scholarly journals Ultrasound Guided Hip Injection Techniques

10.5772/27608 ◽  
2012 ◽  
Author(s):  
Micu Mihaela
Keyword(s):  
Ultrasound Guided ◽  
Injection Techniques ◽  
Hip Injection

scholarly journals Precise patient selection for hip arthroscopy using ultrasound-guided hip injection

2016 ◽  
Vol 6 ◽  
pp. 66
Author(s):  
Takuma Yamasaki ◽  
Susumu Hachisuka ◽  
Takeshi Shoji ◽  
Sotaro Izumi ◽  
Hiroaki Murakami ◽  
...  
Keyword(s):  
Patient Selection ◽  
Hip Arthroscopy ◽  
Ultrasound Guided ◽  
Selection For ◽  
Hip Injection

Comparison of two ultrasound-guided injection techniques targeting the sacroiliac joint region in equine cadavers

2016 ◽  
Vol 29 (05) ◽  
pp. 386-393 ◽  
Author(s):  
Chiara Bergamino ◽  
Ruth Sanders ◽  
Ursula Fogarty ◽  
Antonella Puggioni ◽  
Clodagh Kearney ◽  
...  
Keyword(s):  
Sacroiliac Joint ◽  
Ultra Sound ◽  
Needle Guidance ◽  
Sacroiliac Joints ◽  
Ultrasound Guided ◽  
Joint Region ◽  
Median Distance ◽  
Iodinated Contrast ◽  
Before And After ◽  
Injection Techniques

Summary Objectives: To compare the accuracy and distribution of injectate for cranial (CR) and caudomedial (CM) ultrasound-guided injections of equine sacroiliac joints. Methods: Both sacroiliac joints from 10 lumbo sacropelvic specimens were injected using cranial parasagittal (CR; curved 18 gauge, 25 cm spinal needles) and caudomedial (CM; straight 18 gauge, 15 cm spinal needles) ultrasound-guided approaches. Injectate consisted of 4 ml iodinated contrast and 2 ml methylene blue. Computed tomo-graphical (CT) scans were performed before and after injections. Time for needle guidance and repositioning attempts were recorded. The CT sequences were analysed for accuracy and distribution of contrast. Results: Intra-articular contrast was detected in sacroiliac joints following 15/40 injections. The CR and CM approaches deposited injectate ≤ 2 cm from sacroiliac joint margins following 17/20 and 20/20 injections, respectively. Median distance of closest contrast to the sacroiliac joint was 0.4 cm (interquartile range [IQR]: 1.5 cm) for CR approaches and 0.6 cm (IQR: 0.95 cm) for CM approaches. Cranial injections resulted in injectate contacting lumbosacral intertrans-verse joints 15/20 times. Caudomedial injections were perivascular 16/20 times. Limitations: Safety and efficacy could not be established. Clinical relevance: Cranial and CM ultra-sound-guided injections targeting sacroiliac joints were very accurate for periarticular injection, but accuracy was poor for intra- articular injection. Injectate was frequently found in contact with interosseous sacroiliac ligaments, as well as neurovascular and synovial structures in close vicinity of sacroiliac joints.

An Alternative Approach to the Ultrasound‐Guided Intra‐Articular Hip Injection

PM&R ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 104-106
Author(s):  
Byung Joo Lee ◽  
Hyunseok Moon ◽  
Jong Moon Hwang ◽  
Donghwi Park
Keyword(s):  
Ultrasound Guided ◽  
Alternative Approach ◽  
Hip Injection

Evaluation of the iPACK block injectate spread: a cadaveric study

2019 ◽  
Vol 44 (7) ◽  
pp. 689-694 ◽  
Author(s):  
John Tran ◽  
Laura Giron Arango ◽  
Philip Peng ◽  
Sanjay Kumar Sinha ◽  
Anne Agur ◽  
...  
Keyword(s):  
Cadaveric Study ◽  
Injection Technique ◽  
Blue Dye ◽  
Ultrasound Guided ◽  
Posterior Aspect ◽  
Anterior Branch ◽  
Injection Techniques ◽  
Posterior Division ◽  
Analgesic Technique ◽  
Posterior Knee

Background and objectivesUltrasound-guided infiltration of the interspace between the popliteal artery and capsule of the knee (iPACK) block, a new regional analgesic technique, is believed to relieve posterior knee pain, after total knee arthroplasty, by targeting the articular branches innervating posterior aspect of the joint. The extent of injectate spread and the number of articular branches affected is currently unknown. This cadaveric study aimed to compare the area of dye spread and frequency of articular branches staining following a proximal versus distal injection technique.MethodsAn ultrasound-guided iPACK injection (10 mL of methylene blue dye solution) was performed in 14 lightly embalmed specimens: 7 injected using a proximal injection technique (1 fingerbreadth above base of patella) and 7 using a distal injection technique (at the superior border of the femoral condyles). Following injection, dissection, digitization, and 3D modeling were performed to map the area of dye spread and determine the frequency of nerve staining.ResultsBoth injection techniques achieved a similar mean area of injectate spread. Of the four articular branches supplying the posterior knee joint capsule, the genicular branch of posterior division of obturator nerve was stained in all specimens. The proximal injection resulted in staining of superior medial genicular nerve, due to dye spread through the adductor hiatus, whereas superior lateral genicular nerve and anterior branch of common fibular nerve were consistently stained following distal injection. Other articular branches were stained with variable frequency.ConclusionsBoth proximal and distal iPACK injection techniques provided a similar area of dye spread in the popliteal region and extensive staining of the articular branches supplying the posterior capsule. The proximal injection technique promoted greater anteromedial dye spread, while the distal injection had more anterolateral spread. Further clinical study is required to confirm our cadaveric findings. 

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