Diagnostic Musculoskeletal Ultrasound and Guided Injection: A Practical Guide

Musculoskeletal ultrasound has seen a considerable surge in usage in recent years. Its advantages are manifold. Given adequate training of the examiner, it is very cost-effective; there is no ionizing radiation to contend with; the scanners are normally highly portable; and it enables certain interventional procedures to be performed with great accuracy (therapeutic injections of local anesthetics and/or corticosteroids into areas of complex anatomy, e.g., the shoulder). In this book, the anatomic areas are organized in chapter pairs, of which the first part of the pair summarizes the diagnostic imaging of that area from various angles so as to obtain the standard images necessary for reliable evaluation. The second part covers the image-guided injection techniques themselves, including requisite equipment. Key Features: Concise texts accompanied by typical US scans, brilliant anatomic illustrations, and many photographs showing proper scanner placement Juxtaposes normal and pathologic anatomy for maximum understanding Detailed and lucid description of all common injection procedures, appropriately illustrated Resteghini's Diagnostic Musculoskeletal Ultrasound and Guided Injection: A Practical Guide is an essential introductory reference for physical therapists, sports medicine physicians, orthopaedic practitioners new to the method, radiographers, and allied health professionals involved in the diagnosis and therapy of musculoskeletal conditions

Diagnostic Musculoskeletal Ultrasound and Guided Injection: A Practical Guide -- Title Page -- Copyright -- Contents -- Preface -- Introduction -- Local Anesthetics and Corticosteroids -- 1 Diagnostic Ultrasound and Guided Injection -- 1.1 Diagnostic Ultrasound and Musculoskeletal Medicine -- 1.1.1 Tendons -- 1.1.2 Joints -- 1.1.3 Bursae -- 1.1.4 Muscle -- 1.1.5 Nerve -- 2 The Shoulder: Diagnostic Imaging -- 2.1 Diagnostic Imaging of the Shoulder: Introduction -- 2.1.1 Long Head of Biceps Tendon -- 2.1.2 Subscapularis Tendon -- 2.1.3 Dynamic Examination for Subcoracoid Impingement -- 2.1.4 Supraspinatus Tendon and Subacromial Bursa (Including Dynamic Imaging as Indicated) -- 2.1.5 Infraspinatus Tendon -- 2.1.6 Suprascapular Notch and Suprascapular Nerve -- 2.1.7 The Acromioclavicular Joint -- 2.1.8 Sternoclavicular Joint -- 3 The Shoulder: Guided Injection Techniques -- 3.1 Glenohumeral Joint Injection - Acute or Chronic Capsulitis: 'The Frozen Shoulder' -- 3.1.1 Cause -- 3.1.2 Presentation -- 3.1.3 Equipment -- 3.1.4 Anatomical Considerations -- 3.1.5 Procedure -- 3.1.6 The Injection -- 3.1.7 Notes -- 3.2 Subacromial/Subdeltoid Bursal Injection -- 3.2.1 Cause -- 3.2.2 Presentation -- 3.2.3 Equipment -- 3.2.4 Anatomical Considerations -- 3.2.5 Procedure -- 3.2.6 The Injection -- 3.2.7 Notes -- 3.3 Acromioclavicular Joint Injection -- 3.3.1 Cause -- 3.3.2 Presentation -- 3.3.3 Equipment -- 3.3.4 Anatomical Considerations -- 3.3.5 Procedure -- 3.3.6 The Injection -- 3.3.7 Notes -- 3.4 Sternoclavicular Joint Injection -- 3.4.1 Cause -- 3.4.2 Presentation -- 3.4.3 Equipment -- 3.4.4 Anatomical Considerations -- 3.4.5 Procedure -- 3.4.6 The Injection -- 3.4.7 Notes -- 3.5 Biceps Tendon Sheath Injection -- 3.5.1 Cause -- 3.5.2 Presentation -- 3.5.3 Equipment -- 3.5.4 Anatomical Considerations -- 3.5.5 Procedure -- 3.5.6 The Injection -- 3.5.7 Notes

