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DOI: 10.1055/s-2004-823012
Ultrasound in Sports Medicine
Publication History
Publication Date:
13 April 2004 (online)
The accuracy of sonography in evaluating various conditions of the musculoskeletal system has been demonstrated and its utility as a primary diagnostic imaging modality in the musculoskeletal system in the United States has been increasing in frequency. Sonography is universally tolerated across a broad patient population, including pediatric and pregnant patients and those in whom traditional magnetic resonance (MR) imaging is not an option, due either to absolute or relative contraindications. Sonographic examinations are relatively quick compared with an MR or computed tomographic study, and delays in scheduling are therefore minimal, an advantage for those patients who have traveled a long distance or who are in a considerable amount of discomfort at the time of their visit to the orthopedic surgeon. With portable ultrasound units, examinations can be performed on the playing field, immediately at the time of the acute injury, for rapid diagnosis. Lastly, ultrasound can be used to guide for therapeutic procedures at the same time the diagnostic exam is performed.
KEYWORDS
Ultrasound - musculoskeletal imaging - therapeutic interventions
REFERENCES
- 1 Jacobson J A. Ultrasound in sports medicine. Radiol Clin North Am. 2002; 40 363-386
- 2 Erickson S J. High-resolution imaging of the musculoskeletal system. Radiology. 1997; 205 593-618
- 3 Entrekin R R, Porter B A, Sillesen H H, Wong A D, Cooperberg P L, Fix C H. Real-time spatial compound imaging: application to breast, vascular, and musculoskeletal ultrasound. Semin Ultrasound CT MR. 2001; 22 50-64
- 4 Crass J R, van de Vegte G L, Harkavy L A. Tendon echogenicity: ex vivo study. Radiology. 1988; 167 499-501
- 5 Martinoli C, Derchi L E, Pastorino C, Bertolotti M, Silvestri E. Analysis of echotexture of tendons with ultrasound. Radiology. 1993; 186 839-843
- 6 Lin E C, Middleton W D, Teefey S A. Extended field of view sonography in musculoskeletal imaging. J Ultrasound Med. 1999; 18 147-152
- 7 Barberie J E, Wong A D, Cooperberg P L, Carson B W. Extended field-of-view sonography in musculoskeletal disorders. AJR Am J Roentgenol. 1998; 171 751-757
- 8 Newman J S, Adler R S. Power Doppler sonography: applications in musculoskeletal imaging. Semin Musculoskelet Radiol. 1998; 2 331-339
- 9 Newman J S, Adler R S, Bude R O, Rubin J M. Detection of soft-tissue hyperemia: value of power Doppler sonography. AJR Am J Roentgenol. 1994; 163 385-389
- 10 Martinoli C, Pretolesi F, Crespi G et al.. Power Doppler sonography: clinical applications. Eur J Radiol. 1998; 28(Suppl 2) S133-S140
- 11 Teefey S A, Hasan S A, Middleton W D, Patel M, Wright R W, Yamaguchi K. Ultrasonography of the rotator cuff: a comparison of ultrasonographic and arthroscopic findings in one hundred consecutive cases. J Bone Joint Surg. 2000; 82A 498-504
- 12 Van Holsbeeck M T, Kolowich P A, Eyler W R et al.. Ultrasound depiction of partial-thickness tear of the rotator cuff. Radiology. 1995; 197 443-446
- 13 Crass J R, Craig E V, Feinberg S B. The hyperextended internal rotation view in rotator cuff ultrasonography. J Clin Ultrasound. 1987; 15 416-420
- 14 Middleton W D, Teefey S A, Yamaguchi K. Sonography of the shoulder. Semin Musculoskelet Radiol. 1998; 2 211-221
- 15 Lin J, Jacobson J A, Fessell D P, Weadock W J, Hayes C W. An illustrated tutorial of musculoskeletal sonography: part 2, upper extremity. AJR Am J Roentgenol. 2000; 175 1071-1079
- 16 Jiang Y, Zhao J, van Holsbeeck M T, Flynn M J, Ouyang X, Genant H K. Trabecular microstructure and surface changes in the greater tuberosity in rotator cuff tears. Skeletal Radiol. 2002; 31 522-528
