Musculoskeletal Ultrasound - Principles of Hydrodissection

Course Description: The Intermediate/Advanced Diagnostic Musculoskeletal Ultrasound Course on Hydrodissection of Nerve Entrapments is designed take the next step for those who have the basic, standard, examination of peripheral nerves down and would like to take their game to the next level. This course will start out with discussion of the definition, technique principles and current literature on hydrodissection. It will then delve into the intricacies of common nerve entrapments to expand your treatment armamentarium. In the first half of the day, we will focus on how to perform diagnostic evaluation and US guided procedures for superficial and deep nerves of the knee, shin, and ankle/foot that can put you ahead of the game.  In the second half of the day, we will introduce you to diagnostic brachial plexus assessment and then focus on how to perform diagnostic evaluation and US guided procedures for the main three nerves of the of the upper extremity. Our highly experienced faculty will focus on the normal anatomy & how to scan these topics, but with more detail, while also presenting some pathology examples with examples of hydrodissection specific to their topic. The emphasis will continue to be on scanning technique, probe position and dynamic evaluation. 

Morning Session:   Principles of Hydrodissection & Advanced Diagnostic Imaging of Lower Extremity Nerve Entrapments
8:00-8:30             Principles of Hydrodissection Technique
8:30-9:00             Neuralgias That Mimic Knee Arthralgias:
                            Part I: Saphenous Nerve Hydrodissection
9:00-9:30             Neuralgias That Mimic Knee Arthralgias:
                            Part II: Geniculate Nerve Hydrodissection 
9:30-10:00          Tarsal Tunnel & Common Foot Nerve
                                                             Hydrodissection 
10:00-10:15        Break
10:15-12:15        Diagnostic Scanning Live Models:
   Rotate b/t 4 stations (40 min each)
   Stations 1 & 2: Knee Sonographic Anatomy
                                 – Saphenous Nerve Tree
   Stations 3 & 4: Knee Sonographic Anatomy
                                 – Geniculate Branches
   Stations 5 & 6: Sonographic Anatomy Tibial Nerve
                                  @ Knee & Ankle 
   Stations 7 & 8: Sonographic Anatomy Common
                                   Foot Neuropathies 
12:15-1:30           Lunch
PM SESSION:  Advanced Diagnostic Imaging of Upper Extremity Nerve Entrapments
1:30-2:00              Branchial Plexus Hydrodissection 
2:00-2:30              The Posterior Trigger Point: Dorsal Scapular & Spinal Accessory Nerve Hydrodissection 
2:30-3:00              Median N Hydrodissection from
                                                         Axilla to Hand 
3:00-3:30              Ulnar N Hydrodissection
                                                 from Axilla to Hand 
3:30-4:00              Radial N Hydrodissection from
                                                        Axilla to Hand 
4:15-6:15              Diagnostic Scanning Live Models:
    Rotate b/t 4 stations (40 min each)
    Stations 1 & 2: Brachial Plexus & Dorsal Scapular Nerve
                            Sonographic Anatomy 
    Stations 3 & 4: Radial Nerve Sonographic Anatomy
                             – Axilla to Wrist 
    Stations 5 & 6: Median Nerve Sonographic Anatomy
                             – Axilla to Wrist 
    Stations 7 & 8: Ulnar Nerves Sonographic Anatomy
                             – Axilla to Wrist