MSK and peripheral nerves Ultrasound training course
By Dr.Mohamed Soliman
Radiodiagnosis specialist
Musculoskeletal ultrasound course scientific content :
Part 1 : Introduction to Musculoskeletal and peripheral nerves ultrasound
Ultrasound Machine settings
How to get optimal images
How to get optimal images
Skin & subcutaneous fat
1. Normal morphology
2. Cellulitis
3. Infective fasciitis
4. Necrotizing fasciitis
5. Fat injury
6. Vascular dilatation / inflammation
7. Hypoechoic subcutaneous masses (DD)
8. Hyperechoic subcutaneous masses (DD)
9. Cystic subcutaneous masses (DD)
10. Calcified subcutaneous masses (DD)
11. Hypervascular subcutaneous masses (DD)
12. Fascial lesions - fascia (DD)
Muscle
13. Normal morphology
14. Injury
15. Hematoma
16. Seroma
17. Pyomyositis
18. Myositis ossificans
19. Muscle infarction
20. Muscle hernia
21. Muscle cysts
22. Hematoma
23. Hypoechoic muscle mass (DD)
24. Hyperechoic muscle mass (DD)
25. Calcified muscle masses (DD)
13. Normal morphology
14. Injury
15. Hematoma
16. Seroma
17. Pyomyositis
18. Myositis ossificans
19. Muscle infarction
20. Muscle hernia
21. Muscle cysts
22. Hematoma
23. Hypoechoic muscle mass (DD)
24. Hyperechoic muscle mass (DD)
25. Calcified muscle masses (DD)
Tendon and peritendon
26. Normal morphology
27. Tendinosis
28. Tear
29. Tenosynovitis
30. Peritendon masses (DD)
31. Tendon Hypoechogenicity (DD)
32. Tendon hyperechogenicity (DD)
33. Tendon swelling (DD)
26. Normal morphology
27. Tendinosis
28. Tear
29. Tenosynovitis
30. Peritendon masses (DD)
31. Tendon Hypoechogenicity (DD)
32. Tendon hyperechogenicity (DD)
33. Tendon swelling (DD)
Nerve
34. Normal Morphology
35. Nerve injury
36. Nerve sheath tumor
37. Swollen nerve (DD).
34. Normal Morphology
35. Nerve injury
36. Nerve sheath tumor
37. Swollen nerve (DD).
Ligament
38. Normal morphology
39. Ligament tear
38. Normal morphology
39. Ligament tear
Bone
40. Normal morphology
41. Bone Infection
42. Bone fracture
43. Bone surface lesion (DD)
40. Normal morphology
41. Bone Infection
42. Bone fracture
43. Bone surface lesion (DD)
Bursa & synovium
44. Normal morphology
45. Bursal distension
46. Synovial swelling (DD)
44. Normal morphology
45. Bursal distension
46. Synovial swelling (DD)
Blood vessels
47. Normal morphology
48. Common pathologies
47. Normal morphology
48. Common pathologies
Joint
49. Normal morphology
50. Osteoarthritis
51. Inflammatory arthritis
52. Infective/septic arthritis
53. Post-operative joint changes
54. Hemarthrosis
55. Lipohemoarthriosis
56. Para-articular cystic lesion (DD)
57. Joint effusion (DD)
49. Normal morphology
50. Osteoarthritis
51. Inflammatory arthritis
52. Infective/septic arthritis
53. Post-operative joint changes
54. Hemarthrosis
55. Lipohemoarthriosis
56. Para-articular cystic lesion (DD)
57. Joint effusion (DD)
Part 2 : major joints
Shoulder jointTechnique
pathology
1. Bony Impingement syndrome
2. Supraspinatus tendon tear - tendinopathy
3. Subacromial Subdeltoid Bursitis
4. Biceps Dislocation - Rupture - Tendinopathy
5. Rotator Interval Tear - Adhesive Capsulitis (Frozen Shoulder)
6. Bone Disease around the shoulder - Bony Irregularity in the
