Additional Information
Book Details
Abstract
An ideal "how-to" guide for those who perform musculoskeletal injections, this unique resource by Drs. Gina M. Allen and David John Wilson demonstrates how to make the most out of the clear visualization provided by ultrasound-guided techniques. High-quality line drawings, clinical photographs, and ultrasound images clearly depict patient presentation, relevant anatomy, and sonoanatomy.
- Clear, concise text and numerous illustrations make this reference your go-to source on today’s ultrasound-guided musculoskeletal injections.
- Bulleted text follows a quick-reference template throughout: clinical/ultrasound findings, equipment, anatomy, technique, aftercare, and comments.
- Each chapter covers the entire injection process with text on the left-hand page and corresponding images on the right.
- Useful for clinicians in radiology, sports medicine, rheumatology, orthopaedics, pain medicine, and physical therapy – anyone who needs a clear, current guide to this minimally invasive treatment option for pain relief.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | Cover | ||
| Inside front cover | IFC | ||
| Front matter | i | ||
| Ultrasound guided musculoskeletal injections | iii | ||
| Copyright | iv | ||
| Contributors | v | ||
| Preface | vi | ||
| Table of contents | vii | ||
| Video contents | ix | ||
| Section I Techniques | ix | ||
| Chapter 9 Barbotage | ix | ||
| Section II Shoulder | ix | ||
| Chapter 15 Acromioclavicular joint | ix | ||
| Chapter 16 Glenohumeral joint including hydrodilatation | ix | ||
| Chapter 17 Glenohumeral joint arthrogram | ix | ||
| Chapter 19 Long head of biceps tendon | ix | ||
| Chapter 20 Subacromial subdeltoid bursa | ix | ||
| Section III Elbow | ix | ||
| Chapter 22 Elbow joint | ix | ||
| Chapter 23 Radiocapitellar joint | ix | ||
| Chapter 24 Dry needling in lateral epicondylitis | ix | ||
| Chapter 25 Olecranon bursa | ix | ||
| Chapter 26 Cubital tunnel | ix | ||
| Section IV Wrist | ix | ||
| Chapter 27 Distal radioulnar joint | ix | ||
| Chapter 28 Radiocarpal joint | ix | ||
| Chapter 29 De quervain’s tenosynovitis | ix | ||
| Chapter 30 Wrist extensor tendon sheath | ix | ||
| Chapter 31 Carpal tunnel | ix | ||
| Chapter 32 Wrist ganglia aspirations | ix | ||
| Section V Hand | ix | ||
| Chapter 33 Thumb carpometacarpal joint | ix | ||
| Chapter 34 Metacarpophalangeal joint | ix | ||
| Chapter 35 Proximal and distal interphalangeal joints | ix | ||
| Chapter 36 Scaphotrapezium trapezoid joint | ix | ||
| Chapter 37 Flexor tendon sheath | ix | ||
| Chapter 38 Trigger finger release | ix | ||
| Section VI Hip and groin | ix | ||
| Chapter 39 Hip joint ap approach | ix | ||
| Chapter 40 Hip joint lateral approach | ix | ||
| Chapter 41 Greater trochanteric bursa | ix | ||
| Chapter 42 Iliopsoas bursa | ix | ||
| Chapter 43 Proximal iliotibial tract | ix | ||
| Section VII Knee | ix | ||
| Chapter 46 Knee joint | ix | ||
| Chapter 47 Patella tendon | ix | ||
| Chapter 49 Pes anserine complex (bursitis) | ix | ||
| Chapter 51 Popliteal cyst (baker’s cyst) | ix | ||
| Section VIII Ankle | ix | ||
| Chapter 52 Ankle joint | ix | ||
| Chapter 53 Subtalar joint | ix | ||
| Chapter 54 Anterolateral gutter | ix | ||
