Quadratus Femoris Injection

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Revision as of 19:24, 16 April 2023 by Jeremy (talk | contribs) (Created page with "{{procedure |indication=Ischiofemoral Impingement Syndrome |syringe= |needle= |steroid= |local= |volume= }} ==Anatomy== ==Indications and Efficacy== ==Contraindications== ==Pre-procedural Evaluation== ==Equipment== ==Technique== ===Ultrasound Guided=== * Patient Position: Prone * Ultrasound Technique: use an 8-4 MHz curvilinear probe in a transverse or axial plane ** Start with ischial tuberosity as initial bony landmark ** Identify hamstring origin in soft-t...")
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Quadratus Femoris Injection
Indication Ischiofemoral Impingement Syndrome


Anatomy

Indications and Efficacy

Contraindications

Pre-procedural Evaluation

Equipment

Technique

Ultrasound Guided

  • Patient Position: Prone
  • Ultrasound Technique: use an 8-4 MHz curvilinear probe in a transverse or axial plane
    • Start with ischial tuberosity as initial bony landmark
    • Identify hamstring origin in soft-tissue
    • Move transducer laterally to find lesser trochanter
    • Note gluteus maximus muscle overlaying bony structures
    • Visualize quadratus femoris muscle which lies below the sciatic nerve
    • Sciatic nerve usually near and lateral to hamstring tendon origin
  • Needle Approach: lateral to medial, in-plane with transducer, both laterally and deep relative to sciatic nerve
    • Visualize needle tip and sciatic nerve in real time
    • Place needle tip in quadratus femoris muscle
  • Needle Type: 3.5-inch (8.9 cm), 22-gauge spinal needle
  • Injection Solution: 4 mL, containing 1 mL of triamcinolone and 3 mL of 1% lidocaine

Fluoroscopy Guided

Landmark Guided

Complications

Aftercare

Videos

See Also

External Links

References

Literature Review

Library.pngLiterature Review

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