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Open Access 13-08-2022 | Ultrasound | Review Article

Ultrasound-guided interventions of the upper extremity joints

Authors: Rina P. Patel, Kevin McGill, Daria Motamedi, Tara Morgan

Published in: Skeletal Radiology | Issue 5/2023

Abstract

Ultrasound guidance is valuable for performing precise joint interventions. Joint interventions may be requested for therapeutic and diagnostic pain injections, joint aspiration in the setting of suspected infection, or contrast injection for arthrography. In practice, interventions of the shoulder girdle, elbow, and hand/wrist joints may be performed without any imaging guidance. However, imaging guidance results in more accurate interventions and better patient outcomes than those performed by palpation alone. When compared to other modalities used for imaging guidance, ultrasound has many potential advantages. Radiologists should be prepared to perform ultrasound-guided upper extremity joint interventions utilizing recommended techniques to optimize clinical practice and patient outcomes.

Key points

1. Ultrasound-guided injections of the glenohumeral, acromioclavicular, sternoclavicular, elbow, and hand/wrist joints have higher accuracy than injections performed without imaging guidance.

2. Ultrasound-guided aspirations of upper extremity joints have advantages to fluoroscopic-guided aspirations because of the potential to identify effusions, soft tissue abscess, or bursitis.

3. Ultrasound-guided contrast injection prior to MR arthrography is as accurate as fluoroscopic-guided injection for upper extremity joints.

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Title: Ultrasound-guided interventions of the upper extremity joints
Authors: Rina P. Patel
Kevin McGill
Daria Motamedi
Tara Morgan
Publication date: 13-08-2022
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Arthrography
Foreign Body Aspiration
Foreign Body Aspiration
Aspiration
Pyarthrosis
Ultrasound
Bursitis
Published in: Skeletal Radiology / Issue 5/2023
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-022-04148-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ultrasound-guided interventions of the upper extremity joints

Abstract

Key points

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Key points

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