By Gerard Malanga, Kenneth Mautner
Clear, concise description of greater than a hundred US-guided injections in musculoskeletal drugs.
Atlas of Ultrasound-Guided Musculoskeletal Injections contains a variety of counsel and methods from the field's such a lot skilled and revered practitioners. This specified and state-of–the-art textual content is perfect for physiatrists, rheumatologists, activities drugs physicians, radiologists, soreness medication experts, and orthopedic surgeons. With a spotlight on defense and efficacy, this atlas is a valuable funding for any practitioner seeking to upload ultrasound-guided approaches to their perform or is calling to sharpen their abilities. The ebook opens with informative insurance of the basics of MSK US, together with ultrasound physics, training and set-up for MSK US methods, and the reason and proof for appearing those methods. the most physique of the ebook dedicates one bankruptcy to a selected US-guided injection or process. each one bankruptcy layout contains sections on key issues, pertinent anatomy, universal pathology, US imaging, symptoms, and strategy. The e-book is split into eight sections:
- Hand and wrist
- Foot and ankle
- Special tactics (rotator cuff, Percutaneous set off finger unencumber, Ultrasound-guided Carpal Tunnel unencumber, and Tenex)
Atlas of Ultrasound-Guided Musculoskeletal Injections contains assurance of the complete spectrum of systems, starting from easy US guided joint injections to perinerual injections, tenotomies, and surgeries reminiscent of percutaneous A1 pulley liberate, making the publication the field's first real cornerstone textual content and the "go to" source for any clinician attracted to the subject.
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Additional info for Atlas of Ultrasound-Guided Musculoskeletal Injections
A steep angle of needle insertion relative to skin improves needle trajectory. Indications for Injections of the Glenohumeral Joint Injection of the GHJ can be performed for patients with recalcitrant pain that is unresponsive to rest, icing, antiinflammatories, and physical therapy. 4,5 More recently, Souza et al. 6 A randomized control trial performed by Sibbitt et al. 5-inch needle depending on body habitus of patient Injectate: 4–9 mL of local anesthetic and 1 mL of an injectable corticosteroid Medium- to high-frequency transducer, curvilinear array probe often preferred Chapter 5 / Glenohumeral Joint Injection A ■ 25 Glenohume eral joint Anterior view w-Tendons and ligaments capula Acromion of sc Trapezoid ligament (part of coracoclavicular ligament) Clavicle Coracoacromia al ligament Coracohumera al ligament Conoid ligament (part of coracoclavicular ligament) Greater tuberclle of humerus Superior transverse scapular ligament and scapular notch Capsular ligaments Coracoid process Transverse liga ament of humerus Openings of subscapular bursa to shoulder joint Intertubercular synovial sheath Lesser tubercle of humerus B Norma al shoulder anatomy Posterior view-Muscles Clavicle Broken line indicates position of subscapular bursa Spine of scapula Acromion Rotator cu uff Teres mino or muscle Supraspinatus muscle Infraspinatus muscle Humerus Teres majo or muscle Scapula FIGURE 5-1 ■ A.
14. 15. ■ Chapter 4 / The Rationale and Evidence for Performing Ultrasound-Guided Injections injections by an experienced and less-experienced injector using a superolateral approach: a cadaveric study. PM&R. 2011 Jun;3:507–515. Park Y, Choi W, Kim Y, Lee S, Lee J. Accuracy of blind versus ultrasound-guided suprapatellar bursal injection. J Clin Ultrasound. 2012:40(1)20–25. Finnoff J, Nutz D, Henning P, Hollman J, Smith J. Accuracy of ultrasound-guided versus unguided pes anserinus bursa injections.
Porat S, Leupold JA, Burnett KR, Nottage WM. Reliability of non-imaging-guided glenohumeral joint injection through rotator interval approach in patients undergoing diagnostic MR arthrography. AJR Am J Roentgenol. 2008;191(3):W96–W99. 3. Esenyel CZ, Ozturk K, Demirhan M, et al. Accuracy of anterior glenohumeral injections: a cadaver study. Arch Orthop Trauma Surg. 2009;130(3):297–300. 4. Valls R, Melloni P. Sonographic guidance of needle position for MR arthrography of the shoulder.