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Musculoskeletal Ultrasound

Please obtain a requisition from your doctor for an ultrasound, and bring the form with you to your appointment at Midland-Ellesmere X-Ray and Ultrasound.

Shoulder and Acromioclavicular (AC) Joint

Shoulder injuries (traumatic or atraumatic) are very common and are not restricted to any particular age group. Shoulder injuries are typically accompanied by pain (from mild to severe and often worse while resting), weakness, and limited range of motion. Acute or chronic pain is often caused by a tear of the rotator cuff and/or biceps tendons.

Your doctor may request an ultrasound image of the shoulder(s) because it gives us (quickly) a clear, precise (as accurate as MRI), dynamic assessment of the soft tissues around the shoulder (to detect and identify impingement and pathology, especially of the rotator cuff).

 

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Elbow

Elbow injuries (traumatic or atraumatic) are very common and are often not restricted to any particular age group. Elbow injuries are typically accompanied by pain (from mild to severe, at or near the affected elbow). Your doctor may request an ultrasound image of the elbow(s) for any of several reasons:

  • repetitive injuries, for example, lateral epicondylitis (tennis elbow) and medial epicondylitis (golfer's elbow)
  • olecranon bursitis (baker's elbow or student's elbow)

 

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Hand/Wrist (in Carpal Tunnel)

Electronic devices are expanding the age group and broadening the occurrence of wrist pain (often caused by repetitive movements in the carpal tunnel). A typical example is De Quervain's tenosynovitis caused by "texting" on smart phones and other portable communication devices (iPad, tablet, Blackberry, iPhone, etc.).

Your doctor may request an ultrasound image of the hand(s) or wrist for any of several reasons:

  • De Quervains' tenosynovitis
  • tendon injuries
  • inflammation
  • masses (for example, ganglion cysts caused by trauma)
  • arthritis and its accompanying chronic pain
  • ligament tears, caused by server trauma (either blunt or penetrating trauma)

We use ultrasound imaging for hands and wrists because it gives us (quickly) a clear, precise (highly accurate), dynamic assessment of the soft tissues around the knee (to detect and identify pathology).

 

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Hip/Groin (Adult) and Abdominal Wall

Your doctor may request an ultrasound of the hip or groin to investigate lump(s), mass(es), or hernia. Pain in the hip can be caused by a repetitive injury, for example, trochanteric bursitis.

 

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Hamstring and Calf Complex

Pain in the hamstrings can be an indication of injury to hamstring muscle(s). You may experience sudden pain at the back of the leg during exercise; pain on stretching the hamstring, for example, while bending forward and straightening the knee. Other indications include swelling and bruising.

Your doctor may request an ultrasound image of the hamstring and calf complex for any of several reasons:

  • to identify/examine strained or pulled hamstring muscle(s)
  • to identify/examine pathology in other muscles and/or soft tissue within the calf complex.

 

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Knee

Your doctor may request an ultrasound image of the knee(s) for any of several reasons:

  • a mass, like a Baker's cyst
  • injury caused by repetitive movement (arthritis or tendonitis, for example)
  • tendon or muscle tears caused by sports injuries
  • ligament tears (most often the result of a severe fall: skiing, skating, soccer)
  • chronic pain from arthritis
  • swelling caused by fluid accumulation (from trauma, infection, arthritis). A meniscal tear can also cause swelling.

We use ultrasound imaging for knees because it gives us (quickly) a clear, precise (highly accurate), dynamic assessment of the soft tissues around the knee (to detect and identify pathology).

Every member of our ultrasound team is trained and supported by our medical director, Dr. Sanjoy Kundu who has been involved worldwide for 10 years in ultrasound training protocols.

 

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Ankle

Common in adults, ankle pain can be an indication of a problem caused by

  • acute or sports injury
  • arthritis (typically chronic pain)
  • tears to tendons, muscles, or ligaments
  • masses (for example, ganglion cysts)
  • bone fracture(s).

Your doctor may request an ultrasound image of the ankle(s) for any of several reasons:

  • to locate and identify tears to ligaments (often caused by acute injury)
  • to locate and identify tears to tendons or muscles (usually caused by sports injury)
  • to identify and/or examine masses (for example, ganglion cysts caused by trauma)
  • to examine arthritis
  • to confirm and/or examine bone fracture(s) (often caused by acute injury)
  • to identify and/or examine a tear to the Achilles' tendon.

We use ultrasound imaging for ankles because it gives us (quickly) a clear, precise (highly accurate), dynamic assessment of the soft tissues around the ankle (to detect and identify pathology). For example, ultrasound imaging clearly reveals a tear of the Achilles' tendon.

 

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Foot

Your doctor may request an ultrasound image of the foot for any of several reasons:

  • to examine plantar fascia
  • to identify and/or examine Morton's neuroma.

 

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Lumps and Bumps

Your doctor may request an ultrasound image of any of many parts of the body to examine assorted "lumps and bumps".

Authorization and Payment

We offer all of our services by appointment. Please bring with you a requisition signed by a physician licensed to practice in the province of Ontario. Without a valid requisition, you are required to pay for your test (or to reschedule for a later date).

Physicians Reference

Shoulder and Acromioclavicular (AC) Joint

ACJ, Biceps tendon, subscapularis tendon, supraspinatus tendon, infraspinatus tendon, posterior labrum.

Elbow

Biceps tendon, joint effusion, CET (common extensor tendon), CFT (common flexor tendon), ulnar nerve, triceps tendon.

Hand/Wrist (in Carpal Tunnel)œ

Dorsum: 6 compartments (tendons)
Volar aspect: tendons and median nerve

Hip/Groin (Adult) and Abdominal Wall

Anterior joint effus.
Iliopsoas tendon/bursa
Lateral: maximus gluteus insertion

Hamstring and Calf Complex

Knee

QT. SPB. PT. Medial/lateral meniscus
MCL. LCL. Popliteal fossa. PCL.

Ankle

Anterior: att. EHL. EDL
Median: PBL. PLL. TTJ.
Lateral: PTT. FBL. FHL. FTJ
Posterior: Achilles tendon

 

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