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Viennese neurologist Dr Karl Dussik’s 1942 paper Über die Möglichkeit hochfrequente mechanische schwingingen als diagnosticsches hilfsmittel zu verwerten (On the possibility of using ultrasound waves as a diagnostic aid)1 could be considered the precursor of modern ultrasound curricula, building on scientific findings that began with Leonardo da Vinci, who first recorded experiments listening to sound transmitted through water by placing a tube into the sea to evaluate what he could hear as early as 1490.
The beginning of musculoskeletal ultrasound
Medical use of ultrasound was popularised in gynaecology and obstetrics from the 1950s. Other fields such as cardiology, surgery, urology and vascular medicine followed in channelling the diagnostic power of ultrasound technology.2 Musculoskeletal medicine and the application of ultrasound in sports settings had a relatively late start. In 1996, Gibbon published the first textbook on the topic, “Musculoskeletal Ultrasound: The Essentials” describing a “mini-atlas of the normal and abnormal sonographic appearances of the adult joints”.3
Global sports ultrasound—still worlds apart
The reach of musculoskeletal ultrasound into Sports and Exercise Medicine (SEM) practice and curricula is disparate, varying in several aspects including quality, regulation and accessibility. Such discrepancies may be further exaggerated by varying image resolution concomitant with equipment features and cost.
In the UK, ultrasound training is not a mandatory part of the SEM curriculum but is seen as an additional sub-speciality skill. It is usually achieved via an instructional course and then a written and practical assessment, leading to a Certificate of Competence. The …
Twitter @jonpatricios, @sportsdocaus, @janesthornton
Contributors JP conceived the format of the paper with the assistance of JST. JP contacted international SEM organisations to propose coauthors to collaborate on the paper. MR (United Kingdom), CC (Australia), JF (Australia), AH (Switzerland), TM (South Africa), BR (South Africa) and JST each submitted curricula from their countries and organisations‘ sports US curricula. Each author contributed to the section pertaining to their region. All authors reviewed and edited 3 iterations of the manuscript. JP collated all information and redrafted each iteration before submitting the final draft.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests JP and JST are Editors of BJSM; BR has received honoraria from various ultrasound manufacturers for presenting sports ultrasound courses.
Provenance and peer review Not commissioned; internally peer reviewed.