Pes Anserine Tendons and Bursa 426

Clinical Comments 428

Medial Collateral Ligament Bursitis 429

Medial Meniscus 429

Pes Anserine Tendons and Bursitis 430

Snapping Pes Anserine Tendons 430

Infrapatellar Branch of the Saphenous Nerve Damage 431

Pitfalls 431

Method 432

References 436

Anterior Hip 439

Basic Anatomy 439

Ligaments 441

Neurovascular Bundle 442

Anterior Hip (Joint) Recess 442

Hip Joint 443

Iliopsoas Muscle, Tendon, and Bursa 443

Tensor Fascia Lata and Sartorius 443

Rectus Femoris 443

Clinical Comments 443

Joint Effusion and Synovitis 444

Iliopsoas Bursitis 444

Labrum Abnormalities 445

Postsurgical Hip 445

Tendon and Muscle Abnormalities 446

Snapping Hip Syndrome 446

Calcific Tendinosis 447

Diabetic Muscle Infarction 447

Meralgia Paresthetica 448

Contents xv

Inguinal Lymph Nodes 448

Pitfalls 449

Method 449

References 459

Posterior Hip 461

Anatomy 461

Clinical Comments 464

Piriformis Syndrome 465

Ischiogluteal Bursitis 465

Pitfalls 465

Method 466

References 472

Lateral Hip 473

Basic Anatomy 473

Clinical Comments 476

Tendinosis and Tendon Tears 478

Snapping Iliotibial Band and External Lateral Snapping

Hip Syndrome 478

Morel-Lavallee Lesion 479

Tensor Fascia Latae Tendinopathy 479

Bursal Abnormalities 480

Proximal Iliotibial Band Syndrome 480

Pitfalls 480

Method 481

References 486

Medial Hip 489

Basic Anatomy 489

Clinical Comments 491

Tendinosis and Partial-Thickness Tears 491

Muscle Strain 492

Adductor Insertion Avulsion Syndrome 492

Other Sources of Pain 492

Method 492

References 496

Crystalline Disease 497

Clinical Comments 498

Gout 498

Calcium Pyrophosphate Deposition Disease 500

Sonographic Overlap 501

Pitfalls 502

Method 502

References 510

xvi Contents

Enthesopathy 513

Clinical Comments 513

Special Clinical Consideration: Inflammatory Arthritis

Differentiation 517

Pitfalls 517

Method 518

References 529

Index 533