3.6 Suprascapular Nerve Block -- 3.6.1 Cause -- 3.6.2 Presentation -- 3.6.3 Equipment -- 3.6.4 Anatomical Considerations -- 3.6.5 Procedure -- 3.6.6 The Injection -- 3.6.7 Notes -- 4 The Elbow: Diagnostic Imaging -- 4.1 Diagnostic Imaging of the Elbow: Introduction -- 4.1.1 Anterior -- 4.1.2 Distal Biceps Tendon -- 4.1.3 Lateral -- 4.1.4 Medial -- 4.1.5 Posterior -- 5 The Elbow: Guided Injection Techniques -- 5.1 Elbow Joint Injection -- 5.1.1 Cause -- 5.1.2 Presentation -- 5.1.3 Equipment -- 5.1.4 Anatomical Considerations -- 5.1.5 Procedure -- 5.1.6 The Injection -- 5.1.7 Notes -- 5.2 Common Extensor Tendon Injection - Tennis Elbow -- 5.2.1 Cause -- 5.2.2 Presentation -- 5.2.3 Equipment -- 5.2.4 Anatomical Considerations -- 5.2.5 Procedure -- 5.2.6 The Injection -- 5.2.7 Notes -- 5.3 Common Flexor Tendon Injection - 'Golfer's Elbow' -- 5.3.1 Cause -- 5.3.2 Presentation -- 5.3.3 Equipment -- 5.3.4 Anatomical Considerations -- 5.3.5 Procedure -- 5.3.6 The Injection -- 5.3.7 Notes -- 5.4 Radiobicipital Bursa/Biceps Insertional Tendinopathy Injection -- 5.4.1 Cause -- 5.4.2 Presentation -- 5.4.3 Equipment -- 5.4.4 Anatomical Considerations -- 5.4.5 Procedure -- 5.4.6 The Injection -- 5.4.7 Notes -- 5.5 Olecranon Bursa Injection -- 5.5.1 Cause -- 5.5.2 Presentation -- 5.5.3 Equipment -- 5.5.4 Anatomical Considerations -- 5.5.5 Procedure -- 5.5.6 The Injection -- 5.5.7 Notes -- 6 The Wrist and Hand: Diagnostic Imaging -- 6.1 Diagnostic Imaging of the Wrist and Hand: Introduction -- 6.1.1 Wrist Joint - Volar -- 6.1.2 Wrist Joint - Dorsal: -- 6.1.3 Fingers and Thumb -- 7 The Wrist and Hand: Guided Injection Techniques -- 7.1 Wrist Joint Injection - Radiocarpal Joint -- 7.1.1 Cause -- 7.1.2 Presentation -- 7.1.3 Equipment -- 7.1.4 Anatomical Considerations -- 7.1.5 Procedure -- 7.1.6 The Injection -- 7.1.7 Notes

7.2 Carpometacarpal Joint of the Thumb Injection -- 7.2.1 Cause -- 7.2.2 Presentation -- 7.2.3 Equipment -- 7.2.4 Anatomical Considerations -- 7.2.5 Procedure -- 7.2.6 The Injection -- 7.2.7 Notes -- 7.3 First Dorsal Compartment Injection - de Quervain's Tenosynovitis -- 7.3.1 Cause -- 7.3.2 Presentation -- 7.3.3 Equipment -- 7.3.4 Anatomical Considerations -- 7.3.5 Procedure -- 7.3.6 The Injection -- 7.3.7 Notes -- 7.4 A1 Pulley Injection - Trigger Finger or Thumb -- 7.4.1 Cause -- 7.4.2 Presentation -- 7.4.3 Equipment -- 7.4.4 Anatomical Considerations -- 7.4.5 Procedure -- 7.4.6 The Injection -- 7.4.7 Notes -- 7.5 Ganglion Cyst: Guided Aspiration -- 7.5.1 Cause -- 7.5.2 Presentation -- 7.5.3 Equipment -- 7.5.4 Anatomical Considerations -- 7.5.5 Procedure -- 7.5.6 Guided Aspiration -- 7.6 Carpal Tunnel Syndrome: Guided Injection -- 7.6.1 Cause -- 7.6.2 Presentation -- 7.6.3 Equipment -- 7.6.4 Anatomical Considerations -- 7.6.5 Procedure -- 7.6.6 The Injection -- 7.6.7 Notes -- 8 The Hip: Diagnostic Imaging -- 8.1 Diagnostic Imaging of the Hip: Introduction -- 8.1.1 Anterior -- 8.1.2 Medial -- 8.1.3 Lateral -- 8.1.4 Posterior -- 8.1.5 Symphysis Pubis -- 9 The Hip: Guided Injection Techniques -- 9.1 Hip Joint Injection -- 9.1.1 Cause -- 9.1.2 Presentation -- 9.1.3 Equipment -- 9.1.4 Anatomical Considerations -- 9.1.5 Procedure -- 9.1.6 The Injection -- 9.1.7 Notes -- 9.2 Psoas Bursa Injection -- 9.2.1 Cause -- 9.2.2 Presentation -- 9.2.3 Equipment -- 9.2.4 Anatomical Considerations -- 9.2.5 Procedure -- 9.2.6 The Injection -- 9.2.7 Notes -- 9.3 Ischial Bursa/Hamstring Tendon Origin Injection -- 9.3.1 Cause -- 9.3.2 Presentation -- 9.3.3 Equipment -- 9.3.4 Anatomical Considerations -- 9.3.5 Procedure -- 9.3.6 The Injection -- 9.3.7 Notes -- 9.4 Greater Trochanter Injection -- 9.4.1 Cause -- 9.4.2 Presentation -- 9.4.3 Equipment

