diagnostic ultrasound of the shoulder · diagnostic ultrasound of the shoulder ... rotator cuff ......
TRANSCRIPT
Diagnostic
Ultrasound of the
Shoulder
Dr. Peter Resteghini
Consultant Physiotherapist Musculoskeletal
Medicine
Musculoskeletal Sonographer
Tel: 0208 510 5751
E-mail: [email protected]
www.homerton.nhs.uk/sportsinjury
Ultrasound of the Shoulder
Long head of biceps
Rotator cuff
Bursa
ACJ
GHJ
Impingement
Long Head Biceps - Transverse
Transverse Ligament
Greater Tuberosity
Lesser Tuberosity
LHB
Long Head Bicep Longitudinal
LHB - Proximal
LHB - Distal
LHB
SHB
Pec
Major Deltoid
LHB – Tenosynovitis
Subscapularis - Longitudinal
Medial
COR
SHB
SUBSCAP
Subscapularis - Transverse
Sh thickened subcoracoid bursa with fluid and
impingement.wmv
Supraspinatus – position
Supraspinatus – Transverse at Rotator interval
Trans Free edge – normal
Trans Midsubstance – normal
Supraspinatus - Longitudinal
Ultrasound – SST tears
Full thickness tears-
sensitivity 96-100%
specificity 85%
Partial thickness tears
sensitivity 93%
specificity 94%
Supraspinatus – complete rupture
Infraspinatus – complete rupture
SST Free edge full thickness tear
Trans Midsubstance – Bursal
Side tear
Impingement - Calcific SST & Subacromial bursa
Impingement SAB
Coracoacromial Ligament
COR
ACR SS
Infraspinatus
Infraspinatus - Longitudinal
Acromioclavicular joint
GH Joint
Hill Sach’s Lesion
Dr. Peter Resteghini
Consultant Physiotherapist Musculoskeletal Medicine
Musculoskeletal Sonographer
Tel: 0208 510 5751
E-mail: [email protected]
www.homerton.nhs.uk/sportsinjury