The Ontario Association of Medical Radiation Sciences (OAMRS) presents this MSK Ultrasound program as part of a larger series for Sonographers of all levels of experience. Diagnostic Ultrasound has become one of the most rapidly developing fields in musculoskeletal imaging. Dramatic advances in technology have broadened its applications and established ultrasound as an important tool in the assessment of musculoskeletal injuries.

This workshop will provide practicing Sonographers with current information important to the sonographic assessment of the shoulder and joints of the upper extremity. Using an interactive case study format, it will look at indications, technique, image critique, pathologies and treatment. The emphasis in this program will be on best practices, overcoming pitfalls, and standardizing the shoulder ultrasound protocol in our professional community.

Musculoskeletal Ultrasound: Upper Extremity & Shoulder

REGISTRATION INFORMATION

November 8 - 9, 2014

Toronto General HospitalToronto, ON

Cost of Program

MembersOne day $300 Full Weekend $500 (Please provide membership information)

Non-MembersOne Day $425 Full Weekend $750

Food and printed materials included with registration fees

How to RegisterOnline: www.medicalimaginged.caPhone: 800-387-4674 Fax: 519-753-6408

Note: Printed materials are a correlated copy of the electronic material provided with registration. A fee is charged in an effort to help reduce our carbon footprint and promote a healthier, greener environment.

*Food and electronic materials included with registration.

CreditParticipants will receive a certificate of completion from Medical Imaging Ed indicating education hours and Sonography Canada (CME) credits. Education hours can be used to satisfy continuing professional development requirements.

Course Faculty

Mercedes Zajac RDMS, RMSK, BSc has been an Sonographer for 16 years and a graduate of the Medical Imaging Program at Mohawk College in 1998. She holds certifications with the American Registry for Diagnostic Medical Sonography (ARDMS) and the Canadian Association of Registered Diagnostic Ultrasound Professionals (CARDUP) and maintains memberships with the Ontario Association of Medical Radiation Sciences (OAMRS) and Sonography Canada. Prior to attending Mohawk, she obtained two Bachelor of Science degrees from McMaster University in Biology and Biochemistry. Mercedes has instructed Ultrasound students in the Mohawk-McMaster undergraduate program between 2009 and 2010 and was an instructor in the hand - on scanning symposium at the OAMRS Conference in 2014. She has worked with a number of elite Radiologists and Sonographers that specialize in MSK Ultrasound over the years and is excited to share her techniques and experiences with other practitioners interested in this growing field.

MUSCULOSKELETAL ULTRASOUND: ASSESSMENT OF THE ELBOW, WRIST, AND HANDThis workshop is intended to provide practicing Sonographers with relevant and accessible information important to the sonographic assessment of the upper extremity. Using an interactive case study format, the anatomy, technique, indications, sonographic appearances and pathologies of the elbow, wrist and hand will be considered.

8:00 Registration and Breakfast

8:30 Applications in Musculoskeletal Ultrasound • Transferrable Skills in Musculoskeletal Ultrasound - Sonographic Appearances of Muscles, Tendons, Ligaments and Nerves - Overcoming Artifacts

9:00 The Elbow - Anatomy and Normal Sonographic Appearances • Patient Positioning • Lateral Elbow – Common Extensor Tendon; Lateral Collateral Ligament; Radiocapitellar Joint • Anterior Elbow – Distal Biceps Tendon • Posterior Elbow – Triceps Tendon; Posterior Joint Recess; Ulnar Nerve • Medial Elbow – Common Flexor Tendon; Ulnar Collateral Ligament

10:00 Break

10:15 Demonstration of the Routine Shoulder Examination

10:45 Pathologies of the Elbow • Biceps/Triceps Tendon Rupture • Epicondylitis • Ulnar Nerve Entrapment • Loose Bodies

• Joint Effusions, Bursitis , Cysts

11:30 Case Study

12:00 Lunch

1:00 The Wrist and Hand - Anatomy and Normal Sonographic Appearances • Patient Positioning • The Wrist – Dorsal Section; Volar Section; Nerves • The Hand – Flexor and Extensor Tendons; Pulley Injuries

1:45 Demonstration of the Routine Wrist and Hand Ultrasound

2:15 Pathologies of the Wrist and Hand • Entrapment Neuropathies; Lesions; Tendon Disorders; Traumatic Conditions; Inflammatory Disorders

3:15 Break

3:30 Case Study Rounds • Correlate Patient History and Clinical Symptoms with Sonographic Images • Image Critique

4:30 Adjourn

DAY 1 November 8

MUSCULOSKELETAL ULTRASOUND: ASSESSMENT OF THE SHOULDERThis workshop will provide practicing Sonographers with current information important to the sonographic assessment of the shoulder. Using an interactive case study format, it will look at indications, technique, image critique, pathologies and treatment. The emphasis in this program will be on best practices, overcoming pitfalls, and standardizing the shoulder ultrasound protocol in our professional community.

8:00 Registration and Breakfast

8:30 Introduction to Musculoskeletal Ultrasound • Orientation to Musculoskeletal Ultrasound - Sonographic Appearances of Muscles, Tendons, Ligaments and Nerves - Overcoming Artifacts • Indications for Imaging the Rotor Cuff • New Techniques in MSK Ultrasound - Extended Filed of View Imaging; Tissue Harmonis Imaging; Spatial Compound Imaging

9:30 Break

9:45 Anatomy and Normal Sonographic Appearances • Terminology and Body Mechanics • Patient Positioning • Anatomy of the Shoulder

- Biceps Tendon; Subcapulairs Tendon; Supraspinatus; Posterior Joint; Infraspinatus Tendon; Teres Major Muscle; Ligaments of the Shoulder

11:00 Demonstration of the Routine Shoulder Examination

12:00 Lunch

1:00 Pathologies of the Shoulder • Acute and Chronic Disease Processes Rotator Cuff Tears; Fluid Collections; Bursitis; Calcific Tendonitis; Tendonopathy; Biceps Tendonitis and Tenosynovitis; Subluxation of the Biceps Tendon; Biceps, Tendon, Tears/Rupture; Impingement; Adhesive Capsulitis; Osteoarthrosis

3:00 Break

3:15 Case Study Rounds • Correlate Patient History and Clinical Symptoms with Sonographic Images • Image Critique and Interpretation • Multimodality Approach

4:00 Bridging the Gap Between Diagnosis and Treatment • Interventions/Surgery • Ultrasound of the Post-operative Cuff

4:30 Adjourn

DAY 2 November 9