Ultrasound (Subscribe)  

Tenosynovitis is widely accepted to be common in rheumatoid arthritis (RA) and postulated to be the first manifestation of RA, but its true prevalence in early disease and in particular the hand has not been firmly established. The aims of this study were first to investigate the frequency and distribution...

Rotator cuff and Subacromial Bursa pathology were the most common findings on ultrasound and MR Arthrography. Evidence of a full thickness supraspinatus tear was associated with symptoms arising from the subacromial region, and a biceps tendon sheath effusion and an intact rotator cuff were associated with an intra-articular Glen0-humeral joint...

Hyperuricemia is the most important risk factor for gouty arthritis. The quandary is how to predict which patient with asymptomatic hyperuricemia will develop gouty arthritis. Can ultrasonography help identify hyperuricemic individuals at risk for developing gouty arthritis? In the previous issue of Arthritis Research & Therapy, Pineda and colleagues found ultrasonography changes suggestive of gouty arthritis in 25%...

Conclusion Persistence of back pain symptoms after pregnancy could be related to an inability to recover fully from BMD loss during the index pregnancy.
Persistence of back pain symptoms after pregnancy and bone mineral density changes as measured by quantitative ultrasound - a two year longitudinal follow up study To WWK, Wong...

We report a case of intra-articular fracture of the knee joint showing three layers within lipohemarthrosis. Sagittal ultrasonography showed three layers (double fluid-fluid level): a superior hyperechoic layer of fat, an intermediate anechoic layer of serum, and an inferior hypoechoic layer of red blood cells. Horizontal computed tomography imaging demonstrated...

CONCLUSION: Increased bursa thickness in the symptomatic side may be an alternative sonographic indicator of subacromial bursitis and partial-thickness rotator cuff tears, even when measured to be less than 2 mm. Sonographic examination of subacromial bursa thickness is not an appropriate technique to differentiate the Neer stages I and II...

Three cases discussed. Popliteal cyst, Achilles tendon cystic fluid collection resulting from an atraumatic longitudinal Achilles tendon tear and a small tear of the medial head of gastrocnemius or of the plantaris tendon with a small fluid collection.
Differential diagnosis of calf pain with musculoskeletal ultrasound imaging. Kane D, Balint PV, Gibney...

Conclusion : Substantial to excellent agreement was found between ultrasound observers for the presence of osteophytes and measurement of effusion size; it was moderate to substantial for femoral cartilage thickness. Moderate to substantial agreement was observed between ultrasound and radiographs for osteophyte presence.
Reliability and validity of ultrasound imaging of features...

A 25-year-old man presented to the emergency department because of pain and swelling of the left knee after a motorcycle accident that had occurred 2 days earlier. He had no previous significant clinical or surgical history. Clinical examination suggested the presence of joint effusion in the suprapatellar pouch, with severe...

PURPOSE: To determine the efficacy of ultrasonography (US) for the detection of intraarticular bodies.
CONCLUSION: US is an accurate method for identification of intraarticular bodies.
Synovial joints: evaluation of intraarticular bodies with US. Frankel DA, Bargiela A, Bouffard JA, Craig JG, Shirazi KK, van Holsbeeck MT. Radiology. 1998 Jan;206(1):41-4.

Periarticular shoulder disorders are common in clinical practice, and diagnosis is often difficult. Medicare statistics indicate that between 2001 and 2006 the use of diagnostic shoulder ultrasonography increased significantly. Rotator cuff disease, shoulder impingement syndrome and subacromial bursitis are among the most common diagnoses reported on shoulder ultrasonography. Shoulder ultrasonography...

Report on - A Randomized, Double-blind, Controlled Study of Ultrasound-guided Corticosteroid Injection Into the Joints of Patients With Inflammatory Arthritis
Cunnington J, Marshall, N, Hide, G, et al Arthritis Rheum.2010;62:1862-1869
Summary - The use of ultrasound guidance has been advocated as a technically superior method for performing intra-articular injections. This study compared clinical...

Ultrasonography (US) has been shown to be an effective imaging modality in the evaluation of both rotator cuff and non-rotator cuff disorders, usually serving in a complementary role to magnetic resonance imaging of the shoulder. US technique for shoulder examination depends on patient positioning, scanning protocol for every tendon and...

Traditionally, joint aspiration has been performed using only external anatomic landmarks ("blind" aspiration) or fluoroscopic guidance. We illustrate the technique and role of joint aspiration of the shoulder, elbow, hip, knee, and ankle with sonographic guidance. Sonographic evaluation and guidance of aspiration offers several advantages over the traditional approaches. The...