- 17 Teefey S A, Middleton W D, Bauer G S, Hildebolt C F, Yamaguchi K. Sonographic differences in the appearance of acute and chronic full-thickness rotator cuff tears. J Ultrasound Med. 2000; 19 377-381
- 18 Bouffard J A, Lee S M, Dhanju J. Ultrasound of the shoulder. Semin Ultrasound CT MR. 2000; 21 164-191
- 19 Jacobson J A, van Holsbeeck M T. Musculoskeletal ultrasonography. Orthop Clin North Am. 1998; 29 135-167
- 20 Van Holsbeeck M T, Introcaso J H. Musculoskeletal Ultrasound, 2nd ed. St Louis, MO; Mosby, Inc 2001: 207
- 21 Winter T C, Teefey S A, Middleton W D. Musculoskeletal ultrasound: an update. Radiol Clin North Am. 2001; 39 465-483
- 22 Farin P U, Jaroma H, Harju A, Soimakallio S. Medial displacement of the biceps brachii tendon: evaluation with dynamic sonography during maximal external shoulder rotation. Radiology. 1995; 195 845-848
- 23 Ryu K N, Lee S W, Rhee Y G, Lim J H. Adhesive capsulitis of the shoulder joint: usefulness of dynamic sonography. J Ultrasound Med. 1993; 12 445-449
- 24 Taljanovic M S, Carlson K L, Kuhn J E, Jacobson J A, Delaney-Sathy L O, Adler R S. Sonography of the glenoid labrum: a cadaveric study with arthroscopic correlation. AJR Am J Roentgenol. 2000; 174 1717-1722
- 25 Schydlowsky P, Standberg C, Galatius S, Gam A. Ultrasonographic examination of the glenoid labrum of healthy volunteers. Eur J Ultrasound. 1998; 8 85-89
- 26 Peetrons P, Rasmussen O S, Creteur V, Chhem R K. Ultrasound of the shoulder joint: non-“rotator cuff” lesions. Eur J Ultrasound. 2001; 14 11-19
- 27 Hamar M V, Wintzell G B, Astrom K GO, Larsson S, Elvin A. Role of ultrasound in the preoperative evaluation of patients with anterior shoulder instability. Radiology. 2001; 219 29-34
- 28 Vanderschueren G, Prasad A, van Holsbeeck M. Ultrasound of the elbow. Semin Musculoskelet Radiol. 1998; 2 223-235
- 29 Connell D, Burke F, Coombes P et al.. Sonographic examination of lateral epicondylitis. Am J Roentgenol. 2001; 176 777-782
- 30 Falchook F S, Zlatkin M B, Erbacher G E, Moulton J S, Bisset G S, Murphy B J. Rupture of the distal tendon of the biceps tendon: evaluation with MR imaging. Radiology. 1994; 190 659-663
- 31 Fitzgerald S W, Curry D R, Erickson S J, Quinn S F, Friedman H. Distal biceps tendon injury: MR imaging diagnosis. Radiology. 1994; 191 203-206
- 32 D'Alessandro D F, Shields Jr C L, Tibone J E, Chandler R W. Repair of distal tendon ruptures in athletes. Am J Sports Med. 1993; 21 114-119
- 33 Miller T T, Adler R S. Sonography of tears of the distal biceps tendon. Am J Roentgenol. 2000; 175 1081-1086
- 34 Belli P, Costantini M, Mirk P, Leone A, Pastore G, Marano P. Sonographic diagnosis of distal biceps tendon rupture: a prospective study of 25 cases. J Ultrasound Med. 2001; 20 587-595
- 35 Lozano V, Alonso P. Sonographic detection of the distal biceps tendon rupture. J Ultrasound Med. 1995; 14 389-391
- 36 De Smet A A, Winter T C, Best T M, Bernhardt D T. Dynamic sonography with valgus stress to assess elbow ulnar collateral ligament injury in baseball pitchers. Skeletal Radiol. 2002; 31 671-676
- 37 Markowitz R I, Davidson R S, Harty M P, Bellah R D, Hubbard A M, Rosenberg H K. Sonography of the elbow in infants and children. Am J Roentgenol. 1992; 159 829-833
- 38 Roberts C S, Beck Jr D J, Heinsen J, Seligson D. Diagnostic ultrasonography: applications in orthopaedic surgery. Clin Orthop. 2002; 401 248-264
- 39 May D A, Disler D G, Jones E A, Pearce D A. Using sonography to diagnose an unossified medial epicondyle avulsion in a child. Am J Roentgenol. 2000; 174 1115-1117
- 40 Takahara M, Ogino T, Tsuchida H, Takagi M, Kashiwa H, Nambu T. Sonographic assessment of osteochondral dissecans of the humeral capitellum. Am J Roentgenol. 2000; 174 411-415
