tailieunhanh - Ebook Atlas of ultrasound guided musculoskeletal injections (edition): Part 2

(BQ) Part 2 book "Atlas of ultrasound guided musculoskeletal injections" presents the following contents: Knee, foot and ankle, trigger point injections, neuromuscular chemodenervation, spine. Invite you to consult. | Knee 6 David A. Spinner Houman Danesh and Waheed S. Baksh Various pathologies afflict the knee including overuse injuries tendinopathies ligament sprains nerve injuries bursitis meniscal tears and various arthritides. Ultrasound guidance is particularly useful in this region for aspiration and injection of the tibiofemoral and tibiofibular joint spaces pes anserine bursa and Baker s cysts. It is also a valuable tool for popliteus iliotibial band patellar and quadriceps tendon tenotomies prolotherapy and PRP injection. Knee Osteoarthritis OA and Joint Effusion Knee osteoarthritis is one of the most commonly seen conditions in a musculoskeletal practice. Musculoskeletal ultrasound is becoming the gold standard for diagnosing synovitis and or effusion in chronic painful OA 1 . Recent studies have demonstrated improved accuracy of injections increased responder rate to treatment decreased pain scores and a reduction in overall cost per year with ultrasound guidance 1-4 . Inaccurate steroid injections can result in steroid articular cartilage atrophy crystal synovitis and postinjection pain Tables 2 . . Spinner DO RMSK Department of Anesthesiology - Pain Medicine Arnold Pain Management Center Beth Israel Deaconess Medical Center Harvard Medical School Brookline MA USA e-mail dspinnerny@ H. Danesh MD Department of Anesthesiology - Pain Medicine Icahn School of Medicine at Mount Sinai New York NY USA e-mail houmanmd@ . Baksh MD DPT Advanced Pain Relief Center Winchester Medical Center Winchester VA USA e-mail Scanning Technique and Anatomy to Identify Lay the patient supine with the knee flexed 20-30 . Place the probe longitudinally on the midline superior pole of the patella. From deep to superficial visualize the femur prefemoral fat pad hypoechoic suprapatellar joint space suprapatellar fat pad and quadriceps tendon inserting onto the patella. Rotate the probe 90 to the axial transverse plane. From deep to .