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Benefits of Implementing Diagnostic Musculoskeletal Ultrasound at Your Practice

Ultrasound is increasingly being used for musculoskeletal applications. Why is this the case and how can you and your patients benefit from this advancing modality? Read on to find out.

Used by practitioners in sports medicine, PM&R, rheumatology and orthopedics, musculoskeletal ultrasound is primarily used to diagnose pathology in tendons, nerves, muscles, ligaments and joints as well as to guide the needle in real-time during interventional procedures (Smith and Finnoff 64).

According to Smith and Finnoff, the advantages of using musculoskeletal ultrasound are:

"• High-resolution soft tissue imaging
• Ability to image in real-time
• Facilitates dynamic examination of anatomic structures
• Can interact with the patient while imaging
• Minimally affected by metal artifact (ie, implants and hardware)
• Ability to guide procedures (eg, aspirations, injections)
• Enables rapid contralateral limb examination for comparison
• Portable
• Relatively inexpensive
• Lacks radiation
• No known contraindications" (65)

When compared to other modalities, ultrasound is clearly the more appropriate choice. In most instances, when compared to most magnetic resonance imaging (MRI) studies, ultrasound can deliver higher quality images, down to submillimeter detail of MSK parts (Kremkau 428).

In contrast with CT scans and X-rays, Smith and Finnoff state that musculoskeletal ultrasound can image soft tissue at higher resolutions allowing for safe and accurate needle injections and aspirations during interventional procedures. Moreover, the danger of radiation is absent when dealing with patients of child-bearing age (65).

In addition to its interventional uses, the scope in which ultrasound can be used for diagnostic applications is vast. Due to high image clarity as well as patient safety, ultrasound can help practitioners diagnose various forms of pathology including ligament and muscle sprains, joint effusions, tendon tears, tendinosis, and nerve entrapments (65).

Gulfcoast Ultrasound Institute offers a complete line of musculoskeletal ultrasound educational DVDs as well as introductory and advanced hands-on ultrasound courses. We invite you to take advantage of these opportunities in this steadily emerging field.

Works Cited

Smith, Finnoff. "Diagnostic and Interventional Musculoskeletal Ultrasound: Part 1. Fundamentals" Journal of American Academy of Physical Medicine and Rehabilitation 1 (2009):64-75. Print.

Kremkau F. Diagnostic Ultrasound: Principles and Instruments. 6th ed.
Philadelphia, PA: WB Saunders; 2002:428.

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Musculoskeletal Ultrasound Hands-on Courses

Introduction to Musculoskeletal Ultrasound: August 23-25, 2010
(with optional cadaver workshop)

Advanced Musculoskeletal Ultrasound: June 6-8, 2010

Musculoskeletal Ultrasound Educational Products

A Practical Guide to Sonography of the Extremities Book

Tissue Characterization of the Ligaments, Muscles Nerves and Tendons DVD

Ultrasound Evaluation of the Elbow DVD

Ultrasound Evaluation of the Knee DVD

Ultrasound Evaluation of the Sports Hernia Complex DVD

Ultrasound of the Hip and Spine DVD

Fundamentals of Musculoskeletal Ultrasound Book

Musculoskeletal Ultrasound Imaging - Lower Extremities: Knee, Ankle, and Foot DVD

Musculoskeletal Ultrasound Imaging - Upper Extremities: Shoulder, Elbow, Wrist, and Hand DVD

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