美国运动医学医学会立场声明：运动医学中的介入性肌肉骨骼超声

American Medical Society for Sports Medicine position statement: interventional musculoskeletal ultrasound in sports medicine.

作者信息

Finnoff Jonathan T, Hall Mederic M, Adams Erik, Berkoff David, Concoff Andrew L, Dexter William, Smith Jay

机构信息

*Department of Physical Medicine and Rehabilitation, University of California Davis School of Medicine, Sacramento, California; †Mayo Clinic Sports Medicine Center, Department of Physical Medicine and Rehabilitation, Mayo Clinic School of Medicine, Rochester, Minnesota; ‡Department of Orthopedics and Rehabilitation, Department of Family Medicine, University of Iowa Sports Medicine, Iowa City, Iowa; §Midwest Sports Medicine Institute, Middleton, Wisconsin; ¶Department of Orthopaedics and Emergency Medicine, University of North Carolina Chapel Hill, Chapel Hill, North Carolina; ‖Outpatient Musculoskeletal Rehabilitation, St. Jude Medical Center, Fullerton, California; **Department of Family Medicine, Division of Sports Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California; ††Maine Medical Center, Portland, Maine; ‡‡Department of Family Medicine, Tufts University School of Medicine, Boston, Massachusetts; §§Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine, Mayo Clinic Sports Medicine Center, Rochester, Minnesota; and ¶¶Department of Radiology, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota.

出版信息

Clin J Sport Med. 2015 Jan;25(1):6-22. doi: 10.1097/JSM.0000000000000175.

DOI:10.1097/JSM.0000000000000175

PMID:25536481

Abstract

The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilization is by nonradiologists. In sports medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases, and hydrodissections. This American Medical Society for Sports Medicine (AMSSM) position statement critically reviews the literature and evaluates the accuracy, efficacy, and cost-effectiveness of ultrasound-guided injections in major, intermediate, and small joints, and soft tissues, all of which are commonly performed in sports medicine. New ultrasound-guided procedures and future trends are also briefly discussed. Based on the evidence, the official AMSSM position relevant to each subject is made.

摘要

在过去十年中，诊断性和介入性超声的使用显著增加。使用量增加的大部分是由非放射科医生完成的。在运动医学中，超声常被用于引导诸如抽吸、诊断性或治疗性注射、肌腱切断术、松解术和水分离术等干预操作。本美国运动医学学会（AMSSM）立场声明对相关文献进行了批判性综述，并评估了超声引导下在大关节、中关节和小关节以及软组织中注射的准确性、有效性和成本效益，这些操作在运动医学中都很常见。还简要讨论了新的超声引导程序和未来趋势。基于这些证据，得出了AMSSM与每个主题相关的官方立场。