Purpose of Review <p>Tendon injuries are a frequent cause of presentation to the emergency department (ED), but their diagnosis can be challenging upon initial examination. Point-of-care ultrasound (POCUS) has emerged as a powerful, non-invasive diagnostic tool that can be rapidly deployed at the bedside. This review highlights the current evidence on the use of POCUS for diagnosing common tendon ruptures in the ED, focusing on diagnostic accuracy, dynamic scanning techniques, and practical implementation considerations.</p> Recent Findings <p>Recent meta-analyses and prospective studies demonstrate high diagnostic accuracy of point-of-care ultrasound (POCUS) for identifying complete ruptures of the Achilles, quadriceps, patellar, distal biceps, rotator cuff, and digital flexor and extensor tendons compared with magnetic resonance imaging (MRI).</p> Summary <p>POCUS is an accurate imaging tool that can be used to evaluate tendon ruptures presented in the ED to expedite diagnosis, facilitate appropriate consultation, and, in many cases, replace the need for more advanced and expensive imaging alternatives such as MRI.</p>

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Emergency Department Point-of-Care Ultrasound for Suspected Tendon Ruptures: Use and Implementation

  • Hassan M. Bazzi,
  • Jawad Saad,
  • Mahmood Sanad,
  • Awad Souedan,
  • Amir Almohana

摘要

Purpose of Review

Tendon injuries are a frequent cause of presentation to the emergency department (ED), but their diagnosis can be challenging upon initial examination. Point-of-care ultrasound (POCUS) has emerged as a powerful, non-invasive diagnostic tool that can be rapidly deployed at the bedside. This review highlights the current evidence on the use of POCUS for diagnosing common tendon ruptures in the ED, focusing on diagnostic accuracy, dynamic scanning techniques, and practical implementation considerations.

Recent Findings

Recent meta-analyses and prospective studies demonstrate high diagnostic accuracy of point-of-care ultrasound (POCUS) for identifying complete ruptures of the Achilles, quadriceps, patellar, distal biceps, rotator cuff, and digital flexor and extensor tendons compared with magnetic resonance imaging (MRI).

Summary

POCUS is an accurate imaging tool that can be used to evaluate tendon ruptures presented in the ED to expedite diagnosis, facilitate appropriate consultation, and, in many cases, replace the need for more advanced and expensive imaging alternatives such as MRI.