Ultrasound-guided Musculoskeletal Interventions for the Most Common Hip and Pelvis Conditions: A Step-by-Step Approach

Allen, Georgina; Obradov, Marina; Chianca, Vito; Messina, Carmelo; Sconfienza, Luca Maria

doi:10.1055/s-0039-1683965

Cited by 8 publications

(16 citation statements)

References 61 publications

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“…Low-frequency (< 10 MHz) curved or linear probe, 1 17 39 44 45 46 with some proceduralists using high-frequency probes, 5 typically for thinner patients.…”

Section: Hip Jointmentioning

confidence: 99%

Ultrasound-Guided Musculoskeletal Injections

Lin

Gimarc

Adler

et al. 2021

Semin Musculoskelet Radiol

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Musculoskeletal injections serve a variety of diagnostic and therapeutic purposes, with ultrasonography (US) guidance having many advantages: no ionizing radiation, real-time guidance, high spatial resolution, excellent soft tissue contrast, and the ability to identify and avoid critical structures. Sonography can be cost effective and afford flexibility in resource-constrained settings. This article describes US-guided musculoskeletal injections relevant to many radiology practices and provides experience-based suggestions. Structures covered include multiple joints (shoulder, hip), bursae (iliopsoas, subacromial-subdeltoid, greater trochanteric), peripheral nerves (sciatic, radial), and tendon sheaths (posterior tibial, peroneal, flexor hallucis longus, Achilles, long head of the biceps). Trigger point and similar targeted steroid injections, as well as calcific tendinopathy barbotage, are also described.

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“…Low-frequency (< 10 MHz) curved or linear probe, 1 17 39 44 45 46 with some proceduralists using high-frequency probes, 5 typically for thinner patients.…”

Section: Hip Jointmentioning

confidence: 99%

Ultrasound-Guided Musculoskeletal Injections

Lin

Gimarc

Adler

et al. 2021

Semin Musculoskelet Radiol

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“…Overall, US may serve as a useful method to guide percutaneous aspiration in most of these conditions. [13][14][15][16][17]…”

Section: Skin and Subcutaneous Tissuesmentioning

confidence: 99%

“…60 Similarly, before posttraumatic internal fiber distortion, differentiating between neurapraxia and low-grade axonotmetic injuries can also be difficult. 15 Both neurapraxia and axonotmesis can show loss of the normal honeycomb fiber architecture and cross-sectional area increase. In fact, the use of a high-frequency US probe (22)(23)(24)(25)(26)(27)(28)(29)(30) is mandatory in the differentiation between hypoechoic granulation tissue and scar formation in the nerve and nontransected fascicles.…”

Section: Peripheral Nerve Injuriesmentioning

confidence: 99%

Musculoskeletal Ultrasound in the Emergency Department

Chianca

Pietto

Zappia

et al. 2020

Semin Musculoskelet Radiol

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The skin, nerves, and tendons are superficial anatomical structures that can easily be investigated with an ultrasound (US) examination in the emergency department (ED). US evaluation is relatively underused in musculoskeletal evaluation when compared with other emergency applications, such as abdominal trauma, possible aortic aneurysm, and in the cardiovascular system. The aim of this article is to revise the main bone and soft tissue conditions that can be assessed using US in the ED.

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“…The literature describing ultrasound (US)‐guided hip intervention techniques uses multiple terms, with overlapping terminology for US, fluoroscopy, and computed tomography (CT). The descriptions include an “anterior longitudinal” approach, “parallel to the long axis of the femoral neck,” “anterior oblique sagittal,” “in‐plane,” “longitudinal oblique,” and “axial oblique.” 1–5 Although the transducer position relative to the hip and femoral neck is well described, the needle position relative to the US transducer face is not always emphasized.…”

Section: Figurementioning

confidence: 99%

How to Approach a Hip PARTI With Confidence

Roberts

Murray

Rattan

et al. 2020

J of Ultrasound Medicine

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The “parallel transverse in‐plane” technique for ultrasound‐guided intra‐articular hip interventions ensures needle visualization for the entire procedure, with the needle clearly shown entering the joint. With the widely described longitudinal in‐plane approach, needle visualization can be poor, necessitating reliance on tissue distortion, which can reduce user confidence and safety. The parallel transverse in‐plane approach is invaluable in those with anterior thigh skin breakdown and where anterior access is contraindicated. The approach also allows a broad width of the synovium to be traversed and is therefore well suited to synovial biopsy. This short Technical Innovation highlights this alternative approach to hip joint intervention.

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Ultrasound-guided Musculoskeletal Interventions for the Most Common Hip and Pelvis Conditions: A Step-by-Step Approach

Cited by 8 publications

References 61 publications

Ultrasound-Guided Musculoskeletal Injections

Ultrasound-Guided Musculoskeletal Injections

Musculoskeletal Ultrasound in the Emergency Department

How to Approach a Hip PARTI With Confidence

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