The Application of Point-of-Care Ultrasound in Sports Medicine: A Narrative Review
DOI:
https://doi.org/10.12775/QS.2025.39.58497Keywords
point-of-care ultrasound, musculoskeletal ultrasound, sports medicine, soft tissue injuries, rehabilitation, imaging modalitiesAbstract
Background
Point-of-care ultrasound (POCUS) is increasingly used in sports medicine due to its portability, real-time imaging capabilities, and ability to guide clinical decision-making. As a dynamic, cost-effective, and non-invasive tool, POCUS has been incorporated into the diagnosis and management of musculoskeletal injuries among athletes.
Objective
This review evaluates the applications of POCUS in sports medicine, including its role in diagnosing soft tissue and musculoskeletal injuries, monitoring recovery, and guiding therapeutic interventions.
Results
POCUS is highly valuable for the rapid assessment of muscle, tendon, ligament, and joint injuries. It provides real-time visualization of dynamic structures, assisting in immediate decision-making and treatment planning. Compared to traditional imaging modalities such as X-ray and MRI, POCUS offers advantages in accessibility, cost, and repeatability.
Conclusion
POCUS is a crucial imaging tool in sports medicine, enabling rapid injury assessment and aiding in return-to-play decisions. However, further research is required to standardize protocols, improve operator training, and optimize its integration into clinical practice.
References
Ackermann, Ole, Christian A. Fischer, Kay Grosser, Christina Hauenstein, Sebastian Kluge, Jörg D. Moritz, Lars Berthold, Constantin v Kaisenberg, and Christian Tesch. 2024. 'Fracture sonography—review of literature and current recommendations', Archives of Orthopaedic and Trauma Surgery, 144: 3025-43.
Ahmed, R., and L. N. Nazarian. 2010. 'Overview of musculoskeletal sonography', Ultrasound Q, 26: 27-35.
Aspide, Raffaele, Chiara Robba, and Federico Bilotta. 2022. 'POCUS Application in Neurocritical Care Patients: Transcranial Doppler (TCD/TCCS) as a Part of POCUS, from the Brain Ultrasound to Monitoring the Systemic Complications.' in Camilo N. Rodríguez, Claudio Baracchini, Jorge H. Mejia-Mantilla, Marek Czosnyka, Jose I. Suarez, László Csiba, Corina Puppo and Eva Bartels (eds.), Neurosonology in Critical Care : Monitoring the Neurological Impact of the Critical Pathology (Springer International Publishing: Cham).
Baba Ali, Nima, Sogol Attaripour Esfahani, Isabel G. Scalia, Juan M. Farina, Milagros Pereyra, Timothy Barry, Steven J. Lester, Said Alsidawi, David E. Steidley, Chadi Ayoub, Stefano Palermi, and Reza Arsanjani. 2024. 'The Role of Cardiovascular Imaging in the Diagnosis of Athlete’s Heart: Navigating the Shades of Grey', Journal of Imaging, 10: 230.
Baburkina, Olena, Oleg Ovchynnikov, and Maryna Bludova. 2023. 'DIAGNOSTIC CAPABILITIES OF ULTRASOUND EXAMINATION OF THE KNEE JOINT AT THE CURRENT STAGE (LITERATURE REVIEW)', ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS: 101-09.
Bakeer, N., and A. D. Shapiro. 2019. 'Merging into the mainstream: the evolution of the role of point-of-care musculoskeletal ultrasound in hemophilia', F1000Res, 8.
Billone, Lisa M., Sarah J. Allred, and Dyan V. Flores. 2024. 'US of Acute Tendon Tears', RadioGraphics, 44: e240060.
Bush, M., J. Umlauf, and B. Pickens. 2024. 'Point of Care Ultrasound Guided Management of Lateral Ankle Sprains: A Case Series', Int J Sports Phys Ther, 19: 1020-33.
Cantinotti, Massimiliano, Raffaele Giordano, Nadia Assanta, Martin Koestenberger, Eliana Franchi, Pietro Marchese, Alberto Clemente, Shelby Kutty, and Flavio D’Ascenzi. 2021. 'Echocardiographic Screening of Anomalous Origin of Coronary Arteries in Athletes with a Focus on High Take-Off', Healthcare, 9: 231.
