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AMSSM LIBRARY OF SPORTS ULTRASOUND PATHOLOGY


Objective
An educational resource of high-quality, de-identified images and videos displaying common and unique sports ultrasound pathology in case format. Anyone is welcome to submit cases. Please review the submission guidelines attached below.

US Pathology Studies Submission Guidelines

Current Library Master Spreadsheet

QUESTIONS? Send an email to Kersten Schwanz, MD and Matthew Waldrop, MD.
 
 
   
(Login to access the Ultrasound Pathology Study Submission link)
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Partial Thickness Supraspinatus Tendon Tear
A 34-year-old right-hand-dominant male presented with 2 months of right shoulder pain exacerbated by overhead weightlifting and occasionally while sleeping at night. Physical exam was notable for pain with passive and active ROM in flexion and abduction. He had pain with empty can testing and with O-Brien's manuever. Sensation to light touch was intact throughout the C5-T1 dermatomes in the right upper extremity.
 
Biceps Tenosynovitis
A 73-year-old female presented with chronic right shoulder pain that had been worse over the prior month. Pain was located along the anterior shoulder and radiated down the arm. She woke up with bruising one week prior with no known trauma, pop, or injury that self-resolved in a couple days. She denied new weakness, numbness, tingling. Pain was 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
A 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 (scaphoid shift) test produced pain w/o clunk.
 
Rib Fracture
A 12-year-old female soccer athlete presented for chest wall pain for the past two weeks that was acutely worse two days prior after falling to the ground. Pain was exacerbated by deep inspiration and running. Exam was notable for tenderness to palpation near the anterior 7th rib. Initial radiographs of the ribs were 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 presented with left lower leg pain at the proximal fibula. The pain started insidiously roughly a year prior and gradually worsened over that time. The pain radiated 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 had been keeping him from walking or exercising for a period of 2 weeks. Pain severity was rated a 10/10. The patient denied weakness in dorsiflexion of the left foot On examination, there was 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
A 13-year-old female basketball athlete presented with insidious onset lower leg pain. Exam was notable for focal tenderness to the distal fibula. Radiographs of the tibia and fibula were unremarkable.
 
Posterior Cruciate Ligament Tear
A 16-year-old female softball athlete presented after an acute right 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 described knee instability. On exam an effusion was appreciated with a positive posterior drawer.
 
Plantar Fascia Partial Rupture
A 26-year-old female presented with a three-year history of right plantar heel pain. She experienced a worsening of her symptoms for four months after a corticosteroid injection for plantar fasciopathy. Examination was remarkable for tenderness to palpation over the medial plantar heel, specifically over the medial calcaneal tubercle.
 
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