Pages
105
Language
English
Format
Pocket-sized (portable reference)
Author
Global Ultrasound Institute (GUSI)

About the Guide

The GUSI MSK Essentials POCUS Pocket Guide is a compact, easy-to-use reference designed to support clinicians at the point of care. Whether you’re in primary care, sports medicine, orthopedics, or rheumatology, this guide provides quick access to essential musculoskeletal ultrasound protocols and best practices.

Covering the major joints and soft tissue structures (shoulder, elbow, wrist/hand, hip, knee, and ankle/foot), it helps ensure accurate image acquisition and interpretation for common MSK complaints including tendinopathies, tears, effusions, and inflammatory conditions.

Developed by the Global Ultrasound Institute (GUSI), this pocket guide is the perfect companion to GUSI’s MSK Essentials Course, reinforcing your learning and helping you confidently integrate MSK ultrasound into your clinical practice.

What You’ll Discover

Anatomically organized scanning protocols for all major joints

Clear probe positioning and patient positioning for each view

Key anatomical landmarks and common pathology identification

Normal versus abnormal imaging comparison

High-quality ultrasound images with labeled structures

Clinical pearls and scanning tips for optimal image acquisition

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What’s Inside the Guide

Book Overview

Comprehensive MSK ultrasound protocols organized by anatomical region for quick reference and clinical confidence.

01
SHOULDER ULTRASOUND

Systematically evaluate anterior, superior, lateral, and posterior shoulder structures including the rotator cuff (supraspinatus, infraspinatus, subscapularis), long head of biceps tendon, and acromioclavicular joint to diagnose tears, tendinopathy, impingement, and instability.

02
ELBOW ULTRASOUND

Assess the lateral elbow including common extensor tendon, radial collateral ligament, and joint spaces to diagnose lateral epicondylitis (tennis elbow), tendon tears, joint effusions, and radial head pathology.

03
WRIST ULTRASOUND

Examine the volar wrist structures including median nerve and carpal tunnel, along with the first dorsal compartment (De Quervain’s) to identify nerve compression, tenosynovitis, tendon tears, and inflammatory conditions.

04
HAND AND FINGERS ULTRASOUND

Evaluate flexor tendons, A1 pulleys, metacarpophalangeal and interphalangeal joints, and digital structures to diagnose trigger finger, flexor tenosynovitis, joint effusions, collateral ligament injuries, and small joint arthropathy.

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What Makes This MSK Pocket Guide Special

Portable, practical, and proven. Designed by MSK ultrasound experts for clinicians who want to deliver better musculoskeletal care.

Point-of-Care Diagnosis

Evaluate MSK complaints in real-time during patient visits. Reduce the need  to send patients for imaging. Assess tendons, ligaments, joints, and soft tissues immediately.

Anatomically Organized

Each joint section follows a systematic approach based on anatomical regions, making it easy to find the exact protocol you need during clinical encounters.

Clear Visual Guidance

High-quality ultrasound images with labeled anatomical structures help you quickly identify normal anatomy and recognize pathology like tears, effusions, and inflammation.

Primary Care Focused

Specifically designed for non-radiologists and clinicians who want to integrate MSK ultrasound into everyday practice. No specialized training required to get started.

Dynamic Assessment

Learn proper probe positioning and patient movement techniques to assess tendons and ligaments dynamically, revealing pathology that static imaging might miss.

Common Pathology Recognition

Quick-reference guides for identifying tendinopathy, partial and full-thickness tears, bursitis, joint effusions, ligament injuries, and nerve compression.

GUSI-Tested Protocols

Developed by Global Ultrasound Institute educators who’ve trained thousands of healthcare professionals in practical, evidence-based MSK ultrasound techniques.

Course Integration

Perfectly complements GUSI’s MSK Essentials Course, providing a hands-on reference that bridges online learning with bedside application.

Trusted by MSK Clinicians Worldwide

Join over 18,000 healthcare professionals who've enhanced their diagnostic capabilities with GUSI's evidence-based MSK ultrasound training and resources.

GUSI was the resource that I needed to learn this new skill. The approach to teaching is relevant and effective for the busy primary care provider.

Read More
Billy Ligon MD
Medical Director of POCUS
Department of Family Medicine Baylor Scott & White Health
Belton, Texas

This has been an amazing experience. I can’t thank you enough. I feel like I have learned so much.

Read More
David Johnson, MD
Family Medicine
Carson Tahoe Regional Healthcare

As a Family Physician, I see immense value in integrating POCUS into primary care. It enhances diagnostic accuracy, improves patient confidence, and speeds up clinical decision-making—all from the bedside.

Read More
Dr Emma Khabure
Family Physician

The best thing that has ever happened in my nursing practice. Early referral of cases and detection of abnormal presentation especially in antenatal and labour ward has helped reduce delays that used to happen.

Read More
Veronica Matsangoni
Nurse Midwife

Learning is made easier by the support provided to each student.

Read More
Dr. Kate Feibusch, MPH
Physician
Kaiser Permanente Santa Rosa Medical Center
Santa Rosa, California

POCUS Has Allowed Me to Find New Excitement in Primary Care, and Reduces Burnout by Providing Quicker Answers to Medical Problems in Real Time.

Read More
Dr Moses J. Syldcort
FM Physician, Advanced OB
Fellow at Swedish First Hill FMR
Seattle, USA

It is an honour to serve with such a wonderful team of GUSI instructors in promoting POCUS in Ukraine.

Read More
Dr. Vadym Vus

The POCUS workshop was clinically oriented and well-taught by experienced instructors [who were patient and engaging with new learners].

Read More
Dr Cindy Yang, FAAFP
Family Medicine Residency & Sports Medicine Fellowship
Dignity Health, Northridge Hospital

Bedside ultrasound gave me greater diagnostic certainty [in minutes], which I could share with confidence with my patients.

Read More
Dr. Greg Bailey
GP
Royal College of General Practitioners
UK
A Global Health Initiative

See What's Inside: A Quick Walk-Through

Take a 2-minute tour of the GUSI MSK Essentials Pocket Guide and discover how it can transform your approach to musculoskeletal care.

From cover to cover, this pocket guide is designed with one goal: to make MSK ultrasound accessible and actionable in everyday clinical practice. Watch this brief overview to see how the joint-by-joint protocols are organized, explore sample pages with annotated ultrasound images showing normal anatomy and common pathology, and learn how this resource integrates with GUSI’s comprehensive MSK ultrasound training.

Whether you’re evaluating shoulder pain, knee injuries, or wrist complaints, having evidence-based scanning protocols at your fingertips enables same-visit diagnosis and treatment planning. See for yourself how this portable guide delivers exactly what you need to confidently incorporate MSK ultrasound into your practice.

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Frequently Asked Questions

The guide provides comprehensive coverage of all major joints: shoulder (rotator cuff, biceps), elbow (common extensors/flexors, collateral ligaments), wrist/hand (tendons, carpal tunnel), hip (joint, bursae, tendons), knee (quadriceps, patellar tendon, collateral ligaments, effusions), and ankle/foot (Achilles, plantar fascia, anterior/lateral tendons).

This pocket guide is the perfect companion to GUSI’s MSK Essentials online course. While the course provides comprehensive video instruction and scanning techniques, this guide serves as your portable reference during actual patient encounters, helping you recall proper probe positioning and anatomical landmarks when you need them most.

Yes! The guide includes detailed anatomical views that are essential for safe, accurate ultrasound-guided procedures. Understanding normal anatomy and optimal probe positioning is critical for successful guided injections, aspirations, and other interventional techniques.

The protocols in this guide can be used with any ultrasound system, from portable handheld devices to cart-based systems. The scanning techniques and anatomical principles apply regardless of your equipment. A linear high-frequency probe (typically 7-15 MHz) is recommended for most superficial MSK structures.

Not at all! This guide is specifically designed for family physicians, midwives, OB/GYNs, and emergency medicine clinicians who want to integrate obstetric ultrasound into practice. The clear protocols and labeled images make it accessible for beginners while remaining valuable as a reference for experienced practitioners.

FAQ's

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Join 18,000+ Learners

Ready to Elevate Your Prenatal Care Skills?

Join 18,000+ clinicians worldwide who trust GUSI for evidence-based ultrasound education.

The GUSI MSK Essentials POCUS Pocket Guide puts comprehensive joint assessment protocols at your fingertips, helping you deliver faster, more accurate diagnoses for musculoskeletal complaints. Whether you’re evaluating an athlete’s shoulder injury, a patient’s chronic elbow pain, or an elderly patient’s knee effusion, this portable reference ensures you have the guidance you need, exactly when you need it.

