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Musculoskeletal injections 

Musculoskeletal injections
Chapter:
Musculoskeletal injections
Author(s):

Hany Elmadbouh

DOI:
10.1093/med/9780199674107.003.0025
Page of

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date: 01 April 2020

Most joint and soft tissue injections can be performed via the visualization and direct palpation of anatomical landmarks to guide appropriate needle placement. However, blind injections are potentially inaccurate and carry the risk of accidental needling or drug delivery to non-target structures, which could be dangerous and potentially fatal. Many injections are given using only anatomical landmarks and although there has been an increase in the use of ultrasound-guided injections, particularly by rheumatologists, it is the interventional radiologists who use image guidance without exception. Perhaps the primary reason for the increased use of image guidance has been the improved technology. Better visualization of anatomy yields greater confidence to undertake procedures that were previously thought to be dangerous or impossible. Improvements in the speed of image acquisition and display and the development of 3-D technology are changing the way that procedures are performed and making new procedures possible.

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