23 results match your criteria Bedside Ultrasonography Joint Assessment

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Glenohumeral joint effusion assessment with point-of-care ultrasound.

JAAPA 2022 Jul;35(7):60-62

Brian J. Ahern practices in emergency medicine at William Beaumont Army Medical Center in El Paso, Tex. Audrey E. Falconi practices at Madigan Army Medical Center at Joint Base Lewis-McChord in Washington State. The views expressed in this article are those of the authors and do not reflect the official policy of William Beaumont Army Medical Center, the Department of Army, the Defense Health Agency, or the US government. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Ultrasound has favorable diagnostic accuracy for detecting glenohumeral joint effusions. This article describes an easy-to-learn and interpret limited glenohumeral joint ultrasound examination that can help guide further evaluation and treatment. We report on a patient ultimately diagnosed with septic arthritis of the glenohumeral joint, the associated joint effusion having been detected on bedside ultrasound. Read More

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Percussion test: description and diagnostic accuracy of a new manual test for bone marrow edema of the knee.

BMC Musculoskelet Disord 2022 Jan 18;23(1):68. Epub 2022 Jan 18.

Department of Orthopaedics, University of Milan, Milan, Italy.

Background: Prompt diagnosis of bone marrow lesion (BML) is difficult but critical for correct treatment. Magnetic resonance imaging is the gold standard, although expensive and time consuming. Simple and reliable clinical test for BML detection is lacking. Read More

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January 2022

The recent evolution of ultrasound in juvenile idiopathic arthritis.

Stefano Lanni

Clin Exp Rheumatol 2021 Nov-Dec;39(6):1413-1421. Epub 2021 Mar 22.

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.

Juvenile idiopathic arthritis (JIA) is the most common chronic joint disease in paediatric rheumatology. Over the last two decades, ultrasound (US) has emerged as a tool with the potential to enhance disease assessment and management of JIA. This imaging modality is safe and well tolerated by children and can be easily applied bedside in the clinical setting. Read More

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November 2021

Septic Arthritis of Facet Joint in Children: A Systematic Review and a 10-year Consecutive Case Series.

Pediatr Infect Dis J 2021 05;40(5):411-417

Service de Réanimation Pédiatrique et d'Accueil des Urgences, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France.

Background: Due to the low resolution of historical imaging technologies, descriptions of Septic Arthritis of Facet Joint (SAFJ) in children are scarce, though severe cases are known. We first aimed to estimate the incidence rate of SAFJ in children; we further aimed to specify SAFJ clinical, imaging and laboratory findings, and identify avenues for appropriate management.

Methods: A 10-year consecutive SAFJ case series using our imaging center database combined with a 50-year systematic review of literature cases. Read More

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Clinical applications of ultrasonography in the shoulder for the Orthopedic Surgeon: A systematic review.

Orthop Traumatol Surg Res 2020 Oct 3;106(6):1141-1151. Epub 2020 Aug 3.

Division of Orthopedic Surgery, University of Toronto, Toronto, Canada. Electronic address:

Background: Ultrasound imaging offers a non-invasive method to visualize the anatomy and function of the musculoskeletal system. Despite its benefits and widespread adoption in medicine, ultrasonography is still not well utilized by orthopaedic surgeons. The purpose of this systematic review was to provide a better understanding of the diagnostic accuracy and clinical utility of ultrasound of the shoulder for orthopaedic surgeons. Read More

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October 2020

Accuracy of Remote Interpretation of Pediatric Emergency Ultrasound Over Third Generation Networks Across Continents.

Pediatr Emerg Care 2020 Jun;36(6):e340-e342

From the Section of Emergency Medicine, Department of Pediatrics, School of Medicine, Yale University, New Haven, CT.

Objective: This study aimed to evaluate live-stream videos for evaluation of pediatric emergency medicine ultrasound using a third generation (3G) network.

Methods: The interrater reliability of a remote 3G network live-streaming assessment of ultrasound scans for abdominal free fluid, intussusception, and hip effusions was evaluated. Fifty-eight deidentified 6-second video clips in . Read More

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Central Sensitization in Knee Osteoarthritis: Relating Presurgical Brainstem Neuroimaging and PainDETECT-Based Patient Stratification to Arthroplasty Outcome.

Arthritis Rheumatol 2019 04 6;71(4):550-560. Epub 2019 Mar 6.

University of Oxford, Oxford, UK.

Objective: The neural mechanisms of pain in knee osteoarthritis (OA) are not fully understood, and some patients have neuropathic-like pain associated with central sensitization. To address this, we undertook the present study in order to identify central sensitization using neuroimaging and PainDETECT and to relate it to postarthroplasty outcome.

Methods: Patients awaiting arthroplasty underwent quantitative sensory testing, psychological assessment, and functional magnetic resonance imaging (fMRI). Read More

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Evaluation of joint cartilage thickness in healthy children by ultrasound: An experience from a developing nation.

Int J Rheum Dis 2018 Dec 30;21(12):2089-2094. Epub 2018 Aug 30.

