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BASIC ULTRASOUND OF THE KNEE. By Mohamed Hassan Youssef MD Arthritis/ Rehab&Pain Clinic Board certified of ABPM&R. Knee Joint. Knee Bones. Distal end of the F umer Proximal end of the Tibia Head of the Fibula Patella. Knee Bones. Knee Bones. Movement of Patella Upward - PowerPoint PPT Presentation
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BASIC ULTRASOUND OF THE KNEE
ByMohamed Hassan Youssef MD
Arthritis/Rehab&Pain ClinicBoard certified of ABPM&R
Knee Joint
Knee Bones
• Distal end of the Fumer
• Proximal end of the Tibia
• Head of the Fibula
• Patella
Knee Bones
Knee Bones
Movement of Patella Upwardduring Knee Flexion
Knee Bones
Common Knee Ligaments
• Ant Cruciate Ligament• Post Cruciate Ligament• Medial Collateral Ligament• Lateral Collateral Ligament• Arcuate Ligament• Coronary Ligament
Knee Ligaments
Knee Ligaments
Knee Ligaments
Knee Ligaments
Knee Ligaments
Knee Menisci
• Medial Meniscus
• Lateral Meniscus
Knee Menisci
Knee Menisci
Knee Menisci
Knee Bursae
Suprapatellar
Prepatellar
Infrapatellar
Pes Anserinus
Knee Bursae
SemimembraneususBursa
Knee Bursae
US probes commonly used in MSK
• Linear
• Curved Linear
Linear probe
Curved Linear probe
Relation of the needle to the US Probe
• Long AxisNeedle can be seen as a metal line approaching The target.• Short AxisNeedle appear as a metal bright point in the target.
Long Axis
Short Axis
Positioning of the Knee duringUS guided needle injection
• 1-put a roll under the knee to keep it in 25°-35° of flexion.• 2-Use a linear Probe.
US probe position in Knee injection
US of Knee
• Move the linear probe in midline of the thighthigh 10 cm above upper edge of patella.
• Move the probe downward till the loweredge of the probe touch theUpper edge of the patella to elaborate the Quadriceps Tendon
Quadriceps Tendon
Linear probe horizontal
Suprapatellar Bursa
Infrapatellar ligament
Pes Anserine Bursa
References
• http://www.ultrasoundpaedia.com/normal-knee/
• Tom Clark Ultrasound course
• Ultrasound guided Musculoskeletal Procedures
Knee US( Lateral)
Knee US (Medial)
Popliteal Fossa
US probe positioning during knee injection
Injection of Suprapatellar Bursa
Injection of the Knee