Ultrasound Diagnosis and Guided Intervention of Musculoskeletal/Neuromuscular Pathology 2023

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 31 July 2024 | Viewed by 23558

Special Issue Editors


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Guest Editor
1. Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan
2. Community and Geriatric Research Center, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan
3. Department of Physical Medicine and Rehabilitation, College of Medicine, National Taiwan University, Taipei, Taiwan
Interests: muscuoloskeletal ultrasound; pain management research; meta-analysis
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Guest Editor
Physical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, 20157 Milan, Italy
Interests: musculoskeletal/neuromuscular ultrasonography; rehabilitation medicine; ultrasound image
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The use of clinical symptoms and physical findings for the diagnosis of musculoskeletal disorders is often unreliable. The advancement of ultrasound technology has enabled the delineation of the reciprocal anatomy of the regions, thereby enhancing identification of the underlying pathology. There are many advantages of using ultrasound to explore musculoskeletal pain, including the lack of radiation, real-time imaging, non-invasive evaluation of vascularity and allowance of dynamic studies. Recently, the development of elastography has improved the qualitative and quantitative evaluation of mechanical properties of tendons and muscles, providing better diagnostic accuracy and follow-up of musculoskeletal disorders. Furthermore, compared with magnetic resonance imaging, ultrasound is comparatively better for identifying origins of peripheral and axial musculoskeletal pain.

Once the cause of pain is correctly diagnosed, the intervention instrument can also be directed through ultrasound guidance, increasing the rate of treatment success. Several systematic reviews and meta-analyses have pointed out that ultrasound guidance leads to more effective treatment of musculoskeletal pain than landmark guidance. Since pain severely hampers quality of life and is treated as the fifth vital sign, the determination of how ultrasound can assist in the management of pain has emerged as one of the most important issues for pain physicians. Therefore, this Special Issue will provide a collection of narrative or systematic reviews, basic research and clinical studies which employ ultrasound to identify the origin and associations of musculoskeletal pain as well as to guide interventions. Since nerve entrapment is a common etiology of musculoskeletal pain, we also welcome articles investigating ultrasound-guided treatment for peripheral nerve entrapment syndrome.

Potential topics include, but are not limited to, the following:

  • Association of ultrasound diagnosed musculoskeletal painful disorders with pathologies obtained from other imaging modalities;
  • Accuracy of ultrasound imaging in the diagnosis of musculoskeletal pain compared with surgical and radiological findings;
  • Education/training of musculoskeletal ultrasound in the diagnosis of musculoskeletal painful syndrome;
  • Comparative effectiveness of ultrasound-guided treatments for musculoskeletal painful syndrome;
  • Use of ultrasound elastography for diagnosis and follow up of musculoskeletal pain.

Dr. Ke-Vin Chang
Dr. Vincenzo Ricci
Guest Editors

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Keywords

  • diagnosis
  • ultrasound
  • pain
  • muscle
  • tendon
  • nerve
  • rehabilitation

Published Papers (2 papers)

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Review

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30 pages, 16757 KiB  
Review
Ultrasound Imaging and Guidance for Distal Peripheral Nerve Pathologies at the Wrist/Hand
by Wei-Ting Wu, Ke-Vin Chang, Yu-Chun Hsu, Yuan-Yuan Tsai, Kamal Mezian, Vincenzo Ricci and Levent Özçakar
Diagnostics 2023, 13(11), 1928; https://doi.org/10.3390/diagnostics13111928 - 31 May 2023
Cited by 4 | Viewed by 16609
Abstract
Ultrasound has emerged as a highly valuable tool in imaging peripheral nerve lesions in the wrist region, particularly for common pathologies such as carpal tunnel and Guyon’s canal syndromes. Extensive research has demonstrated nerve swelling proximal to the entrapment site, an unclear border, [...] Read more.
Ultrasound has emerged as a highly valuable tool in imaging peripheral nerve lesions in the wrist region, particularly for common pathologies such as carpal tunnel and Guyon’s canal syndromes. Extensive research has demonstrated nerve swelling proximal to the entrapment site, an unclear border, and flattening as features of nerve entrapments. However, there is a dearth of information regarding small or terminal nerves in the wrist and hand. This article aims to bridge this knowledge gap by providing a comprehensive overview concerning scanning techniques, pathology, and guided-injection methods for those nerve entrapments. The median nerve (main trunk, palmar cutaneous branch, and recurrent motor branch), ulnar nerve (main trunk, superficial branch, deep branch, palmar ulnar cutaneous branch, and dorsal ulnar cutaneous branch), superficial radial nerve, posterior interosseous nerve, palmar common/proper digital nerves, and dorsal common/proper digital nerves are elaborated in this review. A series of ultrasound images are used to illustrate these techniques in detail. Finally, sonographic findings complement electrodiagnostic studies, providing better insight into understanding the whole clinical scenario, while ultrasound-guided interventions are safe and effective for treating relevant nerve pathologies. Full article
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Other

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26 pages, 53595 KiB  
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Infraspinatus Fascial Dysfunction as a Cause of Painful Anterior Shoulder Snapping: Its Visualization via Dynamic Ultrasound and Its Resolution via Diagnostic Ultrasound-Guided Injection
by King Hei Stanley Lam, Daniel Chiung Jui Su, Yung-Tsan Wu, Mario Fajardo Pérez, Kenneth Dean Reeves, Philip Peng and Bradley Fullerton
Diagnostics 2023, 13(15), 2601; https://doi.org/10.3390/diagnostics13152601 - 4 Aug 2023
Cited by 2 | Viewed by 6135
Abstract
This report presents the first case of painful anterior shoulder snapping due to a thickened, fibrotic bursa snapping between the subscapularis and the short head of the bicep during external and internal rotation of the humerus. A 46-year-old presented with a 10-month history [...] Read more.
This report presents the first case of painful anterior shoulder snapping due to a thickened, fibrotic bursa snapping between the subscapularis and the short head of the bicep during external and internal rotation of the humerus. A 46-year-old presented with a 10-month history of on-and-off anterolateral right shoulder pain and snapping. Direct treatment to the anterior suspected lesions partially and temporarily relieved the pain but did not reduce the snapping. Further musculoskeletal examination and dynamic ultrasound scanning showed dysfunction in the scapulothoracic movement and defects of the muscles that interact with the infraspinatus aponeurotic fascia. An ultrasound-guided diagnostic injection to the suspected lesions in the infraspinatus fascia and its muscles attachments improved the scapulothoracic movement, and the snapping and pain were eliminated immediately after the injection, which further shows that the defects in the infraspinatus fascia may be the root cause of the painful anterolateral snapping. The importance of the infraspinatus fascia and its related muscle in maintaining the harmony of the scapulothoracic movement and flexibility of the shoulder is considerable. Full article
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