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Review
. 2019 Jul-Aug;10(4):669-673.
doi: 10.1016/j.jcot.2019.05.013. Epub 2019 May 22.

Ultrasound-guided injections in musculo-skeletal system - An overview

Affiliations
Review

Ultrasound-guided injections in musculo-skeletal system - An overview

Amit Kumar Sahu et al. J Clin Orthop Trauma. 2019 Jul-Aug.

Erratum in

  • Erratum regarding previously published articles.
    [No authors listed] [No authors listed] J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1169-1171. doi: 10.1016/j.jcot.2020.09.032. Epub 2020 Sep 26. J Clin Orthop Trauma. 2020. PMID: 33013141 Free PMC article.
  • Erratum regarding previously published articles.
    [No authors listed] [No authors listed] J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1172-1174. doi: 10.1016/j.jcot.2020.10.044. Epub 2020 Oct 23. J Clin Orthop Trauma. 2020. PMID: 33192025 Free PMC article.
  • Erratum regarding previously published articles.
    [No authors listed] [No authors listed] J Clin Orthop Trauma. 2021 Aug 5;21:101557. doi: 10.1016/j.jcot.2021.101557. eCollection 2021 Oct. J Clin Orthop Trauma. 2021. PMID: 34414071 Free PMC article.

Abstract

Ultrasound guided musculoskeletal injection has a wide range of indication in joint, muscle, tendon, nerve, ganglion and bursa pathologies. These are less invasive procedures and provide desirable results in short duration. Local anesthetics and corticosteroids are the most commonly injected pharmaceuticals. Platelet rich plasma and autologus blood injections have gained popularity in recent past and provide acceptable results. In this article we aim to review the general consideration, indications, technique and pharmaceuticals used in common therapeutic musculoskeletal injections.

Keywords: Intra-articular; Musculoskeletal injection; Therapeutic; Ultrasound guided.

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Figures

Fig. 1
Fig. 1
Intra-articular injection in anterior ankle joint. (A) Position of foot, transducer and the needle for injection. (B) Shows proliferated hypoechoeic synovium (small arrow) in anterior tibio-talar joint with large arrow showing the direction of introduction of needle in long axis view.
Fig. 2
Fig. 2
Injection in Achilles tendinopathy. (A) Position of ankle, transducer and the needle for injection. (B) Shows thickened Achilles tendon (thin arrows) and the needle in position in long axis view (thick arrows) for injection.
Fig. 3
Fig. 3
Injection in lateral epicondylitis. (A) Position of elbow, transducer and the needle for injection. (B) Shows thickened common extensor tendon (thin arrows) and the needle in position in long axis view (thick arrows) for injection.
Fig. 4
Fig. 4
Injection in Subacromial Bursa. (A) Position of shoulder, transducer and the needle for injection. (B) Shows the needle in position (thick arrow) for injection in subacromial bursa (thin arrow).
Fig. 5
Fig. 5
Injection in Olecranon Bursa. (A) Position of elbow, transducer and the needle for injection. (B) Shows the needle (thick arrows) within the distended anechoeic olecranon bursa (thin arrow).
Fig. 6
Fig. 6
Injection in Carpal tunnel syndrome. (A) Position of wrist, transducer and the needle for injection. (B) Shows the needle (thick arrows) in the perineural space of thickened median nerve (thin arrow) within the carpal tunnel.

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