Clark, H. Y., C. Walker, and E. Y. Roh. 2024. 'Advanced Visualization of Musculoskeletal Pathologies Using MV-Flow Ultrasound: A Case Series', Cureus, 16: e73453.
Dadabo, Joseph, and Prakash Jayabalan. 2018. 'Chapter 33 - Acute management of cervical spine trauma.' in Brian Hainline and Robert A. Stern (eds.), Handbook of Clinical Neurology (Elsevier).
Dávid, Tihanyi, Németh Kinga, Csákvári Zsófia, Ribes Kitti, Szűcs Attila, and Varga Marcell. 2024. 'Dynamic point of care ultrasound is effective in the early diagnosis of anterior cruciate ligament injuries in children and adolescents', Injury, 55: 111729.
Finnoff, Jonathan T., Jeremiah Ray, Gianmichael Corrado, Deanna Kerkhof, and John Hill. 2016. 'Sports Ultrasound:Applications Beyond the Musculoskeletal System', Sports Health, 8: 412-17.
Gendron, Patrick, Martin Lamontagne, Camille Fournier-Farley, and Dany H. Gagnon. 2024. 'Prognosticating Return-To-Play Time Following a Hamstring Strain Injury Using Early Flexibility Asymmetry and Musculoskeletal Ultrasound Imaging Outcomes: An Exploratory Study Among Canadian University Football Players', Clinical Journal of Sport Medicine, 34: 436-43.
Ghosh, N., D. Kruse, M. Subeh, S. Lahham, and J. C. Fox. 2017. 'Comparing Point-of-care-ultrasound (POCUS) to MRI for the Diagnosis of Medial Compartment Knee Injuries', Journal of Medical Ultrasound, 25: 167-72.
Hahn, Marlee, Jeremiah Ray, Mederic M. Hall, Ian Coe, Elaine Situ-LaCasse, and Anna L. Waterbrook. 2020. 'Ultrasound in Trauma and Other Acute Conditions in Sports, Part I', Current Sports Medicine Reports, 19: 486-94.
Hanna, Adeeb Jacob, Brian E. Fliegel, John Hayden Sonnier, Matthew B. Sherman, Michael G. Ciccotti, Robert A. Jack, and Steven B. Cohen. 2024. 'Impact of Climate on Stress Ultrasound Findings of the Elbow Ulnar Collateral Ligament in Professional Baseball Pitchers: An 18-Year Study', Orthopaedic Journal of Sports Medicine, 12: 23259671241245149.
Hu, Hongjie, Hao Huang, Mohan Li, Xiaoxiang Gao, Lu Yin, Ruixiang Qi, Ray S. Wu, Xiangjun Chen, Yuxiang Ma, Keren Shi, Chenghai Li, Timothy M. Maus, Brady Huang, Chengchangfeng Lu, Muyang Lin, Sai Zhou, Zhiyuan Lou, Yue Gu, Yimu Chen, Yusheng Lei, Xinyu Wang, Ruotao Wang, Wentong Yue, Xinyi Yang, Yizhou Bian, Jing Mu, Geonho Park, Shu Xiang, Shengqiang Cai, Paul W. Corey, Joseph Wang, and Sheng Xu. 2023. 'A wearable cardiac ultrasound imager', Nature, 613: 667-75.
Hyoun Jeong, Dae, and Erica Miller-Spears. 2021. 'POCUS in Sports Medicine.' in James M. Daniels and William W. Dexter (eds.), Basics of Musculoskeletal Ultrasound (Springer International Publishing: Cham).
Jones, J. C., C. Schultz, C. Podvin, D. Mikhail, and L. C. Radel. 2023. 'Point-of-Care Ultrasound (POCUS) for Sideline Youth Sports Coverage', Curr Rev Musculoskelet Med, 16: 493-500.
