Sonographically guided procedures in rheumatology

Objective: To provide some representative examples of sonographically guided arthrocentesis and intralesional injection therapy. Methods: Sonographic evaluation was performed with high-frequency linear (13 MHz) and mechanical sector (20 MHz) transducers. The images were obtained in representative pa...

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Bibliographic Details
Published in:Seminars in arthritis and rheumatism 2001-04, Vol.30 (5), p.347-353
Main Authors: Grassi, Walter, Farina, Antonella, Filippucci, Emilio, Cervini, Claudio
Format: Article
Language:English
Subjects:
Arthroscopy - methods
Biological and medical sciences
bursitis
Bursitis - therapy
Cysts - therapy
Diseases of the osteoarticular system. Orthopedic treatment
Humans
Injections, Intralesional - methods
Joints - diagnostic imaging
Medical sciences
Practice Guidelines as Topic
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rheumatology
sonographically guided injection
synovitis
tenosynovitis
Tenosynovitis - therapy
Ultrasonic Therapy - methods
Ultrasonography
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Summary:Objective: To provide some representative examples of sonographically guided arthrocentesis and intralesional injection therapy. Methods: Sonographic evaluation was performed with high-frequency linear (13 MHz) and mechanical sector (20 MHz) transducers. The images were obtained in representative patients with rheumatoid arthritis and posttraumatic subacromial bursitis. Results: Sonographically guided intralesional injection is a rapid and reliable procedure, especially in patients with arthritis, tenosynovitis, and bursitis. After target localization, needle placement can be performed under continuous sonographic monitoring. Sonographic guidance is particularly useful when fluid collections are small (less than 5 mm) and deep or when the inflammatory process is adjacent to anatomic structures that could be seriously damaged by the injection. Conclusions: Over the last few years, the rapid technologic advancements in ultrasonography have dramatically increased the potential applications of sonographically guided procedures. The simplicity and reliability of the technique might warrant rheumatologists to undergo sonographic training. Semin Arthritis Rheum 30:347-353. Copyright © 2001 by W.B. Saunders Company
ISSN:0049-0172
1532-866X
DOI:10.1053/sarh.2001.19822