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SonoSim Biceps Tendon Injection: Procedure
Questions and Verified Answers
Which of the following best characterizes the use of ultrasound to identify biceps tendon
injury?
Ans: Shoulder ultrasound findings must be correlated with clinical symptoms to
ensure they reflect pathologic findings rather than merely incidental findings
A novice practitioner is about to attempt ultrasound-guided biceps tendon sheath
injection. They ask you for advice regarding performing the procedure. Which of the
following constitutes appropriate advice related to performing the procedure?
Ans: A. Identify the anterior circumflex humeral artery along the lateral margin of
the biceps tendon sheath and avoid it during needle entry
Which of the following best characterizes diagnostic tests used to identify biceps tendon
injury?
Ans: A. Diagnostic imaging coupled with a patient's response to therapeutic
interventions are frequently used to establish the presence of biceps tendon
pathology
You are about to perform ultrasound-guided biceps tendon sheath injection using in-
plane needle guidance. You select a needle entry angle of 45-degrees relative to the skin
and insert your needle 1 cm lateral to the blue indicator < symbol on the transducer in
the accompanying image. Which of the indicator lines in the image best approximates the
expected needle trajectory?
Ans: A. Top Left arrow
Which of the following findings is evident in this ultrasound image of the biceps tendon
in short axis?
Ans: C. Ring Sign
Which of the following structures does the indicator arrow in the accompanying
illustration of the shoulder identify?
Ans: D. Subscapularis
SonoSim Biceps Tendon Injection: Procedure
Questions and Verified Answers
Which of the following best characterizes the use of ultrasound to identify biceps tendon
injury?
Ans: Shoulder ultrasound findings must be correlated with clinical symptoms to
ensure they reflect pathologic findings rather than merely incidental findings
A novice practitioner is about to attempt ultrasound-guided biceps tendon sheath
injection. They ask you for advice regarding performing the procedure. Which of the
following constitutes appropriate advice related to performing the procedure?
Ans: A. Identify the anterior circumflex humeral artery along the lateral margin of
the biceps tendon sheath and avoid it during needle entry
Which of the following best characterizes diagnostic tests used to identify biceps tendon
injury?
Ans: A. Diagnostic imaging coupled with a patient's response to therapeutic
interventions are frequently used to establish the presence of biceps tendon
pathology
You are about to perform ultrasound-guided biceps tendon sheath injection using in-
plane needle guidance. You select a needle entry angle of 45-degrees relative to the skin
and insert your needle 1 cm lateral to the blue indicator < symbol on the transducer in
the accompanying image. Which of the indicator lines in the image best approximates the
expected needle trajectory?
Ans: A. Top Left arrow
Which of the following findings is evident in this ultrasound image of the biceps tendon
in short axis?
Ans: C. Ring Sign
Which of the following structures does the indicator arrow in the accompanying
illustration of the shoulder identify?
Ans: D. Subscapularis