- 41 Lazar R D, Waters P M, Jaramillo D. The use of ultrasonography in the diagnosis of occult fracture of the radial neck. J Bone Joint Surg. 1998; 80A 1361-1364
- 42 Jacobson J A, Jebson P JL, Jeffers A W, Fessell D P, Hayes C W. Ulnar nerve dislocation and snapping triceps syndrome: diagnosis with dynamic sonography-report of three cases. Radiology. 2001; 220 601-605
- 43 Teefey S A, Middleton W D, Boyer M I. Sonography of the hand and wrist. Semin Ultrasound CT MR. 2000; 21 192-204
- 44 Jacobson J A, Oh E, Propeck T, Jebson P JL, Jamadar D A, Hayes C W. Sonography of the scapholunate ligament in four cadaveric wrists: correlation with MR arthrography and anatomy. Am J Roentgenol. 2002; 179 523-527
- 45 Herneth A M, Siegmeth A, Bader T R et al.. Scaphoid fractures: evaluation with high-spatial-resolution ultrasound: initial results. Radiology. 2001; 220 231-235
- 46 Chiou H J, Chang C Y, Chou Y H et al.. Triangular fibrocartilage of wrist: presentation on high resolution ultrasonography. J Ultrasound Med. 1998; 17 41-48
- 47 Moschilla G, Breidahl W. Sonography of the finger. Am J Roentgenol. 2002; 178 1451-1457
- 48 Pelsser V, Cardinal E, Hobden R, Aubin B, Lafortune M. Extraarticular snapping hip: sonographic findings. Am J Roentgenol. 2001; 176 67-73
- 49 Choi Y S, Lee S M, Song B Y, Paik S H, Yoon Y K. Dynamic sonography of external snapping hip syndrome. J Ultrasound Med. 2002; 21 753-758
- 50 Bass C J, Connell D A. Sonographic findings of tensor fascia lata tendinopathy: another cause of anterior groin pain. Skeletal Radiol. 2002; 31 143-148
- 51 Bianchi S, Martinoli C, Waser N P, Bianchi-Zamorani M P, Federici E, Fasel J. Central aponeurosis tears of the rectus femoris: sonographic findings. Skeletal Radiol. 2002; 31 581-586
- 52 Kim S M, Shin M J, Kim K S et al.. Imaging features of ischial bursitis with an emphasis on ultrasonography. Skeletal Radiol. 2002; 31 631-636
- 53 Carr J C, Hanly S, Griffin J, Gibney R. Sonography of the patellar tendon and adjacent structures in pediatric and adult patients. Am J Roentgenol. 2001; 176 1535-1539
- 54 Starok M, Lenchik L, Trudell D, Resnick D. Normal patellar retinaculum: MR and sonographic imaging with cadaveric correlation. Am J Roentgenol. 1997; 168 1493-1499
- 55 Fuchs S, Chylarecki C. Sonographic evaluation of ACL rupture signs compared to arthroscopic findings in acutely injured knees. Ultrasound Med Biol. 2002; 28 149-154
- 56 Miller T T. Sonography of the posterior cruciate ligament of the knee. Skeletal Radiol. 2002; 31 149-154
- 57 Cho K H, Lee D C, Chhem R K et al.. Normal and acutely torn posterior cruciate ligament of the knee at ultrasound evaluation: preliminary experience. Radiology. 2001; 219 375-380
- 58 De Maeseneer M, Vanderdood K, Marcelis S, Shabana W, Osteaux M. Sonography of the medial and lateral tendons and ligaments of the knee: the use of bony landmarks as an easy method for identification. AJR Am J Roentgenol. 2002; 178 1437-1444
- 59 Sekiya J K, Jacobson J A, Wojtys E M. Sonographic imaging of the posterolateral structures of the knee: findings in human cadavers. Arthroscopy. 2002; 18 872-881
- 60 Van Holsbeeck M T, Introcaso J H. Sonography of large synovial joints. In: van Holsbeeck MT, Introcaso JH Musculoskeletal Ultrasound. St Louis, MO; Mosby, Inc 2001: 251-263
- 61 Jamadar D A, Jacobson J A, Theisen S E et al.. Sonography of the painful calf: differential considerations. AJR Am J Roentgenol. 2002; 179 709-716
- 62 Fessell D P, van Holsbeeck M T. Foot and ankle sonography. Radiol Clin North Am. 1999; 37 831-858
- 63 Muller M, Kalebo P, Tidebrant G, Movin T, Karlsson J. The ultrasonographic appearance of the ruptured Achilles tendon during healing: a longitudinal evaluation of surgical and nonsurgical treatment, with comparisons to MRI appearance. Knee Surg, Sports Tramatol Arthrosc. 2002; 10 49-56
