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Rofo 2023; 195(05): 385-392
DOI: 10.1055/a-1965-9961
Review

The Beauty of Musculoskeletal Ultrasound: Spot Diagnoses

Die Schönheit des muskuloskelettalen Ultraschalls: „Spot“-Diagnosen
Elena E Drakonaki
1   Department of Anatomy, University of Crete School of Medicine, Heraklion, Greece
2   Department of MSK imaging, Diagnostic and Interventional Ultrasound Practice, Heraklion, Greece
,
Carlo Martinoli
3   Department of Health Sciences, University of Genoa, Genova, Italy
,
Filip Maria Vanhoenacker
4   Department of Radiology, University Hospital Antwerp, Edegem (Antwerp), Belgium
5   Department of Radiology, AZ Sint-Maarten Duffel-Mechelen, Belgium
,
Anna Detoraki
6   Medical School, Comenius University in Bratislava, Slovakia
,
Daniel E Dalili
7   Department of Radiology, Southend University Hospital, Mid and South Essex NHS Trust, Essex, United Kingdom of Great Britain and Northern Ireland
,
Miraude Adriaensen
8   Department of Medical Imaging, Zuyderland Medical Center, Heerlen, Netherlands
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Abstract

Introduction Ultrasound is a powerful technique in musculoskeletal (MSK) imaging, and it can replace MR imaging in many specific clinical scenarios. This article will feature some common and less common spot diagnoses in musculoskeletal ultrasound.

Spot diagnosis Cases were collected by members of the Educational Committee of the ESSR ( European Society of Musculoskeletal Radiology) with expertise in musculoskeletal ultrasound. Sixteen clinical entities are discussed based on the features that allow US spot diagnosis.

Conclusion Clinical history, location, and ultrasound appearance are the keys to spot diagnoses when performing musculoskeletal ultrasound.

Key Points: 

  • Musculoskeletal ultrasound can be the primary and only modality in common spot diagnoses in specific clinical settings.

  • Clinical history, location, and ultrasound appearance are keys to spot diagnoses.

  • Knowledge of spot diagnoses in musculoskeletal ultrasound facilitates daily clinical practice.

Citation Format

  • Drakonaki EE, Martinoli C, Vanhoenacker FM et al. The Beauty of Musculoskeletal Ultrasound: Spot Diagnoses. Fortschr Röntgenstr 2023; 195: 385 – 392

Zusammenfassung

Einleitung Ultraschall ist eine leistungsstarke Technik in der muskuloskelettalen (MSK) Bildgebung und kann die MRT in vielen spezifischen klinischen Szenarien ersetzen. In diesem Artikel werden einige häufige und seltenere „Spot“-Diagnosen im muskuloskelettalen Ultraschall vorgestellt.

„Spot“-Diagnosen Die Fälle wurden von Mitgliedern des Bildungsausschusses der ESSR ( European Society of Musculoskeletal Radiology) mit Expertise im muskuloskelettalen Ultraschall zusammengestellt. Sechzehn klinische Entitäten werden anhand der Merkmale erörtert, die eine sonografische „Spot“-Diagnose ermöglichen.

Schlussfolgerung Klinische Anamnese, Lokalisation und Ultraschallbild sind die Schlüssel für „Spot“-Diagnosen beim muskuloskelettalen Ultraschall.

Kernaussagen:

  • Der muskuloskelettale Ultraschall ist in bestimmten klinischen Situationen die primäre und einzige Modalität für gängige „Spot“-Diagnosen.

  • Anamnese, Lokalisation und Ultraschallbild sind entscheidend für die Diagnosestellung.

  • Die Kenntnis von „Spot“-Diagnosen im muskuloskelettalen Ultraschall erleichtert die tägliche klinische Praxis.

