Abstract
Sonoelastography is a relatively newly developed technique especially designed for measuring tissue elasticity by detecting the degree of tissue deformability. It has recently started to gain wide acceptance in the field of musculoskeletal ultrasonography. Despite the various available types of sonoelastography techniques, mainly two techniques (strain and shear wave elastography) have been implemented in musculoskeletal ultrasonography. Strain elastography has already been successfully tested in various musculoskeletal pathology; however, shear wave elastography has just started to find a way nowadays. In spite of having successful and promising achievements, sonoelastography is still a research tool, with some obstacles hindering its implementation in daily routine. In this chapter, we will define the idea behind its mode of action, the basic physics of each modality, the main applications in musculoskeletal imaging, the conditions of good practice, and the main obstacles that may interfere with its routine application, as well as the update of the most recent publications.
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