Barile Antonio, La Marra Alice, Arrigoni Francesco, Mariani Silvia, Zugaro Luigi, Splendiani Alessandra, Di Cesare Ernesto, Reginelli Alfonso, Zappia Marcello, Brunese Luca, Duka Ejona, Carrafiello Giampaolo, Masciocchi Carlo
1 Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
2 Department of Internal and Experimental Medicine, Magrassi-Lanzara, Institute of Radiology, Second University of Naples, Naples, Italy.
Br J Radiol. 2016 Sep;89(1065):20150355. doi: 10.1259/bjr.20150355. Epub 2016 Jul 7.
This review aims to evaluate the role of anaesthetics, steroids and platelet-rich plasma (PRP) employed with ultrasound-guided injection in the management of musculoskeletal pathology of the extremities. Ultrasound-guided injection represents an interesting and minimally invasive solution for the treatment of tendon and joint inflammatory or degenerative diseases. The availability of a variety of new drugs such as hyaluronic acid and PRP provides expansion of the indications and therapeutic possibilities. The clinical results obtained in terms of pain reduction and functional recovery suggest that the use of infiltrative procedures can be a good therapeutic alternative in degenerative and inflammatory joint diseases.
本综述旨在评估麻醉剂、类固醇和富血小板血浆(PRP)在超声引导下注射用于治疗四肢肌肉骨骼疾病中的作用。超声引导下注射是治疗肌腱和关节炎症或退行性疾病的一种有趣且微创的解决方案。透明质酸和PRP等多种新药的出现扩大了适应症和治疗可能性。在减轻疼痛和功能恢复方面取得的临床结果表明,浸润性治疗方法在退行性和炎症性关节疾病中可能是一种很好的治疗选择。