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肩部超聲檢查

ObjectivesDiscussthenormalultrasoundappearanceoftheshoulderandtheindividualstructuresDescribetheAIUMstandardshoulderexamDiscusstheusesofdynamicimagingShoulderTheStandardExaminationSonographyofShoulderComplexstructurecontainingMusclesTendonsBursaBoneLabrumFixedandDynamicevaluationsSonographyofShoulder

PhysicianPracticeGuidelineisestablishedbyAIUM&ACRfortheShoulderU/SBicepstendonSubscapularistendonSupraspinatustendonInfraspinatustendonTeresminorDynamicevaluation肱二頭肌肌腱評估肩胛下肌評估岡上肌評估crassposition岡上肌各向異性動態(tài)評估肩鎖關(guān)節(jié)BicepsTendon-ShortAxisTransverseAcuteTendinopathyChronicTendinopathyBicepsTendon-LongAxisLongAxisNormalLongAxisNormalBicepsLABicepsTendon-LongAxisLongAxisChronicTendinopathyAcuteTendinopathyFluidintendonsheathLongHeadofBicepsTendonNormalinternal/externalmotionNormallongaxisappearanceIstheresubluxationoftheLongHeadofBicepsTendon?SubscapularisTendonInstructpatienttoplacetheirarminfullEXTERNALrotationSagittalview(Shortaxis)ShortAxisSubscapShortAxisviewofSubscapSubscapularisTendonInstructpatienttoplacetheirarminfullEXTERNALrotationTransverseview(Longaxis)LongAxisSubscapLongAxisviewofSubscapSubscapularisTendonInstructpatienttoplacetheirarminfullEXTERNALrotationTransverseview(Longaxis)Sagittalview(Shortaxis)LongAxisSubscapShortAxisviewofSubscapSupraspinatusTendonInstructpatienttoplacetheirarminINTERNALrotationPlacehandinbackpocket(Longaxis)45degreesCoronal/SagittalSSTWNLSSTNormalLongAxisviewSupraspinatusTendonInstructpatienttoplacetheirarminINTERNALrotationPlacehandinbackpocket(Shortaxis)90degreesRotationoflongaxis

SSTShortAxisWNLSST,internalshoulderrotationSAviewSupraspinatusTendonInstructpatienttoplacetheirarminINTERNALrotationPlacehandinbackpocket(Longaxis)45degreesCoronal/Sagittal(Shortaxis)90degreesRotationoflongaxis

SSTWNLSSTwithTendinopathySupraspinatusTendon-LongAxisSubacromialBursaSupraspinatous,birdsbeakview(insertion)GTSupraspinatusTendon-ShortAxisWNLSABDynamicMotionGoodHumeralHeadDepressionRottenHumeralHeadDepressionPoorPosture,WeakScapulaStabilityInfraspinatusTendonInstructpatienttoplacetheirarminfullINTERNALrotationPlacehandinbackpocketSimilartoSupraspinatus,butmovedposteriorly(Longaxis)45degreesCoronal/Sagittal(Shortaxis)90degreesRotationoflongaxisInfraspinatusTendonInstructpatienttoplacetheirarminfullINTERNALrotationPlacehandinbackpocketSimilartoSupraspinatus,butmovedposteriorly(Longaxis)45degreesCoronal/SagittalLongAxisappearanceofISTNormalappearanceofISTContralateralComparison

LongAxisViewsLeftSSTisWNLRightSSTThickenedchronicTendinopathyACJointACJointACJointACJointIfthepersonisverythin,youmightneedstandoff/interfacediscACJointArthriticChangesbutnoeffusionLessevidenceofDJD,buteffusionpresentSummaryManystructuresintheshoulderaresuperficialandcanbeexamineaccuratelywithMSKultr

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