肩部超声检查PPT课件.ppt

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肩部超声检查PPT课件

Supraspinatus Tendon Instruct patient to place their arm in INTERNAL rotation Place hand in back pocket (Long axis)45 degrees Coronal/ Sagittal (Short axis) 90 degrees Rotation of long axis SST WNL SST with Tendinopathy Supraspinatus Tendon-Long Axis Subacromial Bursa Supraspinatous, birds beak view (insertion) GT Supraspinatus Tendon-Short Axis WNL SAB Dynamic Motion Good Humeral Head Depression Rotten Humeral Head Depression Poor Posture, Weak Scapula Stability Infraspinatus Tendon Instruct patient to place their arm in full INTERNAL rotation Place hand in back pocket Similar to Supraspinatus, but moved posteriorly (Long axis)45 degrees Coronal/ Sagittal (Short axis) 90 degrees Rotation of long axis Infraspinatus Tendon Instruct patient to place their arm in full INTERNAL rotation Place hand in back pocket Similar to Supraspinatus, but moved posteriorly (Long axis)45 degrees Coronal/ Sagittal Long Axis appearance of IST Normal appearance of IST Contralateral Comparison Long Axis Views Left SST is WNL Right SST Thickened chronic Tendinopathy AC Joint AC Joint AC Joint AC Joint If the person is very thin, you might need standoff/interface disc AC Joint Arthritic Changes but no effusion Less evidence of DJD, but effusion present Summary Many structures in the shoulder are superficial and can be examine accurately with MSK ultrasound Diagnostic Ultrasound should incorporated static and dynamic image If you examine many normal shoulders, then you will soon be able to pick-up even subtle changes * * * * * * * * * * * * * * * * * * * 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 Sonography of Shoulder Physician Practice Guideline is established by AIUM ACR for the Shoulder U/S

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