| Chapter 55 High-volume injection for achilles tendinopathy (saline stripping) | ix | ||
| Chapter 56 Peroneal tendon sheath | ix | ||
| Chapter 57 Tibialis posterior tendon sheath | ix | ||
| Section IX Foot | ix | ||
| Chapter 59 Metatarsophalangeal joint | ix | ||
| Chapter 61 Plantar fasciitis | ix | ||
| Chapter 62 Mortons neuroma | ix | ||
| I Techniques | 1 | ||
| 1 How to do an interventional procedure | 2 | ||
| Decide whether injection is appropriate | 2 | ||
| Previous medical history to determine contraindication (relative or absolute) | 2 | ||
| Informed consent | 4 | ||
| Aseptic technique | 6 | ||
| Avoidance of needle-stick injuries | 6 | ||
| Perform procedure—see appropriate chapter for site of injection | 6 | ||
| Log drugs used | 6 | ||
| Pain diary given | 8 | ||
| Write a report | 10 | ||
| 2 Local anaesthetics | 12 | ||
| Amino amides | 12 | ||
| Lidocaine | 12 | ||
| Bupivacaine | 12 | ||
| Mepivacaine | 12 | ||
| Amine amide with s enantiomer | 12 | ||
| Ropivacaine | 12 | ||
| Levobupivacaine | 12 | ||
| Comments | 13 | ||
| Bibliography | 13 | ||
| 3 Steroids | 14 | ||
| Mechanism of action | 14 | ||
| Preparations | 14 | ||
| Less soluble | 14 | ||
| More soluble | 14 | ||
| Complications | 14 | ||
| Flare of active infection | 14 | ||
| Skin depigmentation and atrophy | 14 | ||
| Prevention | 14 | ||
| Pain—postinjection flare (1 to 10%) | 15 | ||
| Prevention | 15 | ||
| Immunosuppression | 15 | ||
| Interaction with epileptic drugs | 15 | ||
| Affects diabetes mellitus control | 15 | ||
| Flushing | 15 | ||
| Menstrual irregularities and uterine bleeding | 15 | ||
| Cautions | 15 | ||
| Cumulative atrophy and tendon rupture | 15 | ||
| Interaction with HIV treatments | 15 | ||
| Patients taking fluoroquinolone antibiotics (e.g. ciprofloxacin) | 16 | ||
| Competitive sport | 16 | ||
| 4 Autologous blood | 18 | ||
| Cause, clinical and ultrasound findings | 18 | ||
| Equipment and drugs | 18 | ||
| Anatomy | 18 | ||
| Technique | 18 | ||
| Aftercare | 19 | ||
| Comments | 19 | ||
| Autologous blood injection for tendinopathy | 19 | ||
| Guidance | 19 | ||
| Bibliography | 19 | ||
| 5 Autologous conditioned plasma (ACP) and platelet-rich plasma (PRP) | 20 | ||
| Cause, clinical and ultrasound findings | 20 | ||
| Equipment and drugs | 20 | ||
| Anatomy | 21 | ||
| Technique | 21 | ||
| ACP | 21 | ||
| PRP | 21 | ||
| For both ACP and PCP | 21 | ||
| Aftercare and rehabilitation | 21 | ||
| Comments | 21 | ||
| 6 Dry needling (peppering, fenestration) | 22 | ||
| Cause, clinical and ultrasound findings | 22 | ||
| Equipment and drugs | 22 | ||
| Anatomy | 22 | ||
| Technique | 22 | ||
| Aftercare and rehabilitation | 23 | ||
| Comments | 23 | ||
| 7 Saline stripping for tendinopathy (high-volume injection or brisement) | 24 | ||
| Cause, clinical and ultrasound findings | 24 | ||
| Equipment and drugs | 24 | ||
| Anatomy | 25 | ||
| Technique | 25 | ||
| Aftercare | 25 | ||
| Comments | 25 | ||
| Rehabilitation | 25 | ||
| 8 Tendon sheath ganglion aspiration | 26 | ||
| Cause, clinical and ultrasound findings | 26 | ||
| Equipment and drugs | 26 | ||
| Anatomy | 26 | ||
| Technique | 26 | ||
| Aftercare and rehabilitation | 28 | ||
| Comments | 28 | ||
| 9 Barbotage | 30 | ||
