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Ultrasound-Guided Elbow Arthrocentesis

By Daniel Mantuani, M.D., and Arun Nagdev, M.D. | on September 1, 2013 | 0 Comment
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Pic. 7: Using an out-of-plane technique, enter the skin at a steep angle.

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Explore This Issue
ACEP News: Vol 32 – No 09 – September 2013

Ultrasound-guided medial and posterior approaches to the elbow joint capsule are alternative techniques, and will not be addressed in this tutorial.

Summary

Point-of-care ultrasound can be an ideal tool for assessment for the presence of elbow joint capsule effusion as well as needle guidance for arthrocentesis. A simplified scanning protocol that relies on classic bony landmarks, while looking for underlying anechoic joint capsule effusion can be an ideal tool in the evaluation of the patient with a swollen elbow. A real-time out-of-plane technique for elbow arthrocentesis can be easily incorporated to improve procedural success.

References

  1. Curr Rheumatol Rep 2013 June; 15(6):332.
  2. Am J Roentgenol 2000 May;174(5):1353-62.
  3. World J Orthop 2011 July 18; 2(7):57-66.
  4. J Ultrasound Med 2010;29(4)519-26.
  5. J Rheumatol 2002;29;2209-2213.

Dr. Mantuani is an attending physician in the Department of Emergency Medicine, Highland General Hospital, Oakland, Calif.; Dr. Nagdev is Director of Emergency Ultrasound, Department of Emergency Medicine, Highland General Hospital, Oakland, Calif.

Pages: 1 2 3 | Single Page

Topics: ArthrocentesisImaging and UltrasoundPractice Management

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