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Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd, DUF. 2015

Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

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Page 1: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

MuskuloskeletalUltralydsscanning

Modul 2: Skulder

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 2: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Skulderen

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 3: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Landmarks

• Acromion

• Humerus

• Processuscoracoideus

• Tuberculum major

• Tuberculum minor

• Sulcus bicipitalis

• AC-leddet

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 4: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

AC-leddet

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 5: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

AC-leddet

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 6: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Biceps caput longum

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 7: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Biceps transverselt

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 8: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Biceps longitudinelt

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 9: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Biceps mere distalt

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 10: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Gå i grupper og scan

• M. biceps, transverselt

• M. biceps, longitudinelt

• Dualscanning af biceps

• AC-leddet

15 min. pr. mand

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 11: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Subscapularis

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 12: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Subscapularis longitudinelt

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 13: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Subscapularis transverselt

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 14: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Supraspinatus

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 15: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

SupraspinatusHvilket plan?

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 16: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Supraspinatus

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 17: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Supraspinatus longitudinelt

Helle Kvistgaard Østergaard Basisuddannelsen i ultralyd, DUF. 2014

Page 18: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Supraspinatus

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 19: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Transverselt

Helle Kvistgaard Østergaard Basisuddannelsen i ultralyd, DUF. 2014

Page 20: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Det er vigtigt at have styr på scanningsplaner for at finde patologien!!!!!

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 21: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Bursa subacromiale

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 22: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Infraspinatus

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 23: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Infraspinatus longitudinelt

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 24: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 25: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Infraspinatus transverselt

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 26: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Dynamisk undersøgelseObs: på at det peribursale fedtvæv ikke skal glide med. Se på væsken..

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 27: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Dynamisk undersøgelseObs: det peribursale fedtvæv skal ikke skal glide med. Se på væsken..

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 28: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Målinger

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 29: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Og scan nu

• M. supraspinatus

• M. subscapularis

• M. Infraspinatus

• Gennemscanning af cuffen

• Cuff-højden

• Dualscanning af cuffen

• Bursa subacromiale

20 min. pr. mand

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015

Page 30: Muskuloskeletal Ultralydsscanningultralydsscanning.com/wp-content/uploads/2015/06/...Muskuloskeletal Ultralydsscanning Modul 2: Skulder Mads Hyldgaard Basisuddannelsen i ultralyd,

Systematik er vigtig…….13-point-shoulder-ultrasound-exam-

Mads HyldgaardBasisuddannelsen i ultralyd, DUF. 2015