Humeral Head Greater Tuberosity Fracture
7. Glenohumeral Joint Effusion - subluxation
8. Acromioclavicular joint - Erosive Athropathy Subluxation/Dislocation
9. Neural Compression And Syndromes
Elbow Joint
Technique
pathology
Lateral Elbow pathology
1. Common Extensor Origin Epicondylalgia
2. Radial Collateral Ligament and Plica
3. Lateral Ulnar Collateral Ligament
4. Annular Ligament
5. Cartilage Disease
6. Radial Nerve Compression
Medial Elbow pathology
1. Common flexor origin enthesopathy
2. Ulnar collateral ligament
3. Neural compression
4. Ulnar nerve compression
5. Median nerve compression
Anterior Elbow pathology
1. Biceps tendinopathy
2. Biceps rupture
3. Cubital bursitis
Posterior Elbow Pathology
1. Olecranon bursitis
2. Triceps tendinopathy and rupture
3. Synovitis and joint effusion
Technique
pathology
Lateral Elbow pathology
1. Common Extensor Origin Epicondylalgia
2. Radial Collateral Ligament and Plica
3. Lateral Ulnar Collateral Ligament
4. Annular Ligament
5. Cartilage Disease
6. Radial Nerve Compression
Medial Elbow pathology
1. Common flexor origin enthesopathy
2. Ulnar collateral ligament
3. Neural compression
4. Ulnar nerve compression
5. Median nerve compression
Anterior Elbow pathology
1. Biceps tendinopathy
2. Biceps rupture
3. Cubital bursitis
Posterior Elbow Pathology
1. Olecranon bursitis
2. Triceps tendinopathy and rupture
3. Synovitis and joint effusion
wrist Joint
Technique
pathology
Technique
pathology
Radial Wrist Pathology
1. De Quervain’s Disease
2. Proximal Intersection Syndrome
3. Distal Intersection Syndrome
4. Extensor Pollicis Longus Tenosynovitis
5. Flexor Carpi Radialis Tenosynovitis
1. De Quervain’s Disease
2. Proximal Intersection Syndrome
3. Distal Intersection Syndrome
4. Extensor Pollicis Longus Tenosynovitis
5. Flexor Carpi Radialis Tenosynovitis
TRAUMATIC CONDITIONS
6. Scapholunate Dissociation
7. Occult Scaphoid Fracture
8. Neural Entrapment
9. Wartenberg’s Disease
6. Scapholunate Dissociation
7. Occult Scaphoid Fracture
8. Neural Entrapment
9. Wartenberg’s Disease
SOFT TISSUE MASSES
10. Dorsal Occult Ganglion
11. Carpal Boss
10. Dorsal Occult Ganglion
11. Carpal Boss
Ulnar Wrist pathology
TENDON DISEASE
12. Extensor Carpi Ulnaris Instability
13. ECU Tenosynovitis
14. Tenosynovitis of Other Extensor Tendon Compartments
15. Flexor Carpi Ulnaris Tendinopathy
TENDON DISEASE
12. Extensor Carpi Ulnaris Instability
13. ECU Tenosynovitis
14. Tenosynovitis of Other Extensor Tendon Compartments
15. Flexor Carpi Ulnaris Tendinopathy
NEURAL ENTRAPMENT
16. Guyon’s Canal Syndrome
16. Guyon’s Canal Syndrome
TRAUMATIC CONDITIONS
17. Triangular Fibrocartilage Tears
18. Extrinsic Ligament Injury
19. Occult Triquetral Fractures
17. Triangular Fibrocartilage Tears
18. Extrinsic Ligament Injury
19. Occult Triquetral Fractures
Miscellaneous wrist pathology
NEURAL ENTRAPMENT
20. Carpal Tunnel Syndrome
INFLAMMATORY ARTHRITIS
21. Synovitis
22. Effusion
23. Erosions
24. Tenosynovitis And Tendon Tears Calcification
NEURAL ENTRAPMENT
20. Carpal Tunnel Syndrome
INFLAMMATORY ARTHRITIS
21. Synovitis
22. Effusion
23. Erosions
24. Tenosynovitis And Tendon Tears Calcification
SOFT TISSUE MASSES
25. Ganglion Cysts
