Léonard de Vinci Medical Imaging Centre, Paris, France.
Diagn Interv Imaging. 2012 Sep;93(9):652-64. doi: 10.1016/j.diii.2012.07.007. Epub 2012 Aug 22.
In this case series, out of 823 ultrasound-guided injections carried out over a period of one and a half years, 60% were of the lower limb (LL). In the hip (61% of LL injections), the main indications were pathologies of the gluteal tendons and bursae (80%) and pathologies of periprosthetic soft tissue; in the knee (15% of LL punctures), these procedures were for cysts (51%), tendinopathies and bursopathies (18%), and joint aspirations (7%); in the calf, haematoma drainage; in the foot and the ankle (24% of LL punctures), Morton's neuroma (47%), tenosynovitis (22%), pathologies of the plantar fascia (13%), cysts (7%), joint aspirations (5%), and bursopathies. For each of these indications, we will detail the specific technique and equipment used, useful tips, and post-procedure care.
在这一系列病例中,在为期一年半的时间内进行了 823 次超声引导下注射,其中 60%为下肢(LL)。在髋关节(占下肢注射的 61%)中,主要适应症为臀肌腱和滑囊病变(80%)和人工关节周围软组织病变;在膝关节(占下肢穿刺的 15%)中,这些操作用于治疗囊肿(51%)、肌腱病和滑囊炎(18%)以及关节抽吸(7%);在小腿中,用于血肿引流;在足部和踝关节(占下肢穿刺的 24%)中,用于治疗 Morton 神经瘤(47%)、腱鞘炎(22%)、足底筋膜炎病变(13%)、囊肿(7%)、关节抽吸(5%)和滑囊炎。对于这些适应症中的每一种,我们将详细介绍所用的特定技术和设备、有用的技巧以及术后护理。