Page 1
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
Page 2
Ultrasound of the Shoulder
Long head of biceps
Rotator cuff
Bursa
ACJ
GHJ
Impingement
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Long Head Biceps - Transverse
Transverse Ligament
Greater Tuberosity
Lesser Tuberosity
LHB
Page 4
Long Head Bicep Longitudinal
Page 6
LHB - Distal
LHB
SHB
Pec
Major Deltoid
Page 7
LHB – Tenosynovitis
Page 8
Subscapularis - Longitudinal
Page 9
Medial
COR
SHB
SUBSCAP
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Subscapularis - Transverse
Page 12
Sh thickened subcoracoid bursa with fluid and
impingement.wmv
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Supraspinatus – position
Page 14
Supraspinatus – Transverse at Rotator interval
Page 15
Trans Free edge – normal
Page 16
Trans Midsubstance – normal
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Supraspinatus - Longitudinal
Page 18
Ultrasound – SST tears
Full thickness tears-
sensitivity 96-100%
specificity 85%
Partial thickness tears
sensitivity 93%
specificity 94%
Page 19
Supraspinatus – complete rupture
Page 20
Infraspinatus – complete rupture
Page 22
SST Free edge full thickness tear
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Trans Midsubstance – Bursal
Side tear
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Impingement - Calcific SST & Subacromial bursa
Page 28
Coracoacromial Ligament
COR
ACR SS
Page 30
Infraspinatus - Longitudinal
Page 31
Acromioclavicular joint
Page 33
Hill Sach’s Lesion
Page 34
Dr. Peter Resteghini
Consultant Physiotherapist Musculoskeletal Medicine
Musculoskeletal Sonographer
Tel: 0208 510 5751
E-mail: [email protected]
www.homerton.nhs.uk/sportsinjury