a. MRI of abnormal achilles tendon showing fluid in tendon.
b. Ultrasound of abnormal achilles tendon showing wiidening (arrows) and
(below image) fluid within the pre-Achilles bursa (arrow). Fluid can then be
drained under ultrasound guidance.
a. Thickening of the common extensor tendon (T) with abnormal doppler signal at its
proximal insertion into the lateral epicondyle.
b. Contralateral normal elbow. H = humerus; R = radius.
c. Needle injection seen under ultrasound guidance.
Lateral 'Epicondylitis' ('Tennis Elbow')
Shoulder Calcific 'Tendonitis'
a. X-ray of calcium deposit
b. Ultrasound of needle insertion into calcium deposit. Calcium can then be lavaged, broken
up, and aspirated through the needle and syringe, without surgery.
c. Calcium deposits now seen in syringe after needle, lavage, aspiration.
a. MRI of abnormal patella tendon with signal at insertion on patella.
b. Ultrasound of normal (left) and abnormal (right) patella tendon.
Prolotherapy or platelet rich plasma can then be injected under direct
Dr. Silberman at New Jersey Sports Medicine specializes in ultrasound
examination of tendon, ligament, and muscle injuries and ultrasound
guided injections of cortisone, prolotherapy, tenotomy, platelet rich
plasma (PRP), and bone marrow aspirate (which contain stem cells).
Dr. Silberman holds a certification in the specialty of musculoskeletal
sonography from the American Registry of Diagnostic Medical
Sonography (ARDMS), the globally recognized standard of excellence
in sonography. Dr. Silberman and New Jersey Sports Medicine can
save you time and money by diagnosing tendon and ligament tears right
in the office without the need for an expensive orthopedic MRI. Click
here for our New Jersey Sports Medicine Ultrasound Imaging Library.
Ultrasound imaging uses high-frequency sound waves to produce
pictures of the inside of the body. Ultrasound imaging uses no ionizing
radiation (like x-rays), gives a clear picture of soft tissues that do not
show up well on x-ray, has advantages over MRI in seeing tendon
structure and orthopedic injuries, and causes no known health
problems. Because ultrasound images are captured in real-time, they
can show the structure and movement. Most ultrasound examinations
are painless, fast and easy. Gel is placed on your skin and then a
transducer is placed firmly against your body, moving it back and forth
over the area of interest until the desired images are captured.
Ultrasound imaging to deliver injections is superior to blind injections
and can improve the diagnosis, accuracy and ultimate effectiveness of
Injection Therapy with less pain and complications.
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