| Cause, clinical and ultrasound findings | 30 | ||
| Equipment and drugs | 30 | ||
| Anatomy | 30 | ||
| Technique | 30 | ||
| Aftercare and rehabilitation | 32 | ||
| Comments | 34 | ||
| 10 Biopsy | 36 | ||
| Cause, clinical and ultrasound findings | 36 | ||
| Equipment and drugs | 36 | ||
| Technique | 36 | ||
| Aftercare | 36 | ||
| Comments | 36 | ||
| 11 Coblation | 38 | ||
| Cause, clinical and ultrasound findings | 38 | ||
| Equipment and drugs | 38 | ||
| Anatomy | 38 | ||
| Technique | 38 | ||
| Aftercare | 40 | ||
| Comments | 40 | ||
| Bibliography | 40 | ||
| 12 Extracorporeal shock wave therapy | 42 | ||
| Cause, clinical and ultrasound findings | 42 | ||
| Equipment and drugs | 42 | ||
| Anatomy | 42 | ||
| Technique | 42 | ||
| Aftercare | 44 | ||
| Comments | 44 | ||
| Extracorporeal shock wave lithotripsy for calcific tendonitis (tendinopathy) of the shoulder: Nice interventional procedur ... | 44 | ||
| Bibliography | 44 | ||
| 13 Prolotherapy | 46 | ||
| Cause, clinical and ultrasound findings | 46 | ||
| Equipment and drugs | 46 | ||
| Anatomy | 46 | ||
| Technique | 46 | ||
| Aftercare | 47 | ||
| Comments | 47 | ||
| 14 Sclerosant therapy | 48 | ||
| Cause, clinical and ultrasound findings | 48 | ||
| Equipment and drugs | 48 | ||
| Anatomy | 48 | ||
| Technique | 48 | ||
| Aftercare | 48 | ||
| Comments | 48 | ||
| II Shoulder | 49 | ||
| 15 Acromioclavicular joint | 50 | ||
| Cause, clinical and ultrasound findings | 50 | ||
| Equipment and drugs | 50 | ||
| Anatomy | 50 | ||
| Technique | 52 | ||
| Aftercare and rehabilitation | 54 | ||
| Comments | 54 | ||
| 16 Glenohumeral joint including hydrodilatation | 56 | ||
| Cause, clinical and ultrasound findings | 56 | ||
| Equipment and drugs | 56 | ||
| Anatomy | 58 | ||
| Technique | 58 | ||
| Aftercare and rehabilitation | 58 | ||
| Comments | 60 | ||
| 17 Glenohumeral joint arthrogram | 62 | ||
| Cause, clinical and ultrasound findings | 62 | ||
| Equipment and drugs | 62 | ||
| Anatomy | 62 | ||
| Technique | 64 | ||
| Aftercare | 64 | ||
| 18 Sternoclavicular joint | 66 | ||
| Cause, clinical and ultrasound findings | 66 | ||
| Equipment and drugs | 66 | ||
| Anatomy | 66 | ||
| Technique | 66 | ||
| Aftercare and rehabilitation | 68 | ||
| Comments | 68 | ||
| 19 Long head of biceps tendon | 70 | ||
| Cause, clinical and ultrasound findings | 70 | ||
| Equipment and drugs | 70 | ||
| Anatomy | 70 | ||
| Technique | 72 | ||
| Aftercare and rehabilitation | 74 | ||
| Comments | 74 | ||
| 20 Subacromial subdeltoid bursa | 76 | ||
| Cause, clinical and ultrasound findings | 76 | ||
| Equipment and drugs | 76 | ||
| Anatomy | 76 | ||
| Technique | 78 | ||
| Aftercare | 78 | ||
| Comments | 78 | ||
| 21 Suprascapular notch | 80 | ||
| Cause, clinical and ultrasound findings | 80 | ||
| Equipment and drugs | 80 | ||
| Anatomy | 80 | ||
| Technique | 82 | ||
| Aftercare and rehabilitation | 82 | ||
| Comments | 82 | ||
| Bibliography | 82 | ||
| III Elbow | 85 | ||
| 22 Elbow joint | 86 | ||
| Cause, clinical and ultrasound findings | 86 | ||
| Equipment and drugs | 86 | ||
| Anatomy | 86 | ||
| Technique | 86 | ||
| Comments | 88 | ||
| Aftercare and rehabilitation | 90 | ||
| 23 Radiocapitellar joint | 92 | ||
