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Ultrasound-guided Transthoracic Intramyocardial Injection in Mice

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Existing Evidence on Ultrasound-Guided Injections in Sports Medicine.

Eldra W Daniels¹, David Cole¹, Bret Jacobs²

¹Department of Family Community Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA.

Orthopaedic Journal of Sports Medicine

|March 8, 2018

Summary

Ultrasound-guided injections improve accuracy for many joint and soft tissue procedures compared to traditional methods. Further research is needed to confirm benefits in all anatomical locations.

Keywords:

joint injection musculoskeletal ultrasonography osteoarthritis sports medicine tendinopathy ultrasound-guided injection

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Area of Science:

Musculoskeletal Medicine
Radiology
Interventional Procedures

Background:

Office-based ultrasonography use for guiding joint and soft tissue injections is increasing.
A growing body of literature evaluates ultrasound-guided versus landmark-guided injections.

Purpose of the Study:

To conduct a comprehensive literature review on the accuracy of ultrasound-guided injections.
To compare the efficacy of ultrasound-guided injections with landmark-guided injections across various anatomical locations.

Main Methods:

Systematic review of existing studies comparing ultrasound-guided and landmark-guided injections.
Analysis of data based on anatomical region (upper extremity, lower extremity, hip).

Main Results:

Ultrasound guidance demonstrated superior accuracy and efficacy for injections in the upper extremity (glenohumeral joint, subacromial space, biceps tendon sheath, hand/wrist joints) and lower extremity (knee, ankle, foot).
Efficacy was not definitively improved for acromioclavicular or elbow joint injections.
Evidence for hip joint injections remains inconclusive.

Conclusions:

Ultrasound-guided injections are generally more accurate than landmark-guided injections.
While showing promise for improved efficacy and cost-effectiveness in many cases, further research is necessary due to study limitations.