Feasibility of postural lung recruitment maneuver in children: a randomized, controlled study
AbstractBackgroundPulmonary atelectasis in anesthetized children is easily reverted by lung recruitment maneuvers. However, the high airways pressure reached during the maneuver could negatively affect hemodynamics. The aim of this study is to assess the effect and feasibility of a postural lung recruitment maneuver (P-RM); i.e., a new maneuver that opens up the atelectatic lung areas based on changing the child ’s body position under constant ventilation with moderated driving pressure (12 cmH2O) and of positive end-expiratory pressure (PEEP, 10  cmH2O). Forty ASA I –II children, aged 6 months t...
Source: Critical Ultrasound Journal - July 14, 2020 Category: Radiology Source Type: research

Offshore telementored ultrasound: a quality assessment study
ConclusionA novice US user can be guided by a remote expert through focused US protocols within an acceptable time frame and with good diagnostic quality using existing communication and network systems found onboard offshore oil rigs. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - July 2, 2020 Category: Radiology Source Type: research

Stab wound of the superficial femoral artery early diagnosed by point-of-care Doppler ultrasound
ConclusionsBased on its several advantages, DUS should be considered as the first-line diagnostic tool in the diagnostic workup of patients with soft signs of arterial injury. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - June 16, 2020 Category: Radiology Source Type: research

Point-of-care ultrasound for the detection of hydronephrosis in emergency department patients with suspected renal colic
ConclusionsPoCUS for hydronephrosis in suspected renal colic has moderate accuracy when performed by providers with varied experience for the binary outcome of presence or absence of hydronephrosis. Hydronephrosis on PoCUS is associated with increased rates of complications. PoCUS for hydronephrosis is limited in its utility as a stand-alone test, however this inexpensive, readily available test may be useful in conjunction with clinical course to determine which patients would benefit from formal imaging or urologic consultation.ClinicalTrials.gov Identifier NCT01323842 (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - June 8, 2020 Category: Radiology Source Type: research

Role of point-of-care ultrasound during the COVID-19 pandemic: our recommendations in the management of dialytic patients
AbstractCOVID-19 is a viral disease due to the infection of the novel Corona virus SARS-CoV-2, that has rapidly spread in many countries until the World Health Organization declared the pandemic from March 11, 2020. Elderly patients and those affected by hypertension, diabetes mellitus, and chronic pulmonary and cardiovascular conditions are more susceptible to present more severe forms of COVID-19. These conditions are often represented in dialytic renal end-stage patients. Moreover, dialysis patients are more vulnerable to infection due to suppression of the immune system. Growing evidences, although still supported by f...
Source: Critical Ultrasound Journal - June 3, 2020 Category: Radiology Source Type: research

Point-of-care ultrasound to complete physical exam and to reach the diagnosis in a young man with syncope
ConclusionsEmergency physicians should be familiar with the vague presentations of cardiac tumors to improve patient outcomes. It is beneficial to take advantage of bedside ultrasound for prompt diagnosis and subsequent treatment. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - May 25, 2020 Category: Radiology Source Type: research

Feasibility of renal resistive index measurements performed by an intermediate and novice sonographer in a volunteer population
ConclusionsRRI measurements by both an intermediate and novice sonographer in a volunteer population were reliable, accurate and precise after a brief course. RRI is easy to learn and feasible within the scope of point-of-care ultrasound. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - May 20, 2020 Category: Radiology Source Type: research

Combined ultrasound –CT approach to monitor acute exacerbation of interstitial lung disease
ConclusionsThis case suggests lung ultrasound may be a useful monitoring tool for the response to immunosuppressive therapy in acute severe rheumatic interstitial lung disease, where chest X-ray is poorly informative, and transportation is at high risk. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - May 15, 2020 Category: Radiology Source Type: research

