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Ultrasound Guided Injections Evidence: Difference between revisions
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The two most important aspects to consider when comparing ultrasound vs landmark guided injections are accuracy and efficacy. | |||
For accuracy, the research literature shows ultrasound to be superior to landmark guided injections. This has important implications for precision diagnosis with injection of local anaesthetic.<ref name=":0" /> | |||
The research on efficacy is less conclusive and more higher quality studies are needed. The current evidence shows that ultrasound guided injections are superior to landmark guided injections for the glenohumeral joint, subacromial space, biceps tendon sheath, joints of the hand and wrist, knee, ankle, and foot. <ref name=":0" /> | |||
==Reviews== | ==Reviews== | ||
*Daniels et al 2018 (open access)<ref>{{#pmid:29511701}}</ref> | *Daniels et al 2018 (open access)<ref name=":0">{{#pmid:29511701}}</ref> | ||
*Finnoff et al 2015<ref>{{#pmid:25708351}}</ref> | *Finnoff et al 2015<ref>{{#pmid:25708351}}</ref> | ||
{| class="wikitable" | |||
|+Summary of Findings of Daniels et al for ultrasound guided injections (USGI) and landmark guided injections (LMGI)<ref name=":0" /> | |||
!Structure | |||
!USGI Accuracy | |||
!LMGI Accuracy | |||
!Efficacy | |||
!Level of Evidence | |||
|- | |||
|[[Shoulder Joint Injection|Glenohumeral joint]] | |||
|92.5% | |||
|72.5% | |||
|USGI superior | |||
|2 | |||
|- | |||
|[[Acromioclavicular Joint Injection|Acromioclavicular joint]] | |||
|90-100% | |||
|16.7-72% | |||
|No difference | |||
|2-4 | |||
|- | |||
|[[Subacromial Bursa Injection|Subacromial space]] | |||
| - | |||
| - | |||
|USGI superior | |||
|2 | |||
|- | |||
|[[Long Head of Biceps Brachii Tendon Sheath Injection|Biceps tendon]] | |||
|86.7% | |||
|26.7% | |||
| USGI superior | |||
|1-2 | |||
|- | |||
|[[Elbow Joint Injection|Elbow joint]] | |||
|91% | |||
|64-100% | |||
| - | |||
|1 | |||
|- | |||
|Hand and wrist joints [[Trapeziometacarpal Joint (TMC joint or 1st CMC joint) Injection|TMC]], [[Scaphotrapeziotrapezoid (STT) Joint Injection|STT]] | |||
|94-100% | |||
|59-81.8% | |||
| - | |||
|2-4 | |||
|- | |||
|[[Hip Joint Injection|Hip joint]] | |||
|97-100% | |||
|66.7-77.5% | |||
|USGI superior | |||
|1-4 | |||
|- | |||
|[[Knee Joint Injection|Knee joint]] | |||
|95.8-100% | |||
|55-100% | |||
|USGI superior | |||
|1-2 | |||
|- | |||
|Foot and [[Ankle Joint Injection|ankle]] | |||
|100% | |||
|58-85% | |||
|No difference | |||
|2-4 | |||
|} | |||
==References== | ==References== | ||
[[Category: | [[Category:General Procedure Concepts]] | ||
Latest revision as of 18:35, 22 June 2021
This article is a stub.
The two most important aspects to consider when comparing ultrasound vs landmark guided injections are accuracy and efficacy.
For accuracy, the research literature shows ultrasound to be superior to landmark guided injections. This has important implications for precision diagnosis with injection of local anaesthetic.[1]
The research on efficacy is less conclusive and more higher quality studies are needed. The current evidence shows that ultrasound guided injections are superior to landmark guided injections for the glenohumeral joint, subacromial space, biceps tendon sheath, joints of the hand and wrist, knee, ankle, and foot. [1]
Reviews
| Structure | USGI Accuracy | LMGI Accuracy | Efficacy | Level of Evidence |
|---|---|---|---|---|
| Glenohumeral joint | 92.5% | 72.5% | USGI superior | 2 |
| Acromioclavicular joint | 90-100% | 16.7-72% | No difference | 2-4 |
| Subacromial space | - | - | USGI superior | 2 |
| Biceps tendon | 86.7% | 26.7% | USGI superior | 1-2 |
| Elbow joint | 91% | 64-100% | - | 1 |
| Hand and wrist joints TMC, STT | 94-100% | 59-81.8% | - | 2-4 |
| Hip joint | 97-100% | 66.7-77.5% | USGI superior | 1-4 |
| Knee joint | 95.8-100% | 55-100% | USGI superior | 1-2 |
| Foot and ankle | 100% | 58-85% | No difference | 2-4 |
References
- ↑ 1.0 1.1 1.2 1.3 Daniels et al.. Existing Evidence on Ultrasound-Guided Injections in Sports Medicine. Orthopaedic journal of sports medicine 2018. 6:2325967118756576. PMID: 29511701. DOI. Full Text.
- ↑ Finnoff et al.. American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine. PM & R : the journal of injury, function, and rehabilitation 2015. 7:151-68.e12. PMID: 25708351. DOI.
