{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T22:31:22Z","timestamp":1773700282332,"version":"3.50.1"},"reference-count":83,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:00:00Z","timestamp":1607990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>One barrier to widespread adoption of neuromuscular ultrasound by clinical neurophysiologists is concern over how to identify and manage non\u2010neuromuscular findings. This review addresses this concern by describing the sonographic appearance of a variety of commonly observed pathologies and anatomic variants in dermal, subcutaneous, bony, glandular, lymphatic, vascular, and other superficial tissues. Additionally, it outlines techniques to ensure proper clinical and ultrasound evaluation of unexpected or uncommon findings. Finally, it highlights strategies to manage unexpected findings, including how to best communicate findings to patients and referring clinicians to avoid unnecessary testing and ensure appropriate follow\u2010up. Ultrasound extends the ability of the neuromuscular sonographer\u2010clinician to contribute to patient care.<\/jats:p>","DOI":"10.1002\/mus.27128","type":"journal-article","created":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T07:42:57Z","timestamp":1608104577000},"page":"793-806","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Managing uncommon and unexpected findings during neuromuscular ultrasound"],"prefix":"10.1002","volume":"63","author":[{"given":"Francis O.","family":"Walker","sequence":"first","affiliation":[{"name":"Division of Neuromuscular Disorders, Department of Neurology Wake Forest Medical School  Medical Center Blvd Winston\u2010Salem NC 27157\u20101078 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Cartwright","sequence":"additional","affiliation":[{"name":"Division of Neuromuscular Disorders, Department of Neurology Wake Forest Medical School  Medical Center Blvd Winston\u2010Salem NC 27157\u20101078 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher H.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Division of Neuroradiology, Department of Radiology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,15]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-1527-9.10004-X"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2019.01.013"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-28163-4_2"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1891\/9781617052309"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-014-1846-1"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-28163-4_3"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-28163-4_5"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-007-0645-7"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-28163-4_4"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2016.06.006"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25734"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.24284"},{"key":"e_1_2_13_14_1","first-page":"35","article-title":"The distribution of brown adipose tissue in the human","volume":"112","author":"Heaton JM","year":"1972","journal-title":"J Anat"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2016150390"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2015.06.014"},{"issue":"2","key":"e_1_2_13_17_1","first-page":"104","article-title":"Ultrasonographic aspect of subcutaneous tissue dystrophies as a result of insulin injections","volume":"12","author":"Perciun R","year":"2010","journal-title":"Med Ultrason"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1365837"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.1994.13.2.87"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2019.01.005"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26342"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2019.02.027"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(82)90603-1"},{"key":"e_1_2_13_24_1","unstructured":"FernandezKH WardDS. Calcinosis Cutis: Etiology and Patient Evaluation in J. Callen (ed.)Up to Date. Retrieved December 9 2020fromhttps:\/\/www.uptodate.com\/contents\/calcinosis\u2010cutis\u2010etiology\u2010and\u2010patient\u2010evaluation?search=calcinosis%20cutis&source=search_result&selectedTitle=2~55&usage_type=default&display_rank=2"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1964.01590270046010"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.15.5.477"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2016.10.010"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-010-1008-z"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.4103\/2156-7514.127965"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.34.8.1485"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.5114\/pdia.2014.40955"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26150"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.13986"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0049-0172(88)90008-X"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2017.01.054"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2011.30.10.1431"},{"issue":"1187","key":"e_1_2_13_37_1","first-page":"U706","article-title":"Ultrasound and soft\u2010tissue mass lesions\u2013a note of caution","volume":"116","author":"Coates M","year":"2003","journal-title":"N Z Med J"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0748-7983(03)00006-4"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2015.07.025"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2017.08.002"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.22118"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001832"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.282075064"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.32098\/mltj.02.2014.09"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880130108"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-28163-4_19"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2019.05.010"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00117-017-0292-1"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.23797"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2017(06)05"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.24234"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1097\/CND.0b013e31826506ff"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.09.055"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25746"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25483"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.24183"},{"key":"e_1_2_13_57_1","first-page":"10","article-title":"Ultrasound findings in less frequent causes of carpal tunnel syndrome [published online ahead of print, may 27, 2020]","volume":"2020","author":"Bianchi S","journal-title":"J Ultrasound Med"},{"key":"e_1_2_13_58_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics10060345"},{"key":"e_1_2_13_59_1","doi-asserted-by":"publisher","DOI":"10.5603\/FM.a2016.0080"},{"key":"e_1_2_13_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/joa.13091"},{"key":"e_1_2_13_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/joa.12994"},{"key":"e_1_2_13_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mric.2011.05.002"},{"key":"e_1_2_13_63_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20601"},{"key":"e_1_2_13_64_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-785220172504168330"},{"key":"e_1_2_13_65_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20700"},{"key":"e_1_2_13_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.03.035"},{"key":"e_1_2_13_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.11.148"},{"key":"e_1_2_13_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2013.01.005"},{"key":"e_1_2_13_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.08.110"},{"key":"e_1_2_13_70_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118430309"},{"key":"e_1_2_13_71_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001318"},{"key":"e_1_2_13_72_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.23845"},{"key":"e_1_2_13_73_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000173028.95614.ac"},{"key":"e_1_2_13_74_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kex173"},{"key":"e_1_2_13_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2014.09.038"},{"key":"e_1_2_13_76_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2017.0003"},{"key":"e_1_2_13_77_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25984"},{"key":"e_1_2_13_78_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/30175196"},{"key":"e_1_2_13_79_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.20130175"},{"key":"e_1_2_13_80_1","doi-asserted-by":"publisher","DOI":"10.1097\/MNM.0000000000000961"},{"key":"e_1_2_13_81_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nic.2018.01.007"},{"key":"e_1_2_13_82_1","first-page":"75","article-title":"Should incidental findings in diagnostic imaging be reported?","volume":"66","author":"Panelli Santos KC","year":"2017","journal-title":"Minerva Stomatol"},{"key":"e_1_2_13_83_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.09.010"},{"key":"e_1_2_13_84_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurad.2016.12.010"}],"container-title":["Muscle &amp; Nerve"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mus.27128","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/mus.27128","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mus.27128","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:31:31Z","timestamp":1693355491000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mus.27128"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,15]]},"references-count":83,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1002\/mus.27128"],"URL":"https:\/\/doi.org\/10.1002\/mus.27128","archive":["Portico"],"relation":{},"ISSN":["0148-639X","1097-4598"],"issn-type":[{"value":"0148-639X","type":"print"},{"value":"1097-4598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,15]]},"assertion":[{"value":"2020-05-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}