Ultrasound measurement of optic nerve sheath diameter pre- and post-lumbar puncture
AbstractBackgroundTo test the hypothesis that optic nerve sheath diameter (ONSD) correlates with real-time changes in intracranial pressure, we performed ultrasound measurements of the ONSD in ambulatory patients undergoing elective lumbar puncture (LP). We conducted a prospective cohort study, including adult patients undergoing LP in a non-emergent setting. We measured ONSD perpendicular to the optic nerve at 3  mm behind the globe in both eyes in the traverse and sagittal planes, with the patient supine. The primary outcome was change in ONSD from pre-LP to post-LP. We calculated association of opening and closing ...
Source: Critical Ultrasound Journal - May 13, 2020 Category: Radiology Source Type: research

Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications
AbstractBackgroundThe use of thoracic ultrasound during thoracentesis reduces complications. The aim of this study was to determine the prevalence of complications for real-time ultrasound-guided thoracentesis performed by intensivists. As a secondary objective, the change in oxygenation before and after the procedure was evaluated.Patients and methodsAn observational prospective study was conducted. A total of 81 cases of real-time ultrasound-guided thoracentesis performed by intensivists in the intensive care unit (ICU) of M éderi Major University Hospital, Bogotá, Colombia, between August 2018 and August 2...
Source: Critical Ultrasound Journal - April 26, 2020 Category: Radiology Source Type: research

Sonographic exploration for fascial exploration (SEFE) in necrotizing fasciitis: a case report
ConclusionWe suggest an US protocol to help identify optimal areas for fascial exploration —sonographic exploration for fascial exploration (SEFE). (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - April 22, 2020 Category: Radiology Source Type: research

Ultrasound-guided insertion of intra-aortic balloon counterpulsation in intensive care: description of the technique
AbstractIntra-aortic balloon counterpulsation (IAoBC) is a mechanical circulatory support device that has been used for more than 50  years, mainly for cardiogenic shock. Although its effect on mortality is controversial, IAoBC is still used in a wide variety of pre- and postoperative clinical settings in cardiac surgery centers. IAoBC has a complication rate of approximately 30%, mostly associated with problems during insertion and malpositioning. Thus, an insertion technique based on the use of ultrasound at the patient’s bedside in the intensive care unit (ICU) is proposed. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - April 21, 2020 Category: Radiology Source Type: research

The effectiveness of a longitudinal ultrasound curriculum for general pediatricians working in a Puerto Rican emergency department: a pilot study
ConclusionsIn EDs with limited resources, a longitudinal PoCUS educational curriculum is effective in improving the knowledge and comfort of physicians with limited PoCUS experience. The effectiveness of scheduled, repeated courses to refresh and refocus participants was highlighted following the unexpected challenges encountered during the course, including multiple natural disasters. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - April 21, 2020 Category: Radiology Source Type: research

Rationale for using the velocity –time integral and the minute distance for assessing the stroke volume and cardiac output in point-of-care settings
ConclusionThe VTI and minute distance are simple, feasible and reproducible measurements to serially track the SV and CO and thus their high value in the hemodynamic monitoring of critically ill patients in point-of-care settings. In addition, the LVOT VTI is able to predict outcomes in selected populations. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - April 21, 2020 Category: Radiology Source Type: research

Sonographic signs and patterns of COVID-19 pneumonia
AbstractThe pandemic of COVID-19 is seriously challenging the medical organization in many parts of the world. This novel corona virus SARS-CoV-2 has a specific tropism for the low respiratory airways, but causes severe pneumonia in a low percentage of patients. However, the rapid spread of the infection during this pandemic is causing the need to hospitalize a high number of patients. Pneumonia in COVID-19 has peculiar features and can be studied by lung ultrasound in the early approach to suspected patients. The sonographic signs are non-specific when considered alone, but observation of some aspects of vertical artifact...
Source: Critical Ultrasound Journal - April 21, 2020 Category: Radiology Source Type: research

Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions
ConclusionsThis survey confirms the perceived importance of POCUS to practicing internists. To assist in closing faculty development gap, interventions should address training, supervision, quality assurance processes, availability of handheld devices, as well as dedicated time to perform POCUS during clinical care. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - April 19, 2020 Category: Radiology Source Type: research

Tablet vs. station-based laptop ultrasound devices increases internal medicine resident point-of-care ultrasound performance: a prospective cohort study
ConclusionsA combined program infrastructure of station-based laptop and “in-the-pocket” tablet ultrasound devices lowered common POCUS barriers of inadequate time and workflow disruption for IM residents and resulted in a meaningful increase of exams within a longitudinal residency-based training program where station-based laptop devices already existed. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - April 16, 2020 Category: Radiology Source Type: research

Quantifying systemic congestion with Point-Of-Care ultrasound: development of the venous excess ultrasound grading system
ConclusionsThe combination of multiple POCUS markers may identify clinically significant venous congestion. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - April 9, 2020 Category: Radiology Source Type: research

A case of intrathyroid parathyroid tumor that was difficult to diagnose by ultrasonography
ConclusionWe experienced an IPA presenting an US image that was atypical and has previously not been reported. IPA has no established US image to confirm the diagnosis and even with the use of other imaging techniques, a definitive diagnosis often cannot be established. Thus, our recommendation based on the current situation is that operation with intraoperative diagnosis using frozen section should be conducted if hypercalcemia and high I-PTH are observed and when localization sites in MIBI and US coincide. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - April 3, 2020 Category: Radiology Source Type: research

Unanticipated critical findings on echocardiography in septic patients
ConclusionsUnanticipated critical findings on echocardiograms in septic ICU patients are uncommon. The potential therapeutic relevance of echocardiography to sepsis is more likely related to hemodynamic management than to traditional cardiac diagnoses. Research studies that employ blinded echocardiograms in septic patients may anticipate unblinding for critical findings approximately 1 in every 20 echocardiograms. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - April 2, 2020 Category: Radiology Source Type: research

Point-of-care ultrasound in resource-limited settings: the PURLS fellowship
ConclusionOur curriculum design is one approach to create context-specific POCUS education for use in RLS, thereby improving patient care. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - March 20, 2020 Category: Radiology Source Type: research

Mechanical ventilation weaning issues can be counted on the fingers of just one hand: part 1
AbstractAlthough mechanical ventilation may be a patient ’s vital ally during acute illness, it can quickly transform into an enemy during chronic conditions. The weaning process is the fundamental phase that enables the resumption of physiological respiratory function; however, it is also associated with a number of life-threatening complications, and a large percentage of critically ill patients never achieve airway device removal or require the resumption of mechanical ventilation just a few days post-weaning. Indeed, the weaning process is, at present, more of an art than a science. As such, there is urgent need ...
Source: Critical Ultrasound Journal - March 13, 2020 Category: Radiology Source Type: research

Mechanical ventilation weaning issues can be counted on the fingers of just one hand: part 2
AbstractAssessing heart and diaphragm function constitutes only one of the steps to consider along the weaning path. In this second part of the review, we will deal with the more systematic evaluation of the pulmonary parenchyma —often implicated in the genesis of respiratory failure. We will also consider the other possible causes of weaning failure that lie beyond the cardio-pulmonary-diaphragmatic system. Finally, we will take a moment to consider the remaining unsolved problems arising from mechanical ventilation and describe the so-called protective approach to parenchyma and diaphragm ventilation. (Source: Crit...
Source: Critical Ultrasound Journal - March 13, 2020 Category: Radiology Source Type: research

Thoracic ultrasound evaluation and B-type natriuretic peptide value in elective cesarean section under spinal anesthesia
ConclusionsThoracic ultrasound is a non-invasive and easy-to-use tool for detecting fluid intolerance in pregnant women undergoing cesarean section. BNP levels were slow to rise following the cesarean section and did not show any clear correlation with fluid volumes administered. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - March 6, 2020 Category: Radiology Source Type: research

