Ultrasound Versus Anatomic Guidance for Intra-articular and Periarticular Injection: A Systematic Review

Gilliland, Charles A.; Salazar, Luis; Borchers, James

doi:10.3810/psm.2011.09.1928

Cited by 83 publications

(46 citation statements)

References 26 publications

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“…Although there are few absolute indications for the performance of ultrasound-guided interventional procedures, studies have clearly demonstrated that needle placement is more accurate with image guidance, specifically ultrasound, when compared to anatomical landmark or unguided techniques at a variety of anatomical locations [8][9][10][11][12][13]. The data are conflicting whether this translates into improved clinical efficacy [9,[14][15][16].…”

Section: Indications and Specifications For Ultrasound Guided Proceduresmentioning

confidence: 93%

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Musculoskeletal Ultrasound in Physical Medicine and Rehabilitation

Deimel

Jelsing

Hall

2013

Curr Phys Med Rehabil Rep

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Section: Indications and Specifications For Ultrasound Guided Proceduresmentioning

confidence: 93%

“…The data are conflicting whether this translates into improved clinical efficacy [9,[14][15][16]. Cost-effectiveness has also become an essential part of the equation when assessing the clinical utility of procedures and tests.…”

Section: Indications and Specifications For Ultrasound Guided Proceduresmentioning

confidence: 99%

Musculoskeletal Ultrasound in Physical Medicine and Rehabilitation

Deimel

Jelsing

Hall

2013

Curr Phys Med Rehabil Rep

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“…26 In a systematic review, investigators reported a significant clinical response in a short-term follow-up using US guided injection compared to blind injections regardless of the anatomic site. 13 Considering this discrepancy, a review article that was published in 2013 concluded that more studies are needed to prove the possible priority of US guided injections in clinical efficacy. 20 However, patients in some of these studies were not blinded to the injection technique and this later became the source of criticism of these studies.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6][7][8] Even so, the usefulness of ultrasonography (US) in intra-structural injection and its possible effect on improving the clinical outcomes have been assessed in a few studies, and the consequent results have demonstrated significant discrepancy. [9][10][11][12][13] The available data involving hyaloronic acid is even more restricted compared to corticosteroids.…”

Section: Introductionmentioning

confidence: 99%

A randomized blinded comparative study of clinical response to surface anatomy guided injection versus sonography guided injection of hyaloronic acid in patients with primary knee osteoarthritis

et al. 2017

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Background and aimComparison between the effect of sonographic guided and blind knee injection of hyaluronic acid has been evaluated in this study.Methods and materialsSixty‐one patients with primary knee osteoarthritis were randomly allocated into two groups and received intrabursal injection of hyaloronic acid over 3 weeks. The difference between baseline amounts of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score and visual analogue scale (VAS) score and these amounts after 6 and 12 weeks were calculated and subsequently compared between the two groups.ResultsAmong all scores and indices, WOMAC pain and function subscales changed significantly (both in the short‐term and long‐term follow‐up). The mean differences of WOMAC subscale pain in those who had received intra‐articular injection under the guidance of sonography were significantly higher than those in patients who had received blind injections after 6 and 12 weeks. The mean differences of WOMAC subscale function in those who had received ultrasonography guided intra‐articular injection were significantly higher than those in patients, who had received blind injections after 6 and 12 weeks. The mean in differences of the 10‐cm VAS (both at rest and after 50‐feet walk) in the two groups was statistically significant after 6 weeks, but did not remain significant after 12 weeks.ConclusionApplication of sonography might improve the response of patients to intra‐articular injection of hyaloronic acid, at least in certain clinical indices.

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“…Ultrasound guidance of intra-articular joint injections (mainly the knee joint) improves needle placement and injection accuracy in comparison with palpation/anatomic landmark techniques, which improves patient-reported clinical outcomes and cost-effectiveness [23,24]. Ultrasoundguided interventional procedures for patients with chronic pelvic pain (e.g., pudendal neuralgia, piriformis syndrome, and "border nerve" syndrome) were also reported [25].…”

Section: Neuraxial and Chronic Pain Proceduresmentioning

confidence: 99%

Lung Ultrasound in the Critically Ill

Cho

2017

Korean J Crit Care Med

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Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine. Anesthesiologists encounter a variety of emergent situations and may benefit from the application of such a rapid and accurate diagnostic tool in their routine practice. This paper reviews current and potential applications of ultrasound in anesthesiology in order to encourage anesthesiologists to learn and use this useful tool as an adjunct to physical examination. Ultrasound-guided peripheral nerve blockade and vascular access represent the most popular ultrasound applications in anesthesiology. Ultrasound has recently started to substitute for CT scans and fluoroscopy in many pain treatment procedures. Although the application of airway ultrasound is still limited, it has a promising future. Lung ultrasound is a well-established field in point-of-care medicine, and it could have a great impact if utilized in our ORs, as it may help in rapid and accurate diagnosis in many emergent situations. Optic nerve sheath diameter (ONSD) measurement and transcranial color coded duplex (TCCD) are relatively new neuroimaging modalities, which assess intracranial pressure and cerebral blood flow. Gastric ultrasound can be used for assessment of gastric content and diagnosis of full stomach. Focused transthoracic (TTE) and transesophageal (TEE) echocardiography facilitate the assessment of left and right ventricular function, cardiac valve abnormalities, and volume status as well as guiding cardiac resuscitation. Thus, there are multiple potential areas where ultrasound can play a significant role in guiding otherwise blind and invasive interventions, diagnosing critical conditions, and assessing for possible anatomic variations that may lead to plan modification. We suggest that ultrasound training should be part of any anesthesiology training program curriculum.

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Ultrasound Versus Anatomic Guidance for Intra-articular and Periarticular Injection: A Systematic Review

Cited by 83 publications

References 26 publications

Musculoskeletal Ultrasound in Physical Medicine and Rehabilitation

Musculoskeletal Ultrasound in Physical Medicine and Rehabilitation

A randomized blinded comparative study of clinical response to surface anatomy guided injection versus sonography guided injection of hyaloronic acid in patients with primary knee osteoarthritis

Lung Ultrasound in the Critically Ill

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