AMSSM - American Medical Society for Sports Medicine

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 Submission Guidelines – a quick reference guide to a successful submission.



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Achilles Tendinopathy in a Runner 50-year-old male recreational runner complaining of right posterior ankle pain for 1 year. There is focal thickening of the Achilles tendon on exam.

Myositis Ossificans 16-year-old male high school football athlete presenting after right thigh injury sustained during football practice 2 weeks prior presents with continued anterior thigh pain with ambulation, knee flexion, and with a decreased range of motion.

Distal Biceps Tendon Rupture An ambidextrous 60 year-old male presents with distal forearm pain and bruising following an injury as he was getting pulled up by a boat to water ski. The patient felt a popping sensation and immediately experienced pain following the injury. He complains of weakness with forearm flexion and supination at the time of examination.

Patellar Tendinopathy 30 yo male multi-sport athlete with a 6-month history of anterior knee pain with sudden onset when loading to jump while playing volleyball. Pain is sharp, persistent since onset, and worsened with explosive movements. Exam is notable for intact extensor mechanism, although weak and painful with knee extension, and tenderness to palpation of proximal patellar tendon.

Distal Clavicle Osteolysis A physically active 30-year-old male presents to the sports medicine clinic for anterior shoulder pain that is worse during and after performing push-ups. A positive Scarf test is noted.

Retrocalcaneal Bursitis 21-year old female with non-traumatic right heel pain for approximately 3 months. Patient with tenderness on calcaneal squeeze and palpation deep to the achilles tendon. Pain worse with passive and active dorsiflexion of the ankle.

Pes Anserine Bursitis 48 year-old previously-sedentary male presents with 3 weeks of right anteromedial knee pain with running. On examination of his right knee, there is full ROM, normal ligamentous exam, no joint line tenderness, but positive tenderness to palpation over pes anserine.

Adductor tear 32 year-old male soccer player presented with acute right groin pain while kicking a ball 3 days prior. Exam with tenderness to palpation over proximal right adductor longus and pubic tubercle, pain with resisted adduction with hips in both neutral and flexed positions, full ROM, and distally neurovascularly intact.

Morel- Lavallee Lesion 38 yo female runner with diffuse hip pain for 3 days. She fell on mile 10 of a 50 mile race and slid along the trail. She had immediate onset pain, and noted swelling thereafter. Exam showed visible swelling and an abrasion; full ROM and strength of the hip were noted.

Baker's Cyst 62 year old female with atraumatic posterior knee swelling for a month. Exam normal except mild popliteal fossa swelling.

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