| Cause, clinical and ultrasound findings | 92 | ||
| Equipment and drugs | 92 | ||
| Anatomy | 92 | ||
| Technique | 92 | ||
| Comments | 94 | ||
| Aftercare and rehabilitation | 96 | ||
| 24 Dry needling in lateral epicondylitis | 98 | ||
| Cause, clinical and ultrasound findings | 98 | ||
| Equipment and drugs | 98 | ||
| Anatomy | 98 | ||
| Technique | 98 | ||
| Comments | 100 | ||
| Aftercare and rehabilitation | 100 | ||
| 25 Olecranon bursa | 102 | ||
| Cause, clinical and ultrasound findings | 102 | ||
| Equipment and drugs | 102 | ||
| Anatomy | 102 | ||
| Technique | 102 | ||
| Comments | 104 | ||
| Aftercare and rehabilitation | 104 | ||
| 26 Cubital tunnel | 106 | ||
| Cause, clinical and ultrasound findings | 106 | ||
| Equipment and drugs | 106 | ||
| Anatomy | 106 | ||
| Technique for cubital tunnel syndrome injections | 108 | ||
| Aftercare | 108 | ||
| Comments | 110 | ||
| IV Wrist | 113 | ||
| 27 Distal radioulnar joint | 114 | ||
| Cause, clinical and ultrasound findings | 114 | ||
| Equipment and drugs | 114 | ||
| Anatomy | 114 | ||
| Technique | 114 | ||
| Aftercare and rehabilitation | 116 | ||
| Comments | 118 | ||
| 28 Radiocarpal joint | 120 | ||
| Cause, clinical and ultrasound findings | 120 | ||
| Equipment and drugs | 120 | ||
| Anatomy | 120 | ||
| Technique | 120 | ||
| Aftercare and rehabilitation | 124 | ||
| Comments | 126 | ||
| 29 De quervains tenosynovitis | 128 | ||
| Cause, clinical and ultrasound findings | 128 | ||
| Equipment and drugs | 128 | ||
| Anatomy | 128 | ||
| Technique | 130 | ||
| Aftercare and rehabilitation | 132 | ||
| Comments | 132 | ||
| 30 WRIST extensor tendon sheath | 134 | ||
| Cause, clinical and ultrasound findings | 134 | ||
| Equipment and drugs | 134 | ||
| Anatomy | 134 | ||
| Technique | 136 | ||
| Aftercare and rehabilitation | 138 | ||
| Comments | 138 | ||
| 31 Carpal tunnel | 140 | ||
| Cause, clinical and ultrasound findings | 140 | ||
| Equipment and drugs | 140 | ||
| Anatomy | 140 | ||
| Technique for idiopathic carpal tunnel syndrome injections | 142 | ||
| Aftercare and rehabilitation | 144 | ||
| 32 WRIST ganglia aspirations | 146 | ||
| Cause, clinical and ultrasound findings | 146 | ||
| Equipment and drugs | 146 | ||
| Anatomy | 146 | ||
| Technique | 148 | ||
| Aftercare and rehabilitation | 148 | ||
| Comments | 148 | ||
| V Hand | 151 | ||
| 33 Thumb carpometacarpal joint | 152 | ||
| Cause, clinical and ultrasound findings | 152 | ||
| Equipment and drugs | 152 | ||
| Anatomy | 152 | ||
| Technique | 154 | ||
| Aftercare and rehabilitation | 156 | ||
| Comments | 156 | ||
| 34 Metacarpophalangeal joint | 158 | ||
| Cause, clinical and ultrasound findings | 158 | ||
| Equipment and drugs | 158 | ||
| Anatomy | 158 | ||
| Technique | 160 | ||
| Aftercare and rehabilitation | 162 | ||
| Comments | 162 | ||
| 35 Proximal and distal interphalangeal joints | 164 | ||
| Cause, clinical and ultrasound findings | 164 | ||
| Equipment and drugs | 164 | ||
| Anatomy | 164 | ||
| Technique | 166 | ||
| Aftercare and rehabilitation | 168 | ||
| Comments | 168 | ||
| 36 Scaphotrapezium trapezoid joint | 170 | ||
| Cause, clinical and ultrasound findings | 170 | ||
| Equipment and drugs | 170 | ||
| Anatomy | 170 | ||
| Technique | 170 | ||
