BOOK
Outpatient Ultrasound-Guided Musculoskeletal Techniques, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book
(2016)
Additional Information
Book Details
Abstract
This issue of Physical Medicine and Rehabilitation Clinics of North America will cover musculoskeletal ultrasound in the outpatient. The articles will include: Fundamental Considerations for Ultrasound-Guided Musculoskeletal Interventions, Ultrasound-Guided Shoulder Procedures, Ultrasound-Guided Elbow Procedures, Ultrasound-Guided Hand and Wrist Procedures, Ultrasound-Guided Hip Procedures Ultrasound-Guided Knee Procedures, Ultrasound-Guided Foot and Ankle Procedures, Ultrasound-Guided Spine and Pelvis Procedures and many more exciting topics!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Outpatient Ultrasound-Guided Musculoskeletal Techniques\r | i | ||
| Cpyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Foreword: A New Interventional Field?\r | vii | ||
| Preface: Outpatient Ultrasound-Guided Musculoskeletal Techniques\r | vii | ||
| Fundamental Considerations for Ultrasound-Guided Musculoskeletal Interventions\r | vii | ||
| Ultrasound-Guided Interventional Procedures About the Shoulder: Anatomy, Indications, and Techniques\r | vii | ||
| Ultrasound-Guided Elbow Procedures\r | vii | ||
| Ultrasound-Guided Interventional Procedures of the Wrist and Hand: Anatomy, Indications, and Techniques\r | viii | ||
| Ultrasound-Guided Hip Procedures\r | viii | ||
| Ultrasound-Guided Knee Procedures\r | viii | ||
| Ultrasound-Guided Foot and Ankle Procedures\r | viii | ||
| Ultrasound-Guided Spinal Procedures for Pain: A Review\r | ix | ||
| Ultrasound-Guided Peripheral Nerve Procedures\r | ix | ||
| Orthobiologic Interventions Using Ultrasound Guidance\r | ix | ||
| Advanced Ultrasound-Guided Interventions for Tendinopathy\r | ix | ||
| Past, Present, and Future Considerations for Musculoskeletal Ultrasound\r | x | ||
| PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA \r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| November 2016 | xi | ||
| February 2017 | xi | ||
| May 2017 | xi | ||
| RECENT ISSUES | xi | ||
| May 2016 | xi | ||
| February 2016 | xi | ||
| November 2015 | xi | ||
| August 2015 | xi | ||
| Foreword: A New Interventional Field?\r | xiii | ||
| Preface: Outpatient Ultrasound-Guided Musculoskeletal Techniques\r | xv | ||
| Fundamental Considerations for Ultrasound-Guided Musculoskeletal Interventions | 539 | ||
| Key points | 539 | ||
| INTRODUCTION | 539 | ||
| Rationale for Ultrasound Guidance for Procedures | 540 | ||
| Limitations of Palpation-Guided Injections | 540 | ||
| Contraindications | 541 | ||
| Efficacy | 541 | ||
| Cost-Effectiveness | 541 | ||
| Limitations of Ultrasound-Guided Injections | 542 | ||
| PROCEDURAL CONSIDERATIONS | 542 | ||
| Preparation | 542 | ||
| Patient Positioning | 542 | ||
| Ergonomic Considerations | 542 | ||
| Transducer Handling | 543 | ||
| Preprocedural Scanning | 543 | ||
