Clin Should Elbow.  2015 Sep;18(3):172-193. 10.5397/cise.2015.18.3.172.

Ultrasonography and Ultrasound-guided Interventions of the Shoulder

Affiliations
  • 1Department of Orthopaedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Korea. msh124@paran.com
  • 2Hanmaeum Orthopaedic Clinic, Daejeon, Korea.
  • 3Cham Orthopaedic Clinic, Cheongju, Korea.

Abstract

Nowadays shoulder ultrasound is commonly used in the assessment of shoulder diseases and is as accurate as magnetic resonance imaging in the detection of several pathologies. Operator dependence is the main disadvantage of shoulder ultrasound. After adhering to a strict examination protocol, good knowledge of normal anatomy and pathologic processes and an awareness of common pitfalls, it can be used as a focused examination providing rapid, real-time diagnosis, and treatment by ultrasound-guided interventions in desired clinical situations. Also shoulder ultrasound can help the surgeon decide whether treatment will be surgical or nonsurgical. If arthroscopy is planned, sonographic findings help to counsel patients regarding surgical and functional outcomes. If a nonsurgical approach is indicated, ultrasound can be used to follow patients. This review article presents the examination techniques, the normal sonographic appearances and the main pathologic conditions found in shoulder ultrasound. And also addresses a simplified approach to scanning and ultrasound-guided intervention. Knowledge of optimal techniques, normal anatomy, dynamic maneuvers, and pathologic conditions is essential for optimal performance and interpretation of images.

Keyword

Shoulder; Ultrasound; Examination; Intervention

MeSH Terms

Arthroscopy
Diagnosis
Humans
Magnetic Resonance Imaging
Pathologic Processes
Pathology
Shoulder*
Ultrasonography*
Full Text Links
  • CISE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr