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Sonographically Guided Knee Meniscus Injections: Feasibility, Techniques, and Validation.

Michael R Baria¹, Jacob L Sellon², Dan Lueders³

¹The Ohio State University Sports Medicine Center & Department of Physical Medicine and Rehabilitation, Columbus, OH(∗).

PM & R : the Journal of Injury, Function, and Rehabilitation

|January 18, 2017

Summary

Sonographically guided (SG) injections accurately delivered therapeutic agents into menisci in a cadaver study. This technique shows promise for treating meniscal tears with regenerative medicine.

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Published on: August 2, 2024

Area of Science:

Orthopedics
Regenerative Medicine
Medical Imaging

Background:

Growing interest in biologic agents (e.g., platelet-rich plasma, mesenchymal stem/stromal cells) for musculoskeletal injuries.
Meniscal tears are common injuries requiring effective treatment options.
Diagnostic ultrasound is established for evaluating meniscal tears, but therapeutic injection techniques are undescribed.

Purpose of the Study:

To describe and validate sonographically guided (SG) injection techniques.
To target the body and posterior horn of both medial and lateral menisci.
To assess the feasibility and safety of SG intrameniscal injections.

Main Methods:

Prospective cadaveric laboratory investigation using 5 knee-ankle-foot specimens.
An experienced operator performed SG injections using colored latex into menisci.
Dissection assessed latex distribution and iatrogenic injury to surrounding structures.

Main Results:

17 out of 20 (85%) injections were accurate.
No neurovascular or hyaline cartilage injury was observed.
Inaccurate injections involved incorrect localization within the meniscus or failure to inject.

Conclusions:

Sonographically guided (SG) intrameniscal injections are feasible.
The technique allows accurate and safe delivery of injectates into the meniscus.
Further research is warranted to explore SG intrameniscal injections for meniscal disorders.