From Harvard Medical School, Brigham and Women's Hospital (Dr. Chiodo), Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital (Dr. Logan), and Harvard Medical School, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Boston, MA (Dr. Blauwet).
J Am Acad Orthop Surg. 2018 Aug 1;26(15):e313-e320. doi: 10.5435/JAAOS-D-16-00762.
Orthopaedic surgeons frequently use aspirations and injections to both diagnose and treat disorders of the lower extremity. Comprehensive knowledge of regional anatomy, procedural indications, and appropriate techniques are essential. Clinicians must be well versed in a range of musculoskeletal aspiration and injection techniques, including patient positioning, equipment needs, injectable solutions, aspirate analysis, and potential complications. Safe and effective aspiration and injection techniques for the lower extremity, including the hip, knee, foot, and ankle, are reviewed. Image guidance modalities include fluoroscopy, ultrasonography, CT, and MRI.
骨科医生经常使用抽吸和注射来诊断和治疗下肢疾病。全面了解区域解剖学、操作适应证和适当的技术是至关重要的。临床医生必须精通各种肌肉骨骼抽吸和注射技术,包括患者体位、设备需求、可注射溶液、抽吸分析和潜在并发症。本文回顾了下肢(包括髋部、膝部、足部和踝部)安全有效的抽吸和注射技术。影像引导方式包括透视、超声、CT 和 MRI。