CIPS

Question 1

What is the position of the patient when examining the anterior knee?

Answer 1

Supine position with the knee slightly flexed 20 to 30 degrees.

Question 2

What structure appears as a thin hypoechoic line just beneath the quadriceps femoris tendon?

Answer 2

Suprapatellar bursa.

Question 3

What is the purpose of voluntary contraction of the quadriceps during the examination?

Answer 3

To help identify smaller effusions.

Question 4

What is the common site for access to the knee joint?

Answer 4

Suprapatellar bursa.

Question 5

Where does the patellar tendon insert?

Answer 5

Tibial tuberosity.

Question 6

What is located beneath the patellar tendon?

Answer 6

Intracapsular Hoffa’s fat pad.

Question 7

What does the medial collateral ligament reveal when the ultrasound probe is placed over its long axis?

Answer 7

Superficial layer and the deep meniscofemoral and meniscotibial components.
Going down to Tibia insertion: Pes anserinus complex inserting into the anterolateral aspect of the tibial metaphysis. At this level, the 3 tendons of sartorius, gracilis, and semitendinosus cannot be differentiated from each other.

Question 8

What appears as a hyperechoic triangular structure between the femur and tibia?

Answer 8

Medial meniscus.

Question 9

Which tendons blend together to form the pes anserinus complex?

Answer 9

Sartorius, gracilis, and semitendinosus.

Question 10

What is the best position for examining the lateral knee?

Answer 10

Knee internally rotated with 20- to 30-degree flexion.

Question 11

What structure is seen as a thin, fibrillar structure that inserts onto the Gerdy tubercle?

Answer 11

Iliotibial band (hiperecoica)

Question 12

Where is the lateral collateral ligament best examined?

Answer 12

Over the fibula head with the probe rotating over the femur.

Question 13

What structures can be seen when the probe is aligned with the lateral collateral ligament?

Answer 13

Ileotibial band, popliteus tendon

Question 14

What is the position of the patient when examining the posterior knee?

Answer 14

Prone position with the knee extended.

Question 15

Which structures are seen from medial to lateral in the short-axis scan of the posterior knee?

Answer 15

Sartorius, gracilis, semimembranosus, semitendinosus, and medial head of gastrocnemius muscle.

Question 16

What is located between the tendons of semimembranosus and the medial head of gastrocnemius?

Answer 16

Semimembranosus or semimembranosus-gastrocnemius bursa.

Question 17

What does the short-axis scan of the popliteal fossa reveal?

Answer 17

Neurovascular bundle and sciatic nerve (arrowheads).

Question 18

What is examined in the long-axis scan when moving the probe laterally in the posterior knee?

Answer 18

Biceps femoris muscle and tendon.

Question 19

Quais são os 3 recessos da articulação do ombro?

Answer 19

• Recesso da Bainha do tendão do biceps (lateral)
• Recesso subescapular (medial)
• Recesso axilar (inferior)

Question 20

O que dá estabilidade da articulação glenoumeral?

Answer 20

• Ligamentos
• Os tendões do manguito rotador
• O músculo deltoide

Question 21

Quais ligamentos sustentam a articulação glenoumeral?

Answer 21

• Ligamento glenoumeral (3 partes, superior, medio e inferior)
• Ligamento coracoumeral (grosso, por cima do glenoumeral)

Question 22

Como fazer a punção da bursa subdeltoidea

Answer 22

Entre o deltoide e o supra, com o acrônimo na imagem

Question 23

Quais tendões se inserem na Tuberosidade menor? (mais medial)

Answer 23

• Subescapular (passa por cima da fossa bicipital junto ao ligamento transverso umeral

Question 24

Quais tendões se inserem na Tuberosidade MAIOR? (mais lateral)

Answer 24

• Supraespinhal (superior)
• Infraespinhal (medio)
• Redondo menor (inferior e posterior)

Question 25

Distensão líquida da bainha do tendão do bíceps reflete mais que patologia?

Answer 25

Reflete mais patologia glenoumeral que a patologia do tendão em si (porque essa porção proximal do tendão é intra-articular, mas extrassinovial)