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sonographic imaging of musculoskeletal sports injuries
6 SIG2011 Melbourne REGISTRATION FORM
SATURDAY 13 AUGUST SONOGRAPHIC IMAGING OF MUSCULOSKELETAL SPORTS INJURIES
Registration with arrival tea and coffee 8.00am
SESSION ONE – LIVE SCANNING WORKSHOPS – 9.00-10.30AM – THE DIFFICULT OR UNUSUAL
1A What to look for in paediatric
sports injuries
1B Post-operative ankle
scanning
1C Brachial plexus upper limb
nerve tracking
1D Demystifying the post-
operative shoulder scanning
Speaker Julie Gregg Speaker Troy Morrison Speaker Lisa Briggs Speaker Cheryl Bass
Children present with unique patterns
of injury quite dissimilar to the adult.
Mechanisms that in the adult cause
ligament damage, for example, will result in
growth plate injuries or avulsion fractures
in the child. A discussion of common
locations of injury and sonographic
techniques for children will be proceeded
with live scanning.
This workshop will familiarise sonographers
with common surgical procedures for ankle
instability, nerve evaluation and expected
post traumatic ultrasound appearances/
findings. Common indications for scanning
include:
• neuropathy
• synovitis
• unresolved pain or pre-surgical symptom
recurrence
• questioning the integrity of surgical
repair
• altered mechanics
• suspected hardware complications
• wound complications.
This workshop is designed to demonstrate
the radial, median and ulna nerves as they
exit the lower cervical spine and form
the brachial plexus. From here we will
trace the three upper limb nerves as they
course down the humerus through the
elbow, forearm and terminate at the wrist,
hand and phalanx. Identifying the sensory
and motor bifurcations of the nerves will
be demonstrated and their innervation
described. Particular injury and clinical
testing with be discussed as well as the
importance of observation and history of
the patient.
Post-operative shoulder scanning is not
an uncommon request. The surgical repair
process to the rotator cuff or AC joint
will be discussed and expected normal
and abnormal sonographic features
illustrated. Live scanning to demonstrate
the appropriate scan technique and
sonographic features will assist in
demystifying this examination.
Morning tea 10.30–11.00am
SESSION TWO – PLENARY – 11.00AM-12.30PM – UPPER LIMB SPORTS INJURIES
11.00–11.30am Common upper limb sporting injuries – presented by a sports physician Dr Sandra Mejak
11.30am–12.00pm Assessment and treatment for the injured sporting shoulder – presented by a physiotherapist Jayce Gilbert
12.00–12.30pm Top ten upper limb sports injuries – presented by a sonographer Maguerite Leber
Lunch 12.30–1.30pm
SESSION THREE – LIVE SCANNING WORKSHOPS – 1.30-3.00PM – SPORTS INJURIES OF THE UPPER LIMB
3A Elite sports shoulder 3B Elbow scanning 3C Forearm and wrist 3D Sonography of the hand and
fingers
Speaker Lisa Briggs Speaker Marguerite Leber Speaker Nick Bourke Speaker Eddy Cattapan
This workshop is designed to demonstrate
structures within the shoulder you may
not routinely examine. Clinical assessment
of the shoulder will be discussed and
demonstrated so therefore is used to
assist you in your diagnosis of pathology.
These tests are targeted at particular
areas of the shoulder and rotator cuff. The
muscular function of the shoulder will also
be examined and explained. A thorough
explanation of shoulder anatomy will be
explored and we will touch on the bio-
mechanics of the shoulder girdle.
Sonography of the elbow should be
approached from all four compartments.
They are anterior, posterior, medial and
lateral. The Common extensor, common
flexor tendon origins , distal biceps tendon
insertions, triceps insertion are some of
the most common areas requested when
scanning the elbow. This workshop will
demonstrate techniques for imaging the
four compartments including audience
participation.
This session will work through the
knowledge base required for a detailed
sonography examination of the wrist and
distal forearm. The anatomy of the flexor
and extensor tendons, the passage of
nerves through the region, as well as the
ligaments of the wrist will be described in
detail along with common pathology and
mechanisms of injury.
With today’s modern equipment and high-
frequency probes it is possible to examine
the finer structures of the hand and fingers.
The hands and fingers are often damaged in
many of our contact sports. Only minimal
damage can upset the finely balanced
extension and flexion mechanisms of the
hand. Sonography can help in diagnosis of
hand and finger injuries and provide valuable
information to the hand surgeon. As with
any sonographic examination, a thorough
knowledge of the anatomy is required. The
anatomy will be reviewed. A demonstration
of the normal ultrasound anatomy will be
followed by examples of the more common
injuries which can occur. Participants will
then be able to have a ‘hands on’ go at
scanning the hand and fingers.
Afternoon tea 3.00–3.30pm
SESSION FOUR – PLENARY – 3.30–5.00PM – SPORTS INJURIES OF THE LOWER LIMB
3.30–4.00pm Common lower limb injuries treated by podiatrists Rebecca Morarty
4.00–4.30pm Lower limb tendinopathies – presented by a physiotherapist Peter Bond
4.30–5.00pm Lower limb: Acute versus chronic injuries in the elite athlete – presented by a sports physician Dr Andrew Garnham
Networking drinks in trade area 5.00–6.30pm