Ultrasound-Guided Knee Aspiration and Injection: A Step-by-Step Guide
38K views · Feb 3, 2023 · Education
Comments · 19
@coldmagnet · 2 years ago
Great stuff. Invaluable in my fellowhship training!
1
@kerithj6919 · 3 years ago
ALWAYS use a spinal needle! I learned the hard way that the suprapatellar bursa or recess will collapse during aspiration and you will need to advance or redirect especially if you are following with injection of anesthetic and/or corticosteroid. Early into my initiation in ultrasound it was highly embarrassing to ask the nurse to get a spinal needle while I was in the middle of the procedure. Another thing I find helpful is while holding the probe with my thumb and index finger and anchoring the ulnar or knife edge of my hand on the patient, I'll occasionally use the other three fingers to push the medial aspect of the recess laterally towards me. Because the suprapatellar recess sits like a horseshoe it can be very useful if the recess is small as in the example above. By the way, haven't you seen patients where you are forced to approach medially because that is where the effusion is most prominent? Anecdotally I've encountered it 5% of the time. Thank you again for sharing your process to achieving mastery! Too often I see videos where everything from the body habitus of the patient to needle entry and visualization is perfect. Nonetheless, this MSK US was utterly cool.
12
@ChrisD503 · 3 years ago
Great idea on the 20 gauge and guiding the needle. I have used 25 gauge. Now I know why I have had so much trouble seeing it.
@patriciadellujan · 2 months ago
Muy bueno
@drmehrdadyazdani · 3 years ago
Fantastic, and authoritative as always
@jimifelini · 2 years ago
Great guide, thank you!
@nandinisingla3994 · 1 year ago
great video. very informative
@rajeevarab6175 · 2 years ago
fantastic
@cristinanistorescu8702 · 2 years ago
very nice
@yassirmohammad8495 · 2 years ago
Excellent
@drgadham · 3 years ago
Excellent ❤
@jayetachoudhury8945 · 3 years ago
Which coupling agent is the safest?
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