MENU ▼
Read by QxMD icon Read
search
OPEN IN READ APP
JOURNAL ARTICLE

Accuracy of ultrasound guided injections in the foot and ankle

John S Reach, Mark E Easley, Bavornrit Chuckpaiwong, James A Nunley
Foot & Ankle International 2009, 30 (3): 239-42
19321101

BACKGROUND: Ultrasonography is an emerging imaging modality which affords dynamic, real-time, cost-effective and surgeon controlled visualization of the foot and ankle. The purpose of this study was to evaluate the accuracy of ultrasound guided injections for common injection sites in the foot and ankle.

MATERIALS AND METHODS: In 10 fresh cadaver feet, ultrasound guidance was utilized to inject a methylene blue-saline mixture into (1) the first MTP joint, (2) the second MTP joint, (3) the tibiotalar joint, (4) the Achilles peritendinous space, (5) the flexor hallucis longus sheath, (6) the posterior tibial tendon sheath, and (7) the subtalar joint. Dissection was then undertaken to assess injection accuracy.

RESULTS: Ultrasound guidance allowed the avoidance of intervening neurovascular and tendinous structures. Ultrasound guided MTP, ankle, Achilles, PTT and FHL peritendinous injections were 100% accurate. Ultrasound guided subtalar injection was 90% accurate.

CONCLUSION: Ultrasound appears to be a highly accurate method of localizing injections into a variety of locations in the foot and ankle.

CLINICAL RELEVANCE: Ultrasound's ability to display soft-tissue structures may be an advantage over blind injection and fluoroscopic injection techniques.

Comments

You need to log in or sign up for an account to be able to comment.

No comments yet, be the first to post one!

Related Papers

Available on the App Store

Available on the Play Store
Remove bar
Read by QxMD icon Read
19321101
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"