The EFSUMB guidelines and recommendations for musculoskeletal ultrasound - Part I: Extraarticular pathologies

September 20, 2021

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The EFSUMB guidelines and recommendations for musculoskeletal ultrasound - Part I: Extraarticular pathologies

Publicated to:ULTRASCHALL IN DER MEDIZIN. 43 (01): 34-57 - 2022-02-01 43(01), DOI: 10.1055/a-1562-1455

Authors: Fodor D; Rodriguez-Garcia SC; Cantisani V; Hammer HB; Hartung W; Klauser A; Martinoli C; Terslev L; Alfageme F; Bong D; Bueno A; Collado P; D'Agostino MA; De La Fuente J; Iohom G; Kessler J; Lenghel M; Malattia C; Mandl P; Mendoza-Cembranos D; Micu M; Möller I; Najm A; Özçakar L; Picasso R; Plagou A; Sala-Blanch X; Sconfienza LM; Serban O; Simoni P; Sudoł-Szopińska I; Tesch C; Todorov P; Uson J; Vlad V; Zaottini F; Bilous D; Gutiu R; Pelea M; Marian A; Naredo E

Affiliations

Asklepios Clin, Clin Rheumatol & Clin Immunol, Bad Abbach, Germany - Author

Asklepios Clinic - Author

Clin Pakea Mutualia, Orthped Dept, San Sebastian, Spain - Author

Clínica Pakea-Mutualia - Author

Clinical Rehabilitation Hospital - Author

College of Medical, Veterinary & - Author

Cork Univ Hosp, Dept Anaesthesiol & Intens Care Med, Cork, Ireland - Author

Cork University Hospital - Author

Fdn Policlin Univ Agostino Gemelli, Ist Reumatol Univ Cattolica Sacro Cuore, UOC Reumatol, IRCCS, Rome, Italy - Author

Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Author

Hacettepe Univ, Dept Phys & Rehabil Med, Med Sch, Ankara, Turkey - Author

Hacettepe Universitesi - Author

Hosp Univ Fdn Alcorcon, Dept Musculoskeletal Radiol, Madrid, Spain - Author

Hosp Univ Fdn Jimenez Diaz IIS Fdn, Dept Rheumatol Bone & Joint Res Unit, Madrid, Spain - Author

Hosp Univ Fdn Jimenez Diaz, Dept Dermatol, Madrid, Spain - Author

Hosp Univ Puerta Hierro Majadahonda, Dermatol Dept, Madrid, Spain - Author

Hosp Univ Severo Ochoa, Rheumatol Dept, Transit Care Clin, Madrid, Spain - Author

Hospital Severo Ochoa - Author

Hospital Universitaire des Enfants Reine Fabiola - Author

Hospital Universitario de la Princesa - Author

Hospital Universitario de Móstoles - Author

Hospital Universitario Fundación Alcorcón - Author

Hospital Universitario Fundacion Jimenez Diaz - Author

Hospital Universitario Puerta de Hierro - Author

IRCCS Ist Ortoped Galeazzi, Milan, Italy - Author

IRCCS Istituto Ortopedico Galeazzi - Author

IRCCS Policlin San Martino, Radiol, Milan, Italy - Author

IRCCS San Martino Polyclinic Hospital - Author

Iuliu Hatieganu Univ Med & Pharm, Internal Med Dept 2, Cluj Napoca, Romania - Author

Iuliu Hatieganu Univ Med & Pharm, Radiol Dept, Cluj Napoca, Romania - Author

Københavns Universitet - Author

La Princesa Univ Hosp, Princesa Hlth Res Inst, Rheumatol Dept, Madrid, Spain - Author

Life Sciences - Author

Med Univ Innsbruck, Dept Radiol, Sect Head Rheumatol & Sports Imaging, Innsbruck, Austria - Author

Med Univ Plovdiv, Dept Internal Dis Propaedeut & Clin Rheumatol, Plovdiv, Bulgaria - Author

Med Univ Vienna, Div Rheumatol, Vienna, Austria - Author

Medical University of Plovdiv - Author

Medisinske Fakultet - Author

Medizinische Universitat Innsbruck - Author

Medizinische Universitat Wien - Author

National Institute of Geriatrics - Author

Natl Inst Geriatr Rheumatol & Rehabil, Dept Radiol, Warsaw, Poland - Author

Praxis - Author

Praxis, Orthped & Trauma Surg, Hamburg, Germany - Author

Private Radiol Inst, Ultrasound Unit, Athens, Greece - Author

Private Radiological Institution - Author

Rehabil Clin Hosp Cluj Napoca, Rehabil Dept 2, Rheumatol Div, Cluj Napoca, Romania - Author

