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Ultrasound
A. Keith Rastogi, MD; Colin J. McCarthy, MB, BCh, BAO, MRCSI, FFR (RCSI); Julia R. Crim, MD
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KEY FACTS

  • Preprocedure

    • Procedure

      • Outcomes

        TERMINOLOGY

        • Definitions

          • Ultrasound (US) guidance
            • US provides alternate modality for image guidance when performing procedures
            • Allows direct visualization of needle and soft tissue structures in real time during procedure
            • Absence of ionization radiation offers advantage over fluoroscopy

        PREPROCEDURE

        • Indications

          • Getting Started

            PROCEDURE

            • Patient Position/Location

              • Equipment Preparation

                • Procedure Steps

                  • Findings and Reporting

                    • Alternative Procedures/Therapies

                      POST PROCEDURE

                      • Imaging

                        OUTCOMES

                        • Complications

                          Selected References

                          1. Tekin E et al: High-thoracic ultrasound-guided erector spinae plane block for acute herpes zoster pain management in emergency department. Am J Emerg Med. 37(2):375.e1-3, 2019
                          2. Czyrny Z: Standards for musculoskeletal ultrasound. J Ultrason. 17(70):182-7, 2017
                          3. Neal JM et al: The second American Society of Regional Anesthesia and Pain Medicine evidence-based medicine assessment of ultrasound-guided regional anesthesia: executive summary. Reg Anesth Pain Med. 41(2):181-94, 2016
                          4. Rastogi AK et al: Fundamentals of joint injection. AJR Am J Roentgenol. 207(3): 484-94, 2016
                          5. Korbe S et al: Ultrasound-guided interventional procedures for chronic pain management. Pain Manag. 5(6):465-82, 2015
                          6. Drakonaki EE et al: Efficacy of ultrasound-guided steroid injections for pain management of midfoot joint degenerative disease. Skeletal Radiol. 40(8):1001-6, 2011
                          7. Di Sante L et al: Ultrasound-guided aspiration and corticosteroid injection of Baker's cysts in knee osteoarthritis: a prospective observational study. Am J Phys Med Rehabil. 89(12):970-5, 2010
                          8. Lee KS et al: Musculoskeletal ultrasound: elbow imaging and procedures. Semin Musculoskelet Radiol. 14(4):449-60, 2010
                          9. Martinoli C: Musculoskeletal ultrasound: technical guidelines. Insights Imaging. 1(3):99-141, 2010
                          10. Mulvaney SW: A review of viscosupplementation for osteoarthritis of the hip and a description of an ultrasound-guided hip injection technique. Curr Sports Med Rep. 8(6):291-4, 2009
                          11. Smith J et al: Accuracy of sonographically guided posterior subtalar joint injections: comparison of 3 techniques. J Ultrasound Med. 28(11):1549-57, 2009
                          12. Sofka CM et al: Ultrasound-guided adult hip injections. J Vasc Interv Radiol. 16(8):1121-3, 2005
                          13. Adler RS et al: Percutaneous ultrasound-guided injections in the musculoskeletal system. Ultrasound Q. 19(1):3-12, 2003
                          14. Lin J et al: An illustrated tutorial of musculoskeletal sonography: part 4, musculoskeletal masses, sonographically guided interventions, and miscellaneous topics. AJR Am J Roentgenol. 175(6):1711-9, 2000
                          Related Anatomy
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                          Related Differential Diagnoses
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                          References
                          Tables

                          Tables

                          KEY FACTS

                          • Preprocedure

                            • Procedure

                              • Outcomes

                                TERMINOLOGY

                                • Definitions

                                  • Ultrasound (US) guidance
                                    • US provides alternate modality for image guidance when performing procedures
                                    • Allows direct visualization of needle and soft tissue structures in real time during procedure
                                    • Absence of ionization radiation offers advantage over fluoroscopy

                                PREPROCEDURE

                                • Indications

                                  • Getting Started

                                    PROCEDURE

                                    • Patient Position/Location

                                      • Equipment Preparation

                                        • Procedure Steps

                                          • Findings and Reporting

                                            • Alternative Procedures/Therapies

                                              POST PROCEDURE

                                              • Imaging

                                                OUTCOMES

                                                • Complications

                                                  Selected References

                                                  1. Tekin E et al: High-thoracic ultrasound-guided erector spinae plane block for acute herpes zoster pain management in emergency department. Am J Emerg Med. 37(2):375.e1-3, 2019
                                                  2. Czyrny Z: Standards for musculoskeletal ultrasound. J Ultrason. 17(70):182-7, 2017
                                                  3. Neal JM et al: The second American Society of Regional Anesthesia and Pain Medicine evidence-based medicine assessment of ultrasound-guided regional anesthesia: executive summary. Reg Anesth Pain Med. 41(2):181-94, 2016
                                                  4. Rastogi AK et al: Fundamentals of joint injection. AJR Am J Roentgenol. 207(3): 484-94, 2016
                                                  5. Korbe S et al: Ultrasound-guided interventional procedures for chronic pain management. Pain Manag. 5(6):465-82, 2015
                                                  6. Drakonaki EE et al: Efficacy of ultrasound-guided steroid injections for pain management of midfoot joint degenerative disease. Skeletal Radiol. 40(8):1001-6, 2011
                                                  7. Di Sante L et al: Ultrasound-guided aspiration and corticosteroid injection of Baker's cysts in knee osteoarthritis: a prospective observational study. Am J Phys Med Rehabil. 89(12):970-5, 2010
                                                  8. Lee KS et al: Musculoskeletal ultrasound: elbow imaging and procedures. Semin Musculoskelet Radiol. 14(4):449-60, 2010
                                                  9. Martinoli C: Musculoskeletal ultrasound: technical guidelines. Insights Imaging. 1(3):99-141, 2010
                                                  10. Mulvaney SW: A review of viscosupplementation for osteoarthritis of the hip and a description of an ultrasound-guided hip injection technique. Curr Sports Med Rep. 8(6):291-4, 2009
                                                  11. Smith J et al: Accuracy of sonographically guided posterior subtalar joint injections: comparison of 3 techniques. J Ultrasound Med. 28(11):1549-57, 2009
                                                  12. Sofka CM et al: Ultrasound-guided adult hip injections. J Vasc Interv Radiol. 16(8):1121-3, 2005
                                                  13. Adler RS et al: Percutaneous ultrasound-guided injections in the musculoskeletal system. Ultrasound Q. 19(1):3-12, 2003
                                                  14. Lin J et al: An illustrated tutorial of musculoskeletal sonography: part 4, musculoskeletal masses, sonographically guided interventions, and miscellaneous topics. AJR Am J Roentgenol. 175(6):1711-9, 2000