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Positioning Techniques to Improve the Ultrasound Evaluation of the Elbow

Mezian, Kamal, MD*; Machač, Stanislav, MSc, PhD†‡; Zavareh, Ali, MD, FRCR§; Majerníková, Lucia, MD; Vacek, Jan, MD, PhD; Navrátil, Leoš, MD, PhD#; Schmitz, Marc, MSc**††

doi: 10.1097/RUQ.0000000000000377
Pictorial Essay

We introduce an ergonomic positioning for sonographic scanning of elbow joint where the patient is lying semisupine on the examination bed. This is in contrast with the conventional positioning where the patient is sitting on the edge of the bed or across the table on a chair. Our proposed positioning is more comfortable for both the patient and ultrasound practitioner. It also allows immediate ultrasound-guided injections with lesser risk regarding a vasovagal syncope of the patient.

*Institute of Biophysics and Informatics, 1st Faculty of Medicine of Charles University in Prague;

Institute of Sports Medicine;

Department of Rehabilitation and Sports Medicine, 2nd Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic;

§Radiology Department, Guy’s and St Thomas’ Hospitals NHS Trust, London, UK;

Institute of Physiotherapy, Balneology and Medical Rehabilitation, University Hospital in Bratislava, Bratislava, Slovakia;

Department of Rehabilitation Medicine, Charles University in Prague, Faculty Hospital Královské Vinohrady, Prague;

#Department of Health Care Disciplines and Population Protection, Czech Technical University in Prague, Faculty of Biomedical Engineering, Kladno, Czech Republic;

**SonoSkills–SonoScience, Roermond; and

††SOMT Department MSK Ultrasound, University of Physiotherapy, Amersfoort, The Netherlands.

Received for publication April 4, 2018; accepted June 5, 2018.

The authors declare no conflict of interest.

Address correspondence to: Kamal Mezian, MD, Institute of Biophysics and Informatics, 1st Faculty of Medicine of Charles University in Prague, Salmovská 1, Prague 12000, Czech Republic (e-mail:

Compendium date: June, 2019

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