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Existing Evidence on Ultrasound-Guided Injections in Sports Medicine

Office-based ultrasonography has become increasingly available in many settings, and its use to guide joint and soft tissue injections has increased. Numerous studies have been conducted to evaluate the use of ultrasound-guided injections over traditional landmark-guided injections, with a rapid gro...

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Autores principales: Daniels, Eldra W., Cole, David, Jacobs, Bret, Phillips, Shawn F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
55
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826008/
https://www.ncbi.nlm.nih.gov/pubmed/29511701
http://dx.doi.org/10.1177/2325967118756576
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author Daniels, Eldra W.
Cole, David
Jacobs, Bret
Phillips, Shawn F.
author_facet Daniels, Eldra W.
Cole, David
Jacobs, Bret
Phillips, Shawn F.
author_sort Daniels, Eldra W.
collection PubMed
description Office-based ultrasonography has become increasingly available in many settings, and its use to guide joint and soft tissue injections has increased. Numerous studies have been conducted to evaluate the use of ultrasound-guided injections over traditional landmark-guided injections, with a rapid growth in the literature over the past few years. A comprehensive review of the literature was conducted to demonstrate increased accuracy of ultrasound-guided injections regardless of anatomic location. In the upper extremity, ultrasound-guided injections have been shown to provide superior benefit to landmark-guided injections at the glenohumeral joint, the subacromial space, the biceps tendon sheath, and the joints of the hand and wrist. Ultrasound-guided injections of the acromioclavicular and the elbow joints have not been shown to be more efficacious. In the lower extremity, ultrasound-guided injections at the knee, ankle, and foot have superior efficacy to landmark-guided injections. Conclusive evidence is not available regarding improved efficacy of ultrasound-guided injections of the hip, although landmark-guided injection is performed less commonly at the hip joint. Ultrasound-guided injections are overall more accurate than landmark-guided injections. While current studies indicate that ultrasound guidance improves efficacy and cost-effectiveness of many injections, these studies are limited and more research is needed.
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spelling pubmed-58260082018-03-06 Existing Evidence on Ultrasound-Guided Injections in Sports Medicine Daniels, Eldra W. Cole, David Jacobs, Bret Phillips, Shawn F. Orthop J Sports Med 55 Office-based ultrasonography has become increasingly available in many settings, and its use to guide joint and soft tissue injections has increased. Numerous studies have been conducted to evaluate the use of ultrasound-guided injections over traditional landmark-guided injections, with a rapid growth in the literature over the past few years. A comprehensive review of the literature was conducted to demonstrate increased accuracy of ultrasound-guided injections regardless of anatomic location. In the upper extremity, ultrasound-guided injections have been shown to provide superior benefit to landmark-guided injections at the glenohumeral joint, the subacromial space, the biceps tendon sheath, and the joints of the hand and wrist. Ultrasound-guided injections of the acromioclavicular and the elbow joints have not been shown to be more efficacious. In the lower extremity, ultrasound-guided injections at the knee, ankle, and foot have superior efficacy to landmark-guided injections. Conclusive evidence is not available regarding improved efficacy of ultrasound-guided injections of the hip, although landmark-guided injection is performed less commonly at the hip joint. Ultrasound-guided injections are overall more accurate than landmark-guided injections. While current studies indicate that ultrasound guidance improves efficacy and cost-effectiveness of many injections, these studies are limited and more research is needed. SAGE Publications 2018-02-22 /pmc/articles/PMC5826008/ /pubmed/29511701 http://dx.doi.org/10.1177/2325967118756576 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle 55
Daniels, Eldra W.
Cole, David
Jacobs, Bret
Phillips, Shawn F.
Existing Evidence on Ultrasound-Guided Injections in Sports Medicine
title Existing Evidence on Ultrasound-Guided Injections in Sports Medicine
title_full Existing Evidence on Ultrasound-Guided Injections in Sports Medicine
title_fullStr Existing Evidence on Ultrasound-Guided Injections in Sports Medicine
title_full_unstemmed Existing Evidence on Ultrasound-Guided Injections in Sports Medicine
title_short Existing Evidence on Ultrasound-Guided Injections in Sports Medicine
title_sort existing evidence on ultrasound-guided injections in sports medicine
topic 55
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826008/
https://www.ncbi.nlm.nih.gov/pubmed/29511701
http://dx.doi.org/10.1177/2325967118756576
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