Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
Department of Radiology, University of California, Davis, CA, USA.
Skeletal Radiol. 2023 May;52(5):967-978. doi: 10.1007/s00256-022-04153-y. Epub 2022 Aug 26.
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.
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。