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Journaux
Journal of Ultrasonography
Édition 21 (2021): Edition 85 (June 2021)
Accès libre
Ultrasound-guided musculoskeletal interventional procedures around the elbow, hand and wrist excluding carpal tunnel procedures
Silvia Tortora
Silvia Tortora
,
Carmelo Messina
Carmelo Messina
,
Domenico Albano
Domenico Albano
,
Francesca Serpi
Francesca Serpi
,
Angelo Corazza
Angelo Corazza
,
Gianpaolo Carrafiello
Gianpaolo Carrafiello
,
Luca Maria Sconfienza
Luca Maria Sconfienza
et
Salvatore Gitto
Salvatore Gitto
| 18 juin 2021
Journal of Ultrasonography
Édition 21 (2021): Edition 85 (June 2021)
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Article Category:
review-article
Publié en ligne:
18 juin 2021
Pages:
169 - 176
Reçu:
16 mars 2021
Accepté:
28 avr. 2021
DOI:
https://doi.org/10.15557/jou.2021.0027
Mots clés
elbow
,
finger
,
injection
,
ultrasound
,
wrist
© 2021 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Fig. 1.
Elbow joint injection. A. Transducer and needle positioning for simulated elbow joint injection. B. On a longitudinal US scan, the humeroradial joint is depicted underneath the common extensor tendon (Comm Ext T). A 21-gauge needle (arrow) is inserted into the joint using an out-of-plane approach
Fig. 2.
Olecranon bursitis aspiration. Fluid and synovial hypertrophy (asterisk) are seen within the inflamed olecranon bursa. A. An 18-gauge needle (arrows) is inserted into the bursa using an in-plane approach and fluid is aspirated for diagnostic purposes
Fig. 3.
Common extensor tendon dry needling. A. Transducer and needle positioning for simulated common extensor tendon dry needling. B. The common extensor tendon (Comm Ext T) is thickened and degenerated at its attachment to the lateral epicondyle. A 21-gauge needle (arrows) is inserted into the degenerated areas of the tendon using an in-plane distal-to-proximal approach, and repeated punctures are performed
Fig. 4.
Radiocarpal joint injection. A. Transducer and needle positioning for simulated radiocarpal joint injection. B. On a longitudinal scan, the radiocarpal dorsal recess is thickened (asterisks) in a rheumatoid arthritis patient. A 25-gauge needle (arrow) is inserted into the joint using an out-of-plane approach to perform joint injection
Fig. 5.
De Quervain’s tenosynovitis injection. A. Transducer and needle positioning for simulated De Quervain’s tenosynovitis injection. B. On an axial US scan, the abductor pollicis longus (Abd pl) and extensor pollicis brevis (Ext pb) tendons are thickened and rounded due to tendinosis. The extensor retinaculum forming the roof of the I extensor compartment (asterisks) is thickened. A 25-gauge needle (arrow) is inserted underneath the retinaculum using an in-plane lateral-to-medial approach
Fig. 6.
Trigger finger injection. A. Transducer and needle positioning for simulated trigger finger injection. B. At the level of the metacarpal head (Met), the flexor tendons (Flex) are shown, and the A1 pulley (asterisks) is thickened. A 25-gauge needle (arrows) is inserted underneath the pulley using an in-plane axial approach
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