Musculoskeletal ultrasound protocols

Shoulder Examination

• Long head biceps

• Subscapularis

• Supraspinatus

• Infraspinatus

• Teres Minor

• Pectoralis Major Tendon

• Coracoacromial Ligament

• Posterior Glenohumeral Joint/Labrum Assessment

• Subdeltoid/Subacromial Bursae

• Acromioclavicular Joint

Dynamic Assessment, internal rotation for anterior impingement, external rotation for adhesive capsulitis, and abduction for subdeltoid bursal impingement and trapezius muscle activation.

Elbow Examination

• Common Extensor Origin & Radial Collateral Ligament

• Triceps

• Common Flexor Origin & Medial Collateral Ligament

• Biceps Brachii

• Anterior and Posterior Elbow Joint

• Deep Radial (Posterior Interosseous) Nerve

• Median Nerve

• Ulnar Nerve

Wrist Examination

6 Extensor Compartment Tendons

• 1st Compartment – Abductor Pollicis Longus & Extensor Pollicis Brevis

• 2nd Compartment – Extensor Carpi Radialis Longus & Brevis

• 3rd Compartment – Extensor Pollicis Longus

• 4th Compartment – Extensor Digitorum & Extensor Indicis

• 5th Compartment – Extensor Digitorum Minimi

• 6th Compartment – Extensor Carpi Ulnaris

Scapholunate Ligament
Dorsal Intercarpal Ligament

Flexor Tendons

• Flexor Carpi Radialis

• Flexor Pollicis Longus

• Flexor Digitorum Superficialis & Profundus

• Flexor Capri Ulnaris

Distal Radioulnar Joint
Proximal & Distal Wrist 
Triangular Fibrocartilage Complex – incompletely seen
1st Carpometacarpal Phalangeal Joint

Hand & finger examinations are based on clinical indications.

Hip Examination

Anterior Hip
Hip Joint – anterior recess and anterior acetabular labrum
Iliopsoas
Rectus Femoris
Adductor Muscles: Pectineus, Adductor Longus, Adductor Brevis,
Adductor Magnus, & Gracilis
Sartorius

Lateral Hip
Tensor Fasciae Latae
Gluteus Minimis, Medius & Magnus, Greater Trochanter, Iliotibial Band

Posterior Hip
Hamstrings – Semitendinosus, Semimembranosus & Biceps Femoris
Sacrotuberous Ligament
Sciatic Nerve

Dynamic Assessment
Internal & External Rotation – lateral hip trochanteric bursa
Abduction – lateral hip gluteus minimis & medius muscle activation
Flexion – anterior hip iliacus muscle activation

Dynamic assessment will be performed when clinically indicated.

Knee Examination

• Quadriceps

• Patellar

• Suprapatellar Recess

• Medial and Lateral Collateral Ligaments

• Pes Anserine

• Iliotibial Band

• Semimembranosus

• Semitendinosus

• Biceps Femoris

• Popliteal Fossa