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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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.
 
Proximal Patellar Tendinosis and Partial Tearing
15yo male basketball player presenting for bilateral anterior knee pain for 2 years, insidious in onset, worsening over time and provoked by running and jumping. Exam shows tenderness to palpation over the inferior pole of the patellae and proximal patellar tendons bilaterally, with intact extensor mechanisms (no lag).
 
Distal Intersection Syndrome
70 year-old right hand dominant female presented with dorsal radial wrist pain, distal to the radiocarpal joint. Symptoms started after a distal radius fracture and worsened with wrist extension and thumb movements such as texting.
 
Dynamic Ulnar Nerve Dislocation
40 yo Male describing shock-like sensation, numbness, pain and weakness in the left forearm with preacher curls. Numbness extends into the medial hand. Further evaluation found symptoms recurred with hyperflexion or hyperextension.
 
MCL Tear
A 46-year-old female presents with a chief complaint of a medial-sided left knee injury that occurred 5 days prior in Muay Thai training when her opponent struck her knee on the lateral side causing a valgus force to the knee. Exam demonstrates mild swelling and tenderness to palpation at the medial femoral epicondyle and 1-2+ laxity with valgus stress test.
 
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