Department of Pediatrics, RGKAR Medical College, Kolkata, India.

Objectives: Musculoskeletal ultrasound (MSUS) has a crucial role in clinical assessment and monitoring of patients with rheumatologic diseases. Early detection of joint cartilage destruction is difficult. MSUS is a cheap, noninvasive, nonhazardous bedside tool that can be used for detection of cartilage damage. Read More

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December 2018

[Ultrasound of the elbow-standard examination technique and normal anatomy].

Radiologe 2018 Nov;58(11):985-990

Institut für Diagnostische und Interventionelle Radiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.

Clinical/methodical Issue: Ultrasound of the elbow facilitates easily accessible evaluation of different pathologic conditions. The background for evaluating any pathologic state is the well-grounded knowledge of normal anatomy and standard ultrasound technique.

Standard Radiological Methods/methodical Innovations/performance: A unique feature of ultrasound compared to other imaging modalities of the elbow is the possibility of dynamic imaging, the examination of the patient at the bedside and the direct assessment of the contralateral side as a reference. Read More

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November 2018

Ultrasound of the osteoarthritic joint.

Clin Exp Rheumatol 2017 May-Jun;35(3):527-534. Epub 2017 Feb 10.

Department of Rheumatology, Joint and Bone Research Unit, Hospital Universitario Fundación Jiménez Díaz, Autonoma University, Madrid, Spain.

Ultrasound (US) has acquired an increasing role in the assessment of joint and periarticular abnormalities in osteoarthritis (OA). It is able to image a large set of abnormalities in this disease which include both inflammatory and structural changes at different peripheral joint sites and it is helpful in guiding local procedures that can be easily and safely performed with optimal patient's tolerance. US is a feasible imaging modality that has become a bedside procedure in the rheumatology clinical practice, thus filling the gap between clinical and radiographic evaluations of patients with OA. Read More

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Emergency Medicine Resident Assessment of the Emergency Ultrasound Milestones and Current Training Recommendations.

Acad Emerg Med 2017 03 18;24(3):353-361. Epub 2017 Feb 18.

Department of Emergency Medicine, University of Arizona, Tucson, AZ.

Objectives: Emergency ultrasound (EUS) has been recognized as integral to the training and practice of emergency medicine (EM). The Council of Emergency Medicine Residency-Academy of Emergency Ultrasound (CORD-AEUS) consensus document provides guidelines for resident assessment and progression. The Accredited Council for Graduate Medical Education (ACGME) has adopted the EM Milestones for assessment of residents' progress during their residency training, which includes demonstration of procedural competency in bedside ultrasound. Read More

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12th WINFOCUS world congress on ultrasound in emergency and critical care.

Crit Ultrasound J 2016 Sep;8(Suppl 1):12

Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.

Table Of Contents: A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization. A novel approach in emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA5 Clinical ultrasound in a septic and jaundice patient in the emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA6 Characterization of the eyes in preoperative cataract Saudi patients by using medical diagnostic ultrasoundMustafa Z. Read More

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September 2016

Ultrasound imaging in juvenile idiopathic arthritis for the rheumatologist.

Clin Exp Rheumatol 2014 Jan-Feb;32(1 Suppl 80):S34-41. Epub 2014 Feb 17.

Department of Rheumatology/Paediatric Rheumatology Unit, Hospital Universitario Severo Ochoa, Madrid, Spain.

The present review provides an update of the currently available data and discusses research issues of US imaging in juvenile idiopathic arthritis (JIA). This review also includes a brief description of the normal sonoanatomy of healthy joints in children in order to avoid misinterpretation. Musculoskeletal ultrasound (US) is a quick, inexpensive, bedside method for evaluating children with no need for anaesthesiological support. Read More

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Ultrasound in osteoarthritis.

Clin Exp Rheumatol 2014 Jan-Feb;32(1 Suppl 80):S48-52. Epub 2014 Feb 17.

Reumatologia, Dipartimento di Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Viale del Policlinico 155, 00161 Rome, Italy.

Ultrasound (US) is a valuable imaging modality in the evaluation of joint and periarticular abnormalities in osteoarthritis (OA). It is able to image structural lesions as well as inflammatory changes in early and late disease. US is a relatively inexpensive, safe and quick-to-perform tool that can be used as a bedside procedure in the assessment of patients with OA. Read More

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Imaging in juvenile idiopathic arthritis with a focus on ultrasonography.

Clin Exp Rheumatol 2013 Jan-Feb;31(1):135-48. Epub 2012 Dec 13.

Department of Pediatrics, Skåne University Hospital, Lund, Sweden.

Early therapeutic intervention and use of new highly efficacious treatments have improved the outcome in many patients with juvenile idiopathic arthritis (JIA), but have also led to the need for more precise methods to evaluate disease activity. In adult rheumatology, numerous studies have established the importance of magnetic resonance imaging (MRI) and ultrasonography (US), and MRI is considered the reference standard. Nevertheless, due to differences in disease characteristics and the unique features of the growing skeleton, the findings obtained in adults are not directly applicable to children and adolescents. Read More

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Ultrasound-guided procedures in the emergency department-diagnostic and therapeutic asset.

