Ultrasound-guided joint injections for MR arthrography in pediatric patients: how we do it View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-03

AUTHORS

Jeffrey Otjen, Shawn E. Parnell, Sarah Menashe, Mahesh M. Thapa

ABSTRACT

In children, MR arthrography is typically performed using fluoroscopic guidance. This article explores the role of US-guided joint injections as an alternative for MR arthrography in children, discussing its advantages and disadvantages compared to standard methods. We describe techniques for performing US-guided injection of the shoulder, elbow, hip, knee, ankle and posterior subtalar joints, highlighting pertinent anatomy, routes of access and unique considerations for this modality in children. Written descriptions, images and links to video clips are used to illustrate proper arthrographic technique. We conclude that US provides effective guidance for intra-articular injection prior to MR arthrography, with the advantages of improved visualization of internal structures, reduced radiation exposure, convenience of performing the procedure portably and ease of performance. Although this paper does not address therapeutic steroid injections, these techniques could easily be translated for such purposes. We propose US guidance as a viable alternative to fluoroscopic technique for arthrography in children. More... »

PAGES

308-316

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00247-014-3212-9

DOI

http://dx.doi.org/10.1007/s00247-014-3212-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1030377590

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25726013


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