PDF herunterladen
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2007; 17(03): 201-208
DOI: 10.4103/0971-3026.34728
Musculoskeletal Ultrasound Symposium

Ultrasound of musculoskeletal soft tissue masses

Arun Kinare
Department of Ultrasound, KEM Hospital, Pune and Jehangir Apollo Hospital, Pune, India
,
Mugdha Brahmnalkar
Department of Ultrasound, KEM Hospital, Pune and Jehangir Apollo Hospital, Pune, India
,
Shalini D′Costa
Department of Ultrasound, KEM Hospital, Pune and Jehangir Apollo Hospital, Pune, India
› Institutsangaben
› Weitere Informationen
  als PDF herunterladen Lizenzen und Reprints

Abstract

Soft tissue masses have a varied presentation. Though all masses cannot be optimally imaged on USG, its easy availability, real-time capability, and cost-effectiveness, as well as the freedom it provides to examine in any direction, make it an automatic choice as a first-line modality. Though Doppler is an exciting modality, it has its limitations and is not always rewarding. USG is more useful for superficially located masses. The role of USG is to provide information about the extent of the mass, its nature, and its relationship to the surrounding structures. One important aim is to differentiate between a pseudotumor and a true mass lesion. Doppler can provide additional information in selected cases. USG can play a pivotal role in guiding a needle for obtaining a sample for tissue diagnosis. Benign lesions are more common than malignant ones, in day-to-day practice. As with any other musculoskeletal examination, technical expertise and a sound knowledge of musculoskeletal anatomy are important.

Keywords

Musculoskeletal - soft tissue mass - ultrasound


Publikationsverlauf

Artikel online veröffentlicht:
31. Juli 2021

© 2007. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Pant R, Poh AC, Hwang SG. An unusual case of an intramuscular lipoma of pectoralis major muscle simulating malignant breast mass. Ann Acad Med Singapore 2005;34:275-6.
  • 2 Fornage BD, Tassin GB. Sonographic appearances of superficial soft tissue lipoma. J Clin Ultrasound 1991;19:215-20.
  • 3 Ahuja AT. Practical head and neck ultrasound, Lumps and bumps in the head and neck. 1 st ed. GMM Publication: 2000. p .87-104.
  • 4 Shadbolt CL, Heinze SB, Dietrich RB, Imaging of groin masses: Inguinal anatomy and pathologic conditions revisited. Radiographics 2001;21:S261-71.
  • 5 Hashimoto BE, Kramer DJ, Wiitala L. Applications of musculoskeletal sonography. J Clin Ultrasound 1999;27:293-318.
  • 6 Derchi LE, Balconi G, De Flaviis L, Oliva A, Rosso F. Sonographic appearances of hemangiomas of skeletal muscle. J Ultrasound Med 1989;8:263-7.
  • 7 Olsen KI, Stacy GS, Montag A. Soft tissue cavernous hemangioma. Radiographics 2004;24:849-54.
  • 8 Legiehn GM, Heran MK. Classification, diagnosis and interventional radiologic management of vascular malformation. Orthop Clin North Am 2006;37:435-74.
  • 9 Belli P, Costantini M, Mirk P, Maresca G, Priolo F, Marano P. Role of color Doppler Sonography in the assessment of musculoskeletal soft tissue masses. J Ultrasound Med 2000;19:823-30.
  • 10 Manthey DE, Storrow AB, Milbourn JM, Wagner BJ. Ultrasound versus radiography in the detection of soft-tissue foreign bodies. Ann Emerg Med 1996;28:7-9.
  • 11 Valsky DV, Daum H, Yagel S. Rectus sheath hematoma as a rare complication of genetic amniocentesis. J Ultrasound Med 2007;26:371-2.
  • 12 Beggs I. Sonographic appearances of nerve tumors. J Clin Ultrasound 1999;27:363-8.
  • 13 Martiloni C, Bianchi S, Derchi LE. Tendon and nerve sonography. Radiol Clin North Am 1999;37:691-711.
  • 14 Chen W, Jia JW, Wang JR. Soft tissue diffuse neurofibromas: Sonographic findings. J Ultrasound Med 2007;26:513-8.
  • 15 Redd RA, Peters VJ, Emery SF, Branch HM, Rifkin MD. Morton neuroma: sonographic evaluation. Radiology 1989;171:415-7.
  • 16 Quinn TJ, Jacobson JA, Craig JG, van Holsbeeck MT. Sonography of Morton′s neuroma. AJR Am J Roentgenol 2000;174:1723-8.
  • 17 Bedi DG, Davidson DM. Plantar fibromatosis: Most common sonographic appearance and variations. J Clin Ultrasound 2001;29:499-505.
  • 18 Griffith JF, Wong TY, Wong SM, Wong MW, Metreweli C. Sonography of plantar fibromatosis. AJR Am J Roentgenol 2002;179:1167-72.
  • 19 Despain W. Ultrasound diagnoses gout. Available from: http://www/diagnosticimaging.com. Ultrasound source. [Last accessed on 2007 May 7].
  • 20 van der Woude HJ, Bloem JL, van Oostayen JA, Nooy MA, Taminiau AH, Hermans J, et al . Treatment of high grade bone sarcomas with neoadjvant chemotherapy: The utility of sequential color Doppler sonography in predicting histopathologic response. AJR Am J Roentgenol 1995;165:125-3
  • 21 van der Woude HJ, Bloem JL, Schipper J, Hermans J, van Eck-Smit BL, van Oostayen J, et al . Changes in tumor perfusion induced by chemotherapy in bone sarcomas: Color Doppler flow imaging compared with contrast enhanced MR imaging and three-phase bone scintigraphy. Radiology 1994;191:421-31.
  • 22 Ahuja AT, King AD, Bradley MJ, Yeo WW, Mok TS, Metreweli C. Sonographic findings in masseter-muscle metastases. J Clin Ultrasound 2000;28:299-302.
  • 23 Chiou HJ, Chou YH, Chiou SY, Chen WM, Chen W, Wang HK, et al . High resolution of sonography of primary peripheral soft tissue lymphoma. J Ultrasound Med 2005;24:77-86.
  • 24 Bates DG. Dynamic ultrasound findings of bilateral anterior tibialis muscle herniation in a pediatric patient. Pediatr Radiol 2001;31:753-5.
  • 25 Gokhale S. Three-dimensional sonography of muscle hernias. J Ultrasound Med 2007;26:239-42.
  • 26 Jacobson JA. Musculoskeletal sonography and MR imaging: A role for both imaging methods. Radiol Clin North Am 1999;37:713-35.