Ultrasound Imaging Advances and Research in the Musculoskeletal System

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (20 December 2023) | Viewed by 3350

Special Issue Editor


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Guest Editor
Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain
Interests: ultrasound imaging; sport; tendinopathy; health; musculoskeletal injuries
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Special Issue Information

Dear Colleagues,

Ultrasonography may be considered a useful tool in medicine and physical therapy, permitting novel static and dynamic evaluations for joint, nerve, muscle, tendon, and ligament structures. In recent years, new image analysis software has been developed in order to obtain promising high-quality ultrasound images and novel pixel analyses. Currently, ultrasound imaging has been applied to assess and quantify the morphology and echotexture parameters of the muscle and fascial tissues. There is evidence to support the addition of ultrasound imaging evaluation to diagnostic or treatment programs in physical therapy in order to provide quantitative and qualitative information on the musculoskeletal system. Additionally, novel evidence-based invasive therapies were assisted by ultrasound imaging in order to develop an accurate and safe procedure, such as electrolysis, neuromodulation, dry needling, and electrostimulation. The use of ultrasound-guided invasive therapies is being widely studied due to evidence of their benefits in acute and chronic musculoskeletal syndromes. I would like to invite researchers from across the world to contribute their knowledge, insights, and findings in the form of novel and original research articles and reviews to this Special Issue, entitled “Ultrasound Imaging Advances and Research in the Musculoskeletal System”. The purpose of this Special Issue is to highlight the benefits of ultrasound imaging for the prevention, diagnostics, and management of different pathologies and syndromes related to the health of the general population.

Prof. Dr. Carlos Romero-Morales
Guest Editor

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Keywords

  • physical therapy
  • health
  • pain
  • musculoskeletal disorder
  • diagnosis
  • ultrasound imaging
  • invasive procedures
  • rehabilitation
  • training sport

Published Papers (2 papers)

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Research

14 pages, 1116 KiB  
Article
Effectiveness of Dry Needling and Ischaemic Trigger Point Compression of the Levator Scapulae in Patients with Chronic Neck Pain: A Short-Term Randomized Clinical Trial
by Jorge Velázquez Saornil, Zacarías Sánchez Milá, Angélica Campón Chekroun, José Manuel Barragán Casas, Raúl Frutos Llanes and David Rodríguez Sanz
J. Clin. Med. 2023, 12(19), 6136; https://doi.org/10.3390/jcm12196136 - 22 Sep 2023
Cited by 1 | Viewed by 1361
Abstract
Background: Chronic neck pain (CNP) may be associated with latent myofascial trigger points (MTrPs) in the levator scapulae (LS), which can be treated with ischemic compression (IC) and dry needling (DN). Variables and elastography changes are evaluated to compare the short-term efficacy of [...] Read more.
Background: Chronic neck pain (CNP) may be associated with latent myofascial trigger points (MTrPs) in the levator scapulae (LS), which can be treated with ischemic compression (IC) and dry needling (DN). Variables and elastography changes are evaluated to compare the short-term efficacy of two treatments with DN. Methods: A randomized clinical trial is conducted with 80 participants in two groups: the DN group (n = 40) and IC group (n = 40). The duration is 12 weeks, and mechanical heterogeneity index, pressure pain threshold (PPT), and pain intensity are measured at baseline, immediately after, 48 h after, and one week after treatment. Results: Statistically significant changes were immediately observed between the two groups: PPT decreased in the DN group (p = 0.05), while it increased in the IC group. At 48 h and one week after treatment, these values increased in the DN group and remained higher than in the IC group. The heterogeneity index improved in both groups but more significantly in the DN group than in the IC group. Conclusions: In subjects with CNP who had latent plus hyperalgesic MTrPs in the LS muscle, DN outperformed IC in PPT, pain intensity, and mechanical heterogeneity index at 48 h and one week after initiating therapy. Full article
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10 pages, 5678 KiB  
Article
Targeting of Periprosthetic Muscles for the Ultrasonographic Screening of Hip Abnormalities in Hip Resurfacing Arthroplasty Patients
by Hyonmin Choe, Naomi Kobayashi, Koki Abe, Yuta Hieda, Hiroyuki Ike, Ken Kumagai, Kazuma Miyatake, Takahiro Fujisawa and Yutaka Inaba
J. Clin. Med. 2023, 12(8), 2871; https://doi.org/10.3390/jcm12082871 - 14 Apr 2023
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Abstract
Background: Hip resurfacing arthroplasty (HRA) patients require subsequent annual screening for postoperative complications. Ultrasonography may be useful for this purpose but lacks a screening protocol for hips. The purpose of this study was to evaluate the accuracy of ultrasonography for detecting postoperative complications [...] Read more.
Background: Hip resurfacing arthroplasty (HRA) patients require subsequent annual screening for postoperative complications. Ultrasonography may be useful for this purpose but lacks a screening protocol for hips. The purpose of this study was to evaluate the accuracy of ultrasonography for detecting postoperative complications in HRA patients using a screening protocol that specifically targets periprosthetic muscles. Methods: We enrolled 45 hips from 40 HRA patients with a mean follow-up period of 8.2 years. MRI and ultrasonography scans were simultaneously conducted at follow-up. The ultrasonography assessments were conducted on the anterior part of the hip that targets iliopsoas, sartorius, rectus femoris, lateral with anterior superior and inferior iliac spine (ASIS and AIIS) as bony landmarks, and the lateral and posterior parts that target fascia tensor, short rotators, and gluteus minimus, medius, and maximus with greater trochanter and ischial tuberosity as bony landmarks. The accuracy of diagnosing postoperative abnormalities and the visibility of periprosthetic muscles were compared between these two modalities. Results: Both MRI and ultrasonography detected an abnormal region in eight cases comprising two infections, two pseudotumors, and four patients with greater trochanteric bursitis. Among these cases, four hips required implant removal. The increase in anterior space, measured as the distance between the iliopsoas and resurfacing head, was a good indicator for the abnormal mass in these four HRA cases. In the assessment of periprosthetic muscles, MRI showed a much lower visibility than ultrasonography in the iliopsoas (6.7% vs. 100%), gluteus minimus (6.7% vs. 88.9%), and short rotators (8.8% vs. 71.4%) due to implant halation. Conclusions: By targeting periprosthetic muscles, ultrasonography can detect postoperative complications as effectively as MRI assessments in HRA patients. Ultrasonography has superior visibility in the periprosthetic muscles of HRA patients, indicating its utility for the screening of small legions in these cases which may not be visible by MRI. Full article
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