Musculoskeletal Ultrasound Teaching Files
Musculoskeletal Ultrasound Teaching Files
Bipin R Shah
MD DMRD DMRE
Director Eclat Polyclinic, Mumbai Gray Scale Imaging, Mumbai Lifescan Imaging Mumbai, Maharashtra, India
Ankit B Shah
DNB MD Pg Dip MSK Ultrasound (UCAM Spain)
Consultant Radiologist Eclat Polyclinic, Mumbai Gray Scale Imaging Mumbai, Maharashtra, India
Foreword
Nidhi Bhatnagar
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Musculoskeletal Ultrasound Teaching Files
First Edition: 2019
9789352706839
Printed at
My lovely wife Saroj.
Bipin R Shah
Dad, Mom, Aditi, Vedant, Prachi and my Teachers.
Ankit B Shah
My introduction to Dr Bipin R Shah is so unique, it makes you believe in destiny all over again. I had submitted a paper in Musculoskeletal Ultrasound on Callus evaluation for an International Conference in 2013. Dr Marnix Vanholsbeeck was the Scientific co-ordinator with Dr Tony Bouffard. Dr Bipin R Shah was a well-known Musculoskeletal Specialist and both these world authorities had been great friends of his for many a years. So naturally they approached him for a feedback on my work and that was the turning point for me and musculoskeletal ultrasound in India. I met him for the first time in presence of Dr Bouffard in Agra in 2014 and his humble, unpretentious, simple demeanour floored me so very completely.
My introduction to Ankit B Shah and that they were father-son duo, came much later. The brilliance of father could be seen transcending the next generation in a most blessed manner. The vision they hold has been very effectively translated in this work called Musculoskeletal Ultrasound Teaching Files which is the second book they have co-authored. They have authored first book on Ultrasound of Shoulder which is a perfect reminder of the deep faith they both hold in the useful application of musculoskeletal ultrasound in clinical practice.
Although, the emphasis of this work in the second book is on musculoskeletal ultrasound, it contains much more that will be of interest to those outside the field of radiology, indeed to anyone having a fascination with the world of diagnostics. It describes the related anatomy, sonoanatomy along with the sonopathology findings, differential diagnosis and a discussion which answers all the small questions and why is that may arise through the course of reading through the case history. The authors have selected well over 82 cases with nearly all common complaints afflicting muscles, bones, joints, soft tissues, tendons and ligaments with which a patient may walk into the clinic for diagnosis and treatment. Although, these cases may represent just a sample in the spectrum of related pathologies, they amply illustrate the importance of ultrasound as an important diagnostic tool in evaluating musculoskeletal system complaints, as also raising the bar in patient care. The case series are a celebration of how ultrasound has evolved to a position of awe and credibility in today's highly specialized world dominated by magnetic resonance imaging (MRI) and computed tomographs (CTs).
It is all here, honest expressions, serious purpose, clarity of thoughts and strength of conviction in demonstrating the ultrasound signs with high sensitivity and specificity in diagnosing musculoskeletal system-related pathologies through simple yet dynamic modality like ultrasound, literally rehabilitating this tool, to reclaim the dignity of sonologist from the self-proclaimed gatekeepers who nearly for a decade or more wield the medical world to indict the ‘Inferiority’ of others and confirm ‘superiority‘ of themselves, returning it to those who toiled at a labor of ‘ultrasound’ love because of that burning passion and belief in them.
There is no doubt that for the Drs Bipin R Shah and Ankit B Shah, writing this book was a labor of love.
I think that Drs Bipin R Shah and Ankit B Shah, the inspiring father-son team can be confident that there will be many a grateful readers who will benefit from the broad-based overview of pathologies that can be diagnosed through musculoskeletal ultrasound having well-defined structured approach laid out in this book.
Nidhi Bhatnagar
MD (Radiodiagnosis) Pg Dip. MSK US (UCAM Spain)
Head
Department of Radiology
Mata Chanan Devi Hospital
New Delhi, India
Professor
UCAM, University of Murcia, Spain
Vice President
Musculoskeletal Ultrasound Society
PREFACE
After having authored Step by Step Sonography of the Shoulder Joint in the year 2010, we are now ready with Musculoskeletal Ultrasound Teaching Files. The concept of a general musculoskeletal ultrasound case-based book arose from our work experience in musculoskeletal ultrasound and close interaction with the orthopedic colleagues over the years. The objective of this book is to present the information that we, as authors, believe, is important for those learning musculoskeletal ultrasound and those who are practicing musculoskeletal ultrasound on a routine basis. The cases have been segregated based on the anatomic region involved. We have tried to cover the common pathologies encountered in day-to-day practice, leaving out the exceptional cases. Each case begins with a clinical history followed by ultrasound images with their description, diagnosis and relevant discussion pertaining to the case. In the case discussion, we have stressed on relative anatomy and certain points that need to be incorporated within the report, so that all the relevant information is conveyed to the referring orthopedic surgeons and physicians. We have made a conscious effort to refrain from commenting on controversial topics. We are sincerely hopeful that this book provides a pleasant experience to the readers and provides answers quickly and easily when they need them.
Bipin R Shah
Ankit B Shah
ACKNOWLEDGMENTS
At the outset, I would like to thank Ankit, without whom this book would not have been possible.
I would like to thank my family for enduring our erratic working hours throughout the time this book was being written. I would sincerely like to thank my staff at Eclat Polyclinic and Gray Scale Imaging for compilation of images and helping us draft the manuscript.
Bipin R Shah
I will begin with a big thank to my dad Dr Bipin R Shah, a pioneer in musculoskeletal ultrasound in India. He is solely responsible for kindling my interest in musculoskeletal ultrasound. He has been my source of inspiration and guiding force.
I am indebted to my mom, my wife Aditi and my sister Prachi for their never-ending support. I am grateful to all my colleagues from the orthopedic fraternity who have bestowed their faith in me and have added to my understanding of musculoskeletal pathologies.
A big shout out to Dr Nidhi Bhatnagar whom I really can't thank enough. She has always been a pillar of strength for me and someone I have always looked up to.
A special thanks to my buddies Shriji, Manish, Babu, Rishi, Amol, Shraddha, Ankit and Swarup.
I would like to thank Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Ms Chetna Malhotra Vohra (Associate Director–Content Strategy), Ms Madhuri Aggarwal (Development Editor), and all the staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their efforts and input enabling timely publication of the book.
So that I do not leave anybody out, I would like to sincerely thank everyone who has directly or indirectly contributed while writing the book.
Ankit B Shah