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USG Injections

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16 papers 0 to 25 followers
Andrea Barranjard Vannucci Lomonte, Marina Gonçalves Veras de Morais, Lina Oliveira de Carvalho, Cristiano Augusto de Freitas Zerbini
OBJECTIVE: Intraarticular (IA) corticosteroid injections are broadly used in knee osteoarthritis (OA); however, the best corticosteroid agent is not well defined. The aim of the present study was to compare the efficacy of triamcinolone hexacetonide (TH) and methylprednisolone acetate (MA) injections in knee OA. METHODS: Patients with symptomatic knee OA and Kellgren-Lawrence grade II or III were randomized to receive 40 mg of IA TH or MA. Evaluations were performed at 4, 12, and 24 weeks...
September 2015: Journal of Rheumatology
Neha Garg, Lisa Perry, Atul Deodhar
The comparative efficacy of various Corticosteroid (CS) injections commonly used to treat musculoskeletal conditions has not been systematically studied. Our objective is to synthesize data about comparative efficacy of various CS used for intra-articular and periarticular soft tissue injections. Online databases were searched including MEDLINE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Database of Abstracts of Reviews of Effectiveness, and bibliographies of studies till November 2013...
December 2014: Clinical Rheumatology
Carmelo Messina, Giuseppe Banfi, Alberto Aliprandi, Giovanni Mauri, Francesco Secchi, Francesco Sardanelli, Luca Maria Sconfienza
UNLABELLED: Magnetic resonance (MR) imaging has been definitively established as the reference standard in the evaluation of joints in the body. Similarly, magnetic resonance arthrography has emerged as a technique that has been proven to increase significantly the diagnostic performance if compared with conventional MR imaging, especially when dealing with fibrocartilage and articular cartilage abnormalities. Diluted gadolinium can be injected in the joint space using different approaches: under palpation using anatomic landmarks or using an imaging guidance, such as fluoroscopy, computed tomography, or ultrasound...
May 2016: European Radiology
Wilmer L Sibbitt, Philip A Band, Lawrence G Kettwich, Natalia R Chavez-Chiang, Suzanne L Delea, Arthur D Bankhurst
OBJECTIVE: The present randomized controlled study investigated whether sonographic needle guidance affected the outcomes of intra-articular injection for osteoarthritis of the knee. METHODS: Ninety-four noneffusive knees with osteoarthritis were randomized to injection by conventional palpation-guided anatomic landmark injection or sonographic image-guided injection enhanced with a 1-handed mechanical (the reciprocating procedure device) syringe. After intra-articular placement and synovial space dilation were confirmed by sonography, a syringe exchange was performed, and 80 mg of triamcinolone acetonide was injected with the second syringe through the indwelling intra-articular needle...
December 2011: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
Tony Makhlouf, N Suzanne Emil, Wilmer L Sibbitt, Roderick A Fields, Arthur D Bankhurst
This randomized controlled study addressed whether sonographic needle guidance affected the outcomes of corticosteroid injection for symptomatic carpal tunnel syndrome. Seventy-seven symptomatic carpal tunnels were randomized to injection by either (1) conventional anatomic landmark palpation-guided injection or (2) sonographic image-guided injection, each using a two-step technique where 3 ml of 1% lidocaine was first injected to hydrodissect and hydrodisplace critical intra-carpal tunnel structures followed by injection with 80 mg of triamcinolone acetonide (2 ml)...
June 2014: Clinical Rheumatology
W L Sibbitt, L G Kettwich, P A Band, N R Chavez-Chiang, S L DeLea, L J Haseler, A D Bankhurst
OBJECTIVE: The present randomized controlled trial compared arthrocentesis of the effusive knee followed by corticosteroid injection performed by the conventional anatomic landmark palpation-guided technique to the same procedure performed with ultrasound (US) needle guidance. METHODS: Sixty-four palpably effusive knees were randomized to (i) palpation-guided arthrocentesis with a conventional 20-mL syringe (22 knees), (ii) US-guided arthrocentesis with a 25-mL reciprocating procedure device (RPD) mechanical aspirating syringe (22 knees), or (iii) US-guided arthrocentesis with a 60-mL automatic aspirating syringe (20 knees)...
February 2012: Scandinavian Journal of Rheumatology
Wilmer L Sibbitt, Philip A Band, Natalia R Chavez-Chiang, Suzanne L Delea, Hillary E Norton, Arthur D Bankhurst
OBJECTIVE: We studied whether sonographic needle guidance affected the outcomes of intraarticular (IA) injection for inflammatory arthritis. METHODS: Joints with inflammatory arthritis (n = 244; 76% rheumatoid arthritis, 3% small joints, 51% intermediate, and 46% large) were randomized to injection by conventional palpation-guided anatomic injection (120 joints) or sonographic image-guided injection enhanced with a 1-handed reciprocating procedure device mechanical syringe (124 joints)...
February 2011: Journal of Rheumatology
Maureen Dubreuil, Stephanie Greger, Michael LaValley, Joanna Cunnington, Wilmer L Sibbitt, Eugene Y Kissin
OBJECTIVES: This meta-analysis compares change in wrist pain following ultrasound-guided (US-guided) intra-articular glucocorticoid injections with change in pain after palpation-guided injections in persons with inflammatory arthritis or osteoarthritis. METHODS: Data sources included MEDLINE, Cochrane, BIOSIS, CINAHL, ACR/AHRP abstracts, and Studies that assessed change in wrist pain with direct comparison of US-guided and palpation-guided injections were included in the meta-analysis...
