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Significant advances have been achieved in musculoskeletal injection procedures during the past two decades, supported by the rapid development of imaging technology. However, these procedures require additional training and expertise not always provided in residency training programs. This comprehensive book covers diagnostic and therapeutic intra- and extra-articular injection procedures for all joints and musculoskeletal regions. Each procedure is explained step by step, with discussion of indications, anatomy, pre- and postprocedural medications, needles, radiological equipment, patient positioning, technique, and aftercare. Potential difficulties are identified and helpful tips and tricks, provided. The lucid text is supported by informative drawings, model photographs, and radiological images. This book will assist beginners in starting to carry out injections by providing clear, precise procedural instructions and guidance on equipment and medications.
This handbook is a practical, easy-to-use reference that offers step-by-step instruction on ultrasound-guided interventional procedures for treatment of musculoskeletal pain of the lower limb. Each chapter is clearly structured and starts by offering a brief but comprehensive description of the disease to be treated that covers aspects such as epidemiology, etiology, clinical presentation and ultrasound diagnosis. The equipment and drugs needed for each interventional procedure are listed and the procedure itself is then described in detail. Explanatory images and easy-to-read schemes ensure that the reader will be able to follow procedures without difficulty, and helpful practical tips and tricks are highlighted for use in daily clinical routine. This is the sister volume to the previously published Ultrasound-Guided Musculoskeletal Procedures: The Upper Limb from the same editors.
This open access book focuses on imaging of the musculoskeletal diseases. Over the last few years, there have been considerable advances in this area, driven by clinical as well as technological developments. The authors are all internationally renowned experts in their field. They are also excellent teachers, and provide didactically outstanding chapters. The book is disease-oriented and covers all relevant imaging modalities, with particular emphasis on magnetic resonance imaging. Important aspects of pediatric imaging are also included. IDKD books are completely re-written every four years. As a result, they offer a comprehensive review of the state of the art in imaging. The book is clearly structured with learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers easily navigate through the text. As an IDKD book, it is particularly valuable for general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic knowledge, and for clinicians interested in imaging as it relates to their specialty.
We dedicate this text to Drs. Ernest E. Aegerter, a pathologist, and John A. Kirkpatrick Jr., a radiologist. They were among the principal founders of the ?eld of skeletal pathology and radiology. During their time, their residents and colleagues knew them as great educators with a dedication and a passion for their work. Their textbook, Orthopedic Diseases, published initially in 1958 was among the ?rst interdisciplinary works devoted to this ?eld. Dr. Aegerter and Dr. Kirkpatrick illuminated many aspects of the ?eld of radiology. Today, with the advent of new technologies, this ?eld has grown to include not only diseases that affect the skeleton but also those that affect muscles, ligaments, tendons, and also the cartilaginous structures within joints. With this text we intend to carry on Dr. Aegerter and Dr. Kirkpatrick’s tradition. We have recruited only well-known musculoskeletal radiologists and pathologists to participate in the writing of this book. Each author has been carefully selected for his expertise on the topic about which he’s been asked to contribute. Each author is known as an experienced and seasoned teacher. Each author has made a mark on the ?eld.
This Open Access book presents practical approaches to managing patients affected by various rheumatological diseases, allowing readers to gain a better understanding of the various clinical expressions and problems experienced by these patients. Discussing rheumatology from an organ systems perspective, it highlights the importance ofdetailed musculoskeletal examinations when treating patients affected by rheumatological diseases. The book first explores the latest diagnostic approaches and offers key tips for accurate musculoskeletal examinations before addressing the various treatment modalities, with a particular focus on the most common joints involved in rheumatoid arthritis: the wrists and the metacarpophalangeal joints (2nd and 3rd). Featuring easy-to-understand flow diagrams and explaining the common medical problems associated with rheumatic disease, such as shortness of breath and anemia, it is not only a valuable resource to rheumatologists, but will also appeal to medical students, junior residents, and primary healthcare physicians.
A comprehensive reference and practical guide on the technology and application of ultrasound to the musculoskeletal system. It is organized into two main sections. The first is devoted to general aspects, while the second provides a systematic overview of the applications of musculoskeletal ultrasound in different areas of the body. Ultrasound scans are correlated with drawings, photographs, images obtained using other modalities, and anatomic specimens. There is a generous complement of high-quality illustrations based on high-end equipment. This book will acquaint beginners with the basics of musculoskeletal ultrasound, while more advanced sonologists and sonographers will learn new skills, means of avoiding pitfalls, and ways of effectively relating the ultrasound study to the clinical background.
