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Musculoskeletal ultrasound for interventional physiatry

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Abstract
More and more physiatrists are interested in learning how to use musculoskeletal ultrasonography in their clinical practice. The possibility of high resolution, dynamic, comparative and repeatable imaging makes it an important diagnostic tool for soft tissue pathology. There is also growing interest to use sonography for guiding interventions such as aspirations and infiltrations. In daily practice these are often done blindly or palpation-guided. To improve the accuracy of interventions, fluoroscopy or computed tomography were traditionally used for guidance. Since sonography is non-ionizing, readily available and relatively low cost, it has become the first choice to guide many musculoskeletal interventions. Ultrasound allows real-time imaging of target and needle as well as surrounding vulnerable structures such as vessels and nerves. Many different techniques are proposed in the literature. Interventions under ultrasound guidance have been proven to be more accurate than unguided ones. Further studies are required to prove better clinical results and fewer complications. Infection is the most dreaded complication. This review wants to highlight technical aspects of ultrasound guidance of interventions and give a survey of different interventions that have been introduced, with emphasis on applications in Physical Medicine and Rehabilitation. Results and complications are discussed. Finally training requirements and modalities are presented.
Keywords
Rehabilitation, Ultrasonography, Physical medicine, Ultrasonography, interventional, Intervention, GUIDED INJECTION TECHNIQUES, THORACIC OUTLET SYNDROME, BOTULINUM-TOXIN-A, CEREBRAL-PALSY, NEEDLE PLACEMENT, REHABILITATION-MEDICINE, INFLAMMATORY ARTHRITIS, RHEUMATOID-ARTHRITIS, ACHILLES TENDINOSIS, JOINT INJECTION

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Citation

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MLA
De Muynck, Martine, Thierry Parlevliet, Kevin De Cock, et al. “Musculoskeletal Ultrasound for Interventional Physiatry.” EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE 48.4 (2012): 675–687. Print.
APA
De Muynck, Martine, Parlevliet, T., De Cock, K., Vanden Bossche, L., Vanderstraeten, G., & Özçakar, L. (2012). Musculoskeletal ultrasound for interventional physiatry. EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE, 48(4), 675–687.
Chicago author-date
De Muynck, Martine, Thierry Parlevliet, Kevin De Cock, Luc Vanden Bossche, Guy Vanderstraeten, and L Özçakar. 2012. “Musculoskeletal Ultrasound for Interventional Physiatry.” European Journal of Physical and Rehabilitation Medicine 48 (4): 675–687.
Chicago author-date (all authors)
De Muynck, Martine, Thierry Parlevliet, Kevin De Cock, Luc Vanden Bossche, Guy Vanderstraeten, and L Özçakar. 2012. “Musculoskeletal Ultrasound for Interventional Physiatry.” European Journal of Physical and Rehabilitation Medicine 48 (4): 675–687.
Vancouver
1.
De Muynck M, Parlevliet T, De Cock K, Vanden Bossche L, Vanderstraeten G, Özçakar L. Musculoskeletal ultrasound for interventional physiatry. EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE. 2012;48(4):675–87.
IEEE
[1]
M. De Muynck, T. Parlevliet, K. De Cock, L. Vanden Bossche, G. Vanderstraeten, and L. Özçakar, “Musculoskeletal ultrasound for interventional physiatry,” EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE, vol. 48, no. 4, pp. 675–687, 2012.
@article{4260549,
  abstract     = {More and more physiatrists are interested in learning how to use musculoskeletal ultrasonography in their clinical practice. The possibility of high resolution, dynamic, comparative and repeatable imaging makes it an important diagnostic tool for soft tissue pathology. There is also growing interest to use sonography for guiding interventions such as aspirations and infiltrations. In daily practice these are often done blindly or palpation-guided. To improve the accuracy of interventions, fluoroscopy or computed tomography were traditionally used for guidance. Since sonography is non-ionizing, readily available and relatively low cost, it has become the first choice to guide many musculoskeletal interventions. Ultrasound allows real-time imaging of target and needle as well as surrounding vulnerable structures such as vessels and nerves. Many different techniques are proposed in the literature. Interventions under ultrasound guidance have been proven to be more accurate than unguided ones. Further studies are required to prove better clinical results and fewer complications. Infection is the most dreaded complication. This review wants to highlight technical aspects of ultrasound guidance of interventions and give a survey of different interventions that have been introduced, with emphasis on applications in Physical Medicine and Rehabilitation. Results and complications are discussed. Finally training requirements and modalities are presented.},
  author       = {De Muynck, Martine and Parlevliet, Thierry and De Cock, Kevin and Vanden Bossche, Luc and Vanderstraeten, Guy and Özçakar, L},
  issn         = {1973-9087},
  journal      = {EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE},
  keywords     = {Rehabilitation,Ultrasonography,Physical medicine,Ultrasonography,interventional,Intervention,GUIDED INJECTION TECHNIQUES,THORACIC OUTLET SYNDROME,BOTULINUM-TOXIN-A,CEREBRAL-PALSY,NEEDLE PLACEMENT,REHABILITATION-MEDICINE,INFLAMMATORY ARTHRITIS,RHEUMATOID-ARTHRITIS,ACHILLES TENDINOSIS,JOINT INJECTION},
  language     = {eng},
  number       = {4},
  pages        = {675--687},
  title        = {Musculoskeletal ultrasound for interventional physiatry},
  volume       = {48},
  year         = {2012},
}

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