Billing I-AIM: a novel framework for ultrasound billing
ConclusionsPOCUS billing using the Billing I-AIM technique allows administrative oversight, quality assurance, and educational functions as well. A discussion of the framework and respective application is provided. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - February 28, 2020 Category: Radiology Source Type: research

Relationship of spontaneous microembolic signals to risk stratification, recurrence, severity, and mortality of ischemic stroke: a prospective study
AbstractIntroductionThe presence of microembolic signals (MES) during the acute phase of stroke is poorly understood, and its role and clinical application in relation to risk stratification and prognosis in patients remain uncertain. We assessed the prevalence of spontaneous MES in acute stroke and their relationship with risk stratification, stroke recurrence, morbidity, and mortality.Patients and methodsThis was a prospective cohort study conducted in the Stroke Unit. The MES presence was evaluated by transcranial Doppler (TCD) in patients with ischemic stroke within 48  h. The outcomes (risk stratification, morbid...
Source: Critical Ultrasound Journal - February 11, 2020 Category: Radiology Source Type: research

Cardiac point-of-care ultrasound reveals unexpected, life-threatening findings in two children
ConclusionsThough underutilized, cardiac POCUS in children can be immediately life-saving and drastically change the clinical management at the patient ’s bedside. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - February 4, 2020 Category: Radiology Source Type: research

Evaluation of short training session for venous limited compression ultrasonography: prospective multicenter study
ConclusionThe principal objective, NPV 96% [95% CI 89 –99%], was achieved. However, this short training session was inadequate to allow ruling-out a DVT with sufficient security. Thus, the experiential phase seems to be essential. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - February 3, 2020 Category: Radiology Source Type: research

The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections
ConclusionsThis case shows the utility of bedside ultrasound for the decision-making process in a disease where an early diagnosis is important. This information should always be used together with the clinical judgement, as it has a relative low sensitivity. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - January 23, 2020 Category: Radiology Source Type: research

How POCUS picks up a rare mimickers of acute appendicitis in the emergency department
ConclusionThe importance of POCUS in scanning right iliac fossa for patients present with signs and symptoms that are mimicking acute appendicitis for diagnosing a rare pathology and avoiding the risk of ionizing radiation hazards and unnecessary surgical intervention. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - January 15, 2020 Category: Radiology Source Type: research

Feasibility of cardiac output measurements in critically ill patients by medical students
ConclusionsMedical students seem capable of obtaining sufficient quality CCUS images for CO measurement in the majority of critically ill patients. Measurements of CO by medical students, however, had poor agreement with expert measurements. Experts remain indispensable for reliable CO measurements.Trial registration Clinicaltrials.gov;http://www.clinicaltrials.gov; registration number NCT02912624 (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - January 8, 2020 Category: Radiology Source Type: research

Bedside ultrasound in cardiac standstill: a clinical review
This article reviews the current literature on cardiac standstill and the application of bedside ultrasound in cardiac arrests. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - December 30, 2019 Category: Radiology Source Type: research

Cardiac ultrasound in resource-limited settings (CURLS): towards a wider use of basic echo applications in Africa
ConclusionsThe “Cardiac ultrasound for resource-limited settings (CURLS)” protocol is a context-specific algorithm designed to aid the clinician in diagnosing the five most clinically relevant etiologies of heart failure and cardiomegaly in SSA. The protocol has the potential to influence treatment decisions i n patients who present with clinical signs of heart failure in resource-limited settings outside of the traditional referral institutions. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - December 27, 2019 Category: Radiology Source Type: research

Factors affecting perception of the normal pediatric appendix on sonography
AbstractBackgroundTo determine if an inherent perception skill along with sonographer experience, knowledge base, scanning time play a role in the identification of the normal appendix in the pediatric population. This is a retrospective review of pediatric (
Source: Critical Ultrasound Journal - December 21, 2019 Category: Radiology Source Type: research

