Ultrasound-guided Musculoskeletal Procedures: The Lower Limb PDF
Preview Ultrasound-guided Musculoskeletal Procedures: The Lower Limb
Luca Maria Sconfi enza · Davide Orlandi Enzo Silvestri Editors Ultrasound-guided Musculoskeletal Procedures The Lower Limb 123 Ultrasound-guided Musculoskeletal Procedures Luca Maria Sconfi enza Davide Orlandi • E nzo Silvestri Editors Ultrasound-guided Musculoskeletal Procedures The Lower Limb Editors Luca Maria Sconfi enza Davide Orlandi Unit of Radiology Department of Internal Medicine IRCCS Policlinico San Donato Università degli studi di Genova San Donato Milanese, Milano Genova Italy Italy Department of Biomedical Sciences Enzo Silvestri for Health Ospedale Evangelico Internazionale Università degli Studi di Milano Unit of Radiology Milano Genova Italy Italy ISBN 978-88-470-5763-0 ISBN 978-88-470-5764-7 (eBook) DOI 10.1007/978-88-470-5764-7 Library of Congress Control Number: 2015947819 Springer Milan Heidelberg New York Dordrecht London © Springer-Verlag Italia 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag Italia Srl. is part of Springer Science+Business Media (www.springer.com) Foreword The success encountered by the previous book entitled U ltrasound-Guided Musculoskeletal Procedures: The Upper Limb witnessed the great interest of our colleagues for ultrasonography of the musculoskeletal system and for the related ultrasound-guided treatments. Thus, we propose this second book, devoted to ultrasound-guided procedures to treat common and less common pathology of the lower limb. S ome therapeutic procedures, such as hip viscosupplementation, received a great impulsion from the use of ultrasound guidance and currently represent one of the central procedures that can be used to treat hip osteoarthritis, mainly to delay total hip replacement. In the hip, ultrasound guidance is also very useful to treat periarticular pathologic conditions, such as gluteal, rectus femoris, and hamstring enthesopathy or iliopsoas bursitis. The knee has always been regarded as an “easy” joint that could be treated without any imaging guidance. However, ultrasound has been shown to improve needle placement accuracy, especially in obese people in whom ana- tomical references are poor, or in those patients affected by infl ammatory or degenerative disease, which need a highly targeted treatment. Compression neuropathies around the knee have also been addressed. I n the ankle, this book has been focused on the treatment of common dis- eases, such as plantar fasciitis, Morton’s neuroma, and periarticular ganglia, including the principal indications to treatment, the most convenient access routes, and the drugs to use. In conclusion, this book represents a comprehensive and practical guide to perform ultrasound-guided procedures of the musculoskeletal system in the lower limb, both for beginners, who want to learn the basic principles, and expert physicians, who want to implement new procedures in their clinical practice. The procedures here reported derive mostly from the long-lasting experience of our musculoskeletal interventional team and are only in small part derived from literature, as evidence on large samples still missing in some diseases. We also acknowledge the effort of our younger colleagues in this volume, whose invaluable contribution revealed to be an excellent asset. Pietra Ligure , Italy Giovanni Serafi ni , MD May 2015 v Contents 1 General Aspects of US-Guided Musculoskeletal Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Luca Maria Sconfi enza, Davide Orlandi, Carmelo Messina, and Enzo Silvestri Part I The Hip 2 The Hip: Focused Ultrasound Anatomy and Examination Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Emanuele Fabbro and Giulio Ferrero 3 Hip Intra-articular Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Emanuele Fabbro and Giulio Ferrero 4 Hip Insertional Tendinopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Giulio Ferrero, Emanuele Fabbro, and Angelo Corazza 5 Periarticular Fluid Collections . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Luca Maria Sconfi enza and Alice Arcidiacono 6 Bursitis and Cysts Around the Hip . . . . . . . . . . . . . . . . . . . . . . . 41 Davide Orlandi and Silvia Perugin Bernardi Part II The Knee 7 The Knee: Focused Ultrasound Anatomy and Examination Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Riccardo Sartoris and Angelo Corazza 8 Knee Intra-articular Injections . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Giovanni Serafi ni and Francesca Lacelli 9 Bursitis and Cysts Around the Knee . . . . . . . . . . . . . . . . . . . . . . 65 Angelo Corazza and Riccardo Sartoris 10 Patellar Tendinopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Davide Orlandi, Francesca Lacelli, and Giovanni Serafi ni vii viii Contents Part III The Ankle 11 The Ankle: Focused US Anatomy and Examination Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 Riccardo Sartoris and Angelo Corazza 12 Ankle Intra-articular Injections . . . . . . . . . . . . . . . . . . . . . . . . . 83 Angelo Corazza and Riccardo Sartoris 13 Achilles Tendinopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Davide Orlandi and Enzo Silvestri 14 Drainage of Articular Ganglia Around the Ankle . . . . . . . . . . . 91 Emanuele Fabbro and Giulio Ferrero 15 Deep Retrocalcaneal Bursa Injection . . . . . . . . . . . . . . . . . . . . . 95 Angelo Corazza and Silvia Perugin Bernardi 16 Treatment of Flexor and Extensor Tendon Sheath Tenosynovitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Riccardo Sartoris and Alice Arcidiacono Part IV The Foot 17 The Foot: Focused US Anatomy and Examination Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 Davide Orlandi and Francesca Lacelli 18 Plantar Fasciitis Dry-Needling Procedure . . . . . . . . . . . . . . . . . 107 Davide Orlandi and Luca Maria Sconfi enza 19 Treatment of Morton’s Neuroma and Intermetatarsal Bursitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Angelo Corazza and Riccardo Sartoris Contributors Alice Arcidiacono Postgraduate School in Radiodiagnostics , University of Genova, School of Medicine , Genova , Italy Angelo Corazza Postgraduate School in Radiodiagnostics , University of Genova, School of Medicine , Genova , Italy Emanuele Fabbro Unit of Radiology , Ospedale Santa Corona, ASL 2 Savonese , Pietra Ligure , Italy Giulio Ferrero Unit of Radiology , Ospedale Santa Corona, ASL 2 Savonese , Pietra Ligure , Italy Francesca Lacelli Unit of Radiology , Ospedale Santa Corona, ASL 2 Savonese , Pietra Ligure , Italy Carmelo Messina Postgraduate School in Radiodiagnostics , University of Milano, School of Medicine , Milano , Italy Davide Orlandi Department of Internal Medicine , University of Genova , Genova , Italy Silvia Perugin Bernardi Postgraduate School in Radiodiagnostics , University of Genoa, School of Medicine , Genova , Italy Riccardo Sartoris Postgraduate School in Radiodiagnostics , University of Genoa, School of Medicine , Genova , Italy Luca Maria Sconfi enza Unit of Radiology , IRCCS Policlinico San Donato , Milano , Italy Department of Biomedical Sciences for Health, University of Milano , Milano , Italy Giovanni Serafi ni Unit of Radiology , Ospedale Santa Corona, ASL 2 Savonese , Pietra Ligure , Italy Enzo Silvestri Unit of Radiology , Ospedale Evangelico Internazionale , Genova , Italy ix
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