- 64 Fessell D P, Vanderschueren G M, Jacobson J A et al.. Ultrasound of the ankle: technique, anatomy, and diagnosis of pathologic conditions. Radiographics. 1998; 18 325-340
- 65 Premkumar A, Perry M B, Dwyer A J et al.. Sonography and MR imaging of posterior tibial tendinopathy. AJR Am J Roentgenol. 2002; 178 223-232
- 66 Patel S, Fessell D P, Jacobson J A, Hayes C W, van Holsbeeck M T. Artifacts, anatomic variants, and pitfalls in sonography of the foot and ankle. AJR Am J Roentgenol. 2002; 178 1247-1254
- 67 McConkey J P, Favero K J. Subluxation of the peroneal tendons within the peroneal tendon sheath: a case report. Am J Sports Med. 1987; 15 511-513
- 68 Milz P, Milz S, Putz R, Reiser M. 13 MHz high-frequency sonography of the lateral ankle joint ligaments and the tibiofibular syndesmosis in anatomic specimens. J Ultrasound Med. 1996; 15 277-284
- 69 Campbell D G, Menz A, Isaacs J. Dynamic ankle ultrasonography: a new imaging technique for acute ankle ligament injuries. Am J Sports Med. 1994; 22 855-858
- 70 Iagnocco A M, Coari G, Palombi G, Valesini G. Sonography in the study of metatarsalgia. J Rheumatol. 2001; 28 1338-1340
- 71 Miller S D. Forefoot pain: diagnosing metatarsophalangeal joint synovitis from interdigital neuroma. Foot Ankle Int. 2001; 22 914-915
- 72 Ortega R, Fessell D P, Jacobson J A, Lin J, van Holsbeeck M T, Hayes C W. Sonography of ankle ganglia with pathologic correlation in 10 pediatric and adult patients. AJR Am J Roentgenol. 2002; 178 1445-1449
- 73 Grassi W, Lamanna G, Farina A, Cervini C. Sonographic imaging of normal and osteoarthritic cartilage. Semin Arthritis Rheum. 1999; 28 398-403
- 74 Disler D G, Raymond E, May D A, Wayne J S, McCauley T R. Articular cartilage defects: in vitro evaluation of accuracy and interobserver reliability for detection and grading with ultrasound. Radiology. 2000; 215 846-851
- 75 Nieminen H J, Toyras J, Rieppo J et al.. Real- time ultrasound analysis of articular cartilage degradation in vitro. Ultrasound Med Biol. 2002; 28 519-525
- 76 Yao J Q, Seedhom B B. Ultrasonic measurement of the thickness of human articular cartilage in situ. Rheumatology (Oxford). 1999; 38 1269-1271
- 77 Takebayashi S, Takasawa H, Banzai Y et al.. Sonographic findings in muscle strain injury: clinical and MR imaging correlation. J Ultrasound Med. 1995; 14 899-905
- 78 Delgado G J, Chung C B, Lektrakul N et al.. Tennis leg: clinical ultrasound study of 141 patients and anatomic investigation of four cadavers with MR imaging and ultrasound. Radiology. 2002; 224 112-119
- 79 Bianchi S, Martinoli C, Abdelwahab I F, Derchi L E, Damiani S. Sonographic evaluation of tears of the gastrocnemius medial head (“tennis leg”). J Ultrasound Med. 1998; 17 157-162
- 80 Sofka C M, Collins A J, Adler R S. Use of ultrasonographic guidance in interventional musculoskeletal procedures: a review from a single institution. J Ultrasound Med. 2001; 20 21-26
- 81 Breidahl W H, Adler R S. Ultrasound-guided injection of ganglia with corticosteroids. Skeletal Radiol. 1996; 25 635-638
- 82 Chiou H J, Chou Y H, Wu J J et al.. Alternative and effective treatment of shoulder ganglion cyst: ultrasonographically guided aspiration. J Ultrasound Med. 1999; 18 531-535
- 83 Farin P U, Rasanen H, Jaroma H, Harju A. Rotator cuff calcifications: treatment with ultrasound-guided percutaneous needle aspiration and lavage. Skeletal Radiol. 1996; 25 551-554
- 84 Farin P U, Jaroma H, Soimakallio S. Rotator cuff calcifications: treatment with ultrasound-guided technique. Radiology. 1995; 195 841-843
Carolyn M SofkaM.D.
Assistant Attending Radiologist, Hospital for Special Surgery
535 East 70th Street
New York, New York 10021
Email: sofkac@hss.edu