Interventional radiology and the musculoskeletal system

Weidner, Sven; Kellner, Wolfgang; Kellner, Herbert

doi:10.1016/j.berh.2004.05.011

Cited by 29 publications

(16 citation statements)

References 35 publications

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“…1 2 Arthrocentesis is essential for the diagnosis of septic arthritis and inflammatory joint disease, and is the basic underlying procedure for intra-articular treatment, including therapeutic arthrocentesis, needle lavage, and intra-articular injection of therapeutic substances. [3][4][5][6][7][8][9][10][11][12][13] Recently the Food and Drug Administration (FDA) has formally approved the highly controllable, one handed reciprocating procedure syringe. 14 The reciprocating syringe incorporates a reciprocating plunger mechanism that permits the index and middle fingers to remain in one position during aspiration and injection, while the thumb moves horizontally to the alternative plunger in order to change the direction of aspiration or injection.…”

mentioning

confidence: 99%

A randomised controlled trial of the reciprocating syringe in arthrocentesis

Draeger

Twining²,

Johnson³

et al. 2006

Annals of the Rheumatic Diseases

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mentioning

confidence: 99%

A randomised controlled trial of the reciprocating syringe in arthrocentesis

Draeger

Twining²,

Johnson³

et al. 2006

Annals of the Rheumatic Diseases

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“…It is quite plausible that MSUS-guided injections will result in more favorable clinical outcomes than those injections guided only by anatomic landmarks, although there are only limited data presently available to support this conclusion (2)(3)(4).…”

Section: To the Editorsmentioning

confidence: 99%

Why should rheumatologists perform ultrasound? Comment on the editorial by Roemer et al

Lindsley

2006

Arthritis & Rheumatism

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“…Local corticosteroid injection guided by imaging ensures a correct injection into the chosen target and reduces the harmful effects of an injection which is not adequately performed [1]. Previously, local corticosteroid injections were also performed under the guidance of conventional radiology (e.g.…”

Section: Introductionmentioning

confidence: 99%

US guided corticosteroid injection into the subacromial-subdeltoid bursa: Technique and approach

Molini

Mariacher²,

Bianchi³

2012

Journal of Ultrasound

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Local injection of cortisone derivatives, sometimes combined with local anesthetics, is frequently administered in rheumatology as the treatment of choice in para-articular diseases or as an adjuvant to systemic therapy in the treatment of arthritis.One of the most frequent local corticosteroid injections administered in daily clinical practice by rheumatologists, orthopedic surgeons, physiatrists, sports medicine doctors and general practitioners is injection into the subacromialsubdeltoid bursa in the treatment of bursitis and anterior superior impingement syndrome of the shoulder.Before local corticosteroid injection is administered, it is important to identify possible contraindications and to examine the documentation provided by the patient. Absolute contraindications or those related to the procedure should be evaluated by the prescribing physician but also the physician performing the corticosteroid injection should evaluate possible contraindications to make sure that corticosteroid injection is feasible. The present paper describes the ultrasound (US) guided local corticosteroid injection procedure with particular attention to the equipment required, the position of the patient and the examiner as well as the approach. The main advantage of US guidance during corticosteroid injection is the possibility to identify vascular structures, nerves and tendons situated in the needle path in order to avoid these structures and be sure to inject the drug into the appropriate location. When all rules are complied with and the corticosteroid injection is carried out by an experienced physician, it is virtually painless and is performed in just a few minutes.

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Interventional radiology and the musculoskeletal system

Cited by 29 publications

References 35 publications

A randomised controlled trial of the reciprocating syringe in arthrocentesis

A randomised controlled trial of the reciprocating syringe in arthrocentesis

Why should rheumatologists perform ultrasound? Comment on the editorial by Roemer et al

US guided corticosteroid injection into the subacromial-subdeltoid bursa: Technique and approach

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