top of page

MUSCULOSKELETAL ULTRASOUND

The examination protocol includes the tendons of the anterior, medial and lateral compartments in search of manifestations of tendinopathy such as thickening and loss of the fibrillar pattern, tenosynovitis with thickening and fluid in the sheath (similar findings in tendons from other locations), generally intrasubstance longitudinal tears . The tibiotalar joint anteriorly may show effusion synovitis. The medial (deltoid) and lateral ligaments (anterior tibial peroneal, anterior talus peroneal, and calcaneal peroneum) are mild, partial elongation injuries, or tears. The tarsal tunnel and its posterior tibial neurovascular bundle for evaluation of compression syndromes. Joint margins and soft tissues that can participate in impingement. The Achilles tendon, due to its anatomical characteristics and particular function, sometimes generates its own ultrasound examination. It can manifest pathology in different ways, in addition to tendinopathy similar to other tendons, including calcium, in the Achilles tendon you can find thickening of the peritendon (it does not have a synovial sheath), increased vascularity, periaquilian bursitis, alterations in the fat of the Kager, intrasubstance or complete partial tears in the middle third or at the myotendineal junction with the sural triceps.

Ankle / Achilles Tendon Ultrasound

---

Read More
The most frequently diagnosed alterations in this joint are: Epicondylitis-tennis elbow (extensor tendinopathy), Epitrocleitis-medial epicondylitis-golfer's elbow (flexor tendinopathy), joint effusion either of inflammatory origin or associated with hidden fractures, ulnar neuropathy either by entrapment or dislocation, olecranon bursitis, triceps tendinopathy, of the distal biceps and its bursa, injuries due to elongation of the ulnar collateral ligament, periarticular cysts / ganglions, prominences in articular bony ridges, calcifications and enthesopathy.

Elbow Ultrasound

----

Read More
It does not have a standardized protocol like other joints, but rather the evaluation is adapted according to the diagnosis or clinical suspicion, directing the examination to the anatomical structures of soft tissues present in the area to be evaluated (skin, muscles, tendons, ligaments, pulleys , bandelets, synovium, etc.). Frequent indications of the examination for this anatomical area are: evaluation of volume increases of different nature and location, for example of cystic synovial origin or ganglions, tumors in tendine sheaths (eg: giant cells), in the nail bed (eg: glomus) ), fibromas in the palmar fascia, foreign bodies, etc. Tendon pathology (“trigger finger”, thickening of pulleys, tenosynovitis, ganglions), traumatic injury of interphalangeal collateral ligaments or in cases of clinical suspicion of Stener's injury. It is also useful in monitoring inflammatory arthropathies where it is possible to evaluate the presence of erosions (even some not visible on plain radiography) and synovitis.

Hand and Fingers Ultrasound

----

Read More
Knee ultrasound detects injuries invisible to x-rays and MRI, such as abscesses, cysts, bruises, small tumors, effusions, etc. which can be seen in the amount of these tests that are normal in the presence of symptoms. The most frequent diagnoses that we find when practicing a color ultrasound of the knee are: Synovialitis Patella fracture (sometimes missed with X-rays) Popliteal cysts (Baker's cyst) Inflammation of the lower dorsal recess with compression of the popliteal artery Tumors Calcifications Dissecting osteochondrosis cartilage erosion popliteal thrombosis or aneurysms

Knee Ultrasound

----

Read More
Its most frequent indication is for the evaluation of tears, with different manifestations and classifications depending on the mechanism, the degree of injury, the location and the anatomy of the different muscles. The most frequent are indirect ones due to muscle distension that cross two joints. Tears can be found from low grade fibrillar, partial fascicular, to complete, with variable presence of hematomas or liquid collections of different sizes. Depending on their location in the muscle, they can be intrasubstance, peripheral myofascial or in the myotendineal junction. In the case of direct trauma, there may be compression rupture against the bone or laceration from a penetrating wound. It should be mentioned that sometimes small tears may not be evident on ultrasound in the first 24-48 hours, so if the symptoms are consistent and the US is negative, a subsequent ultrasound re-evaluation is suggested. Depending on the evolution, over time fibrous scars, re-tear areas or muscle hernias due to rupture of the fascia can be found. Tumors that affect the musculature, which are of varied etiologies, can also be evaluated and characterized. Another alteration to be found is muscle edema, which is visualized as an increase in echogenicity without alteration of the fibrillar pattern, which is a nonspecific ultrasound sign and must be correlated with the clinical history, for example, in cases of inflammatory or infectious myositis, denervation, concussion trauma, low-grade muscle strain, and DOMS (late-onset muscle pain syndrome) after some repetitive and / or strenuous physical activity.

Muscle Ultrasound (Tears/Laceration)

----

Read More
Diagnostic ultrasound is currently the first intention test in the study of painful shoulder, as it can examine the soft tissues of the shoulder region and identify direct or indirect signs of some pathologies. It has other advantages such as:. - Low cost -Non-invasive and harmless - No contraindications (pregnancy, pacemakers, metal implants, claustrophobia, among others). - Allows comparison with the contralateral side. - It is a dynamic study, with real-time observation of the structures during movement. - Allows to interact with the patient, correlating the visible alteration with their discomfort or place of pain. - It is easy to transport and accessible (intraoperative support, immediate evaluation in athletes). - Allows to guide interventions percutaneously, both diagnostic and therapeutic

Shoulder Ultrasound

----

Read More
They can be seen in any anatomical region and despite having different origins (vegetable, metallic, glass, etc.), the ultrasound appearance in general is non-specific, being the most frequent visualization as an echogenic structure. The evaluation can be difficult in the presence of air bubbles in the soft tissue wound, since the appearance of the latter can be similar to small irregular foreign bodies.

Ultrasound for Foreign Bodies

----

Read More
Injuries to the soft parts of the hands are more frequent in workers in which they are involved in a large part of their activity and are developed by overuse or trauma. The information provided by high-resolution ultrasound (US) is increasingly requested by traumatologists and orthopedic surgeons, particularly for the dynamic evaluation it provides, in tendon traps and ruptures, as well as in the follow-up of tendon surgical repairs . Color Doppler provides valuable information in the evaluation of inflammatory, vascular and tumor lesions.

Wrist Ultrasound

----

Read More
bottom of page