Tendon sheath ganglion aspiration
Cause, clinical and ultrasound findings • Inflammatory arthritis, athletic activity or injury may cause a ganglion. • Pain and swelling are typical. • The tendon sheath is distended with fluid…
Saline stripping for tendinopathy (high-volume injection or brisement)
Cause, clinical and ultrasound findings • Chronic tendinopathy may be associated with overuse injury, athletic activity, being overweight or inflammatory arthritis. • Pain and swelling occur with impaired performance. •…
Dry needling (peppering, fenestration)
Cause, clinical and ultrasound findings • Inflammatory arthritis, chronic injury or overuse may cause inflammation/microtearing of the tendon. • Pain and swelling are present at the affected area. • Hypoechoic…
How to do an interventional procedure
Decide whether injection is appropriate • A history and examination should be taken. • Perform a diagnostic ultrasound to confirm diagnosis. • Discuss with the patient what injection will entail…
Autologous conditioned plasma (ACP) and platelet-rich plasma (PRP)
Cause, clinical and ultrasound findings • Autologous conditioned plasma (ACP) and platelet-rich plasma (PRP) are used to treat tendinopathy. • The National Institute for Health and Care Excellence (NICE) has…
Autologous blood
Cause, clinical and ultrasound findings • Autologous blood injection is used as a treatment for tendinopathy. • It is a recognised procedure in the United Kingdom. The National Institute for…
Local anaesthetics
A number of anaesthetics are used routinely in clinical practice. Those most commonly used are all amino amides, which are very stable in solution and metabolised by the liver. Amino…
Posterior Shoulder Instability
Epidemiology, Mechanism of Injury, History, Physical Examination, and Imaging Joseph A. Gil, MD Brett D. Owens, MD Abstract When treating posterior instability knowledge of risk factors that predispose a patient to develop…
Medial: Ulnar Collateral Ligament Injury
Epidemiology, Anatomy, Mechanism of Injury, History, Physical Examination, and Imaging Christopher S. Ahmad, MD Justin L. Hodgins, MD Abstract Injury to the medial ulnar collateral ligament (MUCL) of the elbow is a…
