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Online Fellowship Ultrasound Guided Pain Interventions

IPSC in collaboration with Ultrasound School of Guided Interventions presents

Fellowship in Ultrasound Guided Pain Interventions – II Batch
( Online Course – 11 Modules of 2 hours each )

Starting from 9th August 2020

Delegate
Duration
Course Fee* Pay Now
International Delegates 6 Month
500 US$ Register Now
Indian Delegate 6 Month Rs 30,000 Register Now

* Fees can be paid in 2 installments of 250 US$ for International Delegates and Rs 15,000 for Indian Delegates

You will get ZOOM meeting link 1 day before the course start date.

USG PAIN SCHOOL – Course Detail

Batch II, Class Schedule :
Every 2nd and 4th Sunday of month

Time:
4 to 6 (PM) IST

Basics of Ultrasound  (21 June 2020)

  • Physics Of Ultrasound
  • Knobology/Know Your Machine
  • Probes :Selection And Image Orientation
  • Ultrasound Image Interprettation
  • Needle Placement: Techniques Advanced Tricks And Tips
  • Machine Demonstration

Regenerative  Therapies Ultrasound Guided ( 5th July 2020)

Shoulder Ultrasound (19th July 2020)

Patient positioning for Shoulder ultrasound

A) Anterior Shoulder
I) Biceps Tendon –

Short Axis view

  • Biceps Tendon, greater and lesser tubercle, transverse humoral ligament.
  • Follow up of biceps tendon up to pectoralis major insertion distally to entering into joint proximity.

Long Axis view of Biceps tendon.

II) Subscapularis

  • Subscapularis and it’s insertion into lesser tubercle in long Axis view.
  • Coracoid Process
  • Dynamic testing of Subscapularis for sub-coracoid impingement.
  • Short Axis view of Subscapularis

III) ) Acromioclavicular Joint – View from top.

  • Dynamic testing of Acromioclavicular Joint for subluxation.
  • Acromion process
  • Dynamic testing for subacromian impingement.
  • subacromian subdeltoid bursa

IV) Supraspinatus Tendon – Patient positioning – Bird beak appearance.

V) Rotator cuff interval –

B) Posterior Shoulder –

I) Infraspinatus – Muscle belly / Central tendon / following up to insertion at greater tubercle.
II) Shoulder joint from back –

  • Glenoid labrum
  •  Spinoglenoid notch / Suprascapular nerve and artery at notch

III) Teres minor in short and long Axis, Posterior Circumflex artery with axillary nerve

IV) Suprascapular Notch – Transverse scapular ligament and Artery

Elbow Ultrasound (2nd August 2020)

A) Anterior Elbow-

I) Short Axis Bony Landmark-

  • Distal Humerus with overlying Hyaline Cartilage (lateral- capitulum and medial- Trochlea)

II) Muscles –

  • Brachialis (Starry Night Appearance) And
  • Brachioradialis And Facial Plane Separating Them.
  • Pronator (Medially)
  • Biceps Tendon (Superficial Over Brachialis)

III) Neurovascular Structures –

  • Brachial Artery, Vein and Median Nerve and it’s course through pronator (pronator syndrome)
  • Radial Nerve and it’s course through supinator. (In between superficial and deep portion)

IV) Long Axis – Biceps tendon follow up to insertion at radial tubercle.

V) Pronator Window view of Biceps tendon

  • Lateral view of Biceps tendon
  • Bard’s beak appearance of Biceps tendon at radial tubercle at extreme cobra position.

B) Lateral Elbow –

  • Lateral Epicondyle, Radial head,
  • Long Axis view of Common Extensor Tendon

C) Medial Elbow

I) Long Axis view

  • Common Flexor Tendon & Ulnar Collateral Ligament and
  • Sublime Tubercle of Ulna

II) Short Axis view

  • Common Flexor Tendon
  • Ulnar Nerve with Osborne’s fascia

D) Posterior Elbow

I) Long Axis view

  • Olecranon and Triceps tendon
  • Olecranon Fossa

II) Short Axis view of Olecranon Fossa

Hand And Wristultrasound

Wrist at the Carpal Tunnel –

  • Important Bony landmarks – Scaphoid, Pisiform, Lunate.
  • Median Nerve (proximal and distal tracing) Long Axis view of Median Nerve
  • Transverse Carpal Ligament
  • Ulnar Artery/ Ulnar Nerve
  • Radial Artery
  • Flexor Tendons

A1 Pully System – 

Long Axis view

  • Bony landmarks – Proximal Phalanx, Distal Metacarpal
  • Flexor Digitorum Superficialis and Profundus.

Short Axis view – A1Pully

Dorsal Compartments

  • Bony landmarks – Listers Tubercle
  • Compartment 1 to 6
  • Specially compartment 1 for DQ tenosynovitis
  • Crossing of Compartment 1and 2 for Proximal intersection Syndrome
  • Crossing of Compartment 3 over compartment 2 for Distal Intersection Syndrome
  • Scapholunate Joint from dorsal side

Ulnar Collateral Ligament of the Thumb

1st MCP, PIP and DIP

 Hip Ultrasound Asessment And Interventions (16th August 2020)

  • Anatomy And Physiology
  • Bursal Relations
  • Rotator Cuff Of Hip
  • Denervation Of Hip Joint

Knee Ultrasound ( 6th September 2020)

Basics – Scanning Areas (Anterior, Medical, Lateral, Posterior) / Transducer to be Used. / Knee Positions for Scanning.

