Ligament Injury

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Ligament Injury

Ligament Injury KEY FACTS Terminology • Ligament tear: Tear or avulsion of ligament fibers Imaging • Ligament tears have similar appearances irrespective of ligament location • Acute stage  Diffuse or localized ligament swelling…

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Ankle Ultrasound

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Ankle Ultrasound

Ankle Ultrasound KEY FACTS GENERAL CONSIDERATIONS • Common specific indications: Ligament tear, tendon disorders, and suspected joint infection and inflammation • Less common specific indications: Suspected tarsal tunnel syndrome, impingement, and ganglia…

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Tenosynovitis

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Tenosynovitis

Tenosynovitis KEY FACTS Imaging • Occurs only in tendons encased by synovium • Distension of tenosynovium (tendon sheath) due to fluid or synovitis with variable tendon swelling • Acute exudative tenosynovitis  Usually due…

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Fat Injury

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Fat Injury

Fat Injury KEY FACTS Terminology • Focal inflammation ± necrosis ± atrophy of subcutaneous fat Imaging • Variable appearances depending on chronicity of lesion • Earlier stages  Localized mild swelling and increased echogenicity…

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Plantar Fasciitis and Fibromatosis

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Plantar Fasciitis and Fibromatosis

Plantar Fasciitis and Fibromatosis KEY FACTS Terminology • Plantar fascia = multilayered fibrous aponeurosis, 1-2 mm thick, with medial, central, and lateral bands Imaging • Plantar fasciitis  Thickened plantar fascial insertion, especially…

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Joint Injection: Lower Limb

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Joint Injection: Lower Limb

Joint Injection: Lower Limb KEY FACTS Procedure • Hip joint injection  Usually anterior approach – Longitudinal method: Preferred  Needle tip positioned on “bare area” at head-neck junction – Transverse approach  Needle tip positioned…

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Hand and Wrist Procedures

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Hand and Wrist Procedures

Hand and Wrist Procedures KEY FACTS Preprocedure • Indication  Aspiration of joint fluid  Intraarticular injection of medication or contrast agent  Percutaneous therapy of ganglion cyst, tendon disease, trigger finger, carpal tunnel…

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Hip and Pelvis Procedures

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Hip and Pelvis Procedures

Hip and Pelvis Procedures KEY FACTS Procedure • Hip or sacroiliac (SI) joint injection or aspiration  US-guided joint injection more efficient than fluoroscopic-guided joint injection  For hip, anterior longitudinal approach usually…

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Foreign Body and Injection Granuloma

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Foreign Body and Injection Granuloma

Foreign Body and Injection Granuloma KEY FACTS Terminology • Foreign body (FB): Retention of penetrating or iatrogenic object within tissues • Injection granuloma (IG): Localized tissue reaction to material injected into tissues…

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Local Tumor Recurrence

Apr 9, 2020 by in MUSCULOSKELETAL IMAGING Comments Off on Local Tumor Recurrence

Local Tumor Recurrence KEY FACTS Terminology • Local recurrence of tumor following initial planned complete tumor resection  If original tumor was not completely resected, this is residual tumor rather than recurrence…

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