| Aftercare and rehabilitation | 172 | ||
| Comments | 172 | ||
| 37 Flexor tendon sheath | 174 | ||
| Cause, clinical and ultrasound findings | 174 | ||
| Equipment and drugs | 174 | ||
| Technique | 174 | ||
| Aftercare and rehabilitation | 176 | ||
| Comments | 176 | ||
| 38 Trigger finger release | 178 | ||
| Cause, clinical and ultrasound findings | 178 | ||
| Equipment and drugs | 178 | ||
| Anatomy | 178 | ||
| Technique | 180 | ||
| Aftercare | 182 | ||
| Comments | 182 | ||
| VI Hip and Groin | 185 | ||
| 39 Hip joint ap approach | 186 | ||
| Cause, clinical and ultrasound findings | 186 | ||
| Equipment and drugs | 186 | ||
| Anatomy | 186 | ||
| Technique | 188 | ||
| Aftercare and rehabilitation | 188 | ||
| Comments | 188 | ||
| 40 Hip joint lateral approach | 190 | ||
| Cause, clinical and ultrasound findings | 190 | ||
| Equipment and drugs | 190 | ||
| Anatomy | 190 | ||
| Technique | 192 | ||
| Advantages | 192 | ||
| Aftercare and rehabilitation | 192 | ||
| Comments | 192 | ||
| 41 Greater trochanteric bursa | 194 | ||
| Cause, clinical and ultrasound findings | 194 | ||
| Equipment and drugs | 194 | ||
| Anatomy | 194 | ||
| Technique | 196 | ||
| Aftercare and rehabilitation | 198 | ||
| Comments | 200 | ||
| Bibliography | 200 | ||
| 42 Iliopsoas bursa | 202 | ||
| Cause, clinical and ultrasound findings | 202 | ||
| Equipment and drugs | 202 | ||
| Anatomy | 202 | ||
| Technique | 204 | ||
| Aftercare and rehabilitation | 204 | ||
| Comments | 204 | ||
| 43 Proximal iliotibial tract | 206 | ||
| Cause, clinical and ultrasound findings | 206 | ||
| Equipment and drugs | 206 | ||
| Anatomy | 206 | ||
| Technique | 206 | ||
| Aftercare | 208 | ||
| Comments | 210 | ||
| 44 Symphysis pubis | 212 | ||
| Cause, clinical and ultrasound findings | 212 | ||
| Equipment and drugs | 212 | ||
| Anatomy | 212 | ||
| Technique | 214 | ||
| Aftercare and rehabilitation | 214 | ||
| Comments | 214 | ||
| 45 Adductor tendons | 216 | ||
| Cause, clinical and ultrasound findings | 216 | ||
| Equipment and drugs | 216 | ||
| Anatomy | 216 | ||
| Technique | 216 | ||
| Aftercare and rehabilitation | 218 | ||
| Comments | 218 | ||
| VII Knee | 221 | ||
| 46 Knee joint | 222 | ||
| Cause, clinical and ultrasound findings | 222 | ||
| Equipment and drugs | 222 | ||
| Anatomy | 222 | ||
| Technique | 222 | ||
| Aftercare and rehabilitation | 224 | ||
| Comments | 224 | ||
| 47 Patella tendon | 226 | ||
| Cause, clinical and ultrasound findings | 226 | ||
| Equipment and drugs | 226 | ||
| Anatomy | 226 | ||
| Technique | 226 | ||
| Aftercare and rehabilitation | 228 | ||
| Comments | 228 | ||
| 48 Proximal tibiofibular joint | 230 | ||
| Cause, clinical and ultrasound findings | 230 | ||
| Equipment and drugs | 230 | ||
| Anatomy | 230 | ||
| Technique | 230 | ||
| Aftercare and rehabilitation | 232 | ||
| Comments | 234 | ||
| 49 Pes anserine complex (bursitis) | 236 | ||
| Cause, clinical and ultrasound findings | 236 | ||
| Equipment and drugs | 236 | ||
| Anatomy | 236 | ||
| Technique | 238 | ||
| Aftercare and rehabilitation | 240 | ||
| 50 Distal iliotibial tract | 242 | ||
| Cause, clinical and ultrasound findings | 242 | ||
| Equipment and drugs | 242 | ||
| Anatomy | 242 | ||
| Technique | 242 | ||
