Basic important points on the muscloskeletal ultrasound of the knee

1. Muscloskeletal Ultrasound of
the Knee (Basic Level)
Samar Tharwat
Lecturer of Internal Medicine
(Rheumatology & Immunology)
Mansoura University

2. Place your screenshot here
2
Knee JointShow
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3. 3
The Menisci

4. Joint Recess & Bursae

5. Joint Ligaments

6. General Comments
• The patient supine, prone for posterior
structures
• At least 10 MHz.. Posterior :< 10 MHz

7. Anterior Compartment : Quadriceps Tendon

8. Probe Position To Evaluate The Quadriceps Tendon On A Longitudinal Scan

9. Position Of The Probe For Evaluation Of Quadriceps Tendon Along The Short Axis

10. Anterior Compartment : Suprapatellar Recess

11. Anterior Compartment : Femoral Trochlea

12. Anterior Compartment : Patellar Retinacula

13. Anterior Compartment : Patellar Retinacula

14. Anterior Compartment : Patellar Tendon

15. Anterior Compartment : Patellar Tendon
Longitudinal Scan

16. Anterior Compartment : Patellar Tendon
Transverse Scan

17. MEDIAL COMPARTMENT

18. Medial Collateral Ligament

19. Probe Position To EvaluateThe Medial Collateral Ligament

20. Pes Anserinus Tendons & Bursa
1. Sartorius
2. Gracilis
3. Semimembranosus
4. Semitendinosus

21. Probe Position To Evaluate The Pes Anserinus Tendons

22. LATERAL COMPARTMENT

23. Iliotibial Tract

24. Probe Position To Evaluate The Iliotibial Tract On Its Long Axis

25. Lateral Collateral Ligament

26. Probe Position To Evaluate The Lateral Collateral Ligament On The Long Axis

27. POSTERIOR COMPARTMENT

28. Semimembranosus Bursa

29. Popliteal Neurovascular Bundle

30. Probe Position To Evaluate The Popliteal Neurovascular Bundle On Its Longitudinal Axis

31. MSUS of the Knee (Basic Level)
QT:Longitudinal QT: Short Axis Suprapatellar Recess
Femoral Trochlear
Cartilage
Lateral & Medial
Retinacula
Patellar tendon: Long Axis
Patellar tendon: Short
Axis
Medial Collateral
Ligament
Pes Anserinus Tendons Iliotibial Tract
Lateral collateral ligament Semimembranosus Bursa

32. JOINT ABNORMALITIES
Joint Effusion
Intra-articular
hemorrhage

33. Synovial Hypertrophy

34. Cartilage Abnormalities
Hyperechoic Calcification Gout
Osteoarthritis Osteophytes

35. Meniscal abnormalities
Meniscal Tear Meniscal Degeneration
Parameniscal Cyst Meniscal Extrusion

36. TENDON AND MUSCLE ABNORMALITIES
Quadriceps Tendinosis Patellar Tendon Tendinosis
Iliotibial Band Friction
Syndrome

37. BURSAE AND CYSTS
Baker Cyst Baker Cyst Synovitis Pes Anserinus Bursa
Prepatellar Bursa
Superficial Infrapatellar
Bursa
Deep Infrapatellar Bursa