Clinical pearls from the experts

Integration of Musculoskeletal Ultrasound in Clinical Practice

The American Academy of Musculoskeletal Ultrasound is proud to present its second Virtual Symposium in MSK Ultrasound and Neuro-MSK. This webinar brings together 5 of the top authorities in the field.

Approved for 5.0 AMA PRA Category 1 credit and 0.5 PT CEU

More info about PT CEU here

ultrasound machine illustration - flipped
Event Date

June 18th, 2022

This online event cannot be missed!

It is not just about learning theoretical concepts, but real clinical applications, clinical pearls, and tips from the top experts in the field of MSK Sonography.

We pick the most valuable topics for you!

Agenda Timeline

Time Management

10:00 am to 11:00 am
The role of Ultrasound in Calf Tears in Sport
Dr. Carles Pedret, MD, PhD

Carles Pedret

Dr. Carles Pedret, MD, PhD

PhD in Medicine and Surgery from the Universitat Autònoma de Barcelona and Sports Medicine specialist from the Universitat de Barcelona. My main activity is the diagnosis, treatment and RTP process of muscle and tendon injuries, especially the ultrasound diagnosis and ultrasound guided procedures. Researching about the diagnosis and topography of muscle injuries and the pathophysiology of the tendon. I collaborate as external advisor to multiple professional teams of the English Premier League and Championship, Italian Serie A, Spanish Liga Santander and Liga 1 2 3 , China SuperLeague, Belgium Pro League and German Bundesliga (football), Spanish ACB basketball teams and NBA teams and advisor to the Royal Spanish Tennis Federation.

Objectives:

  1. Learn to classify MG injuries according to ultrasound findings.
  2. Understanding the complex anatomy of the calf muscle complex.
  3. Know when to use ultrasound and when to use MRI.

References:

  1. Pedret C, Balius R, Blasi M, et al. Ultrasound classification of medial gastrocnemious injuries. Scand J Med Sci Sports. 2020;30(12):2456-2465. doi:10.1111/sms.13812.
  2. Balius R, Pedret C, Kassarjian A. Muscle Madness and Making a Case for Muscle-Specific Classification Systems: A Leap from Tissue Injury to Organ Injury and System Dysfunction. Sports Med. 2021;51(2):193-197. doi:10.1007/s40279-020-01387-5.
  3. Study Group of the Muscle and Tendon System from the Spanish Society of Sports Traumatology, Balius R, Blasi M, et al. A Histoarchitectural Approach to Skeletal Muscle Injury: Searching for a Common Nomenclature. Orthop J Sports Med. 2020;8(3):2325967120909090. Published 2020 Mar 20. doi:10.1177/2325967120909090.

11:00 am to 12:00 pm
Ultrasound of the shoulder, normal & abnormal
Dr. Gina Ciavarra, MD

Gina C

Dr. Gina Ciavarra, MD

Dr. Gina Ciavarra is a Clinical Associate Professor of Radiology at NYU Langone Health, specializing in musculoskeletal radiology. She holds a medical degree from the Mount Sinai School of Medicine (2000) and a Master of Management in Clinical Informatics (2021). She completed her radiology residency at New York Presbyterian-Cornell and a fellowship in musculoskeletal radiology at the Hospital for Special Surgery. She is board certified in radiology through the American Board of Radiology as well as in clinical informatics through the American Board of Preventive Medicine. Over the last 15 years, Dr. Ciavarra has performed numerous musculoskeletal ultrasound studies and ultrasound guided procedures. She has published articles and book chapters on the subject and lectured on the topic at various radiology and orthopedic conferences.

Objectives:

  1. Demonstrate the normal sonographic appearance of the structures of the shoulder.
  2. Demonstrate the appearance of common musculoskeletal pathology involving the structures of the shoulder and the use of dynamic imaging.

References:

  1. Jacobson JA. Fundamentals of Musculoskeletal Ultrasound.Philadelphia, PA: Elsevier; 2018.
  2. Beltran LS, Adler R, Stone T, et al. MRI and Ultrasound Imaging of the Shoulder Using Positional Maneuvers. AJR. 2015;205(3):W244-W254.

Lunch Break (12:00 pm to 12:30 pm)

12:30 pm to 1:30 pm
Sonography Exam for Scapular Dyskinesis
Dr. Phillip M. Steele, MD

Phillip Steele

Dr. Phillip M. Steele, MD

Dr. Phillip M. Steele is Board Certified in Family Practice and completed an extra year of fellowship training to compete and become certified in sports medicine. In addition, he credentialed in RMSK (Registered Musculoskeletal Ultrasound) and is one of the top musculoskeletal ultrasound experts in the country. He has spoken at numerous medical conferences and is considered as one of the leading national and international experts on the evaluation and treatment of the brachial and cervical plexus using high-resolution ultrasound. He has chosen to specialize in non-operative sports medicine and IROM (interventional regenerative orthopedic medicine) to provide many regenerative techniques to help heal you.