Stop referring patients for imaging you could perform yourself. Start providing same-visit diagnosis and treatment planning that improves patient satisfaction and outcomes.

Designed by experts, tested in real clinical settings, and trusted by healthcare professionals across 250+ institutions worldwide. This is more than a pocket guide. It’s your confidence in MSK care, portable.

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“GUSI was the resource that I needed to learn this new skill. The approach to teaching is relevant and effective for the busy primary care provider. “

The videos are short, yet very organized and understandable. The tips for effective image acquisition are extremely helpful. The pathology image library brings it all together. The mentors in the mini-fellowship have provided excellent feedback that have helped my skills to grow in meaningful ways. Our institution used GUSI to introduce POCUS into our department of Family Medicine and have been very pleased.

“This has been an amazing experience. I can’t thank you enough. I feel like I have learned so much. “

Every time I met with my mentors my skills got better. As I went through, the feedback from my scan reviews they were never just rubber stamp sign-offs. I received feedback that pushed my skills to the next level. The highest praise I can give is that I feel comfortable enough to use my ultrasound skills in my clinical decision making. I also have the skills to perform and document my exams in a time efficient manner which is required in a busy office. Armed with my new learned skills and confidence I use my ultrasound constantly in clinical practice. I look forward to signing up for another fellowship to build my skills further.

“As a Family Physician, I see immense value in integrating POCUS into primary care. It enhances diagnostic accuracy, improves patient confidence, and speeds up clinical decision-making—all from the bedside.

In resource-constrained environments, POCUS isn’t just helpful—it’s revolutionary!
I’m excited to apply this skill to better serve my patients and most importantly, train others in its use.

“The best thing that has ever happened in my nursing practice. Early referral of cases and detection of abnormal presentation especially in antenatal and labour ward has helped reduce delays that used to happen.”

“Learning is made easier by the support provided to each student.”

GUSI provided education in the areas I wanted and needed, right from my home and office environment. I recommend this curriculum highly. It’s not just the way the course material is presented—learning is made easier by the support provided to each student throughout the program.

“POCUS Has Allowed Me to Find New Excitement in Primary Care, and Reduces Burnout by Providing Quicker Answers to Medical Problems in Real Time.”

POCUS has allowed me to find new excitement in primary care, and reduces burnout by providing quicker answers to medical problems in real time. By improving my diagnostic skills, and increasing my interaction with patients, I hope to continue to have POCUS as an integral part of my practice!

“It is an honour to serve with such a wonderful team of GUSI instructors in promoting POCUS in Ukraine.

In the last two years, we have gone through a war with the post-Soviet academic community, which prohibits us from using ultrasound. With our FOCUS-POCUS team in Ukraine, we train family doctors, military medics, and paramedics in the basic protocols like FAST, BLUE, and RUSH [which are] needed during daily Russian bombing on the frontline. It is an honour to serve with such a wonderful team of GUSI instructors in promoting POCUS in Ukraine.

“The POCUS workshop was clinically oriented and well-taught by experienced instructors [who were patient and engaging with new learners].”

The team at GUSI was fantastic—very knowledgeable and professional. Their POCUS workshop was clinically oriented and well-organized, and well-taught by highly experienced instructors who were engaging and patient with new learners. Our residency faculty felt that the sessions really empowered and inspired us to do more ultrasound scanning and get better at it. This was the perfect introductory course that our group needed to get a head start in POCUS, and we look forward to working with GUSI more in the future doing Tele-Ultrasound mentorship sessions.

“Bedside ultrasound gave me greater diagnostic certainty [in minutes], which I could share with confidence with my patients.”

Bedside ultrasound has consistently influenced my diagnostic and management decisions. It reduces the need for “watching and waiting” or “sitting with uncertainty” by providing clear, non-invasive answers in minutes. It’s immensely rewarding for that part of me that seeks a higher level of diagnostic certainty, which I can then share with confidence with my patients. This not only builds trust and strengthens rapport but also makes me a better clinician, ultimately leading to better patient outcomes. The best way to determine if bedside ultrasound is right for you is to try it—you’ll quickly see how it can greatly enhance your professional practice.

“”