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超声引导下的滑囊注射。

Ultrasound-guided bursal injections.

机构信息

Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.

Department of Radiology, University of California, Davis, CA, USA.

出版信息

Skeletal Radiol. 2023 May;52(5):967-978. doi: 10.1007/s00256-022-04153-y. Epub 2022 Aug 26.

DOI:10.1007/s00256-022-04153-y
PMID:36008730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10027639/
Abstract

The native bursa is a structure lined by synovium located adjacent to a joint which may serve to decrease friction between the tendons and overlying bone or skin. This extra-articular structure can become inflamed resulting in bursitis. Steroid injections have proven to be an effective method of treating bursal pathology in various anatomic locations. Performing these procedures requires a thorough understanding of relevant anatomy, proper technique, and expected outcomes. Ultrasound is a useful tool for pre procedure diagnostic evaluation and optimizing needle position during these procedures while avoiding adjacent structures. The purpose of this article is to review core principles of ultrasound-guided musculoskeletal procedures involving bursae throughout the upper and lower extremities.

摘要

固有滑囊是一种由滑膜衬里的结构,位于毗邻关节的位置,其作用是减少肌腱和覆盖其上的骨骼或皮肤之间的摩擦。这种关节外结构可发生炎症,导致滑囊炎。类固醇注射已被证明是治疗各种解剖部位滑囊病变的有效方法。进行这些操作需要深入了解相关解剖结构、正确的技术和预期的结果。超声是术前诊断评估的有用工具,可在这些操作过程中优化针的位置,同时避免相邻结构。本文的目的是回顾超声引导的肌肉骨骼操作的核心原则,包括上肢和下肢的滑囊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/423a8daf2197/256_2022_4153_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/571376764153/256_2022_4153_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/afa0e252b31e/256_2022_4153_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/05d8a6484dad/256_2022_4153_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/d9426b1f1ddc/256_2022_4153_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/6d435d4dfe27/256_2022_4153_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/423a8daf2197/256_2022_4153_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/571376764153/256_2022_4153_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/afa0e252b31e/256_2022_4153_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/05d8a6484dad/256_2022_4153_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/d9426b1f1ddc/256_2022_4153_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/6d435d4dfe27/256_2022_4153_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb7/10027639/423a8daf2197/256_2022_4153_Fig6_HTML.jpg

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Malays Orthop J. 2020 Nov;14(3):32-41. doi: 10.5704/MOJ.2011.007.
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Dynamic ultrasound-guided trochanteric bursal injection.动态超声引导转子滑囊注射。
Skeletal Radiol. 2020 Jul;49(7):1155-1158. doi: 10.1007/s00256-020-03411-1. Epub 2020 Mar 31.
3
US-guided Musculoskeletal Interventions in the Hip with MRI and US Correlation.美国超声引导下的髋关节肌骨介入治疗:与 MRI 和 US 的对比
肌肉骨骼系统中的超声引导操作:实例说明性叙述性综述
Quant Imaging Med Surg. 2024 Nov 1;14(11):8028-8049. doi: 10.21037/qims-24-176. Epub 2024 May 27.
Radiographics. 2020 Jan-Feb;40(1):181-199. doi: 10.1148/rg.2020190094. Epub 2019 Nov 22.
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Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe.介入放射学会关于接受经皮影像引导介入治疗患者围手术期血栓形成和出血风险管理的共识指南 - 第二部分:建议:得到加拿大介入放射学会以及欧洲心血管和介入放射学会认可
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