Pedret and Balius Masterclass - Advanced Sports Ultrasound

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Lower limb muscle and tendon injuries: Diagnosis, management and return to sport.

We are excited to announce that these two pioneers and leading experts will be joining us to share their wealth of knowledge for an exclusive two-day advanced diagnostic ultrasound Masterclass on lower limb muscle and tendon injuries in sport.

This is an essential course for any clinician currently using diagnostic ultrasound for muscle and tendon injury diagnosis in recreational and elite athletes.

It is designed for those who already have good ultrasound skills and want to take their scanning to the next level. It will explore the fine anatomical detail of each lower limb muscle and tendon group, and relate the specific anatomy to the classification of the injury and crucially, prognosis and return to play. The course will have a strong clinical focus throughout and will also discuss appropriate ultrasound guided procedures for different muscle and tendon groups to facilitate return to play.

The course will be a healthy mix of lectures and practical workshops and numbers are strictly limited ensure the practical workshops allow delegates plenty of time to scan. Each machine will have a maximum of 3 delegates and will be facilitated by our expert tutors.

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Dr. Carlos Pedret and Dr. Ramon Balius have published seminal papers in the field of diagnosis and topography of muscle injuries and the pathophysiology of the tendon (see below).

Research Articles
To warm up for the course, see the articles below (there are many more):

  • Soleus muscle injuries: sensitivity of ultrasound patterns - Link
  • Return to play after soleus Injuries - Link
  • A 3-Arm Randomized Trial for Achilles Tendinopathy: Eccentric Training, Eccentric Training Plus a Dietary Supplement Containing Mucopolysaccharides, or Passive Stretching Plus a Dietary Supplement Containing Mucopolysaccharides - Link
  • Central aponeurosis tears of the rectus femoris: practical sonographic prognosis - Link
  • Sonographic Evaluation of the Distal-Iliopsoas Tendon Using a New Approach - Link

Carles Pedret MD, PhD
PhD in Medicine and Surgery from the Autonomous University of Barcelona and Sports Medicine Specialist from the University of Barcelona. His expertise is in the treatment and return-to-play process of muscle and tendon injuries, especially ultrasound diagnosis and ultrasound guided procedures.

Interuniversity Master in Sports Traumatology and teaching activity in the field of ultrasound diagnosis and soft tissue injuries in universities such as University of Barcelona, the Autonomous University of Barcelona, the Ramon Llull University and the Blanquerna University.

Participant in multiple research projects and co-author of articles published in prestigious national and international journals such as the British Journal Sports Medicine, American Journal Sports Medicine, Orthopaedic Journal Sports Medicine, Skeletal Radiology and Apunts: Medicina de l'Esport.

External advisor to multiple professional teams of the English Premier League, Italian Serie A, Spanish Liga Santander and Liga 1 2 3, China Super League, Belgium Pro League and German Bundesliga (football), Spanish ACB basketball teams and NBA teams and advisor to the Royal Spanish Tennis Federation.

Dr Ramon Balius MD, PhD
Graduate of Medicine and Surgery at the Autonomous University of Barcelona (UAB). Specialist in Sport Medicine. Medicine and Surgery PH from the UAB. Master's Degree in Sports Traumatology from the UAB. He works in CEARE (Centre for Studies of High Sports Performance) of the Consell Català de l'Esport (Generalitat of Catalonia) and in the Department of Sports Medicine and MSK Ultrasound of the Clínica Diagonal (Barcelona). Editor of journal APUNTS. Medicina de l'esport. Medical consultant of the Royal Spanish Tennis Federation. Medical consultant at Watford Football Club.

Pedret and Balius Masterclass, Advanced Sports Ultrasound. Lower limb muscle and tendon injuries: Diagnosis, management and return to sport.

Day 1

Time Summary Details
13:45 - 14:00 Registration/Coffee
14:00 - 14:30 Anatomy of Muscle Injuries How we need to understand muscle injuries? MRI or US? US blind points. Practical implications.
14:30 - 17:15 Hamstring Detailed anatomy review. Disinsertion types. Common tendon injuries. Distal zipper injuries. SM injuries. Prognosis and treatment. Guest lecture: Dr. Noel Pollock, British Athletics Muscle Injury Classification: MRI vs Ultrasound. Discussion and Questions. Practical Workshop.
17:15 - 17:45 Coffee Break
17:45 - 19:45 Triceps Surae Complex Tennis leg concept. Detailed anatomy review, terminology, prognostic factors, when MRI? When US? Prognosis and treatment options. Discussion and Questions. Practical Workshop.
19:45 - 20:30 Hands on Session. Live Demo. Practical review by request/popular demand.

Day 2

Time Summary Details
08:15 - 08:30 Registration/Coffee
08:30 - 09:45 Rectus Femoris Discussion around conjoint tendon in mid thigh, direct and indirect proximal tears. Central tendon injuries and peripheral injuries. Prognosis and treatment. Discussion, and Questions. Practical Workshop.
09:45 - 11:00 Hip Sonoanatomy. Detailed Anatomy Review. Injuries affecting ilio-psoas muscle complex. Discussion and Questions. Practical Workshop.
11:00 - 11:30 Coffee Break
11:30 - 13:15 Adductors Detailed anatomy review, terminology of tears (muscle and tendon). - Partial versus FTT - what to look for on US. Prognosis and treatment. Discussion and Questions. Practical Workshop.
13:15 - 14:15 Lunch
14:15 - 15:45 Update in Tendon Pathology - Is Ultrasound Really Useful? Achilles tendon pathology. Tendinopathy, partial ruptures, complete ruptures. Prognostic factors. Discussion and Questions.
15:45 - 16:15 Coffee Break
16:15 - 17:30 Hands on Session. Live Demo. Practical review by request/popular demand.

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 Please note that to guarantee your place, the final instalment must be received 28 days prior to the start of the course.

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Does your organisation or workplace need training?

If you require training we can come to you or you can come to us! There is a minimum fee of £1,000 per day (plus travel expenses). To enquire about your specific training needs please email or use the contact form.

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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.

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