Download The Integrated Knee

A combined approach using gross
anatomy, physical diagnosis and point
of care ultrasound.
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Understand the anatomy of the knee using
ultrasound as a learning tool.
Understand utility of ultrasound to supplement
the physical exam.
Understand the sonographic appearance of
different tissue types and the identification of
pathology of the knee.
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Describe the normal anatomy of the knee.
Explain the rationale behind ultrasound transducer utilization in a
musculoskeletal exam.
Describe the different appearances of tissue types on ultrasound imaging.
Demonstrate these standard ultrasound views of the knee: suprapatella long,
infrapatella long (proximal and distal) and suprapatella flexed transverse.
Correlate the normal anatomy of the knee to its appearance on ultrasound
imaging.
Recognize the most common pathologies visualized on ultrasound, including
joint effusion, tendonitis, and tendon tear.
Recognize the ultrasound correlate of a joint effusion fluid wave on physical
exam.
Demonstrate appropriate communication skills and show empathy towards
patient.
Organization:
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2 hr Anatomy Lab
30 min PE
30 min Ultrasound
Materials:
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Cadaver
US Equipment
PE Tables
Students will
scan/examine each other
Preparation:
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Videos – PD techniques
SUSME
Textbooks - anatomy
Review
PowerPoint/Lecture
Faculty:
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US Faculty (MD/Tech)
PD Faculty (MD)
Anatomy Faculty
(MD/PhD)
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Standardized Patient
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Students are required to submit 3 views with
labeling: quad. tendon, infrapatella tendon, bone
(patella, femur, tibia)
Communication skills
 Scan reasons and techniques clearly.
 Exam performed with courtesy and consideration for
patient comfort
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Standardized Patient
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Physical Exam:
 Flex / Extension
 Varus, Valgus
 Compare and contrast the medial and lateral ligaments to the joint
capsule.
 Anterior / Posterior Draw
 Describe the positioning of the knee typical for injury to the ACL and
explain why.
 Ballottement
 Ballottement tests for fluid in the suprapatella bursa, what other bursas
exist around the knee joint and how would you examine them.
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Image Pathology:
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Joint Effusion, Ruptured Ligamentum Patella
Anatomical:
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Surface anatomy – landmarks indicated on surface of
standardized patient.
Anatomical question to each PE maneuvers.
(muscle, nerve)
Additional anatomical structures as necessary.