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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Baker's Cyst
A 62-year-old female presented with one month of atraumatic right posterior knee swelling. Her exam was normal except for noted 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
A 38-year-old female was 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 ankle plantar flexion was notedon the Thompson test.
 
Sagittal Band Injury
A 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)
A 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 a high-ankle injury.
 
Proximal Patellar Tendinosis and Partial Tearing
A 15-year-old male basketball player presented for bilateral anterior knee pain for 2 years, insidious in onset, worsening over time, and provoked by running and jumping. Exam showed tenderness to palpation over the inferior pole of both patellae and proximal patellar tendons, with intact extensor mechanisms and no extension lag noted.
 
Distal Intersection Syndrome
A 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
A 40-year-old male presented to clinic describing a shock-like sensation, numbness, pain and weakness in the left forearm with preacher curls. Numbness extended into the medial left hand. Symptomed were provoked with left hand hyperflexion and hyperextension.
 
MCL Injury
A 46-year-old female presented for a medial-sided left knee injury that occurred 5 days prior in Muay Thai training. Her opponent struck her knee on the lateral side causing a valgus force to the knee. Exam demonstrated mild swelling and tenderness to palpation at the medial femoral epicondyle and 1-2+ laxity with valgus stress test.
 
Trigger Finger
A 73-year-old right-hand-dominant female presented for months of intermittent triggering and locking of the right fourth finger. Dynamic triggering of the digit was appreciated on exam with active flexion and extension.
 
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