140 Clinical Features
Figure 19.12 Thickening of the distal patellar tendon
with irregular margins to the tendon (arrow) and an
interstitial tear (arrowhead) consistent with partial
rupture, secondary to a K-wire inserted through the distal
tendon during a surgical repair.
Conclusions
Ultrasound in general is cost-effective and
readily available. However, interest and train-
ing in musculoskeletal ultrasound is much
less common. An experienced musculoskeletal
ultrasonographer is important to thoroughly
evaluate the joint and make a knowledgeable
interpretation and diagnosis that corresponds
to the clinical history and examination. A thor-
ough knowledge of the anatomy of the joint or
structures is important, as well as the normal
and abnormal ultrasonographic appearance of
these structure. When learning the ultrasono-
graphic appearance of a new musculoskeletal
area, one is encouraged to evaluate the con-
tralateral limb or image a normal patient for
comparison.
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