Ultrasound guided injections in ankle and foot

Ultrasound guidance is particularly useful for percutaneous injections in the diagnosis and management of painful conditions of the ankle and foot. The injectates used include steroids and local anesthetics, such as lidocaine, mepivacaine, bupivacaine, ropivacaine, and platelet-rich plasma. Osteoart...

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Bibliographic Details
Published in:Journal of ultrasound 2024-03, Vol.27 (1), p.153-159
Main Authors: Ruiz Santiago, Fernando, Moraleda Cabrera, Beatriz, Láinez Ramos-Bossini, Antonio Jesús
Format: Article
Language:English
Subjects:
Achilles Tendon
Anesthetics
Ankle
Ankle Joint
Bupivacaine
Feet
Humans
Joints (anatomy)
Lower Extremity
Medicine
Medicine & Public Health
Pain
Pictorial Essay
Plantar tissues
Tendons
Ultrasonography, Interventional
Ultrasound
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Summary:Ultrasound guidance is particularly useful for percutaneous injections in the diagnosis and management of painful conditions of the ankle and foot. The injectates used include steroids and local anesthetics, such as lidocaine, mepivacaine, bupivacaine, ropivacaine, and platelet-rich plasma. Osteoarthritis is the main indication for joint injections. Joints amenable to being injected include the tibiotalar, subtalar, midtarsal, and metatarsophalangeal joints. Tendon injections mainly involve the Achilles, peroneus, extensors, and tibialis tendons, while plantar fascia injections are useful for treating plantar fasciitis and plantar fibromatosis. Forefoot injections include joint arthritis, intermetatarsal bursitis, and Morton neuroma. The standardized approaches and doses reviewed in this paper are based on the authors' experience and can lead to high success in symptomatic relief for various conditions. These injections can be curative or serve as a guide to identify the source of pain when surgery or other therapeutic options are planned.
ISSN:1876-7931
1971-3495
1876-7931
DOI:10.1007/s40477-023-00808-1