Emerg Med Clin North Am 2013 Feb;31(1):117-49

Department of Emergency Medicine, Florida Hospital-East Orlando, 7727 Lake Underhill Road, Orlando, FL 32822, USA.

Bedside ultrasound is an extremely valuable and rapidly accessible diagnostic and therapeutic modality in potentially life- and limb-threatening situations in the emergency department. In this report, the authors discuss the role of ultrasound in quick assessment of pathologic conditions and its use to aid in diagnostic and therapeutic interventions. Read More

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February 2013

Musculoskeletal ultrasound as a diagnostic and prognostic tool in rheumatoid arthritis.

Bull NYU Hosp Jt Dis 2011 ;69(3):215-9

Peter D. Seligman Center for Advanced Therapeutics, NYU Hospital for Joint Diseases, New York, New York, USA.

The use of musculoskeletal ultrasound (MSKUS) has increased in a variety of rheumatic conditions, particularly rheumatoid arthritis (RA). MSKUS complements the physical examination by allowing for superior visualization of synovitis and erosive changes compared to conventional radiography and provides detail comparable or supplementary to magnetic resonance imaging (MRI). This modality is also less expensive than MRI and CT scans, without claustrophobia or other contraindications, while uniquely providing dynamic, rather than static imaging. Read More

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February 2012

Utility of bedside sonography to distinguish soft tissue abnormalities from joint effusions in the emergency department.

J Ultrasound Med 2010 Apr;29(4):519-26

Department of Emergency Medicine, Northside Hospital Forsyth, 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 USA.

Objective: The purpose of this study was to determine the utility of bedside sonography to differentiate soft tissue abnormalities from joint effusions.

Methods: We conducted a retrospective review of emergency department (ED) patients presenting with joint pain, erythema, and swelling who received bedside sonography. The ED sonographic examinations were performed by emergency physician sonologists who were not involved in clinical assessment and management of these patients. Read More

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Imaging the joint in osteoarthritis: a place for ultrasound?

Best Pract Res Clin Rheumatol 2010 Feb;24(1):27-38

Musculoskeletal Ultrasound in Osteoarthritis, Rheumatology Unit Sapienza University of Rome, Rome, Italy.

Ultrasound (US) is a valuable tool for imaging musculoskeletal changes in osteoarthritis. It shows early and late findings related to inflammation and structural damage. Sonography is a safe tool, which has recently registered an increasing and widespread use, it being considered as a bedside procedure in the clinical assessment of rheumatic patients. Read More

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February 2010

Ultrasound imaging for the rheumatologist III. Ultrasonography of the hip.

Clin Exp Rheumatol 2006 May-Jun;24(3):229-32

Cattedra di Reumatologia, Università di Roma La Sapienza, Roma, Rome, Italy.

Ultrasonography (US) is a reliable and useful diagnostic tool for the assessment of hip pathology. It depicts changes within the coxo-femoral joint (synovitis, erosions, osteophytes) and in the adjacent peri-articular tissues (calcifications, tendonitis, enthesitis, bursitis) in many rheumatic diseases (rheumatoid arthritis, spondyloarthritis, osteoarthritis, polymyalgia rheumatica ) and in some orthopaedic disorders (septic arthritis, trauma, abscess, painful hip after arthroplasty). It is commonly used both in adults and in children. Read More

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November 2006

Imaging in rheumatoid arthritis--why MRI and ultrasonography can no longer be ignored.

Scand J Rheumatol 2003 ;32(2):63-73

Implementing the modern treatment strategy in rheumatoid arthritis (RA), i.e. early initiation and optimal adjustments of aggressive therapies, requires methods for early diagnosis and sensitive monitoring of the disease process. Read More

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Targeted musculoarticular sonography in the detection of joint effusions.

Acad Emerg Med 2001 Apr;8(4):361-7

Department of Emergency Medicine, University of Mississippi Medical Center, Jackson, MS 39216-4505, USA.

This article describes an advanced application for an established technology, specifically the use of bedside sonography in the assessment of the acutely painful joint in the emergency department. The sonographic windows for each of the axial synovial joints are outlined, with a brief discussion of commonly encountered pathologic conditions. Read More

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Diagnostic radiography in rheumatoid arthritis: benefits and limitations.

K Bohndorf J Schalm

Baillieres Clin Rheumatol 1996 Aug;10(3):399-407

Clinic for Diagnostic Radiology and Neuroradiology, Zentralklinikum Augsburg, Germany.

In the light of more modern techniques such as sonography and magnetic resonance imaging, the reader may well ask if plain radiography has still a role in the diagnostic work-up of rheumatoid arthritis. However, in daily routine, the value of diagnostic radiography in support of the clinical and laboratory diagnosis of rheumatoid arthritis is unrivaled. It allows differentiation from other joint diseases, such as osteoarthritis or crystal arthropathies, when the ARA criteria are not conclusive for the diagnosis of rheumatoid arthritis. Read More

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