Diagnostic Ultrasound of the Shoulder · Diagnostic Ultrasound of the Shoulder ... Rotator cuff ... PowerPoint Presentation Created Date:

Diagnostic

Ultrasound of the

Shoulder

Dr. Peter Resteghini

Consultant Physiotherapist Musculoskeletal

Medicine

Musculoskeletal Sonographer

Tel: 0208 510 5751

E-mail: [email protected]

www.homerton.nhs.uk/sportsinjury

Ultrasound of the Shoulder

Long head of biceps

Rotator cuff

Bursa

ACJ

GHJ

Impingement

Long Head Biceps - Transverse

Transverse Ligament

Greater Tuberosity

Lesser Tuberosity

LHB

Long Head Bicep Longitudinal

LHB - Proximal

LHB - Distal

LHB

SHB

Pec

Major Deltoid

LHB – Tenosynovitis

Subscapularis - Longitudinal

Medial

COR

SHB

SUBSCAP

Subscapularis - Transverse

Sh thickened subcoracoid bursa with fluid and

impingement.wmv

Supraspinatus – position

Supraspinatus – Transverse at Rotator interval

Trans Free edge – normal

Trans Midsubstance – normal

Supraspinatus - Longitudinal

Ultrasound – SST tears

Full thickness tears-

sensitivity 96-100%

specificity 85%

Partial thickness tears

sensitivity 93%

specificity 94%

Supraspinatus – complete rupture

Infraspinatus – complete rupture

SST Free edge full thickness tear

Trans Midsubstance – Bursal

Side tear

Impingement - Calcific SST & Subacromial bursa

Impingement SAB

Coracoacromial Ligament

COR

ACR SS

Infraspinatus

Infraspinatus - Longitudinal

Acromioclavicular joint

GH Joint

Hill Sach’s Lesion

Dr. Peter Resteghini

Consultant Physiotherapist Musculoskeletal Medicine

Musculoskeletal Sonographer

Tel: 0208 510 5751

E-mail: [email protected]

www.homerton.nhs.uk/sportsinjury