Helping in clinical management

In the study of the musculo-skeletal pathology, there is often some confusion as to the correct approach to use. The diagnostic imaging available today has a vast range and it is not always easy to make a choice which must not only be clinically correct but also cost effective. In the articular pathology, after X-ray examination, ultrasounds (US) can be used to study the periarticular areas. However, in order to have a complete vision of the articulation and its internal structures, the MRI is a must especially for presurgical management. Sometimes, it is better to use the intra-articular contrast to enhance sensitivity. Lastly, a new field of application of US with color-power-Doppler is now available.