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AMSSM LIBRARY OF SPORTS ULTRASOUND PATHOLOGY


Objective
The Sports Ultrasound Committee looks to create an educational resource directed at residents, fellows, and other learners to review both common and unusual pathology within sports ultrasound using case examples. In exploring the library of sports ultrasound pathology, we intend for learners to gain an appreciation for the nuances of ultrasound imaging and increased confidence in recognition of abnormal findings.

Submission Guidelines

  • Current sports medicine fellows are particularly encouraged to submit, with faculty guidance.
  • If a trainee is preparing the submission, the content should be reviewed with a local attending to verify ultrasound image quality and image interpretation accuracy.
    • Following submission, a secondary review will be performed by an AMSSM subcommittee. Edits may be suggested or if images are of low quality, the case may be rejected. Thereafter, the accepted content will be posted and available for member review.
  • All content must be de-identified prior to submission.
  • High quality images and/or videos should be submitted. Low quality images will not be accepted.
  • US Pathology Studies Submission Guidelines – a quick reference guide to a successful submission.
 
 
   
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Ischiofemoral Impingement
A 26-year-old female with right posterior hip pain for over a decade. Pain was exacerbated by exercise and sitting. Physical examination was positive for tenderness along the right posterior hip and the ischial tuberosity (IT). Ischiofemoral impingement (IFI) test was positive.
 
Paralabral Cyst
A 27-year-old swimmer presented with right anterolateral shoulder pain, weakness, numbness, burning, and paresthesias radiating down the anterior upper arm and medial forearm into the fourth and fifth digits. Pain was exacerbated by shoulder extension and abduction with difficulty engaging periscapular muscles while swimming. On exam, atrophy of the infraspinatus was noted. ​
 
Biceps Tenosynovitis
A 73-year-old female presents with chronic right shoulder pain that has been worse over the last month. Pain is along the anterior shoulder and radiates down the arm. She woke up with bruising one week ago with no known trauma, pop, or injury that self-resolved in a couple days. No new weakness, numbness, tingling. Worse with cooking and lifting objects overhead. ​
 
Anterior Tibialis Tenosynovitis
A 46-year-old male presented with 9 months of pain and swelling over the anterior aspect of the right ankle. He endorsed the pain with passive and active range of motion with tenderness to palpation over the tibiotalar joint and lateral malleolus.
 
Scapholunate Ligament Tear
49-year-old right hand dominant female presented with left dorsal wrist pain and popping after picking up heavy luggage. Exam of the left wrist was notable for tenderness over the scapholunate region and pain reproduction with wrist extension loading. Watson's produced pain w/o clunk.
 
Rib Fracture
12 year old female soccer athlete presenting for chest wall pain for the past two weeks that was acutely worse two days prior after falling to the ground. Pain exacerbated by deep inspiration and running. Exam shows tenderness to palpation near the anterior 7th rib. Initial radiographs of ribs unremarkable.
 
Long Head Biceps Subluxation
A tennis player with worsening right shoulder pain for 3 months, presented for concern of biceps tendonitis. Speed's test and Yergason's test were positive.
 
Common Peroneal Nerve Ganglion Cyst
A 59-year-old male presents with the complaint of left lower leg pain located at the proximal fibula. The pain started insidiously roughly a year prior and has gradually worsened over that time. The pain radiates down the lateral leg to just above the lateral malleolus. Pain worsened with applied pressure/contact to the proximal fibula and was described as "sharp." The pain has been keeping him from walking or exercising for a period of 2 weeks. Patient rated the pain a 10/10. The patient denied weakness in dorsiflexion of the left foot On examination, there is no weakness of ankle dorsiflexion or great toe extension. Neither restriction of lumbosacral range of motion nor complaints of low back pain was observed. Although tenderness without swelling was present around the left fibular head, Tinel's sign was not evoked along the course of the peroneal nerve. There was no pain, spontaneously or evoked, in association with the passive movement of the knee or ankle. There was no abnormality in sensory examinations. Sciatic root stretch signs were negative.
 
Fibula Stress Fracture
13-year-old female basketball athlete that presents with insidious onset lower leg pain. Exam with focal tenderness to the distal fibula. Radiographs of the tibia and fibula were unremarkable.
 
Posterior Cruciate Ligament Tear
16-year-old female softball athlete presents after an acute knee injury during a game. While sliding into a base her cleat got stuck in the dirt and knee twisted. She appreciated immediate swelling. She describes knee instability. On exam an effusion is appreciated with a positive posterior drawer.
 
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JUNE 2024
6/29-9/16/2024
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JULY 2024
7/18-7/21/2024
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NOVEMBER 2024
11/21-11/24/2024
AMSSM/OHSU Introductory Sports US Course &/or Diagnostic/Interventional Sports

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DECEMBER 2024
12/10-12/12/2024
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