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Semin Musculoskelet Radiol 2021; 25(06): 769-784
DOI: 10.1055/s-0041-1740349
Review Article

Ultrasound-Guided Musculoskeletal Injections

Jonathan S. Lin
1   Department of Radiology, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado
,
David C. Gimarc
2   Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Colorado Anschutz Medical Campus, Aurora, Colorado
,
Ronald S. Adler
3   Department of Radiology, Division of Musculoskeletal Imaging, NYU Langone Health, New York University, New York, New York
,
Luis S. Beltran
4   Department of Radiology, Division of Musculoskeletal Imaging and Intervention, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts
,
Alexander N. Merkle
2   Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Colorado Anschutz Medical Campus, Aurora, Colorado
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Abstract

Musculoskeletal injections serve a variety of diagnostic and therapeutic purposes, with ultrasonography (US) guidance having many advantages: no ionizing radiation, real-time guidance, high spatial resolution, excellent soft tissue contrast, and the ability to identify and avoid critical structures. Sonography can be cost effective and afford flexibility in resource-constrained settings. This article describes US-guided musculoskeletal injections relevant to many radiology practices and provides experience-based suggestions. Structures covered include multiple joints (shoulder, hip), bursae (iliopsoas, subacromial-subdeltoid, greater trochanteric), peripheral nerves (sciatic, radial), and tendon sheaths (posterior tibial, peroneal, flexor hallucis longus, Achilles, long head of the biceps). Trigger point and similar targeted steroid injections, as well as calcific tendinopathy barbotage, are also described.

Keywords

interventional radiology - ultrasonography - musculoskeletal system - injection

Supplementary Material



Publication History

Article published online:
22 December 2021

© 2021. Thieme. All rights reserved.

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