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Stanley F Wainapel - One of the best experts on this subject based on the ideXlab platform.
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saphenous nerve injury following medial knee Joint Injection a case report
Archives of Physical Medicine and Rehabilitation, 2005Co-Authors: Masayuki Iizuka, Stanley F WainapelAbstract:Abstract Iizuka M, Yao R, Wainapel S. Saphenous nerve injury following medial knee Joint Injection: a case report. Knee Joint Injection is a procedure commonly performed for pain management of osteoarthritis. Although several techniques have been described, it is usually performed by either medial or lateral approach with the lower limb extended on the examination table. We present the case of a patient who developed saphenous neuropathy following knee Joint Injection via medial approach. The clinical picture suggests that the needle pierced the nerve during the procedure. The patient was moderately obese. This is the first case report in the literature of saphenous nerve injury following medial knee Joint Injection. Practitioners should be aware of this complication in choosing an approach to the knee Joint Injection, especially when the patient is obese and the anatomic landmarks are obscured.
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Saphenous Nerve Injury Following Medial Knee Joint Injection: A Case Report
Archives of physical medicine and rehabilitation, 2005Co-Authors: Masayuki Iizuka, Ruijin Yao, Stanley F WainapelAbstract:Knee Joint Injection is a procedure commonly performed for pain management of osteoarthritis. Although several techniques have been described, it is usually performed by either medial or lateral approach with the lower limb extended on the examination table. We present the case of a patient who developed saphenous neuropathy following knee Joint Injection via medial approach. The clinical picture suggests that the needle pierced the nerve during the procedure. The patient was moderately obese. This is the first case report in the literature of saphenous nerve injury following medial knee Joint Injection. Practitioners should be aware of this complication in choosing an approach to the knee Joint Injection, especially when the patient is obese and the anatomic landmarks are obscured.
Andrea Klauser - One of the best experts on this subject based on the ideXlab platform.
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Feasibility of Ultrasound-Guided Sacroiliac Joint Injections in Children Presenting with Sacroiliitis.
Ultraschall in Der Medizin, 2015Co-Authors: Andrea Klauser, M. Sailer-hoeck, M. M. H. Abdellah, Mihra S. Taljanovic, Christian M. Siedentopf, Thomas Auer, J. Brunner, Werner JaschkeAbstract:Purpose: To evaluate the feasibility and effectiveness of US-guided sacroiliac Joint Injection in the treatment of sacroiliitis in children. Materials and Methods: This study was approved by the institutional review board and informed oral and written consent was obtained from the patients and their parents. In 13 patients (7 females and 6 males), 9 – 16 years (mean +/– std 11.39 +/–1.98), 18 sacroiliac Joint (SI Joint) Injections were performed under US guidance. All patients suffered from severe sacroiliitis. US scanning was performed using a linear-array transducer operating at 5 – 18 MHz. Rating of the patients pain using a 0 – 10 dolorimetry scale on a visual analog score (VAS) was recorded before, immediately after and 3 months after Injection to monitor severity and therapeutic response. Results: Injection could be performed in all patients without complication and showed good response immediately and 3 months after the Injection with a decrease of the VAS (from mean +/– std 9.44 +/– 1.097 to 3.89 +/– 3.82, p Conclusion: US-guided SI Joint Injection was feasible in all children, relatively quick and easy to perform and appeared effective in the treatment of children with sacroiliitis.
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Fusion of Real-time US with CT Images to Guide Sacroiliac Joint Injection in Vitro and in Vivo
Radiology, 2010Co-Authors: Andrea Klauser, Tobias De Zordo, Gudrun Feuchtner, Gabriel Djedovic, Rosa Bellmann Weiler, R Faschingbauer, Michael Schirmer, Bernhard MorigglAbstract:Image fusion combines the advantages of two methods, US and CT, to facilitate sacroiliac Joint Injection.
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feasibility of ultrasound guided sacroiliac Joint Injection considering sonoanatomic landmarks at two different levels in cadavers and patients
Arthritis & Rheumatism, 2008Co-Authors: Andrea Klauser, Tobias De Zordo, Gudrun Feuchtner, Michael Schirmer, Peter Sogner, Johann Gruber, N Sepp, Bernhard MorigglAbstract:Objective Sacroiliitis is often caused by rheumatic diseases, and besides other therapeutic options, treatment consists of intraarticular Injection of corticosteroids. The purpose of this study was to assess the feasibility of ultrasound (US)-guided sacroiliac Joint (SI Joint) Injection at 2 different puncture levels in cadavers and patients when defined sonoanatomic landmarks were considered. Methods After defining sonoanatomic landmarks, US-guided needle insertion was performed in 10 human cadavers (20 SI Joints) at 2 different puncture sites. Upper level was defined at the level of the posterior sacral foramen 1 and lower level at the level of the posterior sacral foramen 2. In 10 patients with unilateral sacroiliitis, Injection at the most feasible level was attempted. Results Computed tomography confirmed correct intraarticular needle placement in cadavers by showing the tip of the needle in the Joint and intraarticular diffusion of contrast media in 16 (80%) of 20 SI Joints (upper level 7 [70%] of 10; lower level 9 [90%] of 10). In all 4 cases in which needle insertion failed, intraarticular SI Joint Injection at the other level was successful. In patients, 100% of US-guided Injections were successful (8 lower level, 2 upper level), with a mean pain relief of 8.6 after 3 months. Conclusion US guidance of needle insertion into SI Joints was feasible at both levels when defined sonoanatomic landmarks were used. If SI Joint alterations do not allow for direct visualization of the dorsal Joint space of the lower level, which is easier to access, the upper level might offer an appropriate alternative.