26. Palmar Ganglia
27. Neurogenic Tumours
28. Anomalous Muscles
29. Giant Cell Tumour of the Tendon Sheath
30. Lipoma
25. Ganglion Cysts
26. Palmar Ganglia
27. Neurogenic Tumours
28. Anomalous Muscles
29. Giant Cell Tumour of the Tendon Sheath
30. Lipoma
Hand and fingers
Technique
Pathology
1. Tenosynovitis
2. Tendon Rupture
3. Pulley Injury
4. Ganglion, Fibroma and Trigger Finger
5. Collateral Ligament and Volar Plate Injuries
Technique
Pathology
1. Tenosynovitis
2. Tendon Rupture
3. Pulley Injury
4. Ganglion, Fibroma and Trigger Finger
5. Collateral Ligament and Volar Plate Injuries
Hip Joint And groin
technique
pathology
INTRAARTICULAR HIP PATHOLOGY
1. Joint Effusion
2. Synovitis
3. Proliferative Synovial Disorders
4. Acetabular Labrum
technique
pathology
INTRAARTICULAR HIP PATHOLOGY
1. Joint Effusion
2. Synovitis
3. Proliferative Synovial Disorders
4. Acetabular Labrum
EXTRAARTICULAR HIP PATHOLOGY
5. Muscle and Tendon Disorders
6. Inguinal Lymphadenopathy
7. Groin Abscess
8. Vascular Lesions
9. Masses in the Female Groin
10. Compression neuropathy
11. Hip prosthesis
12. Greater trochanter pain syndrome
13. Lateral hip masses
14. Morel-lavallée effusions
15. Tumoral calcinosis
16. Tfl tendinopathy
17. Tfl muscle hypertrophy
18. Hamstring tears and tendinopathy
19. Sciatic nerve pathology
20. Ischiogluteal bursitis
5. Muscle and Tendon Disorders
6. Inguinal Lymphadenopathy
7. Groin Abscess
8. Vascular Lesions
9. Masses in the Female Groin
10. Compression neuropathy
11. Hip prosthesis
12. Greater trochanter pain syndrome
13. Lateral hip masses
14. Morel-lavallée effusions
15. Tumoral calcinosis
16. Tfl tendinopathy
17. Tfl muscle hypertrophy
18. Hamstring tears and tendinopathy
19. Sciatic nerve pathology
20. Ischiogluteal bursitis
Paediatric Hip
21. DEVELOPMENTAL DYSPLASIA OF THE HIP
22. Transient Synovitis vs Infection
23. PERTHES’ DISEASE
24. Slipped Upper Femoral Epiphysis
21. DEVELOPMENTAL DYSPLASIA OF THE HIP
22. Transient Synovitis vs Infection
23. PERTHES’ DISEASE
24. Slipped Upper Femoral Epiphysis
Knee Joint
technique
pathology
technique
pathology
1. Patellar tendon
2. Osgood–schlatter’s disease
3. Quadriceps tendon
4. Iliotibial band friction syndrome
5. Prepatellar bursa
6. Infrapatellar bursa
7. Semimembranosus-gastrocnemius bursa
8. Pes anserine bursa
9. Ligaments
10. Menisci pathology
11. Joint effusion and synovitis
12. Nerves pathology
13. Cartilage pathology
14. Vascular pathology
2. Osgood–schlatter’s disease
3. Quadriceps tendon
4. Iliotibial band friction syndrome
5. Prepatellar bursa
6. Infrapatellar bursa
7. Semimembranosus-gastrocnemius bursa
8. Pes anserine bursa
9. Ligaments
10. Menisci pathology
11. Joint effusion and synovitis
12. Nerves pathology
13. Cartilage pathology
14. Vascular pathology
Ankle Joint and Foot
Technique
pathology
Posterior Ankle pathology
1. Achilles tendon pathology
2. Bursitis
3. The accessory soleus muscle
4. Sever’s disease
5. Posterior impingement
6. Heel pad syndrome
7. Plantar fasciitis
8. Plantar fibroma
9. Neuropathy
10. Xanthoma
Technique
pathology
Posterior Ankle pathology
1. Achilles tendon pathology
2. Bursitis
3. The accessory soleus muscle
