Jose Jean, Mirpuri Tarun, Lesniak Bryson, Kaplan Lee
Departmenst of Radiology (JJ, TM), Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FloridaOrthopedics (BL, LK), Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida
Departmenst of Radiology (JJ, TM), Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FloridaOrthopedics (BL, LK), Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida.
Foot Ankle Spec. 2014 Oct;7(5):409-13. doi: 10.1177/1938640014543363. Epub 2014 Aug 5.
We describe a sonographically guided technique to perform therapeutic injections for anteromedial ankle impingement syndrome. Scans are carried out using a high-frequency small footprint linear array transducer, positioned along the anteromedial aspect of the tibiotalar joint. A 25 gauge needle is advanced under direct sonographic guidance into the "meniscoid lesion" (area of scarring), and a standardized therapeutic mixture is injected extra-articularly. Image-guided injections have a positive influence on clinical decision making by improving patient management, increasing the accuracy of diagnosis, and decreasing patient pain. Sonography allows confirmation of correct injection placement, resulting in increased accuracy and more successful patient outcomes.
Therapeutic, Level V, Expert Opinion.
我们描述了一种超声引导技术，用于对踝关节前内侧撞击综合征进行治疗性注射。使用高频小足迹线性阵列换能器进行扫描，该换能器沿胫距关节的前内侧放置。在超声直接引导下，将一根25号针头推进到“半月板样病变”（瘢痕形成区域），并在关节外注射标准化治疗混合物。图像引导注射通过改善患者管理、提高诊断准确性和减轻患者疼痛，对临床决策产生积极影响。超声检查可确认注射位置正确，从而提高准确性并使患者获得更成功的治疗结果。
治疗性，V级，专家意见。
