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Accuracy of ultrasound guided injections in the foot and ankle.

Publication ,  Journal Article
Reach, JS; Easley, ME; Chuckpaiwong, B; Nunley, JA
Published in: Foot Ankle Int
March 2009

BACKGROUND: Ultrasonography is an emerging imaging modality which affords dynamic, real-time, cost-effective and surgeon controlled visualization of the foot and ankle. The purpose of this study was to evaluate the accuracy of ultrasound guided injections for common injection sites in the foot and ankle. MATERIALS AND METHODS: In 10 fresh cadaver feet, ultrasound guidance was utilized to inject a methylene blue-saline mixture into (1) the first MTP joint, (2) the second MTP joint, (3) the tibiotalar joint, (4) the Achilles peritendinous space, (5) the flexor hallucis longus sheath, (6) the posterior tibial tendon sheath, and (7) the subtalar joint. Dissection was then undertaken to assess injection accuracy. RESULTS: Ultrasound guidance allowed the avoidance of intervening neurovascular and tendinous structures. Ultrasound guided MTP, ankle, Achilles, PTT and FHL peritendinous injections were 100% accurate. Ultrasound guided subtalar injection was 90% accurate. CONCLUSION: Ultrasound appears to be a highly accurate method of localizing injections into a variety of locations in the foot and ankle. CLINICAL RELEVANCE: Ultrasound's ability to display soft-tissue structures may be an advantage over blind injection and fluoroscopic injection techniques.

Duke Scholars

Published In

Foot Ankle Int

DOI

ISSN

1071-1007

Publication Date

March 2009

Volume

30

Issue

3

Start / End Page

239 / 242

Location

United States

Related Subject Headings

  • Ultrasonography, Interventional
  • Orthopedics
  • Methylene Blue
  • Injections, Intra-Articular
  • Humans
  • Foot Joints
  • Dissection
  • Coloring Agents
  • Cadaver
  • 4207 Sports science and exercise
 

Citation

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Reach, J. S., Easley, M. E., Chuckpaiwong, B., & Nunley, J. A. (2009). Accuracy of ultrasound guided injections in the foot and ankle. Foot Ankle Int, 30(3), 239–242. https://doi.org/10.3113/FAI.2009.0239
Reach, John S., Mark E. Easley, Bavornrit Chuckpaiwong, and James A. Nunley. “Accuracy of ultrasound guided injections in the foot and ankle.Foot Ankle Int 30, no. 3 (March 2009): 239–42. https://doi.org/10.3113/FAI.2009.0239.
Reach JS, Easley ME, Chuckpaiwong B, Nunley JA. Accuracy of ultrasound guided injections in the foot and ankle. Foot Ankle Int. 2009 Mar;30(3):239–42.
Reach, John S., et al. “Accuracy of ultrasound guided injections in the foot and ankle.Foot Ankle Int, vol. 30, no. 3, Mar. 2009, pp. 239–42. Pubmed, doi:10.3113/FAI.2009.0239.
Reach JS, Easley ME, Chuckpaiwong B, Nunley JA. Accuracy of ultrasound guided injections in the foot and ankle. Foot Ankle Int. 2009 Mar;30(3):239–242.

Published In

Foot Ankle Int

DOI

ISSN

1071-1007

Publication Date

March 2009

Volume

30

Issue

3

Start / End Page

239 / 242

Location

United States

Related Subject Headings

  • Ultrasonography, Interventional
  • Orthopedics
  • Methylene Blue
  • Injections, Intra-Articular
  • Humans
  • Foot Joints
  • Dissection
  • Coloring Agents
  • Cadaver
  • 4207 Sports science and exercise