| Transducer Selection | 544 | ||
| Instrumentation and Other Variables | 545 | ||
| Frequency | 545 | ||
| Depth | 545 | ||
| Focal zones | 545 | ||
| Doppler | 545 | ||
| Gain | 545 | ||
| Artifacts | 546 | ||
| Angle of incidence or insonation and anisotropy | 546 | ||
| Shadowing | 546 | ||
| Refractile shadowing | 546 | ||
| Reverberation | 546 | ||
| Posterior acoustic enhancement | 546 | ||
| Transducer Movements | 546 | ||
| Identify Optimal Approach | 547 | ||
| Orientation of transducer to target | 547 | ||
| Orientation of needle to transducer | 547 | ||
| Needle Selection | 548 | ||
| Sterility and General Procedural Safety | 548 | ||
| Materials | 549 | ||
| Local Anesthesia | 549 | ||
| Image Optimization for Needle Guidance | 549 | ||
| Needle Optimization Techniques | 549 | ||
| Needle and Target Location Maneuvers | 550 | ||
| Lock and spin | 550 | ||
| Rhombolocation | 550 | ||
| Lock and rock | 550 | ||
| Tip-toe toggle | 551 | ||
| Probe-slip, hub-grip, syringe-swap | 551 | ||
| DOCUMENTATION | 551 | ||
| Procedure Note | 551 | ||
| Images and Videos | 551 | ||
| SUMMARY | 551 | ||
| REFERENCES | 552 | ||
| Ultrasound-Guided Interventional Procedures About the Shoulder | 555 | ||
| Key points | 555 | ||
| INTRODUCTION | 555 | ||
| SUBACROMIAL/SUBDELTOID BURSA | 556 | ||
| AUTHORS′ PREFERRED TECHNIQUE FOR ULTRASOUND-GUIDED SUBACROMIAL-SUBDELTOID BURSA INJECTION | 557 | ||
| ACROMIOCLAVICULAR JOINT | 557 | ||
| AUTHORS′ PREFERRED TECHNIQUE FOR ULTRASOUND-GUIDED ACROMIOCLAVICULAR JOINT INJECTION | 559 | ||
| STERNOCLAVICULAR JOINT INJECTIONS | 559 | ||
| AUTHORS′ PREFERRED TECHNIQUE FOR ULTRASOUND-GUIDED STERNOCLAVICULAR JOINT INJECTION | 560 | ||
| GLENOHUMERAL JOINT | 561 | ||
| AUTHORS′ PREFERRED TECHNIQUE FOR ULTRASOUND-GUIDED GLENOHUMERAL JOINT INJECTION | 561 | ||
| Posterior Approach | 561 | ||
| Anterior Approach | 562 | ||
| LONG HEAD OF THE BICEPS BRACHII TENDON | 563 | ||
| AUTHORS′ PREFERRED TECHNIQUE FOR ULTRASOUND-GUIDED LONG HEAD BICEPS BRACHII TENDON SHEATH INJECTION | 564 | ||
| CALCIFIC TENDINOPATHY/BURSOPATHY OF THE SHOULDER | 565 | ||
| AUTHORS′ PREFERRED TECHNIQUE FOR ULTRASOUND-GUIDED PERCUTANEOUS CALCIFIC BARBOTAGE FOR CALCIFIC TENDINOPATHY | 566 | ||
| One-Needle Technique | 566 | ||
| Two-Needle Technique | 566 | ||
| SUMMARY | 567 | ||
| SUPPLEMENTARY DATA | 567 | ||
| REFERENCES | 567 | ||
| Ultrasound-Guided Elbow Procedures | 573 | ||
| Key points | 573 | ||
| INTRODUCTION | 573 | ||
| LATERAL EVALUATION | 574 | ||
| Lateral Epicondylosis | 574 | ||
| Sonographic Needle Placement | 576 | ||
| MEDIAL EVALUATION | 576 | ||
| Medial Epicondylosis | 578 | ||
| Sonographic Needle Placement | 578 | ||
| Ulnar Collateral Ligament Disorders | 579 | ||
| ANTERIOR EVALUATION | 579 | ||
| Distal Biceps Tendinopathy | 580 | ||
| Sonographic Needle Placement | 580 | ||
| POSTERIOR EVALUATION | 580 | ||
| Triceps Brachii Disorders | 581 | ||
| Sonographic Needle Placement | 581 | ||
