Publications by authors named "Douglas F Hoffman"

Article Synopsis
  • The study aimed to analyze the types and frequency of complications that occur within three months of ultrasound-guided surgical procedures, as well as to understand which patient demographics or procedure characteristics may influence these complications.
  • A total of 2,369 procedures were reviewed across six clinics, revealing an overall complication rate of 1.2%, with the most common procedure being ultrasound-guided tenotomy.
  • The findings showed no significant link between complication risk and factors like age, sex, BMI, diabetes, smoking status, or the specific type of procedure performed.
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Objectives: The current lack of agreement regarding standardized terminology in musculoskeletal and sports ultrasound presents challenges in education, clinical practice, and research. This consensus was developed to provide a reference to improve clarity and consistency in communication.

Methods: A multidisciplinary expert panel was convened consisting of 18 members representing multiple specialty societies identified as key stakeholders in musculoskeletal and sports ultrasound.

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Background: The thumb annular pulley system is unique from the other digits and is integral to normal thumb function. Injuries to this pulley system can present a diagnostic challenge. No prior study has evaluated the ability of ultrasound (US) to evaluate all four thumb pulleys.

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Sports ultrasound is commonly used by sports medicine physicians to enhance diagnostic and procedural accuracy. This expert consensus statement serves as an update to the 2015 American Medical Society for Sports Medicine recommended sports ultrasound curriculum for sports medicine fellowships. Although written in the context of the American sports medicine fellowship training model, we present a stepwise progression in both diagnostic and interventional sports ultrasound that may be applicable to the broader sports medicine community.

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The most common etiology of carpal tunnel syndrome (CTS) is idiopathic. However, secondary causes of CTS should be considered when symptoms are unilateral, or electrodiagnostic studies are discrepant with the clinical presentation. Imaging of the carpal tunnel should be performed when secondary causes of CTS are suspected.

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Article Synopsis
  • - Gluteus minimus disorders can cause pain in the greater trochanteric area or front of the hip, often occurring alongside gluteus medius tendon issues.
  • - These tendon disorders may also happen on their own, making it important to distinguish between them for proper diagnosis.
  • - Knowing the ultrasound anatomy of the gluteus minimus muscle and tendon is key to identifying these disorders, which helps inform treatment options for hip pain.
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Greater trochanteric pain syndrome is a common clinical entity that most often results from disorders of the gluteus medius tendon. There are two distinct bands of the gluteus medius tendon, and abnormalities may affect the anterior or posterior band in isolation or simultaneously. Although abnormalities of the anterior band are more common, awareness and sonographic detection of posterior band abnormalities is essential to guide treatment in the setting of greater trochanteric pain syndrome.

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Background: The importance of meniscal preservation has become widely accepted, and meniscal repair techniques have evolved over recent years. With new techniques come new complications, which are critical to recognize.

Purpose: To describe a new complication of foreign body reaction from a nonabsorbable suture anchor associated with improper placement of the all-inside meniscal device.

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High-resolution ultrasound is emerging as an important imaging modality in fracture assessment due to its availability, ease of use and multiplanar capabilities. Its usefulness includes injury assessment for the presence of a fracture when obtaining radiographs is not immediately available, detecting occult fractures not revealed on radiographs, and diagnosing bone stress injury before radiographic changes. Sonographic evaluation of bone, however, has limitations and should always be coupled with radiographs and possibly advanced imaging modalities such as CT and MR when clinically indicated.

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The objective of this study was to raise awareness of the diagnosis of enthesopathy of the lateral cord of the plantar fascia (LCPF) and describe its sonographic findings. We conducted a retrospective case series of 13 sonographic examinations with the diagnosis of LCPF enthesopathy. Two cadaver dissections of the plantar foot were performed for anatomic correlation.

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Foot pain is a common orthopedic condition that can have an impact on health-related quality of life. The evaluation of plantar hindfoot pain begins with history and physical examination. Imaging modalities, standard radiographs, sonography, MR, CT are often utilized to clarify the diagnosis.

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In brief Clinically, diagnosing elbow dis-brief location is not difficult, although a supracondylar fracture of the humerus can mimic an elbow dislocation in a young patient. Fractures are common with elbow dislocations; neurovascular injury is uncommon but potentially disastrous if unrecognized. A careful neurovascular examination, therefore, is imperative both before and after reduction.

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