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Knee Joint Sonoanatomy and Ultrasound-Guided Knee Joint Injection

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Ultrasound Fundamentals

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Abstract

The knee joint is amongst the most commonly injured joints in the human body, and ultrasound has played an increasingly important role in accurate diagnoses of various structural pathologies. Given the generally superficial location of the knee, a high frequency linear probe is frequently used to identify various knee abnormalities, such as medial or lateral collateral ligament tear, tendinopathy, and bursitis. The more internal structures, such as the menisci and cruciate ligaments, can be a bit more difficult to visualize, nonetheless partial imaging of these structures still proves valuable. This chapter will review the sonoanatomy, structural pathology and when applicable, injection techniques for the knee joint under ultrasound guidance.

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References

  1. Bianchi S, Zwass A, Abdelwahab IF, et al. Diagnosis of tears of the quadriceps tendon of the knee: value of sonography. AJR Am J Roentgenol. 1994;162:1137–40.

    Article  CAS  Google Scholar 

  2. Jacobson JA. The knee. In: O’Neill JM, editor. Musculoskeletal ultrasound. New York: Springer; 2008.

    Google Scholar 

  3. Bianchi S, Martinoli C. Wrist. In: Ultrasound of the musculoskeletal system. Berlin: Springer; 2007. p. 425–94.

    Chapter  Google Scholar 

  4. Elliott AL, Kraus VB, Luta G, Stabler T, Renner JB, Woodard J, Dragomir AD, Helmick CG, Hochberg MC, Jordan JM. Serum hyaluronan levels and radiographic knee and hip osteoarthritis in African Americans and Caucasians in the Johnston County Osteoarthritis Project. Arthritis Rheum. 2005;52:105–11.

    Article  CAS  Google Scholar 

  5. Yanagisawa S, Ohsawa T, Saito K, Kobayashi T, Yamamoto A, Takagishi K. Morphological evaluation and diagnosis of medial type osteoarthritis of the knee using ultrasound. J Orthop Sci. 2014;19:270–4.

    Article  Google Scholar 

  6. Riecke B, Christensen R, Torp-Pedersen S, Boesen M, Gudbergsen H, Bliddal H. An ultrasound score for knee osteoarthritis: a cross-sectional validation study. Osteoarthr Cartil. 2014;22:1675–91.

    Article  CAS  Google Scholar 

  7. Richards MM, Maxwell JS, Weng L, Angelos MG, Golzarian J. Intra-articular treatment of knee osteoarthritis: from anti-inflammatories to products of regenerative medicine. Phys Sportsmed. 2016;44:101–8.

    Article  Google Scholar 

  8. Yasar E, Kesikburun S, Kılıç C, Güzelküçük U, Yazar F, Kenan Tan A. Accuracy of ultrasound-guided genicular nerve block: a cadaveric study. Pain. 2015;19:899–904.

    Google Scholar 

  9. Sarı S, Aydın ON, Turan Y, Şen S, Özlülerden P, Ömürlü IK, Gulastı F. Which imaging method should be used for genicular nerve radio frequency thermocoagulation in chronic knee osteoarthritis? J Clin Monit Comput. 2016;31:797–803.

    Article  Google Scholar 

  10. Hägglund M, Zwerver J, Ekstrand J. Epidemiology of patellar tendinopathy in elite male soccer players. Am J Sports Med. 2011;39:1906–11.

    Article  Google Scholar 

  11. Figueroa D, Figueroa F, Calvo R. Patellar tendinopathy. J Am Acad Orthop Surg. 2016;24:e184–92. https://doi.org/10.5435/jaaos-d-15-00703.

    Article  PubMed  Google Scholar 

  12. Cook JL, Khan KM, Kiss ZS, et al. Patellar tendinopathy in junior basketball players: a controlled clinical and ultra- sonographic study of 268 patellar tendons in players aged 14-18 years. Scand J Med Sci Sports. 2000;10:216–20.

    Article  CAS  Google Scholar 

  13. Mahajan PS, Chandra P, Negi VC, Jayaram AP, Hussein SA. Smaller anterior cruciate ligament diameter is a predictor of subjects prone to ligament injuries: an ultrasound study. Biomed Res Int. 2015;2015:1–8.

    Article  Google Scholar 

  14. Smith J, Hackel JG, Khan U, Pawlina W, Sellon JL. Sonographically guided anterior cruciate ligament injection: technique and validation. Pm&r. 2015;7:736–45.