Bernhard Moriggl - One of the best experts on this subject based on the ideXlab platform.
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Fusion of Real-time US with CT Images to Guide Sacroiliac Joint Injection in Vitro and in Vivo
Radiology, 2010Co-Authors: Andrea Klauser, Tobias De Zordo, Gudrun Feuchtner, Gabriel Djedovic, Rosa Bellmann Weiler, R Faschingbauer, Michael Schirmer, Bernhard MorigglAbstract:Image fusion combines the advantages of two methods, US and CT, to facilitate sacroiliac Joint Injection.
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feasibility of ultrasound guided sacroiliac Joint Injection considering sonoanatomic landmarks at two different levels in cadavers and patients
Arthritis & Rheumatism, 2008Co-Authors: Andrea Klauser, Tobias De Zordo, Gudrun Feuchtner, Michael Schirmer, Peter Sogner, Johann Gruber, N Sepp, Bernhard MorigglAbstract:Objective Sacroiliitis is often caused by rheumatic diseases, and besides other therapeutic options, treatment consists of intraarticular Injection of corticosteroids. The purpose of this study was to assess the feasibility of ultrasound (US)-guided sacroiliac Joint (SI Joint) Injection at 2 different puncture levels in cadavers and patients when defined sonoanatomic landmarks were considered. Methods After defining sonoanatomic landmarks, US-guided needle insertion was performed in 10 human cadavers (20 SI Joints) at 2 different puncture sites. Upper level was defined at the level of the posterior sacral foramen 1 and lower level at the level of the posterior sacral foramen 2. In 10 patients with unilateral sacroiliitis, Injection at the most feasible level was attempted. Results Computed tomography confirmed correct intraarticular needle placement in cadavers by showing the tip of the needle in the Joint and intraarticular diffusion of contrast media in 16 (80%) of 20 SI Joints (upper level 7 [70%] of 10; lower level 9 [90%] of 10). In all 4 cases in which needle insertion failed, intraarticular SI Joint Injection at the other level was successful. In patients, 100% of US-guided Injections were successful (8 lower level, 2 upper level), with a mean pain relief of 8.6 after 3 months. Conclusion US guidance of needle insertion into SI Joints was feasible at both levels when defined sonoanatomic landmarks were used. If SI Joint alterations do not allow for direct visualization of the dorsal Joint space of the lower level, which is easier to access, the upper level might offer an appropriate alternative.
Masayuki Iizuka - One of the best experts on this subject based on the ideXlab platform.
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saphenous nerve injury following medial knee Joint Injection a case report
Archives of Physical Medicine and Rehabilitation, 2005Co-Authors: Masayuki Iizuka, Stanley F WainapelAbstract:Abstract Iizuka M, Yao R, Wainapel S. Saphenous nerve injury following medial knee Joint Injection: a case report. Knee Joint Injection is a procedure commonly performed for pain management of osteoarthritis. Although several techniques have been described, it is usually performed by either medial or lateral approach with the lower limb extended on the examination table. We present the case of a patient who developed saphenous neuropathy following knee Joint Injection via medial approach. The clinical picture suggests that the needle pierced the nerve during the procedure. The patient was moderately obese. This is the first case report in the literature of saphenous nerve injury following medial knee Joint Injection. Practitioners should be aware of this complication in choosing an approach to the knee Joint Injection, especially when the patient is obese and the anatomic landmarks are obscured.
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Saphenous Nerve Injury Following Medial Knee Joint Injection: A Case Report
Archives of physical medicine and rehabilitation, 2005Co-Authors: Masayuki Iizuka, Ruijin Yao, Stanley F WainapelAbstract:Knee Joint Injection is a procedure commonly performed for pain management of osteoarthritis. Although several techniques have been described, it is usually performed by either medial or lateral approach with the lower limb extended on the examination table. We present the case of a patient who developed saphenous neuropathy following knee Joint Injection via medial approach. The clinical picture suggests that the needle pierced the nerve during the procedure. The patient was moderately obese. This is the first case report in the literature of saphenous nerve injury following medial knee Joint Injection. Practitioners should be aware of this complication in choosing an approach to the knee Joint Injection, especially when the patient is obese and the anatomic landmarks are obscured.
Paul Brassard - One of the best experts on this subject based on the ideXlab platform.
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arthrography of the shoulder a simple fluoroscopically guided approach for targeting the rotator cuff interval
American Journal of Roentgenology, 2004Co-Authors: Helene Depelteau, Nathalie J Bureau, Etienne Cardinal, Benoit Aubin, Paul BrassardAbstract:OBJECTIVE. The objective of this article is to describe a simplified fluoroscopically guided technique of shoulder Joint Injection that uses the rotator cuff interval.CONCLUSION. Shoulder arthrography using an anterior approach through the rotator cuff interval is an effective, rapid, and easy-to-perform Injection technique. In most patients, this technique can be performed using a 1.5-inch (3.8-cm), 22-gauge needle.
