Musculoskeletal (MSK)
3 days
MSK Ultrasound Guided Injection Course
ACEM, ACRRM, RACGP, AOA
Course highlights
- Upper limb ultrasound
- Lower limb ultrasound
Course Dates
Description
Injection therapy is an important adjunct in diagnosis and management of patients with musculoskeletal conditions. An ultrasound guided injection provides more accuracy and therefore more efficacy and cost-effectiveness compared to landmark-guided injections.
This course is aimed at doctors with a background in Sports Medicine, Rehabilitation Medicine, Pain Management, Rheumatology, Orthopaedics, General Practice, as well as Allied Health Professionals who are seeking to understand and integrate ultrasound guided injections into the diagnosis and management of common upper and lower limb pathologies.
The course combines didactic presentations, demonstrations by experts, practical scanning on real patient models and injection techniques on phantoms.
Objectives
The objectives of this msk ultrasound injection course are:
- Develop the practical skills to recognise normal musculoskeletal sono-anatomy of the upper and lower limbs relevant to ultrasound guided injections including Shoulder, Elbow, Hand, Wrist, Hip, Knee, Ankle and Foot. Evaluation of an ultrasound image to identify normal MSK anatomy of the upper and lower limb will include bone, joint, tendon, ligament, bursa, muscle, nerve and vessel (artery vs vein).
- Develop the practical skills required to administer ultrasound guided Injections directed towards peripheral joints, tendons, Bursae, and various musculoskeletal conditions and pathologies.
- Understand relevant theory and principles of ultrasound needle guidance
- Discuss the safe practice, hygiene, and recognition of potential pitfalls in MSK ultrasound guided injection techniques.
- Understand the limitations of the use of ultrasound and guidance techniques such as artefacts, safety, and positioning, and develop techniques and strategies to overcome them.
Prerequisites
The prior ultrasound experience assumed for this course is highlighted below.
| None/Minimal | Don’t use ultrasound |
| Limited | Use ultrasound weekly/monthly |
| Moderate/Experienced | Use ultrasound daily/weekly |
Injections
You will have the opportunity to discuss various injection techniques, such as fenestration and hydrodissection, and the use of various injectable therapies such as PRP and Prolotherapy.
Injections covered include (but not limited to):
Shoulder:
- Subdeltoid/ Subacromial Bursa
- Long Head of Biceps
- Acromio-clavicular Joint
- Glenohumeral Joint
- Suprascapular Nerve Injection
Elbow:
- CEO/CFO
- Radiohumeral Joint
- Posterior Interosseous Nerve (PIN)
Wrist and Hand:
- Wrist
- Carpal Tunnel
- First Compartment
- Injection for trigger finger
- Small Joints, including STT and 1st MCP
Knee:
- Joint Injection
- Pes Anserine
- ITB
Hip:
- Hip Joint Injection
- Lateral hip (Greater Trochanteric Pain Syndrome)
- LFCN
- Posterior Sacro Iliac Complex
Ankle:
- Ankle Joint
- Achilles Tendon
- Small Joints
Foot:
- Achilles Tendon
- Plantar Fascia
- Injection technique for Morton’s Neuroma and Intermetatarsal Bursa
Learning Outcomes
- Identify ultrasound artefacts and apply optimisation techniques.
- Identify the parameters of safe application of ultrasound in medical diagnosis and clinical context.
- Identify clinical questions and apply ultrasound scanning techniques to determine patient management pathways.
- Recognise and evaluate normal and abnormal MSK anatomy and appearances.
- Recognise and use techniques of MSK ultrasound including dynamic scanning and identification of anisotropy.
- Understand the clinical relevance of pathology and sonographic appearance on management decisions.
- Evaluate safe preparation of equipment and patient including probe hygiene for MSK ultrasound guided injections
- Identify pitfalls for the techniques and evaluate the implications in clinical practise.
- Perform MSK scanning and MSK ultrasound needle guidance techniques.
Accreditation
ACEM
ACEMCourse 048 is approved for 23.5 Continuing Professional Development (CPD) hours as complying with ACEM standards and policies.
ACRRM
ACRRMThis course is approved for 23 total activity hours. PDP hours: 10 Educational Activity, 12.75 Performance Review. MOPS hours: 30 Radiology. Grant eligibility: Emergency Medicine, Anaesthetics, Obstetrics, Surgery.
RACGP
RACGPRACGP | CPD Accredited Activity under RACGP 2023-25 CPD program. Approved for Educational Activities 8 hours, Reviewing Performance 14 hours, specific requirements diagnostic radiology, 3 days training grants Anaesthetics, Surgery and Emergency Medicine. Provider Number 214288, Activity ID 410590.
AOA
AOA4 CPD points.
HOURS
| Theoretical | 8.75 |
| Practical | 11.25 |
| Total | 20 |
CATERING
Morning tea, a light lunch and refreshments are provided each day.