肩部超声检查ppt课件

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1、肩部超声检查ObjectivesDiscussthenormalultrasoundappearanceoftheshoulderandtheindividualstructuresDescribetheAIUMstandardshoulderexamDiscusstheusesofdynamicimagingShoulderTheStandardExaminationSonographyofShoulderComplexstructurecontainingMusclesTendonsBursaBoneLabrumFixedandDy

2、namicevaluationsSonographyofShoulderPhysicianPracticeGuidelineisestablishedbyAIUM&ACRfortheShoulderU/SBicepstendonSubscapularistendonSupraspinatustendonInfraspinatustendonTeresminorDynamicevaluation肱二头肌肌腱评估肩胛下肌评估冈上肌评估crassposition冈上肌各向异性动态评估肩锁关节BicepsTendon-ShortAxisTran

3、sverseAcuteTendinopathyChronicTendinopathyBicepsTendon-LongAxisLongAxisNormalLongAxisNormalBicepsLABicepsTendon-LongAxisLongAxisChronicTendinopathyAcuteTendinopathyFluidintendonsheathLongHeadofBicepsTendonNormalinternal/externalmotionNormallongaxisappearanceIstheresublux

4、ationoftheLongHeadofBicepsTendon?SubscapularisTendonInstructpatienttoplacetheirarminfullEXTERNALrotationSagittalview(Shortaxis)ShortAxisSubscapShortAxisviewofSubscapSubscapularisTendonInstructpatienttoplacetheirarminfullEXTERNALrotationTransverseview(Longaxis)LongAxisSub

5、scapLongAxisviewofSubscapSubscapularisTendonInstructpatienttoplacetheirarminfullEXTERNALrotationTransverseview(Longaxis)Sagittalview(Shortaxis)LongAxisSubscapShortAxisviewofSubscapSupraspinatusTendonInstructpatienttoplacetheirarminINTERNALrotationPlacehandinbackpocket(Lo

6、ngaxis)45degreesCoronal/SagittalSSTWNLSSTNormalLongAxisviewSupraspinatusTendonInstructpatienttoplacetheirarminINTERNALrotationPlacehandinbackpocket(Shortaxis)90degreesRotationoflongaxisSSTShortAxisWNLSST,internalshoulderrotationSAviewSupraspinatusTendonInstructpatienttop

7、lacetheirarminINTERNALrotationPlacehandinbackpocket(Longaxis)45degreesCoronal/Sagittal(Shortaxis)90degreesRotationoflongaxisSSTWNLSSTwithTendinopathySupraspinatusTendon-LongAxisSubacromialBursaSupraspinatous,birdsbeakview(insertion)GTSupraspinatusTendon-ShortAxisWNLSABDy

8、namicMotionGoodHumeralHeadDepressionRottenHumeralHeadDepressionPoorPosture,WeakScapulaStabilityInfraspi