9.4.4 Anatomical Considerations -- 9.4.5 Procedure -- 9.4.6 The Injection -- 9.4.7 Notes -- 10 The Knee: Diagnostic Imaging -- 10.1 Diagnostic Imaging of the Knee: Introduction -- 10.1.1 Anterior -- 10.1.2 Medial -- 10.1.3 Lateral -- 10.1.4 Posterior -- 11 The Knee: Guided Injection Techniques -- 11.1 Knee Joint Aspiration/Injection -- 11.1.1 Cause -- 11.1.2 Presentation -- 11.1.3 Equipment -- 11.1.4 Anatomical Considerations -- 11.1.5 Procedure -- 11.1.6 The Aspiration/Injection -- 11.1.7 Notes -- 11.2 Semimembranosus Bursa/Baker's Cyst Aspiration/Injection -- 11.2.1 Cause -- 11.2.2 Presentation -- 11.2.3 Equipment -- 11.2.4 Anatomical Considerations -- 11.2.5 Procedure -- 11.2.6 The Aspiration/Injection -- 11.2.7 Notes -- 11.3 Distal Iliotibial Band/Bursa Injection -- 11.3.1 Cause -- 11.3.2 Presentation -- 11.3.3 Equipment -- 11.3.4 Anatomical Considerations -- 11.3.5 Procedure -- 11.3.6 The Injection -- 11.3.7 Notes -- 11.4 Pes Anserine Bursa/Tendon Injection -- 11.4.1 Cause -- 11.4.2 Presentation -- 11.4.3 Equipment -- 11.4.4 Anatomical Considerations -- 11.4.5 Procedure -- 11.4.6 The Injection -- 11.4.7 Notes -- 11.5 Medial Collateral Ligament Injection -- 11.5.1 Cause -- 11.5.2 Presentation -- 11.5.3 Equipment -- 11.5.4 Anatomical Considerations -- 11.5.5 Procedure -- 11.5.6 Medial Collateral Ligament Injection -- 11.5.7 Notes -- 11.6 Deep and Superficial Infrapatellar Bursa Injection -- 11.6.1 Cause -- 11.6.2 Presentation -- 11.6.3 Equipment -- 11.6.4 Anatomical Considerations -- 11.6.5 Procedure -- 11.6.6 The Injection -- 11.6.7 A. Deep Infrapatellar Bursa -- 11.6.8 B. Superficial Infrapatellar Bursa -- 11.6.9 Notes -- 11.7 Popliteus Tendon Sheath Injection -- 11.7.1 Cause -- 11.7.2 Presentation -- 11.7.3 Equipment -- 11.7.4 Anatomical Considerations -- 11.7.5 Procedure -- 11.7.6 The Injection -- 11.7.7 Notes

11.8 Proximal Tibiofibular Joint Injection -- 11.8.1 Cause -- 11.8.2 Presentation -- 11.8.3 Equipment -- 11.8.4 Anatomical Considerations -- 11.8.5 Procedure -- 11.8.6 The Injection -- 11.8.7 Notes -- 11.9 Patellar Tendon - Fenestration and Injection of Autologous Blood -- 11.9.1 Cause -- 11.9.2 Presentation -- 11.9.3 Equipment -- 11.9.4 Anatomical Considerations -- 11.9.5 Procedure -- 11.9.6 Fenestration and Injection of Autologous Blood -- 11.9.7 Notes -- 11.10 Patellar Tendon - High Volume Guided Injection -- 11.10.1 Cause -- 11.10.2 Presentation -- 11.10.3 Equipment -- 11.10.4 Anatomical Considerations -- 11.10.5 Procedure -- 11.10.6 High-Volume Saline Injection -- 11.10.7 Notes -- 12 The Ankle and Foot: Diagnostic Imaging -- 12.1 Diagnostic Imaging of the Ankle and Foot: Introduction -- 12.1.1 Anterior -- 12.1.2 Medial -- 12.1.3 Lateral -- 12.1.4 Posterior -- 12.1.5 Inferior -- 12.1.6 Interdigital -- 12.1.7 Digital -- 13 The Ankle and Foot: Guided Injection Techniques -- 13.1 Ankle Joint (Talocrural Joint) Injection -- 13.1.1 Cause -- 13.1.2 Presentation -- 13.1.3 Equipment -- 13.1.4 Anatomical Considerations -- 13.1.5 Procedure -- 13.1.6 The Injection -- 13.1.7 Notes -- 13.2 Midtarsal Joint Injection -- 13.2.1 Cause -- 13.2.2 Presentation -- 13.2.3 Equipment -- 13.2.4 Anatomical Considerations -- 13.2.5 Procedure -- 13.2.6 The Injection -- 13.2.7 Notes -- 13.3 Peroneal Tendon Sheath Injecton -- 13.3.1 Cause -- 13.3.2 Presentation -- 13.3.3 Equipment -- 13.3.4 Anatomical Considerations -- 13.3.5 Procedure -- 13.3.6 The Injection -- 13.3.7 Notes -- 13.4 Tibialis Posterior Injection -- 13.4.1 Cause -- 13.4.2 Presentation -- 13.4.3 Equipment -- 13.4.4 Anatomical Considerations -- 13.4.5 Procedure -- 13.4.6 The Injection -- 13.4.7 Notes -- 13.5 Flexor Hallucis Longus Tendon Sheath Injection -- 13.5.1 Cause -- 13.5.2 Presentation -- 13.5.3 Equipment

13.5.4 Anatomical Considerations