Video: Common upper extremity injections utilizing musculoskeletal ultrasound.

OBJECTIVE: The purpose of this video article is to demonstrate the use of ultrasound for upper extremity musculoskeletal injections, covering general guidelines, preprocedure planning, needle selection, and basic technique. Several different upper-extremity injections are shown, including joint injections and aspirations, tendon sheath and bursal injections, and percutaneous treatment of calcific tendinitis.

CONCLUSION: Musculoskeletal ultrasound is well suited for imaging-guided injections of the upper extremities. It is readily available, allows for high-resolution real-time imaging of the soft tissues and joints, and is adaptable for patient comfort and positioning. After viewing this video article, the observer should have an understanding of the applications for ultrasound in upper-extremity musculoskeletal interventions and should be able to apply that knowledge to advance their clinical practice.