Top Uses of MSK Ultrasound of the Shoulder, Elbow, Hip, and Knee (AANA19)-MSK Ultrasound_ Practical Shoulder and Elbow Sonography-Dr. Don A. Buford, M.D.

Video Transcription

Video Summary

The presentation covers the use of ultrasound in imaging and treating shoulder and elbow injuries, focusing on common structures like the rotator cuff, biceps tendon, and ligaments. Ultrasound magnifies the area of interest, showing hyperechoic (white), hypoechoic (gray), and anechoic (black) tissues, with cortical bone as the brightest landmark. Key diagnostic insights include identifying intact rotator cuff tendons by the presence of a second white line above bone; absence indicates a full-thickness tear. Proper patient positioning and transducer alignment are crucial for accurate imaging.<br /><br />For shoulder injections, the posterior approach is favored for glenohumeral joint access, allowing real-time visualization of needle placement and fluid injection. Subacromial injections target the space between the deltoid and supraspinatus tendons. Ultrasound guidance improves precision, especially for small volumes like PRP, and reduces complications.<br /><br />Elbow ultrasound assesses common extensor and flexor tendons and collateral ligaments. Dynamic exams and stress positioning help detect partial tears or instability, guiding orthobiologic treatments that may prevent surgery. The talk highlights the importance of ultrasound for diagnosis, guided injections, and monitoring treatment response, emphasizing available online resources and courses for further learning.

Asset Caption

Instructional Course Lecture: Top Uses of MSK Ultrasound of the Shoulder, Elbow, Hip, and Knee

Keywords

ultrasound imaging

shoulder injuries

elbow injuries

rotator cuff

guided injections

orthobiologic treatments

dynamic ultrasound exam