| Elbow Joint Recess | 581 | ||
| Sonographic Needle Placement | 582 | ||
| Anterolateral Approach | 582 | ||
| Posterior Approach | 582 | ||
| Olecranon Bursitis | 583 | ||
| Sonographic Needle Placement | 583 | ||
| SUMMARY | 583 | ||
| REFERENCES | 584 | ||
| Ultrasound-Guided Interventional Procedures of the Wrist and Hand | 589 | ||
| INTRODUCTION | 589 | ||
| KEY POINTS FOR WRIST AND HAND ULTRASOUND-GUIDED PROCEDURES | 590 | ||
| RADIOCARPAL JOINT | 590 | ||
| TECHNIQUE FOR ULTRASOUND-GUIDED RADIOCARPAL JOINT INJECTION | 590 | ||
| SCAPHOTRAPEZIOTRAPEZOIDAL JOINT | 591 | ||
| TECHNIQUE FOR ULTRASOUND-GUIDED SCAPHOTRAPEZIOTRAPEZOIDAL JOINT INJECTION | 592 | ||
| TRAPEZIOMETACARPAL (FIRST CARPOMETACARPAL) JOINT | 592 | ||
| TECHNIQUE FOR ULTRASOUND-GUIDED TRAPEZIOMETACARPAL (FIRST CARPOMETACARPAL) JOINT INJECTION | 593 | ||
| METACARPOPHALANGEAL, INTERPHALANGEAL, PROXIMAL INTERPHALANGEAL, AND DISTAL INTERPHALANGEAL JOINTS | 594 | ||
| TECHNIQUE FOR ULTRASOUND-GUIDED METACARPOPHALANGEAL, INTERPHALANGEAL, PROXIMAL INTERPHALANGEAL, AND DISTAL INTERPHALANGEAL ... | 594 | ||
| FIRST DORSAL COMPARTMENT OF THE WRIST | 595 | ||
| TECHNIQUE FOR ULTRASOUND-GUIDED FIRST DORSAL COMPARTMENT INJECTION | 596 | ||
| GANGLIA | 597 | ||
| TECHNIQUE FOR ULTRASOUND-GUIDED GANGLIA INJECTION/ASPIRATION | 597 | ||
| FLEXOR TENDON SHEATH AT THE FIRST ANNULAR PULLEY | 598 | ||
| TECHNIQUE FOR ULTRASOUND-GUIDED STENOSING A1 PULLEY INJECTION | 600 | ||
| TECHNIQUE FOR ULTRASOUND-GUIDED PERCUTANEOUS A1 PULLEY RELEASE USING HOOK BLADE | 600 | ||
| SUMMARY | 601 | ||
| SUPPLEMENTARY DATA | 602 | ||
| REFERENCES | 602 | ||
| Ultrasound-Guided Hip Procedures | 607 | ||
| Key points | 607 | ||
| INTRODUCTION | 607 | ||
| ULTRASOUND-GUIDED HIP JOINT INJECTION | 608 | ||
| Diagnostic Criteria | 608 | ||
| Injection Technique | 609 | ||
| ULTRASOUND-GUIDED ILIOPSOAS BURSA INJECTION | 609 | ||
| Diagnostic Criteria | 609 | ||
| Injection Technique | 610 | ||
| ULTRASOUND-GUIDED GREATER TROCHANTERIC BURSA INJECTION | 612 | ||
| Diagnostic Criteria | 612 | ||
| Injection Technique | 614 | ||
| ULTRASOUND-GUIDED ISCHIAL BURSAL INJECTION | 615 | ||
| Diagnostic Criteria | 615 | ||
| Injection Technique | 617 | ||
| ULTRASOUND-GUIDED PIRIFORMIS INJECTION | 619 | ||
| Diagnostic Criteria | 619 | ||
| Injection Technique | 621 | ||
| SUMMARY | 624 | ||
| SUPPLEMENTARY DATA | 624 | ||
| REFERENCES | 624 | ||
| Ultrasound-Guided Knee Procedures | 631 | ||
| Key points | 631 | ||
| INTRODUCTION | 631 | ||
| ULTRASOUND-GUIDED KNEE JOINT INJECTIONS | 631 | ||
| Indications | 631 | ||
| Cost-Effectiveness | 632 | ||
| KNEE JOINT INJECTION: SUPRAPATELLAR APPROACH | 632 | ||
| Indications | 632 | ||
| Accuracy | 632 | ||
| Safety | 632 | ||
| Clinical Efficacy | 632 | ||
| Positioning | 632 | ||
| Preprocedural Scan | 632 | ||
| Needle Approach | 632 | ||
| Pearls | 633 | ||
| KNEE JOINT INJECTION: PATELLOFEMORAL APPROACH | 633 | ||
