Learning objectives
To be able to recognize the most frequent diseases of musculoskeletal pathology that can be treated on site by ultrasound guided procedures.
To know the exact indication of treatment.
To be familiar with the interventional technique itself and the drugs that are commonly used.
To be awareof the possible complications,
prevention and treatment.
Background
Given the increasing number of ultrasound scans that we perform in musculoskeletal radiology and the possibility of symptomatic relief by minimal invasive treatment we will propose a number of the most frequent affection,
that can be seen on US and properly treated on site using US guidance.
Amongthe procedures that can be performed under ultrasonographic guidance we can include: biopsies; abscesses,
bursitis,
hematomas or muscle tears drainage; treatment of cystic lesions; diagnostic or therapeutic arthrocentesis; injection ofsubstances into joints or lesions.
Although some of these...
Imaging findings OR Procedure Details
The general REQUIREMENTS for interventional procedures are common for the most of them:
Informed consent: we must inform the patient or his representative about the purpose of the procedure,
explain the technique and possible complications.
The patient must accept the procedure and sign the document whenever possible.
Adequate coagulation values to avoid bleeding.
Accessible compression point
Enough coagulation
INR <1.5
Platelets> 60000
Prothrombin time
Suspend anticoagulant or antiaggregant treatments under medical supervision.
Procedure planning:
Assess other examinations provided by the patient.
Correct choice of the...
Conclusion
Given its low cost,
safety,
accessibility,
speed and efficiency we should include basic ultrasoundguided interventional procedures in diagnostic musculoskeletalUS rooms.
Interventionist skills development will allow us to solve many of the most frequent musculoskeletal pathology improving life quality of patients and relieving the workload of traumatologists and rehabilitators.