Adler Ronald S, Sofka Carolyn M
Weill Medical College of Cornell University, New York, New York, USA.
Ultrasound Q. 2003 Mar;19(1):3-12. doi: 10.1097/00013644-200303000-00002.
Ultrasound guidance is an accurate method for the delivery of therapeutic injections in the musculoskeletal system. The visualization of the needle in real time allows for reliable placement of the needle tip in the tendon sheath, bursa, or joint of interest. Both superficial and deep articulations and tendon sheaths can be targeted for diagnostic or therapeutic interventions. In addition, intratendinous calcifications, the plantar fascia, and interdigital (Morton's) neuromas can also be visualized and injected directly under real-time guidance. Performing percutaneous interventions with ultrasound ensures accurate needle tip placement and helps direct the needle away from other regional soft-tissue structures such as nearby neurovascular bundles.
超声引导是在肌肉骨骼系统中进行治疗性注射的一种准确方法。实时可视化针头可将针尖可靠地放置在感兴趣的腱鞘、滑囊或关节中。浅表和深部关节以及腱鞘均可作为诊断或治疗干预的目标。此外，肌腱内钙化、跖筋膜和指间（莫顿氏）神经瘤也可在实时引导下直接可视化并进行注射。使用超声进行经皮干预可确保准确放置针尖，并有助于将针头引导至远离其他局部软组织结构，如附近的神经血管束。