Since his Sports Medicine fellowship, Dr. Steele has worked with the U.S, Ski team, traveling overseas for event coverage for the Nordic Combined and Cross Country Ski Teams. He was an athlete physician at Soldier Hollow Nordic venue during the 2002 Winter Olympics in Salt Lake City and has worked as a Team Physician for University of Wyoming athletics.

During his eight years in Wyoming, Dr. Steele was integral in developing coaches’ sports medicine education programs for high school athletes and developed a special passion for the education and management of concussion in sports. Since moving to Montana, Dr. Steele has served on the High School Sports Medicine Advisory Committee and is actively promoting athletic safety for kids in Montana. Dr. Steele has also served on the Governor’s “Montana Youth Concussion Advisory Panel” task force.

Specialties

Dr. Steele also specializes in diagnostic ultrasound for musculoskeletal injuries and nerve entrapment syndrome. By using ultrasound, he can look functionally at many joints, tendons, and nerves, allowing him to make a more accurate diagnosis. For diagnosis and treatment, Dr. Steele uses the combination of his years of experience in sports medicine, ultrasound diagnostics, and the newer therapy options of “regenerative medicine” to help heal chronic injuries. This comprehensive approach provides a functional perspective that not only looks to accurately diagnose injuries, but to also look for factors that may have contributed to the injury so we can provide the most effective treatment.

Dr. Steele also works as a faculty instructor for ultrasound procedural and diagnostic courses throughout the United States. He is an exam writer for the national board exam for Registered Musculoskeletal Ultrasound and is a frequent lecturer on the use of musculoskeletal ultrasound for diagnosing and treatment of nerve entrapment syndromes.

With more than 10 years of experience using regenerative medicine treatments including platelet-rich plasma (PRP) and adipose-derived stem cells, Dr. Steele is Montana’s most experienced practitioner regarding the use of biologics in healing musculoskeletal injuries. With his passion for treatment for sports injury, ultrasound diagnostics and expertise in nerve entrapment syndromes, Dr. Steele brings a unique perspective on healing injuries for all ages.

When Dr. Steele is not working, you will most likely find him mountain running with his wife and two golden retrievers in the hiking trails near his home, or coaching his Master’s cross country skiing group on the trails of MacDonald Pass.

Education
  • Fellowship: MacNeal Primary Care Sports Medicine Fellowship, MacNeal Hospital, Berwyn, Illinois, 2000
  • Residency: Family Practice, University of Utah, Chief Resident, Salt Lake City, Utah, 1999
  • Medical School: University of Utah School of Medicine, Salt Lake City, Utah, 1996

Objectives:

  1. Standardized MSKUS exam for the scapula.
  2. Understanding how key scapula physical exam findings help direct advanced sonography protocols.
  3. Basic concepts in MSKUS scapula fascial exam.
  4. Neuro-sonoanantomy exam for the scapula.

References:

  1. Atlas of Functional Shoulder Anatomy, Giovanni Di Giacomo et al.
  2. Scapulothoracic Anatomy and Snapping Scapula, rachel M. Frank et al.

1:30 pm to 3:30 pm
The OLD and the NEUropathies
Dr. Tom Quick, MD
Dr. Mohini Rawat, DPT

Tom Quick

Dr. Tom Quick, MD

Associate Professor Tom Quick MB MA(Cantab) MD(res) FRCS(T&O) FHEA.

Tom is a peripheral nerve surgeon and clinical academic recognised internationally for his expertise.

Tom is an experienced clinical academic and fellowship trained peripheral neurosurgeon from an orthopaedic background. His practice is 50:50 paediatric and adults and encompasses all aspects of nerve injury treatment from primary intervention, to later reconstruction in the neonate, child, adolescent and adult.

He practices at the Cleveland Clinic London and the Peripheral Nerve Injury Unit at the Royal National Orthopaedic Hospital. He also holds honorary posts at Great Ormond Street Hospital and provides clinical expertise in nerve injury for the whole UK as well as Iceland. Tom has successfully treated and support rehabilitation of a wide range of professional sports men and women, internationals in rugby, cricket, football, and horse racing.

Tom was educated at Manchester Grammar School. In 1996 he was accepted at Magdalene College Cambridge where he graduated in Art History before moving on to UCL Hospitals to complete his undergraduate medical training. After basic surgical training he completed his orthopaedic training in Bristol. Subsequently he undertook a fellowship at The Westmead Children’s Hospital in Sydney, Australia. Tom then completed eighteen months of fellowship at the Royal National Orthopaedic Hospital at Stanmore, where in April 2013, he was appointed as a Consultant peripheral nerve surgeon.

Appointed in Spring 2013 to the NHS Peripheral Nerve Injury Unit, Tom is one of three consultants in this national referral centre and was clinical lead in this unit from 2017-2020. Tom provided consultancy at Headley Court the Defence Medical Rehab Centre, Surrey in the Nerve Injuries of War clinic for four years.

