Sports Imaging

Sports imaging is a specialised area of musculoskeletal radiology dedicated to the diagnosis and image-guided treatment of sports related injuries.

These injuries may range from acute or traumatic injuries (including fractures, dislocations or ligament injuries) to more chronic conditions associated with overuse or repetitive injury (for example, tendinopathy or stress fractures). Sports imaging applies to athletes of all ages and at all levels of play, from those engaged in occasional exercise regimens to elite and professional athletes.

Berkshire Imaging provides a comprehensive specialised imaging service which is undertaken by a group of five specialist musculoskeletal radiologists. They have expertise in musculoskeletal ultrasound, musculoskeletal MRI and MR arthrography, and are increasingly involved in the management of injuries by providing accurate, image-guided treatments such as local anaesthetic/steroid injection. They also work closely with other specialists in the field, including orthopaedic surgeons, sports medicine physicians, sports physiotherapists and podiatrists.

Musculoskeletal Ultrasound

Ultrasound is increasingly used in the assessment of musculoskeletal disorders and sports injuries. It is often the best imaging investigation for assessing superficial structures such as tendons (e.g. Achilles tendon, rotator cuff). It may be useful in the assessment of muscle tears or ligament tears, joint fluid or inflammation (particularly in rheumatological disorders), and also for the initial assessment of soft tissue lumps.

Ultrasound can be used to guide therapeutic steroid injection of painful musculoskeletal conditions and allows the accurate placement of needles within the soft tissues or joints.

An MRI may be preferable to an ultrasound scan as the imaging investigation if the patient’s symptoms appear to be deeply located, intra-articular or more diffuse in nature.

MR Arthrography

MR arthrography is a specialised imaging examination used to assess critical structures within a joint including cartilage and ligaments. The procedure usually entails the injection of contrast medium (dye) into a joint under x-ray (fluoroscopic) guidance prior to an MRI scan. The presence of dye within the joint allows accurate assessment of its internal structures and aids in the diagnosis of these joint based injuries (for example, in the assessment of tears of the fibrocartilage or labrum following shoulder dislocation).

Musculoskeletal Interventional Procedures

Once a clinical assessment and diagnosis has been made, patients may benefit from image-guided treatment. Berkshire Imaging undertakes a full range of therapeutic musculoskeletal procedures, which may be performed using ultrasound, x-ray (fluoroscopy) or CT guidance. These include:

Upper Limb

  • Subacromial-subdeltoid bursa injection
  • Shoulder & AC joint injection
  • Elbow joint injection
  • Tennis elbow dry needling
  • Radial tunnel injection
  • Wrist joint injection
  • Small joint injection (MCPJ, PIPJ, DIPJ)
  • Carpal tunnel injection
  • Trigger finger injection
  • Tendon sheath injection
  • de Quervains injection

Lower Limb

  • Hip joint injection
  • Gluteal tendon injection
  • Trochanteric bursa injection
  • Iliopsoas bursa injection
  • Knee joint injection
  • Pre patellar bursa injection
  • Pes anserine bursa injection
  • Cruciate ligament ganglion cyst injection
  • Ankle, subtalar and midfoot joint injection
  • Morton’s neuroma diagnosis and injection
  • Achilles tendon high volume injection
  • Retrocalcaneal bursa injection
  • Plantar Fascia injection
  • Tendon sheath injection
  • Spine

  • Sacroiliac joint injection
  • Facet joint injection
  • Spinal (transforaminal) nerve root injection
  • Vertebroplasty
  • This is by no means an exhaustive list, so please feel free to contact Berkshire Imaging directly to discuss any specific requirements.

    Berkshire Imaging LLP . The Forbury Clinic . 23 Craven Road . Reading . Berkshire . RG1 5LE . Telephone: 0118 921 3177
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