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Quadratus Femoris Injection
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Quadratus Femoris Injection | |
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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
- Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI Bookshelf
- Articles from all years: PubMed search, Google Scholar search.
- TRIP Database: clinical publications about evidence-based medicine.
- Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia I Feel Lucky, Orthobullets,