An ideal "how-to" guide for those who perform musculoskeletal injections, this unique resource by Drs. Gina M. Allen and David John Wilson demonstrates how to make the most out of the clear visualization provided by ultrasound-guided techniques. High-quality line drawings, clinical photographs, and ultrasound images clearly depict patient presentation, relevant anatomy, and sonoanatomy. - Clear, concise text and numerous illustrations make this reference your go-to source on today's ultrasound-guided musculoskeletal injections. - Bulleted text follows a quick-reference template throughout: clinical/ultrasound findings, equipment, anatomy, technique, aftercare, and comments. - Each chapter covers the entire injection process with text on the left-hand page and corresponding images on the right. - Useful for clinicians in radiology, sports medicine, rheumatology, orthopaedics, pain medicine, and physical therapy – anyone who needs a clear, current guide to this minimally invasive treatment option for pain relief.
This practical guide is ideal for healthcare professionals, including family medicine and sports medicine physicians, who wish to integrate peripheral joint and soft tissue injection procedures into their practices. Emphasis is placed on helping clinicians perform injections with accuracy and efficiency. Procedures are presented in a step-by-step fashion. A wealth of illustrations adds clarity, and fluoroscopic images are featured where applicable. Billing and coding are covered in order to aid readers in obtaining reimbursement. Chart documentation designed to improve patient management and medical-legal protection is presented via ready-to-use templates that can be inserted into office notes. Key information on needle gauge sizes and medication dosages is summarized in an easily accessible table. A useful discussion on conducting clinical trials is outlined as well.
Point-of care ultrasound, or ultrasound performed and interpreted by the clinical in the clinic/office or at the bedside, has been rapidly expanding in use among multiple medical specialties. Musculoskeletal ultrasound has added value to clinical care to expedite diagnoses by visualizing mechanical versus inflammatory features and correlating these findings with patient’s symptoms. The use of power Doppler to assess for subclinical inflammation or active hyperemia has been a distinguishing use of ultrasound for rheumatologists. Accurate needle guidance with ultrasound for joint and tendon procedures has allowed expansion of procedures in the clinic and has been associated with less pain and precise targeting of affected structures. Musculoskeletal ultrasound education is now offered in nearly all rheumatology fellowship training programs in the United States and is also included in residency training in other specialties (e.g. physical medicine and rehabilitation, orthopedics, podiatry, emergency medicine, and family medicine). Since the publication of the first edition of Musculoskeletal Ultrasound in Rheumatology Review, there has been tremendous growth of musculoskeletal ultrasound in the field of rheumatology as well as other musculoskeletal specialties. The expanded second edition of this practical guide provides an updated clinical review of diagnostic and interventional applications of musculoskeletal ultrasound in rheumatology. New and revised chapters focus on the use of ultrasound in the diagnosis of specific rheumatic diseases such as osteoarthritis, scleroderma, psoriatic arthritis, gout, and lupus. Each chapter covers a standardized protocol of joint images with probe placement and includes numerous examples of common ultrasound pathologies. Study tools such as key-concept overviews, lists of important studies in the field, and extensive questions for self-assessment are included throughout. Written by current experts and thought leaders in the rapidly advancing field of rheumatology ultrasound, the second edition of Musculoskeletal Ultrasound in Rheumatology Review is an essential reference for physicians and related professionals, residents, fellows, graduate students and nurses in rheumatology, imaging and radiology, sports medicine, internal medicine, and physiotherapy.
This book covers all aspects of imaging diagnosis of shoulder disorders from a clinical perspective. After discussion of relevant imaging techniques, a wide spectrum of disorders is addressed in a series of dedicated chapters on rotator cuff injuries and impingement syndromes, biceps tendon and rotator interval pathology, glenohumeral instability, SLAP tears and microinstability, shoulder girdle fractures, shoulder arthropathies, tumors and tumor-like conditions, and entrapment neuropathies. Separate consideration is also given to the pediatric shoulder and to preoperative planning, postoperative imaging, and surgical techniques in patients undergoing shoulder arthroplasty. The unique anatomy and range of motion of the shoulder joint can present a diagnostic challenge. Characterization of soft tissue injuries and radiographically occult osseous pathology is often facilitated by the use of advanced imaging techniques, including MRI, CT, and ultrasound. Readers will find this excellently illustrated book to be an invaluable aid to diagnostic interpretation when employing these techniques.