Michelle Fenech
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View article: Sonographer Performed Vascular Access and Injection of Local Anaesthetic: A Clinical Audit of Peripherally Inserted Central and Midline Catheters
Sonographer Performed Vascular Access and Injection of Local Anaesthetic: A Clinical Audit of Peripherally Inserted Central and Midline Catheters Open
Introduction Ultrasound is commonly used to guide placement of peripherally inserted central and midline catheters, and local anaesthetic (LA) can be administered to allow patient tolerance of this procedure. The success rate of sonographe…
View article: Systematic Sonographic Classification of Uterine Fibroids to Support Nonspecialist Infertility Investigation
Systematic Sonographic Classification of Uterine Fibroids to Support Nonspecialist Infertility Investigation Open
View article: Sonographic Anatomy and Imaging of the Extracranial Component of the Hypoglossal Nerve (CNXII)
Sonographic Anatomy and Imaging of the Extracranial Component of the Hypoglossal Nerve (CNXII) Open
The hypoglossal nerve (HN) provides motor innervation to tongue muscles responsible for tongue movement, speech, mastication, swallowing, respiratory functions and management of oral secretions. Injury, compression, entrapment or lesions o…
View article: Active release techniques <sup>®</sup> reduces stiffness in the medial gastrocnemius measured using elastography
Active release techniques <sup>®</sup> reduces stiffness in the medial gastrocnemius measured using elastography Open
Introduction This study examined the effect of a single treatment of Active Release Techniques (ART ® ) on resting stiffness of the medial gastrocnemius (MG), resting tension of the triceps surae unit, plantar-flexion strength, and active …
View article: Do We Need Both Career and Competency Frameworks for Sonographers?
Do We Need Both Career and Competency Frameworks for Sonographers? Open
The sonography profession in Australia and New Zealand faces a chronic shortage of qualified medical sonographers, exacerbated by limited training capacity, an ageing workforce and a lack of career advancement opportunities. This shortage …
View article: Sonographic Anatomy and Imaging of the Triangular Fibrocartilage Complex and the Distal Radio‐Ulnar Joint
Sonographic Anatomy and Imaging of the Triangular Fibrocartilage Complex and the Distal Radio‐Ulnar Joint Open
Introduction Ulnar‐sided wrist pain is a common clinical problem, which can be difficult to diagnose, manage and treat. Ultrasound imaging can be used to identify structural changes which may contribute to the pain. Knowledge of the associ…
View article: Sonographic imaging of the radial nerve proper: Five potential entrapment sites
Sonographic imaging of the radial nerve proper: Five potential entrapment sites Open
Introduction: Entrapment of the radial nerve proper can cause sensory and motor symptoms which can be challenging to clinically interpret and identify. Method: A review of literature relating to radial nerve proper entrapment and the sonog…
View article: A Sonographer Career Framework: Potential Positive and Negative Impacts on the Sonographer and Other Stakeholders
A Sonographer Career Framework: Potential Positive and Negative Impacts on the Sonographer and Other Stakeholders Open
Introduction A sonographer career framework describes sonographer career pathways while incorporating career goals. A career framework may have consequences for stakeholders such as the profession and patient. The aim of this work was to i…
View article: Sonographic Imaging of the Superficial Radial Nerve and its Branches: A Pictorial Review
Sonographic Imaging of the Superficial Radial Nerve and its Branches: A Pictorial Review Open
Entrapment of the superficial radial nerve (SRN) can be a source of radial wrist, dorsal hand, and thumb pain which can be challenging to clinically differentiate from other pathological entities. Ultrasound allows direct visualization of …
View article: The Concept of Sonographer Peer Professional Support
The Concept of Sonographer Peer Professional Support Open
Peer professional support encapsulates the process where qualified health professionals from the same discipline can meet, debrief, hold reflective discussions, provide encouraging moral support for one another, and suggest guidance on how…
View article: Sonographic Anatomy and Imaging of the Dorsal Thumb Tendons
Sonographic Anatomy and Imaging of the Dorsal Thumb Tendons Open
Injuries to the dorsal thumb tendons and related structures can result in impairment to thumb motion. Ultrasound imaging is useful in diagnosing structural change in the dorsal thumb tendons, branches of the superficial radial nerve, and t…
View article: Advanced Sonographic Imaging of the Foot and Ankle for Diagnosis of Inferior Calcaneal Nerve Entrapment
Advanced Sonographic Imaging of the Foot and Ankle for Diagnosis of Inferior Calcaneal Nerve Entrapment Open
Non‐traumatic heel pain is common. Entrapment of the inferior calcaneal nerve (ICN) is an underappreciated cause of plantar heel pain and can occur independently or concurrently with plantar fasciitis. Ultrasound imaging can directly asses…
View article: Collaborative use of a 3D anatomy platform to motivate and enhance anatomy learning in first‐year online medical sonography students
Collaborative use of a 3D anatomy platform to motivate and enhance anatomy learning in first‐year online medical sonography students Open
Introduction Sonography students require a deep understanding of structural anatomy, including where structures sit relative to one another. Additionally, they need to learn the complex task of identifying structures on medical images incl…
View article: Sonographic localisation of lymph nodes suspicious of metastatic breast cancer to surgical axillary levels
Sonographic localisation of lymph nodes suspicious of metastatic breast cancer to surgical axillary levels Open
The axillary lymph node (LN) burden of breast cancer patients guides multidisciplinary management and treatment regimes. Sonographic imaging is used to identify the presence, number and location of axillary LNs suspicious of malignancy and…
View article: Sonographic assessment of ulno‐humeral joint instability
Sonographic assessment of ulno‐humeral joint instability Open
