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Ultrasound Guidance of Procedures

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Basics of Musculoskeletal Ultrasound

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Abstract

Ultrasound guidance of percutaneous procedures offers a level of accuracy and safety beyond what is obtainable with landmark-guided injections, in which no imaging is used. Improvements in ultrasound technology have allowed greater detail in imaging anatomic structures, which has in turn enhanced the ability to visualize pathology and to select appropriate treatment. A greater level of patient safety can be obtained by using ultrasound guidance, when combined with a detailed knowledge of sonographic anatomy. Regional nerve blocks for percutaneous procedures are especially helpful when sensitive areas are involved, such as the palmar hand and plantar foot, and these can be easily performed with ultrasound guidance. Efficacy studies comparing ultrasound-guided to landmark-guided injections show variable results, but these studies are difficult to interpret, as efficacy is influenced by injection accuracy, diagnostic accuracy, and whether the type of injection used is appropriate for the condition being treated. This chapter also presents techniques for a variety of ultrasound-guided injections.

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Acknowledgment

The author gratefully acknowledges Erin Sigler, MA, and Samatha Kropp, MS2, for their contributions to the photographs in this chapter.

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Authors and Affiliations

  1. Montana State University, Department of Mechanical and Industrial Engineering; Bozeman Sports Medicine, Bozeman, MT, USA

    Erik S. Adams

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  1. Erik S. Adams
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Correspondence to Erik S. Adams .

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Editors and Affiliations

  1. Departments of Family and Community Medicine and Orthopedic Surgery, Southern Illinois University School of Medicine, Quincy, IL, USA

    James M. Daniels

  2. Sports Medicine and Family Medicine Maine Medical Center, Tufts University School of Medicine, Portland, ME, USA

    William W. Dexter

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Adams, E.S. (2021). Ultrasound Guidance of Procedures. In: Daniels, J.M., Dexter, W.W. (eds) Basics of Musculoskeletal Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-030-73906-5_15

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  • DOI: https://doi.org/10.1007/978-3-030-73906-5_15

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