Cadaveric Ultrasound Guided MSK Injection
- The cadavers used on the course are as close as you can get to the real thing
- Excellent delegate to cadaver ratio - plenty of time to practice all the injections under close supervision
- One machine to two delegates - only high specification machines are used on the course
- Excellent delegate to tutor ratio - we guarantee one tutor to every four delegates to ensure close supervision throughout
- Exclusive access to our online resources and content from our expert tutors
- Comprehensive online presentations of all the injections covered on the course (images and videos)
This comprehensive, unique and highly practical 2-day course takes place in the impressive facilities at St George's cadaver laboratory in London and is the essential course for anyone looking to begin ultrasound guided procedures, for clinicians looking to expand their repertoire of injections or learn more advanced techniques. Our tutors have top tips and technical knowledge to ensure you expand your knowledge and develop your skills.
The course is split into upper limb on day 1 and lower limb on day 2. This gives the opportunity for shoulder surgeons and other upper limb specialists to attend only the first day and lower limb specialists such as foot and ankle surgeons, podiatrists and hip surgeons to attend only the lower limb day. However, we do advise that delegates attend both days to maximise their learning and skill acquisition.
Please note: If you are only able to attend one day, please email firstname.lastname@example.org.
The practical workshops are carried out on soft-preserved full body cadavers, which is the closest match to the real thing! You have full access to perfect your skills on the cadavers over the 2 days. We have lots of machines and you will benefit from close supervision throughout from the faculty.
The course is taught by very experienced practitioners who will deliver the information you need and translate this information into the practical application of carrying out the guided injections. This course is packed with clinical gems, top tips when to inject when not to inject, what to look out for and to avoid with each procedure and how to make the procedures as straight forward for the clinician and as comfortable as possible for the client. We cover the basic procedures including all peri-articular and articular injections and more advanced procedures that are at the cutting edge of MSK and sports medicine. This includes barbotage, hydro-distention, high volume injections and tendon stripping techniques. Following this course you will be ready to either start carrying out guided injections on your clients or ready to introduce the more advanced techniques into your repertoire.
Who should attend?
This programme attracts MSK Radiologists, GPs with special interest in MSK/Sports Medicine, Surgeons, Sports Medicine Consultants, Physiotherapists, Radiographers, Podiatrists, Sonographers and Osteopaths.
The course is designed for delegates just starting out with ultrasound guided procedures or want to develop their skills.
- Chris Myers - Extended Scope Physiotherapist, Osteopath and MSK Sonographer
- Dr Lorenzo Masci - Consultant Sports Medicine Doctor and MSK Sonographer
- Dr Jon Houghton - Consultant Sports Medicine Doctor and Rheumatologist
- John Leddy - Extended Scope Physiotherapist
- Michael Bryant - Extended Scope Physiotherapist
- Ali Abbasi - Consultant Radiologist
Day 1 - Upper Limb
|09:00 - 09:15||Registration/Coffee||Housekeeping and registration|
|09:15 - 09:30||Presentation and Discussion||Outline of the day - Course objectives and an introduction to the tutors.
Rules of the lab!
|09:30 - 09:45||Presentation and Discussion||Types of injections - we will cover joint, tendon sheath, bursal and nerve injections plus more advanced procedures including barbotage, high volume injections, hydrodistention, tendon stripping and dry needling techniques.
What should we inject and when?
|09:45 - 10:15||Presentation and practical demonstrations||Injection technique - How to carry out an in-plane and out-of-plane injection - technical considerations and top tips on how to manipulate the probe and your machine parameters to optimise the needle.|
|10:15 - 13:00||Cadaveric lab - demonstrations and practical workshop||Shoulder - Intra-articular, ACJ, SA Bursa, LH biceps sheath, Suprascapular nerve|
|13:00 - 13:45||Lunch|
|13:45 - 15:15||Cadaveric lab - demonstrations and practical workshop||Elbow - Intra-articular (radial-ulnar and humero-ulnar joint), cubital fossa, common flexor and extensor tendons and distal biceps|
|15:15 - 15:30||Presentation and Discussion||Procedural consideration of US guided injections - discussion around sterility, aseptic technique, probe covers and the use of sterile gel and anti-bacterial agents|
|15:30 - 17:00||Cadaveric Lab Demonstration and Practical Workshop||Wrist and Hand - Intra-articular, scaphoid-lunate, TFCC, DeQuervains tenosynovitis, CTS, Guyons Canal, trigger thumb/finger|
Day 2 - Lower Limb
|09:00 - 09:15||Registration/Coffee||Re-cap of the main learning points and plan for the day.|
|09:15 - 10:30||Demonstration and Practical Workshop||Knee - Intra-articular, infra-patellar and superficial bursa and high volume patella tendon, fat pad injection, aspirations, semi-membranosus tendon, Bakers cyst.|
|10:30 - 12:30||Demonstration and Practical Workshop||Ankle and Foot - talo-crural, sinus tarsi, FHL and tibilais posterior sheath, medial and lateral recesss, posterior impingement, Mortons neuroma , 1st MTP, seasamoiditis, Achilles high volume injections and tendon scrapping, plantarfasciitis|
|12:30 - 13:15||Lunch|
|13:15 - 14:30||Demonstration and Practical Workshop||Hip and groin- Intra-articular hip injection, psoas sheath, ilioinguinal nerve, snapping hip syndrome and common adductor tendon.|
|14:30 - 16:30||Cadaveric Lab (the cadavers will be moved onto their sides) Demonstration and Practical Workshop||Hip - gluteus medius and minumus, trochanteric bursal injections.
