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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.
 
 
   
(Login to access the Ultrasound Pathology Study Submission link)
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Peripheral Nerve Sheath Tumor
77-year-old cyclist presented with acute right lower leg and ankle pain with an associated soft tissue mass just proximal to the lateral malleolus. The symptoms began gradually, without trauma, a few weeks prior to presentation. Exam of the right ankle was notable for pain with direct palpation over the area with radiating pain and numbness into the lateral ankle and foot. There was no weakness or skin changes. A right ankle x-ray demonstrated no osseous abnormalities.
 
Lateral Elbow Tendinopathy
48 yo M presents with 1 year history of lateral elbow pain that has persisted despite completing at least 6 months of physical therapy and home exercise program to include isometrics, eccentrics, modified activity and relative rest. Exam shows tenderness to palpation over the lateral common extensor tendon and pain with resisted wrist extension and middle finger extension.
 
Osteoarthritis of the Second Metatarsophalangeal Joint
A 68-year-old male presented with pain in the right second toe. He has a remote history of a second toe fracture, and an x-ray revealed a questionable right second phalangeal loose body.
 
Superficial Peroneal Neuropathy
Young adult man with history of bilateral anterior and lateral compartment fasciotomies 12 years ago with insidious onset of right greater than left exertional loss of sensation on the dorsolateral/lateral aspect of the ankle and foot.
 
Insertional Achilles Tendinosis with Associated Retrocalcaneal Bursitis and Evidence of a Haglund Deformity
69 year old active male presents with left ankle pain that has persisted for the past month due to excessive walking in dress shoes. Physical examination revealed tenderness at posterior heel/calcaneus.
 
Deep Infrapatellar Bursopathy
77-year-old male presented to clinic with three months of insidious onset left infrapatellar knee pain without an obvious inciting event including any report of trauma. His pain was most notably provoked when descending stairs and located primarily at the distal patellar tendon region. He otherwise denied any swelling or instability of the knee. On examination, range of motion was full without audible crepitus. Tenderness to palpation was identified at the inferior patellar pole and distal patellar tendon region.
 
Radial Collateral Ligament (RCL) Tear
43-year-old right handed female who is an avid weightlifter presented with subacute right lateral elbow pain which worsened after pulling a heavy object (suitcase) from the floor 1-2 months prior. There was tenderness to palpation along the lateral epicondyle and mild laxity with varus stress testing.
 
ASIS Avulsion Fracture
A 14-year-old female high school soccer player presented with 5 months of right anterior hip pain without any clear mechanism of injury. Pain was located over the anterior superior iliac spine and worsened with running, kicking, and jumping.
 
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.
 
Plantar Fasciosis
49-year-old female with a history of right foot plantar fasciitis presents with sharp, left heel pain after walking for an hour in boots one year prior. The pain is localized to the posterior ankle and proximal plantar aspect and is worsened with ambulation. Two previous corticosteroid injections at the plantar aspect provided no relief.
 
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UPCOMING EVENTS


_________________________________
JUNE 2025
6/26-9/15/2025
2025 Incoming Fellows ITE & U/S Pretests

_________________________________
JULY 2025
7/17-7/20/2025
2025 Fellows Research & Leadership Conference

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NOVEMBER 2025
11/11/2025
Case Abstract Submission Deadline

11/20-11/23/2025
2025 AMSSM/OHSU Introductory &/or Diagnostic/Interventional Sports US Course

_________________________________
DECEMBER 2025
12/2/2025
Research Abstract Submission Deadline

12/11-12/13/2025
2025 Advanced Team Physician Course

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