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Managing uncommon and unexpected findings during neuromuscular ultrasound
Author(s) -
Walker Francis O.,
Cartwright Michael S.,
Hunt Christopher H.
Publication year - 2021
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.27128
Subject(s) - sonographer , medicine , ultrasound , physical medicine and rehabilitation , radiology
One barrier to widespread adoption of neuromuscular ultrasound by clinical neurophysiologists is concern over how to identify and manage non‐neuromuscular findings. This review addresses this concern by describing the sonographic appearance of a variety of commonly observed pathologies and anatomic variants in dermal, subcutaneous, bony, glandular, lymphatic, vascular, and other superficial tissues. Additionally, it outlines techniques to ensure proper clinical and ultrasound evaluation of unexpected or uncommon findings. Finally, it highlights strategies to manage unexpected findings, including how to best communicate findings to patients and referring clinicians to avoid unnecessary testing and ensure appropriate follow‐up. Ultrasound extends the ability of the neuromuscular sonographer‐clinician to contribute to patient care.