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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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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.
 
Paralabral Cyst
A 27-year-old swimmer presented with right anterolateral shoulder pain, weakness, numbness, burning, and paresthesias radiating down the anterior upper arm and medial forearm into the fourth and fifth digits. Pain was exacerbated by shoulder extension and abduction with difficulty engaging periscapular muscles while swimming. On exam, atrophy of the infraspinatus was noted. ​
 
Biceps Tenosynovitis
A 73-year-old female presents with chronic right shoulder pain that has been worse over the last month. Pain is along the anterior shoulder and radiates down the arm. She woke up with bruising one week ago with no known trauma, pop, or injury that self-resolved in a couple days. No new weakness, numbness, tingling. 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
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 produced pain w/o clunk.
 
Rib Fracture
12 year old female soccer athlete presenting for chest wall pain for the past two weeks that was acutely worse two days prior after falling to the ground. Pain exacerbated by deep inspiration and running. Exam shows tenderness to palpation near the anterior 7th rib. Initial radiographs of ribs 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.
 
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