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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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Superficial Peroneal Neuropathy
Young adult man with history of bilateral anterior and lateral compartment fasciotomies 12 years ago with insidious onset of right greater than left exertional loss of sensation on the dorsolateral/lateral aspect of the ankle and foot.
 
Deep Infrapatellar Bursopathy
77-year-old male presented to clinic with three months of insidious onset left infrapatellar knee pain without an obvious inciting event including any report of trauma. His pain was most notably provoked when descending stairs and located primarily at the distal patellar tendon region. He otherwise denied any swelling or instability of the knee. On examination, range of motion was full without audible crepitus. Tenderness to palpation was identified at the inferior patellar pole and distal patellar tendon region.
 
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. ​
 
Bicipitoradial Bursitis in a Competitive Weightlifter
A 21-year-old competitive weightlifter presented with insidious onset of left anterolateral elbow pain for 3-weeks duration. The pain is 2/10 at rest and increases to a 7/10 with back and biceps exercise. The pain is described as sharp and radiates to the proximal lateral forearm. On exam, elbow pain is provoked with resisted supination and flexion.
 
Partial thickness tear of the supraspinatus tendon
A 34-year-old 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 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. ​
 
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UPCOMING EVENTS


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JANUARY 2025
1/10-1/12/2025
2025 AMSSM/South Bend Sports US

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FEBRUARY 2025
2/01-2/18/2025
2025 Fellows In Training Exam
Registration Opens 2/01/2025

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APRIL 2025
4/22-4/25/2025
2025 AMSSM Annual Meeting
Registration opens in late January 2025

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