Advertisement

Large Joint Injections

  • Yasmine Hoydonckx
  • Philip Peng
Chapter

Abstract

Pain originating from the musculoskeletal system is one of the major causes worldwide of disability. Osteoarthritis is the most common joint disorder in the United States and the leading cause of disability in the elderly. Conventionally, joint injections have been performed with landmark or fluoroscopy guidance. With emerging popularity of the application of ultrasound in pain medicine, joint injections under ultrasound guidance have become more popular and well established. The anatomy and sonoanatomy relevant to injections of shoulder, hip, and knee joint are described in this chapter, as well as the practical aspects.

Keywords

Joint injection Osteoarthritis Ultrasound-guided Shoulder Knee Hip Glenohumeral joint Acromioclavicular joint Intra-articular knee injection Suprapatellar bursa Intra-articular hip injection Efficacy 

Recommended Reading

  1. 1.
    Buttaci CJ, Stitik TP, Yonclas PP, Foye PM. Osteoarthritis of the acromioclavicular joint: a review of anatomy, biomechanics, diagnosis, and treatment. Am J Phys Med Rehabil. 2004;83(10):791–7.CrossRefGoogle Scholar
  2. 2.
    Felson DT. Intra-articular corticosteroids and knee osteoarthritis: interpreting different meta-analyses. JAMA. 2016;316(24):2607–8.CrossRefGoogle Scholar
  3. 3.
    Peng PW. Ultrasound-guided interventional procedures in pain medicine: a review of anatomy, sonoanatomy, and procedures. Part IV: hip. Reg Anesth Pain Med. 2013;38(4):264–73.CrossRefGoogle Scholar
  4. 4.
    Peng PW. Ultrasound guided musculoskeletal injections – shoulder, hip and knee. In: Benzon, editor. Essentials of pain medicine. 4th ed. New York/Heidelberg/Dordrecht/London: Springer; 2017.Google Scholar
  5. 5.
    Peng PW, Cheng P. Ultrasound-guided interventional procedures in pain medicine: a review of anatomy, sonoanatomy, and procedures. Part III: shoulder. Reg Anesth Pain Med. 2011;36(6):592–605.CrossRefGoogle Scholar
  6. 6.
    Peng PW, Shankar H. Ultrasound-guided interventional procedures in pain medicine: a review of anatomy, sonoanatomy, and procedures. Part V: knee joint. Reg Anesth Pain Med. 2014;39(5):368–80.CrossRefGoogle Scholar
  7. 7.
    Shaffer BS. Painful conditions of the acromioclavicular joint. J Am Acad Orthop Surg. 1999;7(3):176–88.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Yasmine Hoydonckx
    • 1
  • Philip Peng
    • 1
  1. 1.Department of AnesthesiaToronto Western HospitalTorontoCanada

Personalised recommendations