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Introduction to musculoskeletal diagnostic ultrasound: examination of the upper limb.

Lew HL, Chen CP, Wang TG, Chew KT

Division of Physical Medicine and Rehabilitation, Stanford University School of Medicine/VA Palo Alto, CA, USA.

With recent advances in computer technology and equipment miniaturization, the clinical application of diagnostic ultrasonography (U/S) has spread across various medical specialties. Diagnostic U/S is attractive in terms of its noninvasiveness, lack of radiation, readiness of use, cost-effectiveness, and its ability to make dynamic examinations possible. Dynamic imaging deserves special emphasis because it is useful in differentiating full-thickness from partial-thickness tendon tears, muscle tears, and tendon and nerve subluxations or dislocations. It is also a quick and easy avenue for side-to-side comparisons. When appropriately used, diagnostic U/S can be considered as an extension of one's physical examination. However, there are limitations of U/S, which will be discussed in this review article. This is part 1 of two articles; this first part will focus on the ultrasound examination of the upper extremity, using selected examples relevant to musculoskeletal medicine. Part 2 will cover common pathologies of the lower extremity.

Published 6 April 2007 in Am J Phys Med Rehabil, 86(4): 310-21.
Full-text of this article is available online (may require subscription).

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Carpal Tunnel Syndrome Research Today Archive:

Volume 1 (2005)
  Issue 1 (October)
  Issue 2 (November)
  Issue 3 (December)

Volume 2 (2006)
  Issue 1 (January)
  Issue 2 (February)
  Issue 3 (March)
  Issue 4 (April)
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Volume 3 (2007)
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Volume 4 (2008)
  Issue 1 (January)
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  Issue 4 (April)
  Issue 5 (May)
  Issue 6 (June)
  Issue 7 (July)
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  Issue 11 (November)
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