AANA24 Shoulder All-Access Pass-CONCURRENT SCIENTIFIC SESSION 1B: Comprehensive Ultrasound: Multiple Joint Use and Hands-on Experience

Video Transcription

Video Summary

The video transcript details a comprehensive educational session on musculoskeletal (MSK) ultrasound guided injections across multiple joints including shoulder, elbow, hip, and knee. Dr. Don Buford and colleagues provide an expert overview of ultrasound basics, emphasizing its dynamic, real-time imaging capabilities, high spatial resolution, and portability. They introduce a simplified 13-point shoulder exam protocol focusing on key anatomical landmarks for efficient pathology detection without exhaustive scanning. Techniques to avoid common imaging artifacts like anisotropy and principles of transducer orientation are highlighted.<br /><br />Ultrasound-guided injection methods for common shoulder sites—the biceps tendon sheath, AC joint, subacromial space, and glenohumeral joint—are demonstrated with tips on patient positioning, needle approach, and diagnostic maneuvers, emphasizing safety and efficacy. Similar detailed discussions cover elbow anatomy, pathology assessment, and injection techniques, including power Doppler imaging to detect inflammation. Hip ultrasound is discussed for both intra-articular and peritrochanteric injections, with an emphasis on anatomical landmarks, neurovascular avoidance, and proper procedural setup. Knee sonography is addressed with a 10-point approach focusing on tendon visualization, cartilage assessment, and cyst management.<br /><br />The panel addresses questions on ultrasound training, recommending practice on non-patient models, cadaver courses, and referencing textbooks and online resources. Reimbursement considerations affirm that ultrasound pays for itself with modest use even amid decreasing rates. The session concludes with the practical benefits of ultrasound for faster diagnosis, improved patient engagement, better procedural accuracy, and the potential to reduce expensive imaging like MRI. A hands-on lab on upper and lower extremity scanning and injections follows.

Asset Caption

Moderators: Don A. Buford, M.D., FAANA, Jason D. Rand, P.A.-C

Keywords

musculoskeletal ultrasound

ultrasound guided injections

shoulder ultrasound

elbow ultrasound

hip ultrasound

knee ultrasound

13-point shoulder exam

anisotropy artifact

transducer orientation

biceps tendon sheath injection

AC joint injection

subacromial space injection

glenohumeral joint injection

power Doppler imaging

ultrasound training