Ultrasound imaging of the posterior lateral corner of the knee: a pictorial review of anatomy and pathologies
Abstract Assessment of the posterior lateral knee pain poses diagnostic challenges, requiring accurate evaluation of various structures in light of the medical history and physical examination. Despite substantial progress in the ultrasonographic diagnosis of musculoskeletal disorders, the current p...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-02-01
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| Series: | Insights into Imaging |
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| Online Access: | https://doi.org/10.1186/s13244-024-01606-x |
| _version_ | 1827327255204855808 |
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| author | Wei-Ting Wu Kentaro Onishi Kamal Mezian Ondřej Naňka Bow Wang Daniel Chiung-Jui Su Vincenzo Ricci Ke-Vin Chang Levent Özçakar |
| author_facet | Wei-Ting Wu Kentaro Onishi Kamal Mezian Ondřej Naňka Bow Wang Daniel Chiung-Jui Su Vincenzo Ricci Ke-Vin Chang Levent Özçakar |
| author_sort | Wei-Ting Wu |
| collection | DOAJ |
| description | Abstract Assessment of the posterior lateral knee pain poses diagnostic challenges, requiring accurate evaluation of various structures in light of the medical history and physical examination. Despite substantial progress in the ultrasonographic diagnosis of musculoskeletal disorders, the current protocol (EURO-MUSCULUS/USPRM. Basic scanning protocols for knee) fails to conduct a comprehensive investigation into the intricate, tendons, and ligaments of the posterior lateral knee. This pictorial review aims to bridge this gap by offering a systematic approach to utilize ultrasound examination of the less-discussed structures in this specific region. Providing cadaveric and magnetic resonance images, this essay demonstrates the efficacy of ultrasound in diagnosing posterior lateral knee pain. Notably, pathologies such as ligamentous sprains and tears are clearly discernible. Moreover, the integration of ultrasound guidance plays a vital role in reducing the risk of inadvertent neurovascular injury during injection, such as the common peroneal nerve and lateral genicular artery. This comprehensive approach will enhance clinicians’ understanding and equip them with effective management strategies for posterior lateral knee pain. Critical relevance statement In this visual exposition, we delve into the intricacies of the posterior lateral corner of the knee. Offering a methodical approach to employ ultrasound for visualization of the less-explored structures within this region, the authors aim to enhance the diagnosis in posterior lateral knee pain. Key points 1. Ultrasound excels at revealing intricate structures in the posterior lateral knee. 2. Due to proximity of vital structures, extreme caution is crucial during injections. 3. Employing dynamic scan and understanding ligaments enables a comprehensive exploration of pathologies. Graphical Abstract |
| first_indexed | 2024-03-07T14:57:32Z |
| format | Article |
| id | doaj.art-7a96087ecd2341a9ae8ef1928134fd84 |
| institution | Directory Open Access Journal |
| issn | 1869-4101 |
| language | English |
| last_indexed | 2024-03-07T14:57:32Z |
| publishDate | 2024-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Insights into Imaging |
| spelling | doaj.art-7a96087ecd2341a9ae8ef1928134fd842024-03-05T19:20:13ZengSpringerOpenInsights into Imaging1869-41012024-02-0115111410.1186/s13244-024-01606-xUltrasound imaging of the posterior lateral corner of the knee: a pictorial review of anatomy and pathologiesWei-Ting Wu0Kentaro Onishi1Kamal Mezian2Ondřej Naňka3Bow Wang4Daniel Chiung-Jui Su5Vincenzo Ricci6Ke-Vin Chang7Levent Özçakar8Department of Physical Medicine and Rehabilitation, National Taiwan University HospitalDepartment of Physical Medicine and Rehabilitation, University of PittsburghDepartment of Rehabilitation Medicine, First Faculty of Medicine and General University Hospital in Prague, Charles UniversityInstitute of Anatomy, First Faculty of Medicine, Charles UniversityDepartment of Medical Imaging, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityDepartment of Physical Medicine and Rehabilitation, Chi-Mei Medical CenterPhysical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, ASST Fatebenefratelli-SaccoDepartment of Physical Medicine and Rehabilitation, National Taiwan University HospitalDepartment of Physical and Rehabilitation Medicine, Hacettepe University Medical SchoolAbstract Assessment of the posterior lateral knee pain poses diagnostic challenges, requiring accurate evaluation of various structures in light of the medical history and physical examination. Despite substantial progress in the ultrasonographic diagnosis of musculoskeletal disorders, the current protocol (EURO-MUSCULUS/USPRM. Basic scanning protocols for knee) fails to conduct a comprehensive investigation into the intricate, tendons, and ligaments of the posterior lateral knee. This pictorial review aims to bridge this gap by offering a systematic approach to utilize ultrasound examination of the less-discussed structures in this specific region. Providing cadaveric and magnetic resonance images, this essay demonstrates the efficacy of ultrasound in diagnosing posterior lateral knee pain. Notably, pathologies such as ligamentous sprains and tears are clearly discernible. Moreover, the integration of ultrasound guidance plays a vital role in reducing the risk of inadvertent neurovascular injury during injection, such as the common peroneal nerve and lateral genicular artery. This comprehensive approach will enhance clinicians’ understanding and equip them with effective management strategies for posterior lateral knee pain. Critical relevance statement In this visual exposition, we delve into the intricacies of the posterior lateral corner of the knee. Offering a methodical approach to employ ultrasound for visualization of the less-explored structures within this region, the authors aim to enhance the diagnosis in posterior lateral knee pain. Key points 1. Ultrasound excels at revealing intricate structures in the posterior lateral knee. 2. Due to proximity of vital structures, extreme caution is crucial during injections. 3. Employing dynamic scan and understanding ligaments enables a comprehensive exploration of pathologies. Graphical Abstracthttps://doi.org/10.1186/s13244-024-01606-xKneePainSonographySports injuryLigament |
| spellingShingle | Wei-Ting Wu Kentaro Onishi Kamal Mezian Ondřej Naňka Bow Wang Daniel Chiung-Jui Su Vincenzo Ricci Ke-Vin Chang Levent Özçakar Ultrasound imaging of the posterior lateral corner of the knee: a pictorial review of anatomy and pathologies Insights into Imaging Knee Pain Sonography Sports injury Ligament |
| title | Ultrasound imaging of the posterior lateral corner of the knee: a pictorial review of anatomy and pathologies |
| title_full | Ultrasound imaging of the posterior lateral corner of the knee: a pictorial review of anatomy and pathologies |
| title_fullStr | Ultrasound imaging of the posterior lateral corner of the knee: a pictorial review of anatomy and pathologies |
| title_full_unstemmed | Ultrasound imaging of the posterior lateral corner of the knee: a pictorial review of anatomy and pathologies |
| title_short | Ultrasound imaging of the posterior lateral corner of the knee: a pictorial review of anatomy and pathologies |
| title_sort | ultrasound imaging of the posterior lateral corner of the knee a pictorial review of anatomy and pathologies |
| topic | Knee Pain Sonography Sports injury Ligament |
| url | https://doi.org/10.1186/s13244-024-01606-x |
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