Guide to Musculoskeletal Injections with Ultrasound

Description

This practical handbook covers all types of ultrasound-guided injections of the joints and tendons. Designed for use primarily by trainees and new practitioners, the guide bridges the gap between the early steps of learning to perform injections and applying that knowledge to patient care. With its concise, user-friendly format and bulleted instructions, the book allows practitioners to quickly access precise information for performing procedures at the point of care. High-resolution photographs illustrate marking and probe placement, while ultrasound images walk you through needle visualization on insertion and at target.

Chapters highlight key information that enables injectors to confidently execute basic skills and also flag potential pitfalls that can cause an adverse outcome. While focused on the most common procedures for peripheral joint problems, the book also covers selected injections for spine disorders and introduces some more advanced ultrasound-guided injections. Indications, suggested medications and dosing, approach (in-plane/out-of-plane), bulleted description of the procedure, lists of structures to avoid, and clinical pearls and tips are provided for each injection.

Written by expert authors, this guide will be indispensable to new practitioners building proficiency and more experienced clinicians who wish to refresh their knowledge performing ultrasound-guided procedures.

Key Features:

• Provides expert guidance for students, residents, fellows and attendings looking to add MSK ultrasound to their practice
• Covers the basics for most common peripheral joint and peripheral nerve procedures and introduces some more advanced spine injections
• Organized in bullet points for quick access to information
• Includes step-by-step procedural photographs and ultrasound pictures to illustrate each injection

Table of Contents

Contributors
Foreword David X. Cifu, MD
Preface
Acknowledgments

Chapter 1. Essentials of Musculoskeletal Ultrasound
Mohammad Agha

Chapter 2. Shoulder Injections
Michael P. Schaefer and Victor Foorsov

• Subacromial/Subdeltoid Bursa
• Biceps Tendon Sheath (Biceps—Long Head)
• Acromioclavicular Joint
• Glenohumeral Joint

Chapter 3. Elbow Injections
Christopher Wolf, Brian Toedebusch, and Peter Dawson

• Common Extensor Tendon
• Common Flexor Tendon
• Olecranon Bursa Injection
• Ulnar Nerve Injection (Below Cubital Tunnel)
• Pronator Teres Syndrome (Median Nerve)
• Intra-Articular Elbow Injection

Chapter 4. Wrist and Hand Injections
P. Troy Henning

• Carpal Tunnel Injection
• Cubital Tunnel Injection
• De Quervain’s Tenosynovitis
• Extensor Carpi Ulnaris Tenosynovitis
• Intersection Syndrome
• Carpometacarpal Joint Injection
• Trigger Finger/Thumb

Chapter 5. Hip Injections
Rosalyn Nguyen and Eugene Roh

• Hip Intra-Articular Joint Injection
• Ischial Bursa Injection
• Lateral Femoral Cutaneous Nerve Injection
• Trochanteric Bursa Injection
• Gluteus Medius/Minimus Bursa Injection
• Iliopsoas Bursa Injection

Chapter 6. Knee Injections
Douglas Murphy and Javier I. Soares

• Access Through the Suprapatellar Bursa or Recess
• Knee Joint Injections: Anterior Approach
• Pes Anserine Bursa Injection
• Deep Infrapatellar Bursa Injection
• Iliotibial Band Syndrome

Chapter 7. Ankle/Foot Injections
Douglas Murphy, Mohammad Agha, and Javier I. Soares

• Ankle Joint Injection
• Peroneal Tendonitis
• Posterior Ankle Impingement
• Plantar Fasciitis Injection
• Morton’s Neuroma
• Retrocalcaneal Bursitis

Chapter 8. Cervical Spine and Intercostal Injections
Anuj Bhatia

• Medial Branch Block
• Intra-Articular Facet Joint Injection
• Selective Nerve Root Block
• Intercostal Nerve Block

Chapter 9. Caudal Epidural Injection and Piriformis Muscle Injection
Carl P. C. Chen and Henry L. Lew

• Ultrasound-Guided Caudal Epidural Injection Technique
• Ultrasound-Guided Piriformis Injection

Index