basic ultrasound of the knee by mohamed hassan youssef md arthritis/rehab&pain clinic board...
TRANSCRIPT
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BASIC ULTRASOUND OF THE KNEE
ByMohamed Hassan Youssef MD
Arthritis/Rehab&Pain ClinicBoard certified of ABPM&R
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Knee Joint
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Knee Bones
• Distal end of the Fumer
• Proximal end of the Tibia
• Head of the Fibula
• Patella
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Knee Bones
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Knee Bones
Movement of Patella Upwardduring Knee Flexion
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Knee Bones
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Common Knee Ligaments
• Ant Cruciate Ligament• Post Cruciate Ligament• Medial Collateral Ligament• Lateral Collateral Ligament• Arcuate Ligament• Coronary Ligament
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Knee Ligaments
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Knee Ligaments
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Knee Ligaments
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Knee Ligaments
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Knee Ligaments
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Knee Menisci
• Medial Meniscus
• Lateral Meniscus
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Knee Menisci
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Knee Menisci
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Knee Menisci
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Knee Bursae
Suprapatellar
Prepatellar
Infrapatellar
Pes Anserinus
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Knee Bursae
SemimembraneususBursa
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Knee Bursae
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US probes commonly used in MSK
• Linear
• Curved Linear
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Linear probe
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Curved Linear probe
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Relation of the needle to the US Probe
• Long AxisNeedle can be seen as a metal line approaching The target.• Short AxisNeedle appear as a metal bright point in the target.
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Long Axis
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Short Axis
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Positioning of the Knee duringUS guided needle injection
• 1-put a roll under the knee to keep it in 25°-35° of flexion.• 2-Use a linear Probe.
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US probe position in Knee injection
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US of Knee
• Move the linear probe in midline of the thighthigh 10 cm above upper edge of patella.
• Move the probe downward till the loweredge of the probe touch theUpper edge of the patella to elaborate the Quadriceps Tendon
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Quadriceps Tendon
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Linear probe horizontal
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Suprapatellar Bursa
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Infrapatellar ligament
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Pes Anserine Bursa
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References
• http://www.ultrasoundpaedia.com/normal-knee/
• Tom Clark Ultrasound course
• Ultrasound guided Musculoskeletal Procedures
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Knee US( Lateral)
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Knee US (Medial)
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Popliteal Fossa
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US probe positioning during knee injection
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Injection of Suprapatellar Bursa
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Injection of the Knee