Ultraschall Med
DOI: 10.1055/a-1562-1455
Guidelines & Recommendations

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies

Die EFSUMB-Leitlinien und -Empfehlungen für den muskuloskelettalen Ultraschall. Teil I: Extraartikuläre Pathologien
Daniela Fodor
1  2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
,
Sebastián C Rodriguez-Garcia
2  Rheumatology Department, La Princesa University Hospital, Princesa Health Research Institute, Madrid, Spain
,
Vito Cantisani
3  Department of Radiological, Oncological and Anatomo-pathological Sciences, “Sapienza” University, Rome, Italy
,
Hilde B. Hammer
4  Department of Rheumatology, Diakonhjemmet Hospital and Faculty of Medicine, University of Oslo, Oslo, Norway
,
Wolfgang Hartung
5  Clinic for Rheumatology and Clinical Immunology, Asklepios Clinic, Bad Abbach, Germany
,
Andrea Klauser
6  Department of Radiology, Medical University Innsbruck, Section Head Rheumatology and Sports Imaging, Innsbruck, Austria
,
Carlo Martinoli
7  Department of Health Science – DISSAL, University of Genova, Italy
8  UO Radiologia, IRCCS Policlinico San Martino, Genova, Italy
,
Lene Terslev
9  Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
,
Fernando Alfageme
10  Dermatology Department, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain
,
David Bong
11  Instituto Poal de Reumatologia Barcelona, EULAR Working Group Anatomy for the Image, University of Barcelona, International University of Catalunya, Spain
,
Angel Bueno
12  Department of Musculoskeletal Radiology, Hospital Universitario Fundación Alcorcón, Madrid, Spain
,
Paz Collado
13  Rheumatology Department, Transitional Care Clinic, Hospital Universitario Severo Ochoa, Madrid, Spain
,
Maria Antonietta D’Agostino
14  Istituto di Reumatologia Università Cattolica del Sacro Cuore, UOC Reumatologia, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy
,
Javier de la Fuente
15  Orthopedic Department, Clinica Pakea de Mutualia, San Sebastián, Spain
,
Gabriella Iohom
16  Department of Anaesthesiology and Intensive Care Medicine, Cork University Hospital and University College Cork, Cork, Ireland
,
Jens Kessler
17  Department of Anaesthesiology, Division of Pain Medicine, University Hospital Heidelberg, Heidelberg, Germany
,
Manuela Lenghel
18  Radiology Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
,
Clara Malattia
19  UOC Clinica Pediatrica e Reumatologia, IRCCS Istituto Giannina Gaslini, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI) University of Genoa, Genoa, Italy
,
Peter Mandl
20  Division of Rheumatology, Medical University of Vienna, Vienna, Austria
,
Dolores Mendoza-Cembranos
21  Department of Dermatology. Hospital Universitario Fundación Jiménez Díaz.Madrid, Spain
,
Mihaela Micu
22  Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj-Napoca, Romania
,
Ingrid Möller
11  Instituto Poal de Reumatologia Barcelona, EULAR Working Group Anatomy for the Image, University of Barcelona, International University of Catalunya, Spain
,
Aurelie Najm
23  Institute of Infection, Immunity and Inflammation, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom
,
Levent Özçakar
24  Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey
,
Riccardo Picasso
7  Department of Health Science – DISSAL, University of Genova, Italy
8  UO Radiologia, IRCCS Policlinico San Martino, Genova, Italy
,
Athena Plagou
25  Ultrasound Unit, Private Radiological Institution, Athens, Greece
,
Xavier Sala-Blanch
26  Department of Anaesthesiology, Hospital Clinic, Department of Human Anatomy, Faculty of Medicine, University of Barcelona, Spain
,
Luca Maria Sconfienza
27  IRCCS Istituto Ortopedico Galeazzi, Milano Italy
28  Department of Biomedical Sciences for Health, University of Milano, Milano, Italy
,
Oana Serban
1  2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
,
Paolo Simoni
29  Paediatric Imaging Department, “Reine Fabiola” Children’s University Hospital, Université Libre de Bruxelles, Brussels, Belgium
,
Iwona Sudoł-Szopińska
30  Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland
,
Christian Tesch
31  Orthopedics and Trauma Surgery, Praxis, Hamburg, Germany
,
Plamen Todorov
32  Department of Internal Disease Propaedeutic and Clinical Rheumatology, Medical University of Plovdiv, Plovdiv, Bulgaria
,
Jacqueline Uson
33  Department of Rheumatology Hospital Universitario Móstoles, Universidad Rey Juan Carlos, Madrid, Spain
,
Violeta Vlad
34  Sf. Maria Hospital, Rheumatology Department, Bucharest, Romania
,
Federico Zaottini
7  Department of Health Science – DISSAL, University of Genova, Italy
8  UO Radiologia, IRCCS Policlinico San Martino, Genova, Italy
,
Diana Bilous
1  2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
,
Roxana Gutiu
1  2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
,
Michael Pelea
1  2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
,
Anamaria Marian
1  2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
,
Esperanza Naredo
35  Department of Rheumatology, Bone and Joint Research Unit, Hospital Universitario Fundación Jiménez Díaz, IIS Fundación Jiménez Díaz, and Universidad Autónoma de Madrid, Madrid, Spain
› Author Affiliations

Abstract

The first part of the guidelines and recommendations for musculoskeletal ultrasound, produced under the auspices of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB), provides information about the use of musculoskeletal ultrasound for assessing extraarticular structures (muscles, tendons, entheses, ligaments, bones, bursae, fasciae, nerves, skin, subcutaneous tissues, and nails) and their pathologies. Clinical applications, practical points, limitations, and artifacts are described and discussed for every structure. After an extensive literature review, the recommendations have been developed according to the Oxford Centre for Evidence-based Medicine and GRADE criteria and the consensus level was established through a Delphi process. The document is intended to guide clinical users in their daily practice.

Zusammenfassung

Der erste Teil der Leitlinien und Empfehlungen für den muskuloskelettalen Ultraschall, die unter der Schirmherrschaft der European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) erstellt wurden, enthält Informationen über den Einsatz des muskuloskelettalen Ultraschalls zur Beurteilung von extraartikulären Strukturen (Muskeln, Sehnen, Gelenke, Bänder, Knochen, Schleimbeutel, Faszien, Nerven, Haut, subkutanes Gewebe und Nägel) und deren Pathologien. Für jede Struktur werden die klinische Anwendung, praktische Punkte, Einschränkungen und Artefakte beschrieben und diskutiert. Nach einer ausführlichen Literaturrecherche wurden die Empfehlungen gemäß den Kriterien des Oxford Centre for Evidence-based Medicine und den GRADE-Kriterien entwickelt, und der Konsensgrad wurde durch die Delphi-Methode ermittelt. Das Dokument ist als Leitfaden für klinische Anwender in der täglichen Praxis gedacht.



Publication History

Received: 24 March 2021

Accepted: 08 July 2021

Publication Date:
03 September 2021 (online)

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