Nicola Lindsay Robertson MBChB, MRCS, Presenter: Nothing to Disclose

Aniket N. Tavare MA, MBBCh, Abstract Co-Author: Nothing to Disclose

Sophia Tincey MBBS, Abstract Co-Author: Nothing to Disclose

Hardi Madani FRCR, Abstract Co-Author: Nothing to Disclose

Nat Padhiar MS, Abstract Co-Author: Nothing to Disclose

Otto Chan MD, Abstract Co-Author: Nothing to Disclose

Nicola Maffulli, Abstract Co-Author: Nothing to Disclose

Brian Joseph Holloway MBBCh, Abstract Co-Author: Nothing to Disclose

Myofascial scars are a common response to traumatic injury and surgery in various locations in the musculoskeletal system. However this overzealous healing response can be a cause of reduced function and pain in both athletes and non-athletes. These scars can be visualised on ultrasound and MRI. Conventional conservative management is of limited value but at present there are no alternatives. 1. Outline of the pathophysiology leading to the development of myofascial scars 2. Clinical features of myofascial scars 3. Review of the imaging appearances on Us and MRI 4. Theory behind “Scar Stripping” 5. Practical step by step guide to performing this novel ultrasound guided percutaneous technique using hyaluronic acid (ostenil plus), large volumes of Marcaine 0.5% and 25mgs of hydrocortisone.  

1. Discussion of pathophysiology and biomechanics of myofascial scars 2. Common sites for myofascial scars 3. Clinical presentation 4. US appearances 5. MRI features 6. US guided percutaneous access into scar and initial fracture /split with hyaluronic acid 7. Definitive cleavage of scar using high volume technique 8. Post-procedural appearances 9. Post-procedural rehabilitation programme  

http://abstract.rsna.org/uploads/2014/14018714/14018714_8wp6.pdf

Robertson, N, Tavare, A, Tincey, S, Madani, H, Padhiar, N, Chan, O, Maffulli, N, Holloway, B, Myofascial Scars- Revolutionary Treatments Using Hyaluronic Acid Scar Stripping.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14018714.html