Preface
In the last decade musculoskeletal ultrasound has progres
sively gained widespread popularity in the diagnosis and
assessment of the musculoskeletal system. This is mainly due
to advances in ultrasound technology (new generation of
digital equipment and transducers, color/power doppler)
which has refined the clinicians ability to visualise superfi
cial soft tissue structures to an extent that in some areas
rivals the diagnostic capability of MR. Intrinsic musculo
skeletal ultrasound advantages include easy accessibility,
time and cost-effectiveness, and the ability to perform a real
time, dynamic examination during the clinical examination.
Although the quality and consistency of the diagnostic exam
is heavily dependent on the examiners expertise, musculo
skeletal ultrasound has become an attractive and effective
modality to image the musculoskeletal system and for some
conditions has established itself the first-line examination
technique.
This book provides a practical guide for those wishing to
obtain an understanding of ultrasound techniques, their
major applications and their role in patient diagnosis and
management. It offers essential guidance on how to conduct
an ultrasound examination, how best to obtain optimal
images, and on how best to interpret the information
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gained. Throughout the book the authors display an aware
ness of what does and what doesnt work, what is or isnt
useful, and an appreciation of the role of ultrasound in
relation to other imaging techniques.
The second edition is totally re-written, re-structured and
revised. The previous edition had 16 chapters, this has 33
chapters. There is expanded coverage of the shoulder,
elbow, wrist, hand, hip, knee, foot and ankle, and interven
tional techniques. There are hundreds of new illustrations
(line drawings and ultrasound scans) help illustrate relevant
anatomy and pathology and provide the user with a com
prehensive visual guide to accurate interpretation and diag
nosis. The addition of real time videos that complement the
images in the book and better illustrate the pathology. There
are differential diagnosis summary tables to quickly direct
the user to the most likely clinical problem being assessed.
The book is also available on the Expert Consult platform
with online access to text, images and video clips. As before,
I am very grateful to all the contributors who once again
have given their expertise and insights so willingly.
Eugene G McNally
Oxford 2013
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