Sonographically guided posteromedial approach for intra-articular knee injections: a safe, accurate, and efficient method

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Jonathan Tresley, Jean Jose

Abstract

Osteoarthritis of the knee can be a debilitating and extremely painful condition. In patients who desire to postpone knee arthroplasty or in those who are not surgical candidates, percutaneous knee injection therapies have the potential to reduce pain and swelling, maintain joint mobility, and minimize disability. Published studies cite poor accuracy of intra-articular knee joint injections without imaging guidance. We present a sonographically guided posteromedial approach to intra-articular knee joint injections with 100% accuracy and no complications in a consecutive series of 67 patients undergoing subsequent computed tomographic or magnetic resonance arthrography. Although many other standard approaches are available, a posteromedial intra-articular technique is particularly useful in patients with a large body habitus and theoretically allows for simultaneous aspiration of Baker cysts with a single sterile preparation and without changing the patient's position. The posteromedial technique described in this paper is not compared or deemed superior to other standard approaches but, rather, is presented as a potentially safe and efficient alternative.

References

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Citations

Jan 23, 2016·Seminars in Arthritis and Rheumatism·Tao WuJian Hua Li
Jun 16, 2016·The British Journal of Radiology·Antonio BarileCarlo Masciocchi
Jul 30, 2016·Physical Medicine and Rehabilitation Clinics of North America·Daniel R LuedersJacob L Sellon
May 10, 2017·Ultrasound Quarterly·Francisco A Chagas-NetoMarcello H Nogueira-Barbosa

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