Home » Clinical use of ultrasound imaging around the shoulder – evidence base, reasoning and guided procedures (A collaboration with Dr Jeremy Lewis)

Clinical use of ultrasound imaging around the shoulder – evidence base, reasoning and guided procedures (A collaboration with Dr Jeremy Lewis)

Thursday 27th April 2017 - Imperial College London, Charing Cross Hospital

Price £275

Want to run this course in your country or department? Get in touch [email protected]

At The Ultrasound Site, we are passionate about the need for clinical reasoning alongside ultrasound imaging - eg what does it mean to the patient journey?.  As well as our other courses on skill acquisition of learning how to perform an ultrasound scan, we wanted to develop a course which tackles some of the arguably harder questions of appropriately integrating this unique tool into clinical practice.

We are delighted to welcome and collaborate with Dr Jeremy Lewis (Consultant Physiotherapist, Professor of Musculoskeletal Research, Sonographer and Independent Prescriber) a leading figure on assessment and treatment for shoulder conditions to teach on this unique course held at the fantastic facilities at Imperial College London, based at Charing Cross Hospital.

This one day course is aimed at musculoskeletal clinicians who have a keen interest in the use of diagnostic ultrasound for shoulder pathology. This may be useful for those wishing to gain an understanding of what ultrasound can visualise and the clinical relevance. The course aims to facilitate the integration of ultrasound imaging into your clinical practice with a refresher on shoulder ultrasound techniques, discussion of the evidence around particular pathologies and an appraisal of the evidence behind guided injection techniques in this region. There will also be the opportunity to view and experience the techniques utilised for a selection of ultrasound guided procedures around the shoulder on soft embalmed cadavers, facilitated by Jeremy and The Ultrasound Site teaching faculty.

A strong clinical focus will be maintained throughout the day. The morning will firstly include a dynamic, and hands on session covering ultrasound visualisation of shoulder structures assisted by the teaching faculty. This will be followed by a session with short presentations from experienced faculty members on clinical case studies including discussions on frozen shoulder, rotator cuff pathology, calcification and bony injuries.

In the afternoon there will be a unique opportunity to visualise shoulder cadaveric prosections in the dissection lab - see the real anatomy of the rotator cuff, long head of biceps, bony anatomy of the shoulder. This will be alongside demonstrations of guided injection techniques around the shoulder girdle to complement the earlier appraisal of the evidence, and the opportunity for delegates to experience and  increase their understanding of the technical skill involved in performing these techniques.

Course photos from April 2017


Course outline 

8.45amMeet and registration
9.30amCalcification of the rotator cuff - presentation and open forum discussion -Stuart Wildman
10.15amRotator cuff and bursal changes - presentation and open discussion - with Dave Baker
11.15amDemonstration and practicals in small groups - ultrasound evaluation of structures around the shoulder girdle. Including small groups and direct tutor feedback
1.15/1.30pmThe role of ultrasound in evaluating bony pathology at the shoulder - presentation and open forum discussion - with Robert Mast
2.15pmThe Shoulder: To inject or not to inject?presentation and open forum discussion - Dr Jeremy Lewis
3.15pmPractical demonstration in the dissection lab using soft embalmed cadavers: The role of ultrasound guided injections in management of common shoulder presentations including glenohumeral hydrodistension technique and subacromial subdeltoid bursal approaches. Shoulder anatomy prosections available throughout with tuition from Anatomist.
4.45/5pmSummary and discussion for the day

Course Location: Imperial College London, Charing Cross Hospital, Fulham Palace Rd, London W6 8RF

Accomodation required? Look HERE

 Nearest Tube: Hammersmith / Barons Court 

We advise that before attending this course you 

  • Have experience of working with patients with musculoskeletal injuries or complaints.
  • Are employed in a professional environment that enables you to utilise this within your practice
  • Have relevant professional experience or qualifications
  • Current registration with the relevant UK professional body eg HCPC or GMC, or foreign equivalent if travelling from abroad.

What do I gain from attending this course?

This course does not offer a certificate of competency as there is no assessment component to the course. In isolation , this course is not a certification in diagnostic musculoskeletal ultrasound and it does not replace the need for ongoing supervised experience of considerable number of cases. The Royal College of Radiologist (RCR) guidance document on US training is a useful reference point HERE

We receive many enquiries regarding competency in ultrasound and advise you to read this article, ' How do I train in MSK Ultrasound' for further information on ultrasound use in the UK.

There is currently no generic or universally accepted competency in the use of ultrasound, nor is ultrasound currently governed by protected use of title. .