Therapeutic musculoskeletal ultrasound

Ultrasound is a unique, fast and precise method, without X-rays, to make a diagnosis and guide the interventions in different musculoskeletal treatment. It locates the lesion, control the trajectory of the needle towards the target and reduce the risk of complications. Any intervention must be justified and indicated following an ultrasound evaluation by the radiologist.

Treatment by injection of corticosteroids ( a mix of cortisone and long term anesthetic)

  • Bursa (a closed space that lubricates and supplies a gliding surface between the tissues of the body (muscles, tendons ...)
  • Sub acromial subdeltoid  bursa (shoulder)
  • Trochanteric bursa (hip)
  • Goosefoot bursa (knee)
  • Achilles bursa (ankle)
  • Olecranon Bursa (elboy

Peri-tendon

  • Epicondylitis (elboy)
  • Epitrochleitis (elboy)
  • Medius and minimus gluteal tendon (hip)
  • iliopsoas peritendinous injection (hip)
  • Semi-membranous (knee)

Tendon synovial sheath

  • Biceps tendon
  • Flexor and extensor tendons, hand, wrist, ankle and foot

Joints

  • Shoulder
  • Hip
  • Wrist and Hand
  • Ankle and foot
  • Acromioclavicular
  • sternoclavicular

Shoulder calcified tendinitis are treated by ultrasound guided aspiration for calcifications > 1cm

Puncture aspiration of cystic lesion with corticosteroid infiltration

  • Baker's cyst in the popliteal fossa of the knee
  • Ganglion cyst (mucoid cyst) (elbow, knee, foot, shoulder, wrist, toe, or finger)
  • Arthrosynovial cyst (wrist, ankle, knee...)
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