Ultrasound technology, like that used to detect the gender of a developing fetus when a woman visits her obstetrician for an ultrasound examination, has improved with each passing year. It is now becoming more available to patients with orthopedic implants in order to help diagnose the anatomical structure that is injured and produce images of the injury without the need for X-radiation. Dr. Portner is one of the first orthopedic clinics in the state of Hawaii to use ultrasound in the office for diagnostic purposes, affording patients more accurate diagnoses and less exposure to X-rays.