musculoskeletal ultrasound

Written by: Dr. Javier Garcia Miguel
Edited by: Top Doctors®

The high-resolution musculoskeletal ultrasound is an imaging technique that through the emission of ultrasound allows the rheumatologist see what's going into a joint in real time.


You might consider the musculoskeletal ultrasound, therefore, as an extension of the physical examination of the patient everything rheumatologist should master and use in their daily practice.

The procedure basically consists in applying ultrasound conductive gel skin or joint area to study and below, with a gentle sweep scout probe, the area is displayed on the screen in question by examining their anatomical structure and allowing issue a diagnosis.

In mechanical pathologies such as OA or tendon degeneration, to assess the degree of wear of the cartilage, the presence of synovial effusion and even the existence of tendon ruptures, for instance. In inflammatory pathologies such as rheumatoid arthritis or spondyloarthropathies, allows early diagnosis by visualization of the synovial membrane and the presence of inflammatory tissue in the same, which measures the degree of affectation of the joint and then their response to treatment. It is also useful for diagnosing muscle or tendon sports injuries.


Benefits and risks of musculoskeletal ultrasound

The musculoskeletal ultrasound differs from other types of ultrasound basically two aspects that make a difference and credited as a technique with more advantages. First, by the uptake of signal power-doppler (which translates the degree of vascularization ) rheumatologist can evaluate the degree of inflammation of the synovial membrane in an existing joint arthritis. And secondly, allows us to guide intra diagnostic punctures and/or therapeutic by visualization of the needle on screen, as well as steroid injections or hyaluronic acid.

As for the risks, it should be assumed that the musculoskeletal ultrasound is a safe, painless and does not radiate to the patient, being Ultrasonic technique.

*Translated with Google translator. We apologize for any imperfection

By Dr. Javier Garcia Miguel

Dr. Javier García Miguel is a specialist in Rheumatology with more than 15 years of experience. His academic career is outstanding, being a Researcher Fellow at the prestigious University Hospital of Pennsylvania (Philadelphia, USA) and having a Doctorate in Internal Medicine with a 'Cum Laude' qualification from the Autonomous University of Barcelona. He is an expert in the diagnosis and treatment of rheumatoid and psoriatic arthritis, ankylosing spondylitis, connective tissue, gout and osteoporosis. He also has advanced knowledge of musculoskeletal ultrasound and the specialist certification in Clinical Densitometry of the International Society for Clinical Densitometry. He is currently a rheumatologist at the Hospital Universitari Sagrat Cor in Barcelona.

*Translated with Google translator. We apologize for any imperfection

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