Kozaci, Nalan, Mehmet Oguzhan Ay, Mustafa Avci, Sadullah Turhan, Eda Donertas, Ahmet Celik, Ertan Ararat, and Emrah Akgun. 2017. 'The comparison of point-of-care ultrasonography and radiography in the diagnosis of tibia and fibula fractures', Injury, 48: 1628-35.
Lau, Y. H., and K. C. See. 2022. 'Point-of-care ultrasound for critically-ill patients: A mini-review of key diagnostic features and protocols', World J Crit Care Med, 11: 70-84.
Lerchbaumer, M. H., M. Perschk, and C. Gwinner. 2024. 'Ultrasound in sports traumatology', Rofo, 196: 440-49.
Maganaris, C. N., M. V. Narici, L. C. Almekinders, and N. Maffulli. 2004. 'Biomechanics and pathophysiology of overuse tendon injuries: ideas on insertional tendinopathy', Sports Med, 34: 1005-17.
Manske, R. C., C. Wolfe, P. Page, and M. Voight. 2024. 'MSK Ultrasound: A Powerful Tool for Evaluating and Diagnosing Pectoralis Major Injuries in Healthcare Practice', Int J Sports Phys Ther, 19: 366-71.
Mati, B., and M. A. Silver. 2022. 'Diagnosing and Treating an Acute Anterior Shoulder Dislocation Using Point-of-Care Ultrasound in an Urgent Care Setting', Perm J, 26: 135-38.
Montoya, J., S. P. Stawicki, D. C. Evans, D. P. Bahner, S. Sparks, R. P. Sharpe, and J. Cipolla. 2016. 'From FAST to E-FAST: an overview of the evolution of ultrasound-based traumatic injury assessment', Eur J Trauma Emerg Surg, 42: 119-26.
Mora, Mendez. 2023. 'Deep Generative Machine Learning to Create Synthetic 2D Ultrasound Images for Rare Disease Research', Master's Theses.
Moulson, N., Z. Jaff, V. Wiltshire, T. Taylor, H. M. O'Connor, W. M. Hopman, and A. M. Johri. 2019. 'Feasibility and Reliability of Nonexpert POCUS for Cardiovascular Preparticipation Screening of Varsity Athletes: The SHARP Protocol', Can J Cardiol, 35: 35-41.
Nagae, Masaaki, Hiroyuki Umegaki, Akito Yoshiko, and Kosuke Fujita. 2023. 'Muscle ultrasound and its application to point-of-care ultrasonography: a narrative review', Annals of Medicine, 55: 190-97.
Nakashima, Yuko, Toru Sunagawa, Rikuo Shinomiya, Akira Kodama, and Nobuo Adachi. 2022. 'Point-of-care ultrasound in musculoskeletal field', Journal of Medical Ultrasonics, 49: 663-73.
Ntoumenopoulos, George, Tiina Andersen, and Nicola M. Hardingham. 2024. 'Upper airway assessment and its implications for interventions by respiratory physiotherapists', Physiotherapy Theory and Practice, 40: 184-89.
Olympia, R.P., R. O'Neill, and M.L. Silvis. 2024. Urgent Care Medicine Secrets E-Book: Urgent Care Medicine Secrets E-Book (Elsevier).
Page, P., R. C. Manske, M. Voight, and C. Wolfe. 2023. 'MSK Ultrasound - An IJSPT Perspective', Int J Sports Phys Ther, 18: 1-10.
Peers, Koen H. E., Peter P. M. Brys, and Roeland J. J. Lysens. 2003. 'Correlation between power Doppler ultrasonography and clinical severity in Achilles tendinopathy', International Orthopaedics, 27: 180-83.
Pigozzi, Fabio, Hashel Al Tunaiji, Yannis Pitsiladis, Yung Shu Hang Patrick, Raymond So, Kirill Micallef Stafrace, Murat Dalkilinc, Ashokan Arumugam, Kate Jordan, Ramzy Ross, Wasim Labban, and Glen Hagemann. 2024. 'Congress Abstracts: 38th FIMS World Congress of Sports Medicine. Dubai, UAE, October 24-27, 2024', Translational Exercise Biomedicine, 1: 1-77.
