Learning objectives
The purpose of our educational exhibit is to:
1.
illustrate the normal anatomy and normal d-HRUS appearance of thigh and leg muscles;
2.
describe a systematic technique for d-HRUS evaluation of such structures;
3.
produce anatomical schemes with didactic purpose and show correlations with sonographic imaging.
Background
The thigh is best described in terms of compartmental anatomy,
and is composed of anterior,
posterior and medial (adductor) compartments; the leg is composed of 4 compartments: anterior,
superficial posterior,
deep posterior,
and lateral ones.
HRUS represents the first level imaging in muscles evaluation.
For each of the following compartments we will provide a dedicated HRUS image compared with a detailed anatomic scheme,
and a practical guide on “how we do” a HRUS scan:
THIGH:
Anterior compartment:
Iliotibial tract
Tensor muscle of fascia lata
Quadriceps...
Findings and procedure details
THIGH:
Anterior compartment :
The patient lies supine on the table with the lower limb in a neutral position.
Palpate the anterior superior iliac spine (ASIS),
which can be considered an important bony landmark,
and place the probe on it in an axial position.
Identify the typical “pseudo-thyroid” aspect with the hyperechoic cortical band between the two proximal insertions of sartorius muscle (medial) and tensor muscle of fascia lata (lateral).
Then,
move the transducer caudally to evaluate the muscle belly of tensor fasciae latae and...
Conclusion
D-HRUS allows a quick,
real-time evaluation of such structures and,
in particular,
a detailed visualization of their anatomy.
EFV technique is very important to obtain a panoramic view of compartmental anatomy of thigh and leg.
Personal information
S.
Perugin Bernardi,
Department of Radiology,
University of Genoa,
via L.B.
Alberti 4,16100,
Genoa.
A.
Corazza,
Department of Radiology,
University of Genoa,
via L.B.
Alberti 4,
16100,
Genoa.
G.
Ferrero,
Department of Radiology,
University of Genoa,
via L.B.
Alberti 4,
16100,Genoa.
D.
Orlandi,
Department of Radiology,
University of Genoa,
via L.B.
Alberti 4,
16100,Genoa.
R.
Sartoris,
Department of Radiology,
University of Genoa,
via L.B.
Alberti 4,
16100,Genoa.
E.
Silvestri,
Department of Radiology,
Ospedale Evangelico Internazionale,
CorsoSolferino 2,
16100,
Genoa.
References
A.
Megliola,
F.
Eutropi,
A.
Scorzelli,
D.
Gambacorta,
A.
De Marchi,
M.
De Filippo,
C.
Faletti,
F.S.
Ferrari.
Ultrasound and magnetic resonance imaging in sports-related muscle injuries.
Radiol med (2006) 111:836–845.
Schneider-Kolsky ME, Hoving JL,
Warren P,
et al. A comparison between clinical assessment and magnetic resonance imaging of acute hamstring injuries.
Am J Sports Med 2006;34:1008–15.
David A.
Connell
Michal E.
Schneider-Kolsky Jan Lucas Hoving Frank Malara
Rachelle Buchbinder George Koulouris
Frank Burke
Cheryl Bass.
Longitudinal Study Comparing Sonographic and MRI Assessments of Acute...