Key words

soft tissues - ultrasound - anatomy


Publication History

Received: 01 June 2022

Accepted: 16 October 2022

Article published online:
11 January 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Martinoli C. Musculoskeletal ultrasound: technical guidelines. Insights Imaging 2010; 1 (03) 99-141
    CrossrefPubMedSearch in Google Scholar
  • 2 Chianca V, Albano D, Messina C. et al. Rotator cuff calcific tendinopathy: from diagnosis to treatment. Acta Biomed 2018; 8: 186-196
    PubMedSearch in Google Scholar
  • 3 Lanza E, Banfi G, Serafini G. et al. Ultrasound-guided percutaneous irrigation in rotator cuff calcific tendinopathy: what is the evidence? A systematic review with proposals for future reporting. Eur Radiol 2015; 25: 2176-2183
    CrossrefPubMedSearch in Google Scholar
  • 4 Sconfienza L, Adriaensen M, Albano D. et al. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Muscuoskeletal Radiology (ESSR)-Part I, shouder. Eur Radiol 2020; 30 (02) 903-913
    CrossrefPubMedSearch in Google Scholar
  • 5 Tashjian RZ. Epidemiology, natural history, and indications for treatment of rotator cuff tears. Clin Sports Med 2012; 31: 589-604
    CrossrefPubMedSearch in Google Scholar
  • 6 Bianchi S, Martinoli C, Abdelwahab IF. Ultrasound of tendon tears. Part 1: general considerations and upper extremity. Skeletal Radiol 2005; 34: 500-512
    CrossrefPubMedSearch in Google Scholar
  • 7 Smith TO, Back T, Toms AP. et al. Diagnostic accuracy of ultrasound for rotator cuff tears in adults: a systematic review and meta-analysis. Clin Radiol 2011; 66: 1036-1048
    CrossrefPubMedSearch in Google Scholar
  • 8 Krogh TP, Fredberg U, Christensen R. et al. Ultrasonographic assessment of tendon thickness, Doppler activity and bony spurs of the elbow in patients with lateral epicondylitis and healthy subjects: a reliability and agreement study. Ultraschall Med 2013; 34 (05) 468-474
    Thieme ConnectPubMedSearch in Google Scholar
  • 9 du Toit C, Stieler M, Saunders R. et al. Diagnostic accuracy of power Doppler ultrasound in patients with chronic tennis elbow. Br J Sports Med 2008; 42 (11) 872-876
    CrossrefPubMedSearch in Google Scholar
  • 10 Weiss C, Mittelmeier M, Gruber G. Do we need MR images for diagnosing tendon ruptures of the distal biceps brachii? The value of ultrasonographic imaging. Ultraschall Med 2000; 21 (06) 284-286
    Thieme ConnectPubMedSearch in Google Scholar
  • 11 Lobo LdaG, Fessell DP, Miller BS. et al. The role of sonography in differentiating full versus partial distal biceps tendon tears: correlation with surgical findings. Am J Roentgenol 2013; 200 (01) 158-162
    CrossrefPubMedSearch in Google Scholar
  • 12 Bianchi S, Martinoli C. Ultrasound of the Musculoskeletal System. Springer; 2007: 449-452
    CrossrefSearch in Google Scholar
  • 13 Sconfienza L, Adriaensen M, Albano D. et al. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Muscuoskeletal Radiology (ESSR)-Part II, elbow and wrist. Eur Radiol 2020; 30 (04) 2220-2230
    CrossrefPubMedSearch in Google Scholar
  • 14 Steinberg BD, Kleinman WB. Occult scapholunate ganglion: a cause of dorsal radial wrist pain. J Hand Surg Am 1999; 24 (02) 225-231
    CrossrefPubMedSearch in Google Scholar
  • 15 Cardinal E, Buckwalter KA, Braunstein EM. et al. Occult dorsal carpal ganglion: comparison of US and MR imaging. Radiology 1994; 193 (01) 259-262
    CrossrefPubMedSearch in Google Scholar
  • 16 Bianchi S, Gitto S, Draghi F. Ultrasound Features of Trigger Finger: Review of the Literature. J Ultrasound Med 2019; 38 (12) 3141-3154
    CrossrefPubMedSearch in Google Scholar
  • 17 Lungu E, Michaud J, Bureau N. US Assessment of Sports-related Hip Injuries. RadioGraphics 2018; 38: 867-889
    CrossrefPubMedSearch in Google Scholar
  • 18 Wissman RD, Pomeranz SJ. Friction Syndromes of the Knee: The Iliotibial Band and Anterior Fat Pads. J Surg Orthop Adv 2018; 27: 77-80
    PubMedSearch in Google Scholar
  • 19 Flato R, Passanante GJ, Skalski MR. et al. The iliotibial tract: imaging, anatomy, injuries, and other pathology. Skeletal Radiol 2017; 46: 605-622
    CrossrefPubMedSearch in Google Scholar
  • 20 Herman AM, Marzo JM. Popliteal cysts: a current review. Orthopedics 2014; 37 (08) e678-e684
    CrossrefPubMedSearch in Google Scholar
  • 21 Sconfienza LM, Adriaensen M, Albano D. et al. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part V, knee. Eur Radiol 2022; 32 (03) 1438-1447
    CrossrefPubMedSearch in Google Scholar
  • 22 Vreju F, Ciurea P, Rosu A. Osgood-Schlatter disease – ultrasonographic diagnostic. Med Ultrason 2010; 12 (04) 336-339
    PubMedSearch in Google Scholar
  • 23 Counsel P, Breidahl W. Muscle injuries of the lower leg. Semin Musculoskelet Radiol 2010; 14 (02) 162-175
    Thieme ConnectPubMedSearch in Google Scholar
  • 24 Adhikari S, Marx J, Crum T. Point-of-care ultrasound diagnosis of acute Achilles tendon rupture in the ED. Am J Emerg Med 2012; 30 (04) 634.e3-4
    CrossrefPubMedSearch in Google Scholar
  • 25 Liu W, Zhuang H, Shao D. et al. High-Frequency Color Doppler Ultrasound in Diagnosis, Treatment, and Rehabilitation of Achilles Tendon Injury. Med Sci Monit 2017; 23: 5752-5759
    CrossrefPubMedSearch in Google Scholar
  • 26 McMillan AM, Landorf KB, Barrett JT. et al. Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis. J Foot Ankle Res 2009; 2: 32
    CrossrefPubMedSearch in Google Scholar
  • 27 McNally EG, Shetty S. Plantar fascia: imaging diagnosis and guided treatment. Semin Musculoskelet Radiol 2010; 3: 334-343
    Thieme ConnectPubMedSearch in Google Scholar
  • 28 Wu J, Zhang YZ, Gao Y. et al. Assessment the reliability of ultrasound in the imaging of the plantar fascia: a comparative study. BMC Med Imaging 2019; 19 (01) 62
    CrossrefPubMedSearch in Google Scholar
  • 29 Sconfienza LM, Adriaensen M, Albano D. et al. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part VI, foot and ankle. Eur Radiol 2022; 32 (02) 1384-1394
    CrossrefPubMedSearch in Google Scholar