A Case Of The Diagnostic Advantage Of Dynamic Musculoskeletal Ultrasound Over Magnetic Resonance Imaging

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

A Case Of The Diagnostic Advantage Of Dynamic Musculoskeletal Ultrasound Over Magnetic Resonance Imaging - Page #4

Working Diagnosis: Spigelian hernia Treatment: The patient underwent laparoscopic repair of the spigelian hernia. Case Photo #3 Outcome: At six months post-operative the athlete’s pre-operative pain returned. The athlete underwent surgical revision and successful repair. The patient was allowed to return to activity as tolerated. Editor's Comments: Spigelian hernias are a rare cause of abdominal hernias given that they only account for one to two percent of hernias arising from the abdominal region1. They typically occur when there is weakness with oblique musculature and the fascia near the semilunar line leading to defect through the transversus aponeurosis2. This diagnosis can be difficult to make given that there are no specific symptoms that will point to the diagnosis. Though uncovering this hernia can be difficult; prompt diagnosis is required given the risk of strangulation is significant1. Diagnostic musculoskeletal ultrasound is a valuable tool when evaluating hernias and has the unique advantage of allowing the user to perform dynamic movements during the examination that cannot be performed with computerized tomography or magnetic resonance imaging3. References: 1. Noomene R, Bouhafa A, Maamer AB, Haoues N, Oueslati A, Cherif A. Hernies de Spiegel [Spigelian hernias]. Presse Med. 2014 Mar;43(3):247-51. French. doi: 10.1016/j.lpm.2013.06.029. Epub 2014 Jan 16. PMID: 24439537. 2. Mittal T, Kumar V, Khullar R, et al. Diagnosis and management of Spigelian hernia: A review of literature and our experience. J Minim Access Surg. 2008;4(4):95-98. doi:10.4103/0972-9941.45204 3. Stavros AT, Rapp C. Dynamic ultrasound of hernias of the groin and anterior abdominal wall. Ultrasound Q. 2010 Sep;26(3):135-69. doi: 10.1097/RUQ.0b013e3181f0b23f. PMID: 20823750. Return To The Case Studies List.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC