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A novel technique, ultrasound-guided injection of the temporalis tendon in adults, is described. Ultrasound-guided injection of the temporalis tendon is based on visualization of the temporalis muscle, temporalis tendon, and coronoid process. A practical step-by-step guide to doing the procedure is given. This technique is effective and reproducible. Two patients successfully treated with this technique will be briefly discussed. The anatomic location and size of the temporalis tendon make it mandatory to use ultrasound to ensure precision.

Across the addictions field, the primary outcome in treatment research has been reduction in drug consumption. A comprehensive view of the impact of substance use disorders on human functioning suggests that effective treatments should address the many consequences and features of addiction beyond drug use, a recommendation forwarded by multiple expert panels and review papers. Despite recurring proposals, and a compelling general rationale for moving beyond drug use as the sole standard for evaluating addiction treatment, the field has yet to adopt any core set of 'other' measures that are routinely incorporated into treatment research. Among the many reasons for the limited impact of previous proposals has been the absence of a clear set of guidelines for selecting candidate outcomes. This paper is the result of the deliberations of a panel of substance abuse treatment and research experts convened by the National Institute on Drug Abuse to discuss appropriate outcome measures for clinical trials of substance abuse treatments. This paper provides an overview of previous recommendations and outlines specific guidelines for consideration of candidate outcomes. A list of outcomes meeting those guidelines is described and illustrated in detail with two outcomes: craving and quality of life. The paper concludes with specific recommendations for moving beyond the outcome listing offered in this paper to promote the programmatic incorporation of these outcomes into treatment research.

Karen Finlay, MD, FRCPC, Lawrence Friedman, MD, FRCPC, Kelly Ainsworth BSc, DCDepartment of Diagnostic Imaging, McMaster University, Hamilton Health Sciences, Henderson Hospital,711 Concession St. E., Hamilton, Ontario, Canada, L8V 1C3Received 28 October 2005; accepted 7 July 2006ABSTRACT: We report the sonographic appearanceof a case of calcific myonecrosis and tenosynovitiswith correlative plain radiography and CT findings.Calcific myonecrosis is a rare complication ofprevious trauma that presents as a tumor-like calci-fied mass years after an initial injury, most commonlyaffecting the anterior compartment of the lower leg.Although the clinical, radiographic, and MRI featuresof calcific myonecrosis have been well described, toour knowledge the sonographic appearance has notbeen reported previously in the literature.