The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies

Author:

Fodor Daniela1,Rodriguez-Garcia Sebastián C2,Cantisani Vito3,Hammer Hilde B.4,Hartung Wolfgang5,Klauser Andrea6,Martinoli Carlo78,Terslev Lene9,Alfageme Fernando10,Bong David11,Bueno Angel12,Collado Paz13,D’Agostino Maria Antonietta14,de la Fuente Javier15,Iohom Gabriella16,Kessler Jens17,Lenghel Manuela18,Malattia Clara19,Mandl Peter20,Mendoza-Cembranos Dolores21,Micu Mihaela22,Möller Ingrid11,Najm Aurelie23,Özçakar Levent24,Picasso Riccardo78,Plagou Athena25,Sala-Blanch Xavier26,Sconfienza Luca Maria2728,Serban Oana1,Simoni Paolo29,Sudoł-Szopińska Iwona30,Tesch Christian31,Todorov Plamen32,Uson Jacqueline33,Vlad Violeta34,Zaottini Federico78,Bilous Diana1,Gutiu Roxana1,Pelea Michael1,Marian Anamaria1,Naredo Esperanza35

Affiliation:

1. 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania

2. Rheumatology Department, La Princesa University Hospital, Princesa Health Research Institute, Madrid, Spain

3. Department of Radiological, Oncological and Anatomo-pathological Sciences, “Sapienza” University, Rome, Italy

4. Department of Rheumatology, Diakonhjemmet Hospital and Faculty of Medicine, University of Oslo, Oslo, Norway

5. Clinic for Rheumatology and Clinical Immunology, Asklepios Clinic, Bad Abbach, Germany

6. Department of Radiology, Medical University Innsbruck, Section Head Rheumatology and Sports Imaging, Innsbruck, Austria

7. Department of Health Science – DISSAL, University of Genova, Italy

8. UO Radiologia, IRCCS Policlinico San Martino, Genova, Italy

9. Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

10. Dermatology Department, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain

11. Instituto Poal de Reumatologia Barcelona, EULAR Working Group Anatomy for the Image, University of Barcelona, International University of Catalunya, Spain

12. Department of Musculoskeletal Radiology, Hospital Universitario Fundación Alcorcón, Madrid, Spain

13. Rheumatology Department, Transitional Care Clinic, Hospital Universitario Severo Ochoa, Madrid, Spain

14. Istituto di Reumatologia Università Cattolica del Sacro Cuore, UOC Reumatologia, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy

15. Orthopedic Department, Clinica Pakea de Mutualia, San Sebastián, Spain

16. Department of Anaesthesiology and Intensive Care Medicine, Cork University Hospital and University College Cork, Cork, Ireland

17. Department of Anaesthesiology, Division of Pain Medicine, University Hospital Heidelberg, Heidelberg, Germany

18. Radiology Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania

19. UOC Clinica Pediatrica e Reumatologia, IRCCS Istituto Giannina Gaslini, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI) University of Genoa, Genoa, Italy

20. Division of Rheumatology, Medical University of Vienna, Vienna, Austria

21. Department of Dermatology. Hospital Universitario Fundación Jiménez Díaz.Madrid, Spain

22. Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj-Napoca, Romania

23. Institute of Infection, Immunity and Inflammation, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom

24. Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey

25. Ultrasound Unit, Private Radiological Institution, Athens, Greece

26. Department of Anaesthesiology, Hospital Clinic, Department of Human Anatomy, Faculty of Medicine, University of Barcelona, Spain

27. IRCCS Istituto Ortopedico Galeazzi, Milano Italy

28. Department of Biomedical Sciences for Health, University of Milano, Milano, Italy

29. Paediatric Imaging Department, “Reine Fabiola” Children’s University Hospital, Université Libre de Bruxelles, Brussels, Belgium

30. Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland

31. Orthopedics and Trauma Surgery, Praxis, Hamburg, Germany

32. Department of Internal Disease Propaedeutic and Clinical Rheumatology, Medical University of Plovdiv, Plovdiv, Bulgaria

33. Department of Rheumatology Hospital Universitario Móstoles, Universidad Rey Juan Carlos, Madrid, Spain

34. Sf. Maria Hospital, Rheumatology Department, Bucharest, Romania

35. Department of Rheumatology, Bone and Joint Research Unit, Hospital Universitario Fundación Jiménez Díaz, IIS Fundación Jiménez Díaz, and Universidad Autónoma de Madrid, Madrid, Spain

Abstract

AbstractThe first part of the guidelines and recommendations for musculoskeletal ultrasound, produced under the auspices of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB), provides information about the use of musculoskeletal ultrasound for assessing extraarticular structures (muscles, tendons, entheses, ligaments, bones, bursae, fasciae, nerves, skin, subcutaneous tissues, and nails) and their pathologies. Clinical applications, practical points, limitations, and artifacts are described and discussed for every structure. After an extensive literature review, the recommendations have been developed according to the Oxford Centre for Evidence-based Medicine and GRADE criteria and the consensus level was established through a Delphi process. The document is intended to guide clinical users in their daily practice.

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

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