Sanoja, A. J., and M. Shalaby. 2024. 'Use of Point-of-care Ultrasound to Diagnose Rectus Abdominis Strain in the Acute Setting: A Case Report', Clin Pract Cases Emerg Med, 8: 159-62.
Särestöniemi, Mariella, Daljeet Singh, Mikael von und zu Fraunberg, and Teemu Myllylä. 2024. 'Microwave Technique for Linear Skull Fracture Detection—Simulation and Experimental Study Using Realistic Human Head Models', Biosensors, 14: 434.
Sayyid, Zahra, Varun Vendra, Kara D. Meister, Catherine D. Krawczeski, Noah J. Speiser, and Douglas R. Sidell. 2019. 'Application-Based Translaryngeal Ultrasound for the Assessment of Vocal Fold Mobility in Children', Otolaryngology–Head and Neck Surgery, 161: 1031-35.
Selame, L., L. Walsh, M. Schwid, N. Al Jalbout, M. R. Gray, M. Dashti, and H. Shokoohi. 2023. 'Point-of-Care Ultrasound Unveiling Rotator Cuff Injuries in the Emergency Department: A Case Series', Cureus, 15: e47665.
Situ-LaCasse, E., R. W. Grieger, S. Crabbe, A. L. Waterbrook, L. Friedman, and S. Adhikari. 2018. 'Utility of point-of-care musculoskeletal ultrasound in the evaluation of emergency department musculoskeletal pathology', World J Emerg Med, 9: 262-66.
Smith, Mike, Gráinne M. Donnelly, Lucia Berry, Sue Innes, and Jane Dixon. 2022. 'Point of care ultrasound in pelvic health: scope of practice, education and governance for physiotherapists', International Urogynecology Journal, 33: 2669-80.
Smith, Mike, Sue Innes, Stuart Wildman, and David Baker. 2023. 'A proposed framework for point of care musculoskeletal ultrasound and ultrasound image-guided interventions by physiotherapists: scope of practice, education and governance', The Ultrasound Journal, 15: 15.
Sutarjono, Bayu, Jennifer Carter, Mahfuzul Majumdar, Matthew Carr, Ernest Rin, Matthew Kessel, Joseph Rauscher, Dorian Alexander, and Ekjot Grewal. 2022. 'Focused Assessment with Sonography for Trauma (FAST) Integration and Serial Monitoring of Traumatic Brain Injury (TBI) Patients' Optic Nerve Sheath Diameter (ONSD) Using Point of Care Ultrasound (POCUS) - The FAST-POP Pilot Study', SSRN Electronic Journal.
van Leeuwen, Flora Hendrica Pieternella, Wouter Foppen, Pim A. de Jong, Wobke E. M. van Dijk, Johan Blokzijl, Kathelijn Fischer, and Merel A. Timmer. 2024. 'Ultrasound in addition to clinical assessment of acute musculoskeletal complaints in bleeding disorders: impact on patient management', Research and Practice in Thrombosis and Haemostasis, 8: 102372.
Williams, Elizabeth A., Hank F. Pelto, Brett G. Toresdahl, Jordan M. Prutkin, David S. Owens, Jack C. Salerno, Kimberly G. Harmon, and Jonathan A. Drezner. 2019. 'Performance of the American Heart Association (AHA) 14‐Point Evaluation Versus Electrocardiography for the Cardiovascular Screening of High School Athletes: A Prospective Study', Journal of the American Heart Association, 8: e012235.
Wiltrakis, Susan M., and Peter Gutierrez. 2022. 'Use of POCUS in the Diagnosis of Paradoxical Vocal Cord Movement', Pediatric Emergency Care, 38: e1085-e86.
Yammouri, Ghita, and Abdellatif Ait Lahcen. 2024. 'AI-Reinforced Wearable Sensors and Intelligent Point-of-Care Tests', Journal of Personalized Medicine, 14: 1088.
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Copyright (c) 2025 Weronika Koziak, Stanisław Dudek, Michalina Makieła, Aleksandra Bętkowska, Agata Kornacka, Wojciech Dudek, Kamila Szostak, Rafał Tomaka, Anna Byra, Marta Makieła
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