Knee - ITB friction syndrome, pes anseurine bursitis.
Ankle - peroneal tendon injection, ST joint and sinus tarsi injection.
Revision from Day 1.
|16:30 - 17:00||Demonstration and Practical Workshop||Revision - delegates can choose which injections to recap/revise.|
Are SMUG courses endorsed by The College of Radiographers?
Endorsment for our Introduction to Musculoskeletal Ultrasound Imaging in Sports Medicine course is currently being processed.
How does the SMUG introduction course differ from other courses?
It is an intensive, highly practical, hands-on and highly interactive course with a high tutor participant ratio of at least 1:6. It is designed for sports medicine practitioners and provides a good grounding in tissue recognition and scanning skills as well as giving participants a clear idea of the skill level required and the time it takes to be competent and confident.
Do I get a qualification/certificate at the end of the Introduction course?
You will receive a certificate for the allocated CPD hours for the course, not a certificate of competence.
How do I continue to develop my skills after the Introduction course?
For MSK Diagnostic Ultrasound the only accredited pathways are via the Royal College of Radiologists and a PG Cert in MSK Sonography (such as at Canterbury University); it takes approximately 18 months and you have to do a clinic with a radiologist/sonographer once a week.
What are the prerequisites for the Mentorship Programme?
Participants to have attended an introduction to MSK ultrasound imaging course (not necessarily our course) and have good anatomical knowledge (especially cross-sectional) and access to an ultrasound scanner in their clinical setting.
I only want to know how to scan a particular area (shoulder, muscle, ankle). Is the introduction course for me?
Yes, any scanning requires the skill to optimise the image using the machine settings and the correct manual skill to assess the tissues of interest as well as the knowledge of how to avoid pitfalls.
I am already injecting and only want to know how to do it under guidance. Is the introduction course necessary?
Yes, to identify the correct target area you need the manual skill to visualise the needle and the procedure correctly as well as to follow up after injections.
My company is looking at purchasing a machine. Any suggestions or things to look for?
Many portable machines are very good quality. Look for multi-frequency probes (5-12 MHz or higher), sensitive Power and colour Doppler and most important of course good, clear images. GE, Siemens, SonoSite, Mindray to mention a few manufacturers. Ask the representative to demonstrate a model in your clinic and compare!
Will I be able to scan my patients after the introduction course?
The course gives you the practical skills, but it takes a lot more training to get familiar with the spectrum of normal anatomy appearance, trauma, pathology and clinical interpretation, before ultrasound can be combined with your clinical examination. Practise your skills on patients with their consent, do not use it immediately as a clinical skill.
What is your cancellation policy?
Less than 28 days notice = No refund
29 to 56 days notice = 50% refund
Over 57 days notice = Full refund, less an administrative charge of 4% of the course fee
What are the prerequisites for the Introduction course?
Participants should have good anatomical knowledge (especially cross-sectional) and clinical experience.
What are the prerequisites for the Advanced course?
Participants have ideally attended an introductory (Level 1) course, are expected to have regular access to an ultrasound scanner, are using ultrasound scanning as part of their daily practice, have completed at least 10 documented scans and are competent at identifying the normal appearance of most commonly assessed structures in MSK ultrasound.
Do SMUG run courses specific to emergency medicine to identify DVT etc?
No, our courses are purely sports medicine orientated and as such do not cover DVT screening or application in an A&E department.
Can I pay by instalments?
Yes. Please email Francesca at email@example.com. Please note that to guarantee your place, the final instalment must be received 28 days prior to the start of the course.
Does your organisation or workplace need training?
Become a SMUG Partner
The ‘SMUG partnership’ programme looks to associate with individuals, groups of clinician’s, hospitals, organisations and clinics all over the world to deliver our courses and raise the standards in MSK ultrasound. We will send out members of our SMUG teaching faculty to deliver the course. We now have SMUG partners in many countries and run courses on an annual basis in their vicinity. We are always looking to develop new partnership links.