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The Elbow...
https://essr.org/content-essr/uploads/2016/10/elbow.pdf
M A B
Humerus
Brachialis muscle
Pronator muscle
Lateral Medial
Brachialis muscle
Humerus
B
Joint Recess
C
Brachialis muscle
F Humerus
Coronoid Recess Joint Effusion & Synovial Thickening
http://www.ultrasoundcases.info/Slide-View.aspx?cat=342&case=4113
Distal Biceps
B
F
Brachialis muscle
Humerus Radius
S
Torn Distal
Biceps
Partial tear https://theultrasoundsite.
co.uk/anterior-elbow-
pain-case-partial-tear-
distal-biceps-tendon/
Full thickness tear
http://www.ultrasoundca
ses.info/Slide-
View.aspx?cat=347&cas
e=7333
Radial & Posterior Interosseous nerves
Common Extensor Tendon
Radius
T
Lateral epicondyle
Lateral Epicondylitis (aka Tennis Elbow)
T
Lateral epicondyle
http://posterng.netkey.at/esr/viewing/index.php?module=viewing_poster&task=viewsection&pi=107326&ti=333662&searchkey=
Common Flexor Tendon &
Medial Collateral Ligament
Radius
T
Lateral epicondyle Medial
epicondyle
Ulna
T
L Ulna
Medial epicondyle
Common Flexor Tendon (aka Golfers Elbow)
Radius
T
Lateral epicondyle
http://www.ultrasoundcases.info/Slide-View.aspx?cat=341&case=6786
Radius
T
Lateral epicondyle
Triceps
Olecranon
T
OR
F
Olecranon Bursitis
Radius
T
Lateral epicondyle http://www.eorif.com/olecranon-bursitis-m7020-72633
http://www.ultrasoundcases.info/Slide-View.aspx?cat=344&case=6909
Cubital Tunnel & Ulna Nerve
T
Lateral epicondyle
ME O
T
N
O
U N
H
The Wrist...
https://essr.org/content-essr/uploads/2016/10/wrist.pdf
T
Lateral epicondyle
ME O
O
U
T
N
N H
T
Lateral epicondyle
ME
O
U N
H
Radial Artery & Nerve
T
Lateral epicondyle
ME
O
U N
H
Scapholunate Ligament
T
Lateral epicondyle
ME
O
U N
H
Distal Radioulnar Joint
T
Lateral epicondyle
ME
O
U N
H
Radiocarpal & Midcarpal Joints
T
Lateral epicondyle
ME
O
U N
H
De Quervain’s Tenosynovitis (Ex Comp I)
http://www.aspetar.com/journal/viewarticle.asp
x?id=74#.WOFQ8TY2zTc
Sca
fcr Pis
d d d
d
s s
s s
a
Lateral epicondyle
O
Proximal Carpal Tunnel
T
Lateral epicondyle
ME
U N
H
Guyon Tunnel & Ulna Nerve
a
T
Lateral epicondyle
ME
O
U N
H
Carpal Tunnel Syndrome
a
http://www.ultrasoundcases.info/Case-List.aspx?cat=350
The Hand...
T
Lateral epicondyle
ME
O
U N
H
Extensor Tendons
a
T
Lateral epicondyle
ME
O
U N
H
Extensor Tendons
a
http://anatomyproartifex.blogspot.co.uk/2011/06/dorsal-hand-dorsal-foots-fraternal-twin.html
T
Lateral epicondyle
ME
O
U N
H
Flexor Tendons
a
T
Lateral epicondyle
ME
O
U N
H
Flexor Tendons
a
http://www.wikiradiography.net/page/Finger+Radiography
T
Lateral epicondyle
ME
O
U N
H
Pulley System
a
http://radsource.us/pulley-lesion-of-the-fingers/
ME
O
U N
Normal Pulleys on Ultrasound
a
http://www.ultrasoundpaedia.com/normal-handfinger/
T
Lateral epicondyle
ME
O
U N
H
a
http://www.aspetar.com/journal/viewarticle.aspx?id=74#.WOJEwzY2zTc
Damaged
Pulley
T
Lateral epicondyle
ME
O
U N
H
a
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825212/
Trigger Finger
O
U N
Dupuytren’s Contracture
a
http://www.nhs.uk/conditions/Dupuytrens-contracture/Pages/Introduction.aspx
https://radiopaedia.org/cases/7543/studies/8361?referrer=%2Farticles%2Fdupuytren-contracture%23image_list_item_135563
O
U N
http://e-ultrasonography.org/journal/view.php?number=113
a
https://radiopaedia.org/cases/avulsion-fracture-at-base-of-middle-phalanx
a
a
Normal MCP Joint
a
http://radsource.us/upper-extremity-sports-injuries/
http://www.cmcedmasters.com/ortho-blog/sagittal-band-rupture
O
http://physiosports.com.au/common-finger-injuries-2/
a
Normal
http://ultrasoundcases.info/Protocol-View.aspx?cat=555&case=4641
http://www.aspetar.com/journal/viewarticle.aspx?id=74#.WPyPRoWcFZU
http://www.emedicinehealth.com/finger_injuries/pag
e6_em.htm
O
U N
a
http://www.ultrasoundpaedia.com/normal-handfinger/
O
U N
a
Whistle stop tour of scanning the upper limb based on the ESSR guidelines
Briefly covering the most common pathologies seen on ultrasound;
▪ Joint effusion/synovial thickening
▪ Tears
▪ Bursitis
▪ Tenosynovitis etc…..
O
U N
a
Very important to;
Known your anatomy & physiology!!
Know the normal appearances of anatomy
Compare with the non-symptomatic side
Dynamically assess
Use Doppler
Correlate ultrasound findings to the patients history
Thank you for listening…
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