Use of Portable Ultrasound for Exploration and Removal of Superficial Foreign Bodies

Kent, Mike Jr; Melton, J. T. K.

doi:10.1308/rcsann.2009.91.4.344b

Cited by 3 publications

(3 citation statements)

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“…5,11,13,14 Common applications for portable ultrasound include evaluation for cardiac or abdominal abnormality. 5,14 The use of portable ultrasound in the musculoskeletal system has been described for foreign body removal 7,9 and rib fracture assessment. 12 One study evaluated 10 shoulders and concluded that abnormality could be identified 10 ; however, a comprehensive evaluation of routine musculoskeletal applications has not been previously assessed.…”

Section: Discussionmentioning

confidence: 99%

“…4 Such equipment has been used in several applications, such as trauma, cardiorespiratory assessment, and invasive procedures 4 ; however, the effectiveness of portable ultrasound in evaluation of the musculoskeletal system has not been fully assessed. 7,9,10,12 Thus, the purpose of this study was to evaluate the use of a portable hand-held ultrasound device in the evaluation of the musculoskeletal system compared with conventional cart-based ultrasound. The hypothesis was that portable hand-held ultrasound would be as effective as conventional cart-based ultrasound.…”

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confidence: 99%

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Hand-Held Portable Versus Conventional Cart-Based Ultrasound in Musculoskeletal Imaging

Falkowski

Jacobson

Freehill

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Portable ultrasound machines are now common, used for point-of-care applications and needle guidance for percutaneous procedures; however, the effectiveness of portable ultrasound in evaluation of the musculoskeletal system has not been fully assessed. Purpose: To prospectively evaluate the use of portable hand-held ultrasound in comparison with conventional cart-based ultrasound in evaluation of the musculoskeletal system. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: In this institutional review board–approved, prospective study, 100 consecutive patients with informed consent were imaged through use of both portable and cart-based ultrasound equipment using 12-5 MHz linear transducers. Agreement in ultrasound diagnosis was documented along with expected clinical changes in management if there was disagreement (definitely no, probably no, uncertain, probably yes, definitely yes). Imaging details of disagreement cases were recorded, and descriptive statistics were calculated. Results: There were 42 male and 58 female patients (mean ± SD age, 53 ± 13 years) imaged over a time period of 20 months. Anatomic areas scanned were the shoulder (n = 30), elbow (n = 11), hand and wrist (n = 15), hip (n = 10), knee (n = 11), foot and ankle (n = 12), and others (n = 11). Scanning with conventional ultrasound revealed abnormality in 92% of patients. Agreement in diagnosis made between portable versus cart-based ultrasound was found in 65% of patients. In the 35% of patients with discordant results, the change in diagnosis resulted in no change in clinical management in 46%, probably no change in 29%, uncertain change in 14%, probable change in 11%, and definite change in 0%. The diagnoses changing management (4%; 4/100) included nondetection of a satellite nodule (n = 1), ganglion cyst (n = 1), hernia (n = 1), and underestimated tendon tear (n = 1). Conclusion: When compared with conventional cart-based ultrasound, a musculoskeletal diagnosis using portable hand-held ultrasound was concordant or was discordant without clinical relevance in 96% (96/100) of patients. Knowledge of benefits and limitations of portable hand-held ultrasound will help determine areas where specific types of ultrasound equipment can be used.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Hand-Held Portable Versus Conventional Cart-Based Ultrasound in Musculoskeletal Imaging

Falkowski

Jacobson

Freehill

et al. 2020

Orthopaedic Journal of Sports Medicine

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“…In Abhängigkeit von der Erfahrung des Untersuchers und der Qualität des Ultraschallsystems kann der Fremdkörper schon ab einer Größe von 1-2 mm nachgewiesen werden[ 7 ] . Hinzu kommt die Einsatzmöglichkeit tragbarer Ultraschallgerä-te intraoperativ zur Lokalisation des Fremdkörpers ohne zusätz-liche Kosten oder zusätzlichen Personalaufwand[ 23 ] .Fremdkörper weisen in der Kopf-Hals-Sonografi e ein charakteristisches Echomuster auf und können daher, bis auf Lokalisationen hinter echodichten Strukturen wie Knochen, gut als solche identifi ziert werden. Die Darstellung mittels Sonografi e ist charakterisiert durch hohe Aufl ösung und die 3-dimensionale Mög-lichkeit der Darstellung, ist kostengünstig, nichtinvasiv und "vor Ort", sodass bei einem erfahrenen Untersucher oft keine zusätz-liche Bildgebung notwendig und eine zeitnahe (operative) Therapie möglich ist.…”

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Ultraschallphänomene von Fremdkörpern der Kopf-, Halsweichteile. Vergleich von Kasuistik und Phantom

et al. 2011

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Image guided surgery for removal of deep foreign bodies and soft tissue tumours using portable ultrasonography

Holleyman

Husaini

Rankin³

2019

annals

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This technique can make the lesions visible by patent blue dye and make the surgery more efficient and accurate. Our experience demonstrates the advantages of the hybrid technique are; A periareolar incision results in a better cosmetic result and does not interfere with subsequent procedures for cancer patients. It is less traumatic with less postoperative pain. In our study, post-procedural specimen mammography showed that the microcalcification is adequately probed and no re-excision is necessary.

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Use of Portable Ultrasound for Exploration and Removal of Superficial Foreign Bodies

Abstract: Figure 1Swab rolled from apex and laid spirally after being soaked. It is then placed in the acetabulum cup to centralise the Explant device.

Cited by 3 publications

References 2 publications

Hand-Held Portable Versus Conventional Cart-Based Ultrasound in Musculoskeletal Imaging

Hand-Held Portable Versus Conventional Cart-Based Ultrasound in Musculoskeletal Imaging

Ultraschallphänomene von Fremdkörpern der Kopf-, Halsweichteile. Vergleich von Kasuistik und Phantom

Image guided surgery for removal of deep foreign bodies and soft tissue tumours using portable ultrasonography

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