Pic. 7: Using an out-of-plane technique, enter the skin at a steep angle.
Ultrasound-Guided Elbow Arthrocentesis
Ultrasound-guided medial and posterior approaches to the elbow joint capsule are alternative techniques, and will not be addressed in this tutorial.
Summary
Point-of-care ultrasound can be an ideal tool for assessment for the presence of elbow joint capsule effusion as well as needle guidance for arthrocentesis. A simplified scanning protocol that relies on classic bony landmarks, while looking for underlying anechoic joint capsule effusion can be an ideal tool in the evaluation of the patient with a swollen elbow. A real-time out-of-plane technique for elbow arthrocentesis can be easily incorporated to improve procedural success.
References
- Curr Rheumatol Rep 2013 June; 15(6):332.
- Am J Roentgenol 2000 May;174(5):1353-62.
- World J Orthop 2011 July 18; 2(7):57-66.
- J Ultrasound Med 2010;29(4)519-26.
- J Rheumatol 2002;29;2209-2213.
Dr. Mantuani is an attending physician in the Department of Emergency Medicine, Highland General Hospital, Oakland, Calif.; Dr. Nagdev is Director of Emergency Ultrasound, Department of Emergency Medicine, Highland General Hospital, Oakland, Calif.
Pages: 1 2 3 | Single Page
No Responses to “Ultrasound-Guided Elbow Arthrocentesis”