Sonographic features of carotid artery dissection due to extension of aortic dissection: a case report
ConclusionsBedside carotid ultrasound enables rapid, sensitive and safe hemodynamic assessment, especially in critically ill patients. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - December 2, 2019 Category: Radiology Source Type: research

Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations
ConclusionOur review shows that generalists can, given a certain level of pre-test probability, safely use PoCUS in a wide range of clinical settings to aid diagnosis and better the care of their patients. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - November 19, 2019 Category: Radiology Source Type: research

Hepatic and portal vein Dopplers in the clinical management of patients with right-sided heart failure: two case reports
ConclusionHepatic and portal vein Doppler ultrasounds are venous hypertension assessment tools that can be readily used at the bedside by clinicians trained in POCUS that may contribute holistically to the hemodynamic profiling for patients with right heart failure and direct therapeutic interventions. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - November 12, 2019 Category: Radiology Source Type: research

Diagnostic value of transcranial ultrasonography for selecting subjects with large vessel occlusion: a systematic review
ConclusionsTranscranial ultrasonography might potentially be used for the selection of subjects with acute LVO, to help streamline patient care and allow direct transfer to specialised endovascular centres. It can also assist in detecting haemorrhagic lesions in some cases, however, its applicability here is largely restricted. Additional research should optimize the scanning technique. Further work is required to demonstrate whether this diagnostic approach, possibly combined with clinical assessment, could be used at the pre-hospital stage to justify direct transfer to a regional thrombectomy centre in suitable cases. (S...
Source: Critical Ultrasound Journal - October 22, 2019 Category: Radiology Source Type: research

The development of a provincial multidisciplinary framework of consensus-based standards for Point of Care Ultrasound at the University of Saskatchewan
ConclusionThe resulting framework will inform the utilization of POCUS within Saskatchewan. Both this process and its outcomes could inform the development of multidisciplinary POCUS standards within other jurisdictions. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 17, 2019 Category: Radiology Source Type: research

Ultrasound-guided peripheral venous cannulation in critically ill patients: a practical guideline
ConclusionKey concepts regarding ultrasound-guided peripheral vein cannulation should be well known for practitioners, aiding in improving cannulation success and catheter dwell time, and avoiding complications. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 17, 2019 Category: Radiology Source Type: research

The use of an external ultrasound fixator (Probefix) on intensive care patients: a feasibility study
ConclusionsIn this small feasibility study, the Probefix could be used in eight out of ten intensive care patients. The use of Probefix did not result in more or less accurate CO measurements compared to manually recorded TTE CO measurements. We suggest that larger studies on the use of Probefix in intensive care patients are needed. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 11, 2019 Category: Radiology Source Type: research

Renal resistive index: a new reversible tool for the early diagnosis and evaluation of organ perfusion in critically ill patients: a case report
ConclusionsRRI modification appears to be more precocious than any other hemodynamic, microcirculatory and metabolic parameter routinely used. RRI has been widely used to assess renal function in critically ill patients; now, we presume that RRI could represent a common and useful tool to manage target therapy in critical condition. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 10, 2019 Category: Radiology Source Type: research

Comparisons of two diaphragm ultrasound-teaching programs: a multicenter randomized controlled educational study
This study aims to ascertain whether (1) an educational program is sufficient to achieve adequate Diaphragm Ultrasound (DUS) assessments on healthy volunteers and (2) combining a video tutorial with a practical session is more effective in making learners capable to obtain accurate DUS measurements, as opposed to sole video tutorial.ResultsWe enrolledstep 1: 172 volunteers na ïve to ultrasound. After watching a video tutorial, a questionnaire was administered and considered to be passed when at least 70% of the questions were correctly answered. Course participants who passed the theoretical test were randomized to ei...
Source: Critical Ultrasound Journal - October 3, 2019 Category: Radiology Source Type: research

Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy
ConclusionsThis case shows the use of bedside ultrasound to diagnose a subcapsular renal hematoma as a complication of extracorporeal shock wave lithotripsy. However, the sensitivity is low and other image methods can be necessary to make the diagnosis. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 30, 2019 Category: Radiology Source Type: research

Impact of an ultrasound-driven diagnostic protocol at early intensive-care stay: a randomized-controlled trial
ConclusionsSystematic application of POCUS may decrease utilization of conventional diagnostic imaging resources and time of mechanical ventilation, and facilitate meticulous intravenous fluid administration in critically ill patients during the first week of stay in the ICU.Trial registration ClinicalTrials.gov Identifier: NCT03608202. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 30, 2019 Category: Radiology Source Type: research

ACUTE ABDOMEN systemic sonographic approach to acute abdomen in emergency department: a case series
ConclusionACUTE ABDOMEN sonographic approach in acute abdomen can play an important role in ruling out critical diagnosis, and can guide emergency physician or any critical care physician in patient management. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 23, 2019 Category: Radiology Source Type: research

Routine lung ultrasound to detect postoperative pulmonary complications following major abdominal surgery: a prospective observational feasibility study
ConclusionsThis study shows that LUS is highly feasible and frequently detects postoperative pulmonary complications after major abdominal surgery. Discordant observations in atelectasis and pleural effusions for LUS and CXR can be explained by a superior diagnostic ability of LUS in detecting these conditions. The effects of LUS as primary imaging modality on patient outcome should be evaluated in future studies. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 16, 2019 Category: Radiology Source Type: research

Subcostal TAPSE: a retrospective analysis of a novel right ventricle function assessment method from the subcostal position in patients with sepsis
AbstractBackgroundTricuspid annular plane systolic excursion (TAPSE) is frequently used as an objective measure of right-ventricular dysfunction. Abnormal TAPSE values are associated with poor prognosis in a number of disease states; however, the measure is not always easy to obtain in the critically ill. The purpose of this study is to assess the feasibility and accuracy of using a subcostal view and TAPSE measurement as a measure of right-ventricular dysfunction. A secondary aim was to perform a pilot study to assess whether right-ventricular dysfunction was associated with adverse outcomes including mortality.ResultsSub...
Source: Critical Ultrasound Journal - August 27, 2019 Category: Radiology Source Type: research

Impact of ultrasound on management for dyspnea presentations in a Rwandan emergency department
AbstractBackgroundThe complexity of diagnosis for critically ill dyspnea presentations in the emergency department remains a challenge. Accurate and rapid recognition of associated life-threatening conditions is paramount for timely treatment. Point-of-care ultrasound (POCUS) has been shown to impact the diagnosis of dyspnea presentations in resource-rich settings, and may be of greater diagnostic benefit in resource-limited settings.MethodsWe prospectively enrolled a convenience sample of 100 patients presenting with dyspnea in the Emergency Department at University Teaching Hospital of Kigali (UTH-K) in Rwanda. After a t...
Source: Critical Ultrasound Journal - August 20, 2019 Category: Radiology Source Type: research

A rare ultrasound case report: intramuscular tear of the sartorius muscle
We report a case of a 65-year-old male patient who presented with localized swelling and lump in the proximal third of the upper thigh. Most common upper thigh injuries involve the quadriceps muscle group associated with football injuries; however, in rare incidents certain forceful intrinsic injuries can cause intramuscular tear of the sartorius muscle. This is a rare case of spontaneous muscle rupture in an elderly patient with no history of recent sporting activity. Ultrasound provides a cost-effective, dynamic evaluation of the anterior upper thigh muscles to differentiate between chronic and acute phases of injury. (S...
Source: Critical Ultrasound Journal - July 26, 2019 Category: Radiology Source Type: research