Enthesis (bilateral) | Patient Position | Probe Placement |
---|---|---|
Common extensor tendon (lateral elbow epicondyle) | Sitting facing the examiner, with arms partially flexed on a table and palmar surfaces of hands together | Over the lateral epicondyle, in longitudinal and transverse position. In longitudinal position, with slight inclination of the distal portion of the probe oriented parallel to long axis of extensor muscles |
Common flexor tendon (medial elbow epicondyle) | Sitting facing the examiner, with arms lying extended on a table, palms facing up | Over the medical epicondyle, in longitudinal and transverse position. In longitudinal position, with slight inclination of the distal end of the probe oriented parallel to long axis of flexor muscles |
Quadriceps tendon (superior pole of patella) | Supine decubitus with the knee flexed 30° for GS and in neutral position for PD | Over the proximal pole of the patella, in longitudinal and transverse position |
Proximal patellar tendon (inferior pole of patella) | Supine decubitus with the knee flexed 45° for GS and in neutral position for PD | Over the distal pole of the patella, in longitudinal and transverse position |
Distal patellar tendon (anterior tibial tuberosity) | Supine decubitis with the knee flexed 45° for GS and in neutral position for PD | Over the anterior tibial tuberosity, in longitudinal and transverse position |
Achilles tendon (superior pole of calcaneus) | Prone decubitus with the feet hanging outside the examination table in slight dorsal flexion for GS and in neutral position for PD | Over the posterior and superior aspect of the calcaneus, in longitudinal and transverse position |
Plantar fascia (inferior aspect of calcaneus) | Prone decubitus with the feet hanging outside the examination table in slight dorsal flexion for GS and in neutral position for PD | Over the plantar aspect of the calcaneus, in longitudinal and transverse position |
GS: gray-scale.