Abstract

Edited by The Ultrasound Subcommittee of the European Society of Musculoskeletal Radiology (ESSR)

Highlights

  • Place the transducer over the posterior aspect of the glenohumeral joint with the arm in the same position described under paragraph 2 and increase the depth to include the structures of the posterior fossa within the field-of-view of the US image

  • The common extensor tendon is visualized on its long axis using coronal planes with the cranial edge of the probe placed on the lateral epicondyle

  • A knee flexion of approximately 20-30° obtained by placing a small pillow beneath the popliteal space stretches the extensor mechanism and avoids possible anisotropy related to the concave profile that the quadriceps and patellar tendons assume in full extension

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Summary

Long head of the biceps tendon

Place the arm in slight internal rotation (directed towards the contralateral knee) with the elbow flexed 90°, palm up. Start by finding the long biceps tendon in between the greater and lesser tuberosities. Use short- and long- (more limited utility) axis planes to examine the biceps. Shift the probe up to examine the biceps in its intra-articular course and down to reach the myotendinous junction (level of the pectoralis major tendon). Legend SubS subscapularis tendon; SupraS supraspinatus tendon; arrow long head of the biceps tendon; LT lesser tuberosity; GT greater tuberosity; SH short head of the biceps; LH long head of the biceps; H humeral shaft; arrowheads pectoralis major tendon

Subscapularis tendon
Anteromedial structures and coracoacromial ligament
Supraspinatus tendon
Subacromial impingement test
Infraspinatus and teres minor tendons
10. Posterior structures and posterior glenohumeral joint recess
11. Acromioclavicular joint
ANTERIOR ELBOW
Distal biceps tendon: technique
Anterior joint recess
Radial and posterior interosseous nerves
LATERAL ELBOW: common extensor tendon origin
Radiocapitellar joint
MEDIAL ELBOW: common flexor tendon and medial collateral ligament
POSTERIOR ELBOW: triceps tendon
Cubital tunnel and ulnar nerve
10. Ulnar nerve instability
DORSAL WRIST: compartments of extensor tendons
First compartment
Radial artery and radial nerve
Second compartment
Third compartment
Fourth and fifth compartment
Scapholunate ligament
Sixth compartment
Distal radioulnar joint
10. Radiocarpal and midcarpal joints
11. VENTRAL WRIST: proximal carpal tunnel
12. Distal carpal tunnel
13. Guyon tunnel and ulnar nerve
ANTERIOR HIP: anterior joint recess and iliopsoas tendon
Tensor fasciae latae and sartorius
Femoral neurovascular bundle
Rectus femoris
MEDIAL HIP: adductors
LATERAL HIP: abductors
POSTERIOR HIP: hamstrings
Hamstrings and sciatic nerve
ANTERIOR KNEE: quadriceps tendon
Suprapatellar and parapatellar joint recesses
Patellar retinacula and patellar medial articular facet
Patellar tendon
MEDIAL KNEE: medial collateral ligament and pes anserinus tendons
LATERAL KNEE: iliotibial band
Lateral collateral ligament
POSTERIOR KNEE: medial tendons
10. Semimembranosus-gastrocnemius bursa
11. Popliteal neurovascular bundle and intercondylar fossa
12. Posterolateral corner and biceps femoris
13. Peroneal nerve
ANTERIOR ANKLE: extensor tendons
Anterior recess of the ankle joint
Anterior talofibular ligament
Anterior tibiofibular ligament
Calcaneofibular ligament
LATERAL ANKLE: peroneal tendons
MEDIAL ANKLE: tibialis posterior and flexor digitorum longus tendons
Tarsal tunnel and tibial nerve
11. Deltoid ligament
12. POSTERIOR ANKLE
13. Achilles tendon
14. Plantar fascia

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