The utility of the ultrasonographic evaluation of the shoulder joint for the orthopaedic specialist

The use of the ultrasound examination became a routine procedure in managing shoulder pathologies and in clinical diagnosis. Depending on the economic system of reimbursement and on the formation of the orthopaedic surgeons, ultrasound for shoulder conditions may be performed by the radiologist or by the orthopaedic specialist. The accuracy of the diagnosis is excellent in the recent studies since the introduction and use of high resolution transducers and equipment. The current paper describes the routine ultrasound examination of the shoulder performed by a qualified orthopaedic consultant. Emphasis is given to the diagnosis of “subtle” lesions that can be visualized within the “dynamic” exploration with the high density transducer in full motion of the shoulder. Knowledge of the shoulder anatomy and fine details are compulsory for practicing ultrasound examination on a regular basis. Technical details and fine schemes of work are demonstrated.