The ulnar collateral ligament (UCL) of the elbow plays a crucial role in elbow stability, specifically as a valgus and rotational constraint. Injuries to the UCL are common in overhead‐throwing athletes resulting in elbow instability. A ti…
View article: Ultrasound imaging of the femoral and saphenous nerves
Ultrasound imaging of the femoral and saphenous nerves Open
Introduction Iatrogenic and traumatic injuries to the femoral and saphenous nerves, and their branches are uncommon but can be a cause of clinically pertinent lower limb dysfunction and neuralgia. Despite this, direct sonographic imaging o…
View article: Sonographic localisation of neck lymph nodes using surgical neck level classifications
Sonographic localisation of neck lymph nodes using surgical neck level classifications Open
Sonographic imaging of the lymph nodes (LNs) of the neck is used to differentiate between those that are benign or suspicious of malignancy. The size, number and location of suspicious appearing LNs must be documented and reported. Cervica…
View article: Sonographic imaging of the genicular nerves of the knee
Sonographic imaging of the genicular nerves of the knee Open
Introduction: The genicular nerves are sensory nerves around the knee. With the improvements in ultrasound imaging resolution, these nerves can be identified sonographically. Topic description: Due to their small size, genicular nerves are…
View article: Ultrasound assessment of acute Achilles tendon rupture and measurement of the tendon gap
Ultrasound assessment of acute Achilles tendon rupture and measurement of the tendon gap Open
Achilles tendon rupture is a common sports‐related injury which can carry significant morbidity to patients. Ultrasound remains the workhorse of imaging as it can confirm and localise the extent of Achilles tendon injury. The sonographic a…
View article: Sonographic anatomy and technique to image the plantar digital nerves and aid identification of a Morton’s neuroma
Sonographic anatomy and technique to image the plantar digital nerves and aid identification of a Morton’s neuroma Open
Introduction: The anatomy of the forefoot is complex, and the sonographic assessment to image the plantar digital nerves and exclude, diagnose or discriminate between a Morton’s neuroma and intermetatarsal bursitis can be challenging. Topi…
View article: ‘Virtual café’ sessions: supporting medical sonography students learning anatomy online
‘Virtual café’ sessions: supporting medical sonography students learning anatomy online Open
Medical sonography students require a deep understanding of three-dimensional (3D) structural anatomy. In addition, they are required to identify anatomical structures from medical images. To enhance and support online anatomy learning of …
View article: Boxer's knuckle: Sonographic anatomy and assessment of sagittal band tears of the dorsal hood
Boxer's knuckle: Sonographic anatomy and assessment of sagittal band tears of the dorsal hood Open
Hand injuries are common in amateur and professional boxers and result in time lost from training and competition.1-3 Injuries to the dorsal hood account for 16% of all hand and wrist injuries in boxers.1, 3 ‘Boxer's knuckle’ describes a c…
View article: Sonographic imaging and assessment of the sural nerve
Sonographic imaging and assessment of the sural nerve Open
The sural nerve is a sensory nerve which innervates the posterolateral distal calf and lateral foot. It can be demonstrated using high resolution ultrasound and travels near the small saphenous vein throughout most of its course. There are…
View article: Are Lateral Ankle Ligament Banding Patterns and Band Thickness Symmetrical Between Contralateral Uninjured Limbs?
Are Lateral Ankle Ligament Banding Patterns and Band Thickness Symmetrical Between Contralateral Uninjured Limbs? Open
Objective: The aim of this study was to determine whether the number and thickness of ligament bands of lateral ankle ligaments are symmetrical between contralateral uninjured ankles of the same healthy person, using sonography. Materials …
View article: Sonographic localisation and description of inguinofemoral lymph nodes in patients with vulvar squamous cell carcinoma
Sonographic localisation and description of inguinofemoral lymph nodes in patients with vulvar squamous cell carcinoma Open
Sonographic imaging of the inguinofemoral lymph nodes can be performed in patients with vulvar cancer to discriminate between normal (benign and reactive) and malignant appearing lymph nodes. A systematic sonographic protocol for imaging i…
View article: Sonographic anatomy and imaging of the dorsal supportive ligaments of the Chopart joint complex
Sonographic anatomy and imaging of the dorsal supportive ligaments of the Chopart joint complex Open
Ankle sprains are common. Midfoot ligaments, particularly the dorsal ligaments of the Chopart joint complex, can be injured in combination with other ankle and foot injuries via an ankle sprain, but are clinically difficult to detect. The …
View article: Persistence of the processus vaginalis and its related disorders
Persistence of the processus vaginalis and its related disorders Open
The processus vaginalis is a blind‐ended evagination of the abdominal wall that develops during fetal life and typically undergoes obliteration in early life. Persistence of the processus vaginalis is associated with a number of pathologie…
View article: Ankle ligament thickness in acute ankle sprain: An ultrasound-based study
Ankle ligament thickness in acute ankle sprain: An ultrasound-based study Open
Ankle sprains are common and, if not identified early, may result in long-standing pain and disability. This project used sonography to measure the structure of ankle ligaments soon after (<12 weeks) an ankle sprain. A reliable protocol to…
View article: Musculoskeletal ultrasound. 3rd edition
Musculoskeletal ultrasound. 3rd edition Open
Marnix van Holsbeeck and Joseph Introcaso. Publisher – Jaypee Brothers 2016. ISBN – 978-93-5152-933-0. RRP: US$295. The latest edition (third) of the book titled Musculoskeletal Ultrasound by Marnix van Holsbeeck and Joseph Introcaso has r…
View article: Deltoid ligament involvement in ankle sprains in an athletic population
Deltoid ligament involvement in ankle sprains in an athletic population Open
Poster: ESSR 2016 / P-0037 / Deltoid ligament involvement in ankle sprains in an athletic population by: M. A. Fenech, S. Hughes, S. C. Wearing, L. Reed; Brisbane/AU