Utilization of Diagnostic Musculoskeletal Ultrasound Scan in Clinical Practice: The Irrua Specialist Teaching Hospital Experience
Keywords:
utilization, clinician, ultrasound scan, masses, MusculoskeletalAbstract
Background: Soft tissue lesions of the musculoskeletal system are commonly encountered in clinical practice, often manifesting as palpable masses. Ultrasound scan is increasingly being used for the evaluation of these masses and can serve as an excellent investigative modality for the clinical practitioner because certain clinical and imaging findings give accurate diagnosis in some cases. Although ultrasound scan is readily available, relatively inexpensive and provides high-contrast resolution images, clinical request for
musculoskeletal ultrasound scan is quite low in our health institutions thus necessitating this study.
Aim: To illustrate the relevance of musculoskeletal ultrasound scan in clinical practice.
Methods: Retrospective data of patients that underwent soft tissue ultrasound scan in the Department of Radiology, Irrua Specialist Teaching Hospital, Irrua, Edo state, Nigeria from August 2016 to May 2017 was collected and analyzed to determine age, sex distribution, clinical indication for the procedure and the findings.
Results: A total of 3,698 patients were referred for ultrasound scan, 24 of these were request for musculoskeletal ultrasound scan. Of these patients, 58.3% were males, 41.7% were females, age ranging from 8 months to 60 years with a mean age of 27.7years. The commonest indication was suspected non-inflammatory conditions (75%). The most frequent abnormality seen on ultrasound scan was tumors of fatty origin accounting for 37.5%.
Conclusion: The use of musculoskeletal ultrasound scan in the evaluation of soft tissue lesions cannot be over emphasized. There is low referral rate from clinical practitioners. We thus encourage the use of musculoskeletal ultrasound scan as the primary investigative tool for musculoskeletal lesions.
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