A three-dimensional ultrasound based assessment device includes a housing having a front end, a back end, and a cavity. An ultrasonic transducer assembly can be mounted to a ball joint which is, in turn, pivotably (pitch, roll, yaw) coupled to a socket proximate the front end. A resilient or elastic sheath retains pieces forming the socket under elastic compression, with the ball pivotally retained therein. A drive assembly positioned proximate a tail or end of a stem that extends from the ball joint may be operated to sweep the ball and ultrasonic transducer. A simple interface provides at least one of a number, text, graphic, color or symbol as a visual indicator indicative of at least one of a measurement of an anatomical structure or a comparison of the measurement of the anatomical structure with a reference, without providing images of the anatomical structure.