Ultrasound-guided Musculoskeletal Procedures: The Upper Limb

Description

As it is quick, inexpensive, and non-invasive, ultrasound is the modality of choice for guidance of interventional procedures in the soft tissues. Furthermore, the rising mean age of the general population is being accompanied by increasing demand among patients for minimally invasive procedures to treat painful chronic and degenerative syndromes of the musculoskeletal system. This handbook is a clear, practical guide to ultrasound-guided minimally invasive treatments of musculoskeletal pain in the upper limb. Each chapter is clearly structured, with brief but comprehensive descriptions of the disease to be treated and of the materials and drugs needed. High-quality images and easy-to-follow schemes explain the best approach in each situation, and practical tips and tricks of value in daily clinical routine are provided. Cover Frontmatter Preface Title Page Copyright Page Preface Table of Contents Contributors 1 General Aspects of US-guided Musculoskeletal Procedures Setting Room US System US-guided Procedures Clinical History Explanation of Contraindications to the Interventional Procedure and Informed Consent Antisepsis Needles and Syringes How Is the Needle Inserted? Drugs Local Anesthetics Adverse Effects Corticosteroids Adverse Effects Hyaluronic Acid Platelet-Rich Plasma Post-procedural Care Part I The Shoulder 2 The Shoulder: Focused US Anatomy and Examination Technique Anterior Compartment Long Head of the Biceps Brachii Tendon Subscapularis Tendon Glenohumeral Anterior Recess Lateral Compartment Subacromial-Subdeltoid Bursa Supraspinatus Tendon Posterior Compartment Infraspinatus and Teres Minor Tendons Glenohumeral Posterior Joint Recess Acromioclavicular Joint 3 Subacromial-Subdeltoid Bursa Injections Essentials Etiology Epidemiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Objective Equipment Our Procedure 4 Treament of Calcific Tendinitis of the Rotator Cuff Essentials Etiology Epidemiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Objective Equipment Our Procedure 5 Calcific Enthesopathy Dry-Needling Essentials Etiology Epidemiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Objective Our Procedure Equipment 6 Hyaluronic Supplementation of the Subacromial Space Essentials Etiology Epidemiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Objective Our Procedure Equipment 7 Intra-articular Injections Essentials Adhesive Capsulitis Etiology Epidemiology Clinical Presentation Treatment Options Interventional Procedure Indications Objective Our Procedure Anterior Approach Equipment Posterior Approach 8 Long Head of the Biceps Brachii Tendon Injection Essentials Etiology Epidemiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Objective Our Procedure Equipment 9 Acromioclavicular Joint Injection Essentials Etiology Epidemiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Objective Our Procedure Equipment Part II The Elbow 10 The Elbow: Focused US Anatomy and Examination Technique Anterior Compartment Distal Tendon of the Biceps Brachii Lateral Compartment Common Extensor Tendon Radial-Humeral Joint Medial Compartment Common Flexor Tendon Posterior Compartment Triceps Brachii Muscle and Tendon Olecranon Fossa and Posterior Olecranon Recess 11 Treatment of Lateral Epicondylitis Essentials Etiology Epidemiology Clinical Presentation Diagnosis Treatment Options Interventional Procedure Indications Objective Equipment Our Procedure 12 Treatment of Medial Epicondylitis Essentials Etiology Untitled Clinical Presentation Diagnosis Treatment Options Interventional Procedure Indications Our Procedure Objective Equipment 13 Olecranon Bursa Drainage Essentials Epidemiology Etiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Our Procedure Objective Equipment 14 Intra-articular Injections Essentials Treatment Options Interventional Procedure Indications Objective Equipment Our Procedure Part III The Wrist 15 The Wrist: Focused US Anatomy and Examination Technique Extensor Tendons Carpal Joints 16 Treament of De Quervain’s Disease and Other Forms of Tenosynovitis Essentials Epidemiology Etiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Objective Equipment Our Procedure Other Forms of Tenosynovitis of the Dorsal Compartments 17 Articular Ganglia Drainage Essentials Epidemiology Etiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Our Procedure Objective Equipment 18 Trapeziometacarpal Joint Injection Essentials Epidemiology Etiology Clinical Presentation Ultrasound Diagnosis Treatment Options Interventional Procedure Indications Objective Our Procedure Equipment 19 Radiocarpal Joint Injections Indications Equipment Our Procedure Part IV The Hand 20 The Hand: Focused US Anatomy and Examination Technique Flexor Digitorum Tendons Metacarpophalangeal and Interphalangeal Joints 21 Treatment of Trigger Finger Essentials Etiology Epidemiology Clinical Presentation Ultrasound Diagnosis Alternative Treatments Interventional Procedure Indications Objective Equipment Our Procedure 22 Intra-articular Injections: Metacarpophalangeal and Interphalangeal Joints Essentials Interventional Procedures Indications Objective Equipment Our Procedure Suggested Reading General Aspects The Shoulder The Elbow The Wrist The Hand