Rigshospitalet - Author

Rigshospitalet, Copenhagen Ctr Arthrit Res, Ctr Rheumatol & Spine Dis, Copenhagen, Denmark - Author

Sapienza Univ Rome, Dept Radiol Oncol & Anatomopathol Sci, Rome, Italy - Author

Sapienza Università di Roma - Author

Sf Maria Hosp, Rheumatol Dept, Bucharest, Romania - Author

Sf. Maria Hospital - Author

Univ Autonoma Madrid, Madrid, Spain - Author

Univ Barcelona, Dept Anaesthesiol, Dept Human Anat, Hosp Clin,Fac Med, Barcelona, Spain - Author

Univ Barcelona, Int Univ Catalunya, Inst Poal Reumatol Barcelona, EULAR Working Grp Anat Image, Barcelona, Spain - Author

Univ Coll Cork, Cork, Ireland - Author

Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark - Author

Univ Genoa, Dept Hlth Sci DISSAL, Genoa, Italy - Author

Univ Genoa, UOC Clin Pediat & Reumatol, IRCCS Ist Giannina Gaslini, Dept Neurosci Rehabil Ophthalmol Genet & Mat, Genoa, Italy - Author

Univ Glasgow, Inst Infect Immun & Inflammat, Coll Med Vet & Life Sci, Glasgow, Lanark, Scotland - Author

Univ Hosp Heidelberg, Dept Anaesthesiol, Div Pain Med, Heidelberg, Germany - Author

Univ Libre Bruxelles, Reine Fabiola Childrens Univ Hosp, Paediat Imaging Dept, Brussels, Belgium - Author

Univ Milan, Dept Biomed Sci Hlth, Milan, Italy - Author

Univ Oslo, Diakonhjemmet Hosp, Dept Rheumatol, Oslo, Norway - Author

Univ Oslo, Fac Med, Oslo, Norway - Author

Univ Rey Juan Carlos, Dept Rheumatol, Hosp Univ Mostoles, Madrid, Spain - Author

Università degli Studi di Genova - Author

UNIVERSITA DEGLI STUDI DI MILANO - Author

Universitat de Barcelona - Author

Universitat de Barcelona, Facultad de Medicina y Ciencias de la Salud - Author

Universitatea de Medicina si Farmacie Iuliu Hatieganu din Cluj-Napoca - Author

Universitatsklinikum Heidelberg - Author

Abstract

The first part of the guidelines and recommendations for musculoskeletal ultrasound, produced under the auspices of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB), provides information about the use of musculoskeletal ultrasound for assessing extraarticular structures (muscles, tendons, entheses, ligaments, bones, bursae, fasciae, nerves, skin, subcutaneous tissues, and nails) and their pathologies. Clinical applications, practical points, limitations, and artifacts are described and discussed for every structure. After an extensive literature review, the recommendations have been developed according to the Oxford Centre for Evidence-based Medicine and GRADE criteria and the consensus level was established through a Delphi process. The document is intended to guide clinical users in their daily practice.

Keywords

carpal-tunnel-syndromecross-sectional areacuff calcific tendinitisearly psoriatic-arthritisefsumbextreme rock climbersguidelineshigh-frequency ultrasoundmusculoskeletalperipheral-nerve ultrasoundpower doppler ultrasonographyrecommendationstrochanteric pain syndromeEfsumbGuidelinesHigh-resolution ultrasoundMusculoskeletalRecommendationsUltrasound

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal ULTRASCHALL IN DER MEDIZIN due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position 7/31, thus managing to position itself as a Q1 (Primer Cuartil), in the category Acoustics.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 4.73. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

Weighted Average of Normalized Impact by the Scopus agency: 8.41 (source consulted: FECYT Feb 2024)
Field Citation Ratio (FCR) from Dimensions: 14.32 (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-18, the following number of citations:

WoS: 14
Scopus: 37

Impact and social visibility

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Austria; Belgium; Bulgaria; Denmark; Germany; Greece; Italy; Norway; Oman; Poland; Rumanía; Turkey; United Kingdom.

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The EFSUMB guidelines and recommendations for musculoskeletal ultrasound - Part I: Extraarticular pathologies

Affiliations

Abstract

Keywords

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

Impact and social visibility

Leadership analysis of institutional authors