Tom is an honorary associate Professor at UCL and has research collaborations within the UCL Centre for Nerve Engineering (where he is lead for peripheral nerve) and across UCL and other international universities. He is currently engaged in exploratory science projects towards the rate of nerve regeneration, MRI neurography, re-innervated muscle assessment and cell therapies towards augmenting and improving nerve regeneration. His clinical projects centre around birth brachial plexus palsy assessment and treatment, co-contraction, improvements and quantification of nerve recovery and medical education. The CNE has secured funding for a James Lind Alliance Priority Setting Partnership in adult traumatic brachial plexus injuries and will be commencing this work in September 2022.

Tom’s Doctoral thesis on the ‘Assessment of re-innervated muscle function’ was successfully defended in 2018 earning MD(res) at UCL. Tom is an Honorary Associate Professor in the Institute of Orthopaedics & Musculoskeletal Science and a founding member and clinical lead for peripheral nerve in the Centre for nerve engineering at UCL. Tom collaborates scientifically with a wide range of academic teams in London and has published over 50 peer reviewed papers. He has produced national guidelines for the British orthopaedic association (BOA), British association of Plastic & reconstructive surgeons (BAPRAS), British Society for Surgery of the hand (BSSH) and advised NICE.

Tom was Head of Undergraduate Education from 2014-2019 in the Division of Surgery UCL and continues to be active in teaching and training the next generation of health care professionals whilst furthering the engagement of medical students in surgical practice, research, and science. Tom has a fellowship of the Higher Education Academy and provides educational content for many providers.

Tom is an elected member of the BOA, BSSH, and a member of the Seddon Society and Narakas Club. Tom was awarded the prestigious 2020 ‘ABC’ travelling fellowship to tour America and Canada for 6 weeks lecturing this will now go ahed in June 2022.

Tom has led public engagement in surgery through public engagement, student support and education at all levels and his social media twitter (@TJQPNI) account.

Mohini 2

Mohini Rawat, DPT, ECS, OCS, RMSK

Dr. Mohini Rawat is co-founder and president of American Academy of Musculoskeletal Ultrasound. She is Fellowship director of Musculoskeletal Ultrasound program at Hands-On Diagnostics. She is board certified in Clinical Electrophysiology and Orthopaedics by American Board of Physical Therapy Specialties and in Musculoskeletal Sonography by Alliance for Physician Certification and Advancement.

She received her Doctorate in Physical Therapy from MGH institute of Health Professions in Boston and her Masters in Biokinesiology from the University of Southern California. She is faculty for courses in Musculoskeletal Ultrasound and clinical electrophysiology in PT program and other continuing education courses. She has mentored hundreds of clinicians and has reviewed thousands of ultrasound studies. Dr. Rawat is a contributing author and wrote chapters on imaging in books. She has published articles and presented numerous musculoskeletal ultrasound courses, webinars and lectures in multiple professional conferences and organizations including the American Institute of Ultrasound in Medicine and American Academy of Orthopaedic Surgeons annual meeting. She is the chair of the Academy of Clinical Electrophysiology and Wound Management Neuromusculoskeletal Ultrasound Special Interest Group and holds other elected positions in American Physical Therapy Association.

She is Editor-in-chief of Journal of Clinical Electrophysiology and Wound Management.

She is editor of a textbook in musculoskeletal ultrasound called Atlas of Musculoskeletal Ultrasound of the Extremities.

Objectives:

  1. Understand assessment of nerve injury.
  2. Understand nerve injury mechanism and pathophysiology.
  3. Understand peripheral nerve sonoanatomy.
  4. Understand the importance of ultrasonography as an adjunct to clinical examination.

References:

  1. Nerve injury after peripheral nerve blockade—current understanding and guidelines O’Flaherty, D. et al. BJA Education, Volume 18, Issue 12, 384 – 390.
  2. Hewson DW, Bedforth NM, Hardman JG. Peripheral nerve injury arising in anaesthesia practice. Anaesthesia. 2018;73 Suppl 1:51-60. doi:10.1111/anae.14140.
  3. Baute Penry V, Cartwright MS. Neuromuscular Ultrasound for Peripheral Neuropathies. Seminars in neurology. Oct 2019;39(5):542-548. doi:10.1055/s-0039-1688987.
  4. Bianchi S. Ultrasound of the peripheral nerves. Joint Bone Spine. Dec 2008;75(6):643-9. doi:10.1016/j.jbspin.2008.07.002.

Join this exclusive virtual event and gain a significant clinical advantage!

Approved for 5.0 AMA PRA Category 1 credit

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Medical Society of the State of New York (MSSNY) and American Academy of Musculoskeletal Ultrasound (AAMU). MSSNY is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 5.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved for 0.5 PT CEU

More info about PT CEU here

Registration is now closed.

Thank you all so much for attending!