Ultrasound-guided interventions of the upper extremity joints.

Content Provider	Europe PMC
Author	Patel, Rina P. McGill, Kevin Motamedi, Daria Morgan, Tara
Abstract	AbstractUltrasound guidance is valuable for performing precise joint interventions. Joint interventions may be requested for therapeutic and diagnostic pain injections, joint aspiration in the setting of suspected infection, or contrast injection for arthrography. In practice, interventions of the shoulder girdle, elbow, and hand/wrist joints may be performed without any imaging guidance. However, imaging guidance results in more accurate interventions and better patient outcomes than those performed by palpation alone. When compared to other modalities used for imaging guidance, ultrasound has many potential advantages. Radiologists should be prepared to perform ultrasound-guided upper extremity joint interventions utilizing recommended techniques to optimize clinical practice and patient outcomes.Key points1. Ultrasound-guided injections of the glenohumeral, acromioclavicular, sternoclavicular, elbow, and hand/wrist joints have higher accuracy than injections performed without imaging guidance.2. Ultrasound-guided aspirations of upper extremity joints have advantages to fluoroscopic-guided aspirations because of the potential to identify effusions, soft tissue abscess, or bursitis.3. Ultrasound-guided contrast injection prior to MR arthrography is as accurate as fluoroscopic-guided injection for upper extremity joints.
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ISSN	03642348
Journal	Skeletal Radiology [Skeletal Radiol]
Volume Number	52
DOI	10.1007/s00256-022-04148-9
PubMed Central reference number	PMC10027633
Issue Number	5
PubMed reference number	35962837
e-ISSN	14322161
Language	English
Publisher	Springer Berlin Heidelberg
Publisher Date	2022-08-13
Publisher Place	Berlin/Heidelberg
Access Restriction	Open
Rights License	Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. © The Author(s) 2022
Subject Keyword	Glenohumeral joint Acromioclavicular joint Sternoclavicular joint Elbow joint Radiocarpal joint Trapeziometacarpal joint Ultrasound Corticosteroid injection Arthrography Aspiration
Content Type	Text
Resource Type	Article
Subject	Radiology, Nuclear Medicine and Imaging