April 2013: Seminars in Arthritis and Rheumatism
Steve J Wisniewski, Mark Hurdle, Jason M Erickson, Jonathan T Finnoff, Jay Smith
OBJECTIVES: To 1) describe and validate an ultrasound-guided ischial bursa injection technique in an unembalmed cadaveric model and 2) to compare the distance between the ischial tuberosity and the sciatic nerve in a hip neutral versus 90° flexed hip position in asymptomatic volunteers. DESIGN: The first part was a single-blind prospective study. The second part was a prospective cohort study. SETTING: An academic institution procedural skills laboratory and outpatient clinic...
January 2014: PM & R: the Journal of Injury, Function, and Rehabilitation
C Rothe, C Steen-Hansen, J Lund, M T Jenstrup, K H W Lange
BACKGROUND: The standard approach for the suprascapular nerve block is deep in the supraspinous fossa. However, with this approach, the suprascapular nerve is difficult to visualize by ultrasound. The aim of this study was to describe a new method to visualize and selectively block the suprascapular nerve in a more superficial and proximal location. METHODS: Twelve healthy volunteers were included. We located the brachial plexus in transverse section with ultrasound, and by longitudinal slide, we identified the departure of the suprascapular nerve from the superior trunk...
November 2014: Acta Anaesthesiologica Scandinavica
Chin-wern Chan, Philip W H Peng
Suprascapular nerve blockade (SSNB) is a simple and safe technique for providing relief from various types of shoulder pain, including rheumatologic disorders, cancer, and trauma pain, and postoperative pain due to shoulder arthroscopy. Posterior, superior, and anterior approaches may be used, the most common being the posterior. Recently, an ultrasound-guided approach has been described. In this review, the basic anatomy of the suprascapular nerve will be described. The different techniques of SSNB and indications for SSNB will be discussed...
July 2011: Regional Anesthesia and Pain Medicine
Philip W H Peng, Michael J Wiley, James Liang, Geoff A Bellingham
PURPOSE: Previous work on the ultrasound-guided injection technique and the sonoanatomy of the suprascapular region relevant to the suprascapular nerve (SSN) block suggested that the ultrasound scan showed the presence of the suprascapular notch and transverse ligament. The intended target of the ultrasound-guided injection was the notch. The objective of this case report and the subsequent cadaver dissection findings is to reassess the interpretation of the ultrasound images when locating structures for SSN block...
February 2010: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Andreas Siegenthaler, Bernhard Moriggl, Sabine Mlekusch, Juerg Schliessbach, Matthias Haug, Michele Curatolo, Urs Eichenberger
BACKGROUND AND OBJECTIVES: The suprascapular nerve (SSN) block is frequently performed for different shoulder pain conditions and for perioperative and postoperative pain control after shoulder surgery. Blind and image-guided techniques have been described, all of which target the nerve within the supraspinous fossa or at the suprascapular notch. This classic target point is not always ideal when ultrasound (US) is used because it is located deep under the muscles, and hence the nerve is not always visible...
May 2012: Regional Anesthesia and Pain Medicine
Dominic Harmon, Conor Hearty
BACKGROUND: In this article, we describe a case report of using real-time, high-resolution ultrasound guidance to facilitate blockade of the suprascapular nerve. We describe a case report and technique for using a portable ultrasound scanner (38 mm broadband (13-6 MHz) linear array transducer (SonoSite Micromaxx SonoSite, Inc. 21919 30th Drive SE Bothwell W. A..)) to guide suprascapular nerve block. METHODS: A 44-year old male patient presented with severe, painful osteoarthritis with adhesive capsulitis of his right shoulder...
November 2007: Pain Physician
Ismaël Atchia, David Kane, Mike R Reed, John D Isaacs, Fraser Birrell
BACKGROUND: Intra-articular injection is effective for osteoarthritis, but the best single injection strategy is not known, nor are there established predictors of response. The objectives of this study were to assess and predict response to a single ultrasound-guided injection in moderate to severe hip osteoarthritis. METHODS: 77 hip osteoarthritis patients entered a prospective, randomised controlled trial, randomised to one of four groups: standard care (no injection); normal saline; non-animal stabilised hyaluronic acid (durolane) or methylprednisolone acetate (depomedrone)...
January 2011: Annals of the Rheumatic Diseases
K Kume, K Amano, S Yamada, K Amano, N Kuwaba, H Ohta
We compared ultrasonography (US)-guided injection, targeting the extensor pollicis brevis (EPB) in de Quervain's disease (dQD) with septation, to clinical injection. Forty-four wrists were randomly allocated to US-guided or manual (non-US-guided) injection. At 4 weeks, pain was significantly reduced in both groups. Pain on the 100 mm visual analogue scale (VAS) for the US group was 80.3 (SD 19.6) mm at baseline and 25.6 (SD 15.1) mm at 4 weeks after injection (p = 0.004). Values for the manual group were 78...
July 2012: Journal of Hand Surgery, European Volume
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