| Indications | 633 | ||
| Accuracy | 633 | ||
| Safety | 633 | ||
| Clinical Efficacy | 633 | ||
| Positioning | 634 | ||
| Preprocedural Scan | 634 | ||
| Needle Approach | 634 | ||
| Pearls | 634 | ||
| KNEE JOINT INJECTION: POSTEROMEDIAL APPROACH | 635 | ||
| Ultrasound-Guided Foot and Ankle Procedures | 649 | ||
| Key points | 649 | ||
| TIBIOTALAR (ANKLE) JOINT INJECTION | 649 | ||
| Regional Anatomy | 649 | ||
| Patient and Ultrasound Machine Positioning | 649 | ||
| Transducer Type | 649 | ||
| Needle Choice | 650 | ||
| Injectate | 650 | ||
| Approaches | 650 | ||
| Long axis to joint in plane with transducer | 650 | ||
| Short axis to the joint in plane with transducer (the author’s preferred approach) | 650 | ||
| Long axis to the joint out of plane with transducer (technically more challenging) | 654 | ||
| POSTERIOR SUBTALAR JOINT INJECTION | 654 | ||
| Regional Anatomy | 654 | ||
| Patient and Ultrasound Machine Position | 654 | ||
| Transducer Type | 655 | ||
| Needle | 655 | ||
| Injectate | 655 | ||
| Approaches | 655 | ||
| Posteromedial | 655 | ||
| Anterolateral | 656 | ||
| Posterolateral | 656 | ||
| MIDFOOT AND FOREFOOT JOINT INJECTIONS | 658 | ||
| Regional Anatomy | 658 | ||
| Patient Position | 658 | ||
| Ultrasound Machine Position | 658 | ||
| Transducer Selection | 660 | ||
| Needle | 660 | ||
| Injectate | 660 | ||
| Approaches | 660 | ||
| TENDON SHEATH INJECTIONS | 662 | ||
| Regional Anatomy | 662 | ||
| Ultrasound-Guided Spinal Procedures for Pain | 673 | ||
| Key points | 673 | ||
| INTRODUCTION | 673 | ||
| ULTRASOUND-GUIDED CERVICAL SPINE PROCEDURES | 674 | ||
| Anatomy | 674 | ||
| Indications | 674 | ||
| Technique | 674 | ||
| Ultrasound-guided technique for identification of the correct cervical level for cervical facet injections | 674 | ||
| Ultrasound-guided technique for cervical medial branch blocks and third occipital nerve blocks | 674 | ||
| ULTRASOUND-GUIDED THORACIC PROCEDURES | 676 | ||
| Anatomy | 676 | ||
| Indications | 677 | ||
| Technique | 677 | ||
| Ultrasound-guided technique for thoracic facet injections | 677 | ||
| Ultrasound-guided technique for costotransverse joint injections | 678 | ||
| ULTRASOUND-GUIDED LUMBAR SPINE PROCEDURES | 678 | ||
| Anatomy | 678 | ||
| Indications | 678 | ||
| Technique | 679 | ||
| Ultrasound-guided technique for identification of the correct lumbar level for lumbar facet injections and medial branch blocks | 679 | ||
| Technique for ultrasound-guided lumbar facet injections | 679 | ||
| Technique for ultrasound-guided lumbar medial branch blocks | 680 | ||
| ULTRASOUND-GUIDED SACROILIAC JOINT INJECTIONS | 681 | ||
| Anatomy | 681 | ||
| Indications | 681 | ||
| Technique | 681 | ||
| ULTRASOUND-GUIDED CAUDAL EPIDURAL INJECTIONS | 682 | ||
| Anatomy | 682 | ||
| Indications | 682 | ||
| Technique | 682 | ||
| ULTRASOUND-GUIDED INTERLAMINAR EPIDURAL INJECTIONS | 683 | ||
| Anatomy | 683 | ||
| Indications | 684 | ||
| Technique | 684 | ||