4. Sever’s disease
5. Posterior impingement
6. Heel pad syndrome
7. Plantar fasciitis
8. Plantar fibroma
9. Neuropathy
10. Xanthoma
Anterior Ankle pathology
11. Tibialis Anterior pathology
12. Extensor Halluces pathology
13. Extensor Digitorum pathology
14. Syndesmosis Injuries
15. Ligament pathology
16. Trauma
17. Anterior Impingement
18. Joint Disease of the Midfoot
19. nerve compression
11. Tibialis Anterior pathology
12. Extensor Halluces pathology
13. Extensor Digitorum pathology
14. Syndesmosis Injuries
15. Ligament pathology
16. Trauma
17. Anterior Impingement
18. Joint Disease of the Midfoot
19. nerve compression
Lateral Ankle pathology
20. Peroneal tendons pathology
21. Lesions of the retinacula and peroneal tendon instability
22. Lateral ligament complex pathology
23. Fractures
20. Peroneal tendons pathology
21. Lesions of the retinacula and peroneal tendon instability
22. Lateral ligament complex pathology
23. Fractures
Medial Ankle pathology
24. Tibialis Posterior Tendon pathology
25. Medial Ligament Pathology
26. Nerve Compression Syndromes
27. bone disease
28. Trauma
Forefoot pathology
29. Trauma
30. Foreign body
31. Sesamoiditis
32. Freiberg’s infraction
33. Morton’s neuroma
34. Ganglia and synovial cysts
35. Pigmented villonodular synovitis
36. Giant cell tumor of the tendon sheath
37. Epidermoid cyst (epidermal inclusion cyst)
38. Hemangiomas and vascular malformations
39. Peripheral nerve sheath tumours
40. Synovial sarcoma
41. Synovitis
42. Osteoarthritis
43. Bursitis
44. Cellulitis
45. Abscess
24. Tibialis Posterior Tendon pathology
25. Medial Ligament Pathology
26. Nerve Compression Syndromes
27. bone disease
28. Trauma
Forefoot pathology
29. Trauma
30. Foreign body
31. Sesamoiditis
32. Freiberg’s infraction
33. Morton’s neuroma
34. Ganglia and synovial cysts
35. Pigmented villonodular synovitis
36. Giant cell tumor of the tendon sheath
37. Epidermoid cyst (epidermal inclusion cyst)
38. Hemangiomas and vascular malformations
39. Peripheral nerve sheath tumours
40. Synovial sarcoma
41. Synovitis
42. Osteoarthritis
43. Bursitis
44. Cellulitis
45. Abscess
1. Neck .
2. Chest wall .
3. Axilla
4. Arm
5. Forearm
6. Thigh
7. Leg
8. Abdominal wall , paraspinal .
9. Gluteal muscles
2. Chest wall .
3. Axilla
4. Arm
5. Forearm
6. Thigh
7. Leg
8. Abdominal wall , paraspinal .
9. Gluteal muscles
Part 4 : peripheral nerves Ultrasound
to be able to do full assessment of peripheral nerves and track its course and identify the expected pathology for each1. Vagus
2. Brachial plexus
3. Radial
4. Ulnar
5. Median
6. Femoral nerve
7. Sciatic nerve
8. Tibial nerve
9. Common Peroneal nerve
10. Sural Nerve
2. Brachial plexus
3. Radial
4. Ulnar
5. Median
6. Femoral nerve
7. Sciatic nerve
8. Tibial nerve
9. Common Peroneal nerve
10. Sural Nerve
Part 5 : differential diagnosis
aim : theoretical discussion about the differential diagnosis of MSK lesionsPart 6: reporting system
how to perform optimal reporting system for any part of the body have MSK component .. and provide these reports for candidatesالكورس نظري أون لاين بث مباشر عن طريق برنامج زووم Zoom
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