| Aftercare and rehabilitation | 244 | ||
| Comments | 246 | ||
| 51 Popliteal cyst (bakers cyst) | 248 | ||
| Cause, clinical and ultrasound findings | 248 | ||
| Equipment and drugs | 248 | ||
| Anatomy | 248 | ||
| Technique | 250 | ||
| Aftercare and rehabilitation | 252 | ||
| Comments | 252 | ||
| VIII Ankle | 255 | ||
| 52 Ankle joint | 256 | ||
| Cause, clinical and ultrasound findings | 256 | ||
| Equipment and drugs | 256 | ||
| Anatomy | 256 | ||
| Technique | 256 | ||
| Aftercare and rehabilitation | 260 | ||
| Comments | 260 | ||
| 53 Subtalar joint | 262 | ||
| Cause, clinical and ultrasound findings | 262 | ||
| Equipment and drugs | 262 | ||
| Anatomy | 262 | ||
| Technique | 262 | ||
| Aftercare and rehabilitation | 264 | ||
| Comments | 264 | ||
| 54 Anterolateral gutter | 266 | ||
| Cause, clinical and ultrasound findings | 266 | ||
| Equipment and drugs | 266 | ||
| Anatomy | 266 | ||
| Technique | 266 | ||
| Aftercare and rehabilitation | 268 | ||
| Comments | 268 | ||
| 55 High-volume injection for achilles tendinopathy (saline stripping) | 270 | ||
| Cause, clinical and ultrasound findings | 270 | ||
| Equipment and drugs | 270 | ||
| Anatomy | 272 | ||
| Technique | 272 | ||
| Aftercare and rehabilitation | 274 | ||
| Comments | 274 | ||
| 56 Peroneal tendon sheath | 276 | ||
| Cause, clinical and ultrasound findings | 276 | ||
| Equipment and drugs | 276 | ||
| Anatomy | 276 | ||
| Technique | 278 | ||
| Aftercare and rehabilitation | 280 | ||
| Comments | 280 | ||
| 57 Tibialis posterior tendon sheath | 282 | ||
| Cause, clinical and ultrasound findings | 282 | ||
| Equipment and drugs | 282 | ||
| Anatomy | 282 | ||
| Technique | 284 | ||
| Aftercare and rehabilitation | 286 | ||
| Comments | 286 | ||
| 58 Sinus tarsi | 288 | ||
| Cause, clinical and ultrasound findings | 288 | ||
| Equipment and drugs | 288 | ||
| Anatomy | 288 | ||
| Technique | 290 | ||
| Aftercare and rehabilitation | 290 | ||
| Comments | 290 | ||
| IX Foot | 293 | ||
| 59 Metatarsophalangeal joint | 294 | ||
| Cause, clinical and ultrasound findings | 294 | ||
| Equipment and drugs | 294 | ||
| Anatomy | 294 | ||
| Technique | 294 | ||
| Aftercare and rehabilitation | 296 | ||
| Comments | 298 | ||
| 60 Talonavicular joint | 300 | ||
| Cause, clinical and ultrasound findings | 300 | ||
| Equipment and drugs | 300 | ||
| Anatomy | 300 | ||
| Technique | 300 | ||
| Aftercare | 302 | ||
| Comments | 302 | ||
| 61 Plantar fasciitis | 304 | ||
| Cause, clinical and ultrasound findings | 304 | ||
| Equipment and drugs | 304 | ||
| Anatomy | 304 | ||
| Technique | 306 | ||
| Aftercare and rehabilitation | 308 | ||
| Comments | 308 | ||
| 62 Mortons neuroma | 310 | ||
| Cause, clinical and ultrasound findings | 310 | ||
| Equipment and drugs | 310 | ||
| Anatomy | 310 | ||
| Technique | 310 | ||
| Aftercare and rehabilitation | 312 | ||
| Comments | 312 | ||
| Index | 314 | ||
| A | 314 | ||
| B | 314 | ||
| C | 315 | ||
| D | 315 | ||
| E | 316 | ||
| F | 316 | ||
| G | 316 | ||
| H | 316 | ||
| I | 316 | ||
| J | 317 | ||
| K | 317 | ||
| L | 317 | ||
| M | 318 | ||
| N | 318 | ||
| O | 319 | ||
| P | 319 | ||
| R | 320 | ||
| S | 320 | ||
| T | 320 | ||
| U | 321 | ||
| V | 321 | ||
| W | 322 | ||
| Inside back cover | IBC |