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Musculoskeletal Ultrasonography in Rheumatic Diseases pp 339–385Cite as

Ultrasound-Guided Interventional Maneuvers

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Abstract

Musculoskeletal ultrasound (MSUS)-guided interventional maneuvers are an important aspect of our clinical practice. The continuously increasing interest in performing this kind of interventions is based on several advantages of the MSUS: substantial cost reduction (availability, applicability to the outpatients, immediate intervention possibility), higher accuracy in effusion aspiration and drug deposition with subsequent better efficacy and outcome. These advantages are doubled by a very good safety profile and reduction of incidental damage to adjacent neurovascular structures and other procedure-related complications. Indeed, the possibility to visualize the needle penetration in deep, complex, or postsurgical modified anatomical areas, tiny spaces as tendon sheaths, confers superiority in comparison to blind interventional maneuvers. This chapter provides information about the basic techniques of the MSUS-guided joints and periarticular structures aspiration, injections as well as biopsy together with an update of the therapeutic standards, indications/contraindications, efficacy, and safety profile of the methods.

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Authors and Affiliations

  1. Department of Rehabilitation II, Rheumatology Division, Rehabilitation Clinical Hospital Cluj-Napoca, Viilor str. No 46-50, 400306, Cluj-Napoca, Romania

    Mihaela C. Micu MD

  2. Department of Internal Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy, 2-4 Clinicilor, Cluj-Napoca, Romania

    Daniela Fodor MD, PhD

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  2. Daniela Fodor MD, PhD
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Correspondence to Mihaela C. Micu MD .

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  1. Department of Rheumatology, Darent Valley Hospital, Dartford, United Kingdom

    Yasser El Miedany

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© 2015 Springer International Publishing Switzerland

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Micu, M., Fodor, D. (2015). Ultrasound-Guided Interventional Maneuvers. In: El Miedany, Y. (eds) Musculoskeletal Ultrasonography in Rheumatic Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-15723-8_14

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  • DOI: https://doi.org/10.1007/978-3-319-15723-8_14

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  • Publisher Name: Springer, Cham

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