| SUMMARY | 685 | ||
| REFERENCES | 685 | ||
| Ultrasound-Guided Peripheral Nerve Procedures | 687 | ||
| Key points | 687 | ||
| INTRODUCTION | 687 | ||
| GENERAL PROCEDURAL CONSIDERATIONS | 688 | ||
| Suprascapular Nerve at the Suprascapular Notch | 691 | ||
| Indications | 691 | ||
| Anatomy | 691 | ||
| Scanning | 691 | ||
| Procedure | 692 | ||
| Deep Branch of the Radial Nerve at the Supinator | 693 | ||
| Indications | 693 | ||
| Anatomy | 694 | ||
| Scanning | 694 | ||
| Procedure | 694 | ||
| Median Nerve at the Pronator Teres | 695 | ||
| Indications | 695 | ||
| Anatomy | 696 | ||
| Scanning | 696 | ||
| Procedure | 696 | ||
| Median Nerve at the Carpal Tunnel | 697 | ||
| Indications | 697 | ||
| Anatomy | 698 | ||
| Scanning | 699 | ||
| Procedure | 699 | ||
| Lateral Cutaneous Nerve of the Thigh | 699 | ||
| Indications | 699 | ||
| Anatomy | 700 | ||
| Scanning | 700 | ||
| Procedure | 701 | ||
| Superficial Fibular (Peroneal) Nerve at the Leg | 702 | ||
| Indications | 702 | ||
| Anatomy | 702 | ||
| Scanning | 703 | ||
| Procedure | 703 | ||
| Tibial Nerve at the Ankle | 704 | ||
| Indications | 704 | ||
| Anatomy | 705 | ||
| Scanning | 706 | ||
| Procedure | 706 | ||
| Interdigital Neuroma | 707 | ||
| Indications | 707 | ||
| Anatomy | 708 | ||
| Scanning | 709 | ||
| Procedure | 709 | ||
| SUMMARY | 710 | ||
| REFERENCES | 710 | ||
| Orthobiologic Interventions Using Ultrasound Guidance | 717 | ||
| Key points | 717 | ||
| INTRODUCTION | 717 | ||
| PLATELET-RICH PLASMA | 718 | ||
| Background | 718 | ||
| Definition | 718 | ||
| Mechanism of Action | 718 | ||
| Evidence for its Application | 720 | ||
| MESENCHYMAL STEM CELLS | 721 | ||
| Background | 721 | ||
| Definition | 721 | ||
| Mechanism of Action | 721 | ||
| Evidence for Mesenchymal Stem Cell Therapies | 721 | ||
| Osteoarthritis | 721 | ||
| Osteonecrosis of the femoral head | 722 | ||
| Nonunion fractures | 723 | ||
| Anterior cruciate ligament injuries | 723 | ||
| Tendinopathy | 723 | ||
| Safety | 723 | ||
| Further Research | 723 | ||
| Procedures | 724 | ||
| Bone marrow | 724 | ||
| Adipose | 725 | ||
| SUMMARY | 727 | ||
| REFERENCES | 728 | ||
| Advanced Ultrasound-Guided Interventions for Tendinopathy | 733 | ||
| Key points | 733 | ||
| INTRODUCTION | 733 | ||
| PERCUTANEOUS NEEDLE TENOTOMY | 734 | ||
| SAMPLE PROCEDURE: PERCUTANEOUS NEEDLE TENOTOMY OF THE ELBOW COMMON EXTENSOR TENDON | 736 | ||
| PERCUTANEOUS ULTRASONIC TENOTOMY | 738 | ||
| SAMPLE PROCEDURE: PERCUTANEOUS ULTRASONIC TENOTOMY OF THE PATELLAR TENDON | 740 | ||
| HIGH-VOLUME INJECTION | 740 | ||
| PERCUTANEOUS NEEDLE SCRAPING | 743 | ||
| SAMPLE PROCEDURE: HIGH-VOLUME INJECTION AND PERCUTANEOUS NEEDLE SCRAPING OF THE MIDPORTION ACHILLES TENDON | 743 | ||
| SUMMARY | 746 | ||
| REFERENCES | 746 | ||
| Past, Present, and Future Considerations for Musculoskeletal Ultrasound | 749 | ||
| Key points | 749 | ||
| REFERENCES | 751 | ||
| Index | 753 |