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F U N D A M E N T A L S O F
MUSCULOSKELETAL
ULTRASOUND
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E D I T I O N 3
F U N D A M E N T A L S O F
MUSCULOSKELETAL
ULTRASOUND
JON A. JACOBSON, MD
Professor of Radiology
University of Michigan
Ann Arbor, Michigan
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
FUNDAMENTALS OF MUSCULOSKELETAL ULTRASOUND, ISBN: 978-0-323-44525-2
THIRD EDITION
Copyright © 2018 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic
or mechanical, including photocopying, recording, or any information storage and retrieval system,
without permission in writing from the publisher. Details on how to seek permission, further
information about the Publisher’s permissions policies and our arrangements with organizations such as
the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website:
www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).
Notices
Knowledge and best practice in this feld are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein. In
using such information or methods they should be mindful of their own safety and the safety of
others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identifed, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their own
experience and knowledge of their patients, to make diagnoses, to determine dosages and the best
treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of products
liability, negligence or otherwise, or from any use or operation of any methods, products,
instructions, or ideas contained in the material herein.
Previous editions copyrighted 2013 and 2007.
Library of Congress Cataloging-in-Publication Data
Names: Jacobson, Jon A. (Jon Arthur), author.
Title: Fundamentals of musculoskeletal ultrasound / Jon A. Jacobson.
Description: Third edition. | Philadelphia, PA : Elsevier, [2018] | Includes bibliographical references
and index.
Identifers: LCCN 2017014007 | ISBN 9780323445252 (hardcover : alk. paper)
Subjects: | MESH: Musculoskeletal Diseases–diagnostic imaging | Ultrasonography–methods |
Musculoskeletal System–diagnostic imaging
Classifcation: LCC RC925.7 | NLM WE 141 | DDC 616.7/07543–dc23 LC record available at
https://lccn.loc.gov/2017014007
International Standard Book Number: 978-0-323-44525-2
Content Strategist: Robin Carter
Content Development Specialist: Lisa M. Barnes
Publishing Services Manager: Catherine Jackson
Senior Project Manager: Rachel E. McMullen
Design Direction: Ashley Miner
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
This book is dedicated to my wife, Karen, and our daughters,
Erica and Marie, for their continued support.
To my parents, Ken and Dorothy, who showed
me the value of hard work.
To my students, residents, fellows, and technologists,
who are a joy to teach.
And to my mentors, Marnix van Holsbeeck and Donald Resnick,
who continue to amaze me with their knowledge
and dedication.
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PREFACE
It is my pleasure to present the third edition addition to common pathology of tendons, muscle,
of the textbook, Fundamentals of Musculoskeletal and ligaments, other topics include ultrasound
Ultrasound. Since the last edition, there have been evaluation of masses, peripheral nerves, and
further advances in the clinical applications of infammatory arthritis. Chapter 9 provides an
musculoskeletal ultrasound and related research. overview of ultrasound-guided musculoskeletal
Scanning techniques and protocols have also been procedures, which is a very popular application
refned with improved knowledge of anatomy as of musculoskeletal ultrasound. Photographs show
seen with ultrasound. This revision provides an simulated needle and ultrasound transducer place-
update of important clinical applications and scan- ment on a model to illustrate guidance techniques.
ning techniques, based on progress in the feld and A new feature of the third edition are the
relevant peer-reviewed publications. This third updated online videos showing ultrasound cine
edition includes nearly 400 new images, including clips, which simulate real-time scanning. Each of
color photographs and color illustrations. the over 200 videos are now individually narrated,
The organization of the textbook is similar to where I describe the pertinent imaging fndings
prior editions. New to this edition is the inclusion using a pointer, similar to a lecture format.
of Chapters 1 and 2 in hard copy form, which This enhanced feature will help emphasize the
provides an introduction to musculoskeletal ultra- specifc teaching points for each video. In addi-
sound and basic pathology concepts, respectively. tion to the videos, a complete electronic version
Chapters 3 through 8 review anatomy, scanning of the textbook is available online via www.
technique, and common pathology of each specifc Expertconsult.com.
joint and regional anatomy, including the shoul- It has been exciting to see the popularity and
der; elbow; wrist and hand; hip and thigh; knee; clinical applications of musculoskeletal ultrasound
and ankle, foot, and lower leg, respectively. To continue to increase. With knowledge of anatomy
illustrate scanning technique, photographs show and pathology as seen with ultrasound and proper
transducer placement and corresponding ultra- scanning technique, musculoskeletal ultrasound
sound images show resulting anatomy. Scanning can play an important role in the evaluation of
protocols and sample reports are also included. In the musculoskeletal system.
Jon A. Jacobson, MD
vii
ACKNOWLEDGMENT
I would like to thank Philips Healthcare for use of their ultrasound equipment.
viii