    Article  Google Scholar 

  15. Kornaat PR, Bloem JL, Ceulemans RYT, Riyazi N, Rosendaal FR, Nelissen RG, Carter WO, Graverand M-PHL, Kloppenburg M. Osteoarthritis of the knee: association between clinical features and MR imaging findings. Radiology. 2006;239:811–7.

    Article  Google Scholar 

  16. Picerno V, Filippou G, Bertoldi I, Adinolfi A, Sabatino VD, Galeazzi M, Frediani B. Prevalence of Baker’s cyst in patients with knee pain: an ultrasonographic study. Reumatismo. 2014;65:264–70.

    Article  CAS  Google Scholar 

  17. Fielding J, Franklin P, Kustan J. Popliteal cysts: a reassessment using magnetic resonance imaging. Skelet Radiol. 1991;20:433–5. https://doi.org/10.1007/bf00191086.

    Article  CAS  Google Scholar 

  18. Köroğlu M, Çallıoğlu M, Eriş HN, et al. Ultrasound guided percutaneous treatment and follow-up of Bakers cyst in knee osteoarthritis. Eur J Radiol. 2012;81:3466–71.

    Article  Google Scholar 

  19. MCL Tear Diagnosis. In: UCSF Medical Center. https://www.ucsfhealth.org/conditions/mcl_tear/diagnosis.html. Accessed 1 Sep 2018.

  20. Uysal F, Akbal A, Gökmen F, Adam G, Reşorlu M. Prevalence of pes anserine bursitis in symptomatic osteoarthritis patients: an ultrasonographic prospective study. Clin Rheumatol. 2014;34:529–33.

    Article  Google Scholar 

  21. Sarifakioglu B, Afsar SI, Yalbuzdag SA, Ustaömer K, Bayramoğlu M. Comparison of the efficacy of physical therapy and corticosteroid injection in the treatment of pes anserine tendino-bursitis. J Phys Ther Sci. 2016;28:1993–7.

    Article  Google Scholar 

  22. Torn meniscus. In: Mayo Clinic. 2018. https://www.mayoclinic.org/diseasesconditions/torn-meniscus/symptoms-causes/syc-20354818. Accessed 1 Sep 2018.

  23. Alizadeh A, Jandaghi AB, Zirak AK, Karimi A, Mardani-Kivi M, Rajabzadeh A. Knee sonography as a diagnostic test for medial meniscal tears in young patients. Eur J Orthop Surg Traumatol. 2012;23:927–31.

    Article  Google Scholar 

  24. De Maeseneer M, Vanderdood K, Setal M. Sonog- raphy of the medial and lateral tendons and ligaments of the knee: the use of bony landmarks as an easy method for identification. AJR Am J Roentgenol. 2002;178:1437–44.

    Article  Google Scholar 

  25. LCL Tear. In: UCSF Medical Center. https://www.ucsfhealth.org/conditions/lcl_tear/. Accessed 20 Aug 2018.

  26. Sladjan T, Zoran V, Zoran B. Correlation of clinical examination, ultrasound sonography, and magnetic resonance imaging findings with arthroscopic findings in relation to acute and chronic lateral meniscus injuries. J Orthop Sci. 2014;19:71–6.

    Article  Google Scholar 

  27. Iwamoto N, Isu T, Kim K, Morimoto D, Yamazaki K, Isobe M. Clinical feathers and treatment of peroneal nerve entrapment neuropathy. No Shinkei Geka. 2015;43:309–16.

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. University of California, Los Angeles, Department of PM&R, Los Angeles, CA, USA

    Jason Kajbaf

  2. GCC Institute, Newport Beach, CA, USA

    George C. Chang Chien

  3. Ventura County Medical Center, Ventura, CA, USA

    George C. Chang Chien

Authors
  1. Jason Kajbaf
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  2. George C. Chang Chien
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Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA

    Jinlei Li

  2. Department of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA

    Robert Ming-Der Chow

  3. Department of Anesthesiology, Yale University, New Haven, CT, USA

    Nalini Vadivelu

  4. Department of Anesthesiology and Pharmacology, Toxicology and Neurosciences LSU Health Shreveport, Shreveport, LA, USA

    Alan David Kaye

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Kajbaf, J., Chang Chien, G.C. (2021). Knee Joint Sonoanatomy and Ultrasound-Guided Knee Joint Injection. In: Li, J., Ming-Der Chow, R., Vadivelu, N., Kaye, A.D. (eds) Ultrasound Fundamentals . Springer, Cham. https://doi.org/10.1007/978-3-030-46839-2_15

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  • DOI: https://doi.org/10.1007/978-3-030-46839-2_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-46838-5

  • Online ISBN: 978-3-030-46839-2

  • eBook Packages: MedicineMedicine (R0)

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