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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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.

Elbow UCL Tear A 16 year old right hand dominant male baseball pitcher presented with acute onset right medial elbow pain while pitching during a baseball game. Exam of his right elbow displayed tenderness to palpation of the medial elbow immediately distal to the medial epicondyle, and pain and laxity with valgus stress test and milking maneuver.

Achilles Tendon Rupture 38-year-old female unable to bear weight on her left leg after landing on her foot while playing volleyball. She felt a pop with resulting pain in her calf. There was a palpable deformity proximal to the Achilles insertion and minimal plantar flexion on the Thompson test.

Sagittal Band Injury 38 year old female presented with a right hand injury that occurred 1 month ago when she crushed her long finger knuckle in between a sled and the ground while snow sledding. Examination of the 3rd MCP joint demonstrated swelling at the dorsal aspect, pain with flexion, and snapping at the knuckle.

High Ankle Injury - AITFL Tear 16 year old male high school football player presented with left ankle pain after sustaining an inversion injury with notable instability and physical exam findings concerning for high-ankle injury.

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