肩部超声检查汇编.ppt

Sonography of Shoulder Physician Practice Guideline is established by AIUM ACR for the Shoulder U/S Biceps tendon Subscapularis tendon Supraspinatus tendon Infraspinatus tendon Teres minor Dynamic evaluation Sonography of Shoulder Examination of: Joint effusions Bursa effusions Comparison of contralateral side Evaluate for: Bursal thickening Loose bodies Tendon calcification Muscle bone abnormalities 肱二头肌肌腱评估 肩胛下肌评估 冈上肌评估 crass position 冈上肌 各向异性 动态评估 肩锁关节 Biceps Tendon- Short Axis Transverse Acute Tendinopathy Chronic Tendinopathy Biceps Tendon - Long Axis Long Axis Normal Long Axis Normal Biceps LA Biceps Tendon - Long Axis Long Axis Chronic Tendinopathy Acute Tendinopathy Fluid in tendon sheath Long Head of Biceps Tendon Normal internal/external motion Normal long axis appearance Is there subluxation of the Long Head of Biceps Tendon? Subscapularis Tendon Instruct patient to place their arm in full EXTERNAL rotation Sagittal view (Short axis) Short Axis Subscap Short Axis view of Subscap Subscapularis Tendon Instruct patient to place their arm in full EXTERNAL rotation Transverse view (Long axis) Long Axis Subscap Long Axis view of Subscap Subscapularis Tendon Instruct patient to place their arm in full EXTERNAL rotation Transverse view (Long axis) Sagittal view (Short axis) Long Axis Subscap Short Axis view of Subscap Supraspinatus Tendon Instruct patient to place their arm in INTERNAL rotation Place hand in back pocket (Long axis)45 degrees Coronal/ Sagittal SST WNL SST Normal Long Axis view * * * * * * * * * * * * * * * * * * * * * * * * * * 肩部超声检查  Objectives Discuss the normal ultrasound appearance of the shoulder and the individual structures Describe the AIUM standard shoulder exam Discuss the uses of dynamic imaging Shoulder The Standard Examination Sonography of Shoulder Complex structure containing Muscles Tendons Bursa Bone Labrum Fixed and Dynamic evaluations * * * * * * * * * * * * * * * * * * * * * * * * * *