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BASIC ULTRASOUND OF THE KNEE

BASIC ULTRASOUND OF THE KNEE. By Mohamed Hassan Youssef MD Arthritis/ Rehab&Pain Clinic Board certified of ABPM&R. Knee Joint. Knee Bones. Distal end of the F umer Proximal end of the Tibia Head of the Fibula Patella. Knee Bones. Knee Bones. Movement of Patella Upward

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BASIC ULTRASOUND OF THE KNEE

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  1. BASIC ULTRASOUND OF THE KNEE By Mohamed Hassan Youssef MD Arthritis/Rehab&Pain Clinic Board certified of ABPM&R

  2. Knee Joint

  3. Knee Bones • Distal end of the Fumer • Proximal end of the Tibia • Head of the Fibula • Patella

  4. Knee Bones

  5. Knee Bones Movement of Patella Upward during Knee Flexion

  6. Knee Bones

  7. Common Knee Ligaments • Ant Cruciate Ligament • Post Cruciate Ligament • Medial Collateral Ligament • Lateral Collateral Ligament • Arcuate Ligament • Coronary Ligament

  8. Knee Ligaments

  9. Knee Ligaments

  10. Knee Ligaments

  11. Knee Ligaments

  12. Knee Ligaments

  13. Knee Menisci • Medial Meniscus • Lateral Meniscus

  14. Knee Menisci

  15. Knee Menisci

  16. Knee Menisci

  17. Knee Bursae Suprapatellar Prepatellar Infrapatellar PesAnserinus

  18. Knee Bursae Semimembraneusus Bursa

  19. Knee Bursae

  20. US probes commonly used in MSK • Linear • Curved Linear

  21. Linear probe

  22. Curved Linear probe

  23. Relation of the needle to the US Probe • Long Axis Needle can be seen as a metal line approaching The target. • Short Axis Needle appear as a metal bright point in the target.

  24. Long Axis

  25. Short Axis

  26. 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.

  27. US probe position in Knee injection

  28. US of Knee • Move the linear probe in midline of the thigh thigh 10 cm above upper edge of patella. • Move the probe downward till the lower edge of the probe touch the Upper edge of the patella to elaborate the Quadriceps Tendon

  29. Quadriceps Tendon

  30. Linear probe horizontal

  31. Suprapatellar Bursa

  32. Infrapatellar ligament

  33. Pes Anserine Bursa

  34. References • http://www.ultrasoundpaedia.com/normal-knee/ • Tom Clark Ultrasound course • Ultrasound guided Musculoskeletal Procedures

  35. Knee US( Lateral)

  36. Knee US (Medial)

  37. Popliteal Fossa

  38. US probe positioning during knee injection

  39. Injection of Suprapatellar Bursa

  40. Injection of the Knee

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