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Sonographically guided procedures in rheumatology.
W Grassi1, A Farina, E Filippucci
1Department of Rheumatology, University of Ancona, Italy. reuman@popcsiunian.it
Seminars in Arthritis and Rheumatism
|April 17, 2001
Summary
Sonographically guided injections offer a reliable method for treating joint inflammation, especially for small or deep fluid collections. This technique enhances accuracy and safety in procedures like arthrocentesis and intralesional injections for conditions such as arthritis.
Area of Science:
- Musculoskeletal imaging
- Interventional procedures
- Rheumatology
Background:
- Advancements in ultrasonography have expanded its clinical applications.
- Sonographic guidance is increasingly utilized for therapeutic interventions.
Purpose of the Study:
- To illustrate sonographically guided arthrocentesis and intralesional injection therapy.
- To demonstrate the utility of ultrasound in rheumatologic procedures.
Main Methods:
- High-frequency linear (13 MHz) and mechanical sector (20 MHz) transducers were employed for sonographic evaluation.
- Procedures were performed on patients with rheumatoid arthritis and posttraumatic subacromial bursitis.
Main Results:
- Sonographically guided intralesional injection is a rapid and reliable procedure for arthritis, tenosynovitis, and bursitis.
- Continuous sonographic monitoring allows precise needle placement.
- Guidance is particularly beneficial for small, deep fluid collections or when near critical structures.
Conclusions:
- Technological advancements in ultrasonography have broadened the scope of sonographically guided procedures.
- The simplicity and reliability of sonography suggest that rheumatologists could benefit from specialized training.