Review ArticleToward Ergonomic Design in Ultrasound Scanning Strategies to Mitigate Injurious ForcesKliewer, Mark MD∗; Walker, Tim RMDS, RDCS, RVT∗; Bagley, Anjuli R. MD†,‡ Author Information ∗Department of Radiology, University of Wisconsin School of Medicine, Madison, WI †Department of Radiology, The University of Colorado Denver, Aurora ‡University of Colorado Hospital (UCH), Aurora, CO. Received for publication September 22, 2020; accepted February 3, 2021. The authors declare no conflict of interest. Address correspondence to: Mark Kliewer, MD, Department of Radiology, University of Wisconsin School of Medicine, E3/311 Clinical Science Center, 600 Highland Ave, MC 3252 Madison, WI 53792-3252 (e-mail: [email protected]). Ultrasound Quarterly: March 2022 - Volume 38 - Issue 1 - p 65-71 doi: 10.1097/RUQ.0000000000000564 Buy Metrics Abstract Sonographers experience stress-related musculoskeletal injuries at alarming rates. The magnitude of the problem has resulted in substantial economic and human costs. Early efforts, such as the transposition of office ergonomic models to the ultrasound suite, have been only marginally successful because of the vast difference between clerical and sonography work demands. In addition, although the issue has attracted the attention of professional sonographer societies, equipment manufacturers, and governmental agencies, such as the OSHA (Occupational Safety and Health), the causative mechanisms by which sonographers are injured remain inadequately addressed. A definitive ergonomic solution has been elusive. With the help of occupational therapists and biomechanical engineers, we have developed a number of possible ergonomic modifications of ultrasound equipment. We explain the rationale behind these approaches to transducer design and assess the strengths and deficiencies of each. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.