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Do you know how to locate the Lateral Ulnar Collateral Ligament (LUCL) of the elbow with ultrasound? The patient should sit in a chair adjacent to the #exam table with their #elbow pronated and internally rotated, exposing the lateral aspect of the elbow to the examiner. First, locate the common extensor #tendon when imaging any of the structures of the lateral elbow compartment, because it is easiest to recognize. This is your #landmark and home base for scanning the lateral compartment of the elbow. To do this, palpate the lateral epicondyle and then place your #transducer over it, long axis to the #forearm with the transducer facing towards the patient’s head. The proximal side of the #probe will be facing towards the patient’s head, and the distal side of the probe will be facing towards the patient’s fingers. After you have located the #common_extensor_tendon, keep the proximal side of your probe fixed on the lateral epicondyle and then rotate the distal part of your probe posteriorly until the ulna comes into #view. The #LUCL can be seen as a #hypoechoic band extending between the #lateral_epicondyle and the supinator crest of the #ulna in the #ultrasound image. The normal appearance of the LUCL is a thin hypoechoic #ligament, so enlargement or disruption of it is easy to recognize once you get the #scan technique down. The #lateral_ulnar_collateral_ligament should be assessed in the long axis from anterior to posterior. When a #tear or #laxity of the ligament is suspected, #dynamic evaluation should be performed using #varus_stress to check for any stretching or gap in the ligament fibers. This can be done without assistance by extending the patient’s #arm on the exam table and applying downward pressure to the distal arm during hand supination. This image is the left side, but if you understand the concept of the probe positioning it will be easy to evaluate this ligament on either side. If you want to learn more scanning protocols and perfect your scan technique, come to my hands-on MSK ultrasound workshop in NYC this September. Visit www.learnmsksono.com to #learn more! #tuesdaytipswithjamie #msk #mskultrasound #protocol #scantechnique #protip #skillshareteacher #ultrasoundtech #sonographer #sonography #radiology #orthopedics #orthopedicsurgeon #sportsmedicine #physicaltherapy #physicalmedicineandrehabilitation #cmecourse #cme #ultrasoundcourse #training #NYC #like #share