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Introduction Introduction
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Patient and Transducer Positioning Patient and Transducer Positioning
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Shoulder Joint and Subacromial-Subdeltoid Bursa Shoulder Joint and Subacromial-Subdeltoid Bursa
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Elbow Joint Elbow Joint
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Hip Joint, Greater Trochanteric Bursa, and Iliopsoas Bursa Hip Joint, Greater Trochanteric Bursa, and Iliopsoas Bursa
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Knee Joint Knee Joint
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Ankle Joint Ankle Joint
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Common Musculoskeletal Ultrasound-Guided Interventions Common Musculoskeletal Ultrasound-Guided Interventions
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Joint Aspirations and Injections Joint Aspirations and Injections
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Soft Tissue Fluid Collections Soft Tissue Fluid Collections
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Intratendinous Interventions Intratendinous Interventions
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Calcific Tendinosis Calcific Tendinosis
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Degenerative Noncalcific Tendon Injections Degenerative Noncalcific Tendon Injections
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Recommended Reading Recommended Reading
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References References
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128 Ultrasound-Guided Musculoskeletal Procedures
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Published:April 2019
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Abstract
Chapter 128 discusses US-guided musculoskeletal (MSK) procedures. US is an effective imaging modality to guide MSK interventions, such as joint and soft tissue injections and aspirations. Preferred anatomical approaches for needle access for arthrocentesis, injection of contrast for MR arthrography, or injection of local corticosteroid for antiinflammatory effects to different joints are reviewed. A comprehensive US scanning of the targeted area should be performed prior to the intervention. Linear high-frequency transducers provide better detail in superficial locations, but curvilinear array transducers may be needed when targeting deeper structures. Aspiration of abscesses, hematomas, and ganglion cysts, and soft tissue biopsies are readily performed with US guidance. US guidance is effective for lavage and aspiration of calcific tendinosis and for guiding more novel interventions such as platelet-rich plasma injections for degenerative overuse injuries to the tendons and muscles.
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