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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.
 
 
   
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Fibula Stress Fracture
A 13-year-old female basketball athlete presented with insidious onset lower leg pain. Exam was notable for focal tenderness to the distal fibula. Radiographs of the tibia and fibula were unremarkable.
 
Posterior Cruciate Ligament Tear
A 16-year-old female softball athlete presented after an acute right knee injury during a game. While sliding into a base her cleat got stuck in the dirt and knee twisted. She appreciated immediate swelling. She described knee instability. On exam an effusion was appreciated with a positive posterior drawer.
 
Plantar Fascia Partial Rupture
A 26-year-old female presented with a three-year history of right plantar heel pain. She experienced a worsening of her symptoms for four months after a corticosteroid injection for plantar fasciopathy. Examination was remarkable for tenderness to palpation over the medial plantar heel, specifically over the medial calcaneal tubercle.
 
De Quervain Tenosynovitis
A 30-year-old left hand dominant female presented with 3 weeks of left wrist pain located at the base of her thumb and radiating proximally on the radial side of her forearm. Pain was described as sharp and was exacerbated by picking up her newborn baby or with making a fist and was improved with rest. She denied known injury. There was tenderness to palpation over the first dorsal compartment of the wrist at the level of the radial styloid. Wrist range of motion was normal. Eichhoff's test was positive.
 
Core Muscle Injury: Adductor Longus-Related Injury
A 27-year-old male presented with 6 weeks of right medial groin pain after barbell back squatting. He felt a pull in his groin at the bottom of the squat with deep hip flexion. Since then, he had pain with running and cutting as well as with daily activities like urinating, changing positions in bed, and coughing.
 
Mallet Finger
A 34-year-old male presented with 4 days of pain and swelling over the distal aspect of the 4th left digit following an injury during a flag football game. He endorsed the inability to extend his distal interphalangeal joint.
 
A4 Pulley Rupture
An 18-year-old male presented for left 4th digit finger pain when coming off the wall from rock climbing using crimp grip position. Swelling and tenderness to palpation were noted in the distal aspect of the middle phalanx of the left hand.
 
Carpal Tunnel Syndrome
A 45-year-old female presented with intermittent numbness of the left hand in digits 1-3, worse at night, without significant weakness.
 
Distal Quadriceps Tendon Rupture
A 51-year-old male presented with acute onset severe left knee pain after attempting to snap a branch with a stomping mechanism while camping. Patient reported that the branch "hit him in the knee". He was evaluated and placed in a hinged knee brace locked in extension at an outside ED and referred to clinic. Clinical evaluation 3 days later identified diffuse ecchymosis and palpable defect proximal to the left patella along with a knee extensor lag.
 
Medial Gastrocnemius Tear
A 35-year-old male contractor presented to clinic with non-radiating right mid-calf pain rated as a 5 out of 10 severity. The pain started after repeatedly kicking his work trailer. He had pain with weight-bearing, ankle plantar-flexion, and palpation of the medial head of the gastrocnemius and mid-belly of the soleus. Thompson test was negative.
 
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UPCOMING EVENTS



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11/19-11/22/2026
2026 AMSSM/OHSU Introductory &/or Diagnostic/Interventional Sports US Course

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12/04-12/06/2026
2026 Advanced Team Physician Course

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4/16-4/21/2027
2027 AMSSM Annual Meeting

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