A) Anterior Knee
I) Anterior Long Axis View -(Suprapatellar)

  • Quadriceps Tendon, Suprapatellar Fat Pad, Pre-femoral Fat Pad, Suprapatellar Joint Recess

II) Anterior Short Axis View (Suprapatellar)

  • Vastus Medialis, Rectus Femoris, Vastus Intermedius, Vastus Lateralis,
  • Hyaline Cartilage of Joint (femoral trochlear cartilage).
  • Structures in short Axis sweep proximal to Distal.

III) Anterior Long Axis View (infrapatellar)

  • Patellar Tendon follow up to insertion in tibia. Area to look for infra patellar bursitis.
  • Hoffa’s fat pad.

IV) Anterior Short Axis View (infrapatellar)

  • Patellar Tendon in Short Axis
  • Area to look for in pre patellar bursitis.

B) Medial Knee
I) Long Axis View

  • Bony landmarks (Femur and Tibia)
  • Vastus Medialis
  • Semimembrinosus
  • Medical Co-lateral Ligament (superficial and deep fibres menisco-femoral and menisco-tibial components)

II) Short Axis View

  • Pre anserine tendons (Sartorius, Gracilis, Semitendinosus) also in long Axis

C) Lateral Knee.

I) Long Axis View

  • Bony landmarks (Femur, Fibula)
  • Iliotibial band. Up to Gardy’s tubercle
  • Fibular Colateral Ligament.
  • Popliteus (if visible)
  • Biceps Femoris split by Fibular Colateral Ligament (If Visible)

D) Posterior Knee

I) Short Axis View

  • semimembrinosus, medical head of Gastrocnemius ( location of Baker’s Cyst)
  • Posterior Collateral Ligament.
  • Neurovascular Structures
    • Separation of Sciatic Nerve to Common Peroneal and Tibial Nerves.
    • Popliteal Vessels.

Ankle & Foot Ultrasound ( 20th September 2020)

POSTERIORLY

  • Tendoachillestendon – Short axis and long axis
  • Retrocalcaneal bursa space
  • Kagers fat pad
  • Plantar fascia short and long axis

Anteriorly

  • Ankle joint tibiotalar joint space
  • Tendon alignment Tom Harry and Dick
  • Nerves anterior tibial and deep peroneal

Medial

  • Tarsal tunnel
  • Tom Dick and Harry tendon alignment / Posterior tibial nerve /Talonavicular joint space

Lateral

  • Peroneus longus and brevis tendon /Sural nerve /Anterior talofibular ligament

Gluteal  & Pelvic Ultrasound (4 October 2020)

  • Assessment and interventions
  • Muscular and neurovascular sonoanatomy and pathologies
  • Abdominal and peripheral nerves of lower limbs scanning and interventions
  • Ilioinguinal,iliohypogastric,lfcn,genitofemoral,obturator,femoral,saphenous

Sonographic Tracking Of The Peripheral Nerves Of Upper Limb (18th October 2020)

  • Radial nerve and PIN AT ARCADE OF FROSCHE
  • Median nerve at elbow and wrist CARPAL TUNNEL SYNDROME
  • Ulnar nerve at elbow and wrist GUYONS TUNNEL SYNDROME
  • Axillary nerve at quadrangular space
  • Suprascapular nerve ant approach and posterior approach

Cervical  And  Lumbar Spine Ultrasound ( 1st November 2020)

  • Facet Joints Injections
  • Median Branch Blocks
  • Caudal Epidural
  • Si Joint Injections
  • Quadratus Lumborum Blocks

Sympathetic Blocks (15th November 2020)

Stellate Ganglion Block

In Short Axis

  • Thyroid Cartilage, Cricoid Cartilage,
  • Thyroid Gland, internal jugular vein, Carotid Artery, Carotid Sheath,
  • Longus Colli, Longus Capitis, Sternocleidomastoid, Scalenei Muscles,
  • Vertebral Artery at C6, C7, Nerve Roots C6, C7,
  • Transverse Process with Tubercles at C7, C6,
  • Inferior Thyroid Artery If Visible.

Coeliac Plexus Block
Short Axis

  • T12 Vertebra,
  • Aorta, Inferior vena cava, Coeliac Trunk (Seagull Sign), Superior Mesenteric Artery,
  • Spleenoportal Confluence,
  • Liver, Pancreas,

Long Axis

  • Inferior vena cava, Hepatic Vein,
  • Aorta, Coeliac Trunk,
  • Superior Mesenteric Artery,

Superior Hypogastric Plexus Block

Short axis

  • L5 vertebra
  • Bifurcation of aorta into iliac vessels
  • Mickey Mouse appearance.

Lumbar Sympathetic Plexus Block 

  • L4 Vertebra Thumbs Up Appearance,
  • Transverse Process and Body.
  • Psoas, Erector Spinae, Quadratus Lumborum Muscles.
  • Nerve Roots If Visible in Psoas, Kidneys.

GANGLION IMPAR BLOCK

Comprehensive Online Assessment (6th December 2020)

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