Ultrasound Guided Musculoskeletal Procedures The Lower Limb 1st Edition by Luca Maria Sconfienza, Davide Orlandi, Enzo Silvestri ISBN 8847057639 978-8847057630

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Product details:

ISBN 10: 8847057639 
ISBN 13: 978-8847057630
Author: Luca Maria Sconfienza, Davide Orlandi, Enzo Silvestri  

This handbook is a practical, easy-to-use reference that offers step-by-step instruction on ultrasound-guided interventional procedures for treatment of musculoskeletal pain of the lower limb. Each chapter is clearly structured and starts by offering a brief but comprehensive description of the disease to be treated that covers aspects such as epidemiology, etiology, clinical presentation and ultrasound diagnosis. The equipment and drugs needed for each interventional procedure are listed and the procedure itself is then described in detail. Explanatory images and easy-to-read schemes ensure that the reader will be able to follow procedures without difficulty, and helpful practical tips and tricks are highlighted for use in daily clinical routine. This is the sister volume to the previously published Ultrasound-Guided Musculoskeletal Procedur

Ultrasound-Guided Musculoskeletal Procedures: The Lower Limb 1st Table of contents:

1. Introduction to Ultrasound in Musculoskeletal Medicine

• Basic Principles of Musculoskeletal Ultrasound: This chapter would introduce the principles of ultrasound, including the physics of ultrasound waves, equipment used in musculoskeletal imaging, and preparation for imaging of the lower limb.
• Advantages of Ultrasound for Musculoskeletal Procedures: Discussing the advantages of using ultrasound, such as real-time imaging, non-invasive nature, and its role in guiding interventions.

2. Ultrasound Anatomy of the Lower Limb

• Normal Anatomy of the Lower Limb Structures: Detailed descriptions and illustrations of key structures of the lower limb, including muscles, tendons, ligaments, joints, and bursa, with specific attention to how these appear in ultrasound imaging.
• Landmarks for Ultrasound-guided Procedures: A guide to identifying key landmarks on ultrasound for accurate procedural guidance.

3. Ultrasound-Guided Injection Techniques

• Joint Injections: This chapter covers techniques for injecting local anesthetics, corticosteroids, or hyaluronic acid into major joints of the lower limb, such as the hip, knee, ankle, and foot. It would discuss optimal needle positioning, injection sites, and troubleshooting.
• Bursa Injections: Detailed guidance on injecting bursal spaces, particularly in areas like the trochanteric bursa or prepatellar bursa.
• Peri-tendinous Injections: Focus on injecting around tendons for conditions such as tendinitis or tendinopathy in the Achilles tendon, patellar tendon, and others.

4. Ultrasound-Guided Aspiration Techniques

• Aspiration of Joint Effusions: Guidance on performing aspiration in joints with fluid accumulation, such as the knee or ankle, using ultrasound to locate the fluid pocket and ensure safe needle placement.
• Aspiration of Soft Tissue Masses or Cysts: Techniques for aspirating fluid from ganglion cysts or soft tissue masses in the lower limb, including strategies to avoid complications.

5. Ultrasound-Guided Biopsy Procedures

• Synovial Biopsy: Discussing the procedure for obtaining a synovial biopsy from joints in the lower limb, especially for diagnosing conditions like inflammatory arthritis or infections.
• Soft Tissue Biopsy: Providing insight into performing biopsies on soft tissue masses, sarcomas, or suspicious lesions in the lower extremities with the help of ultrasound guidance.

6. Tendon and Ligament Procedures

• Tendon Percutaneous Procedures: This chapter covers the use of ultrasound for performing procedures like tenotomy (cutting or incision of tendons) for conditions like chronic tendinopathy, particularly in the Achilles, patellar, or rotator cuff tendons.
• Ligament Injections and Interventions: Focus on ultrasound-guided procedures for ligaments in the knee, ankle, and hip, such as injections, platelet-rich plasma (PRP) therapy, or percutaneous repair techniques.

7. Soft Tissue and Joint Procedures

• Ultrasound-Guided Release of Contractures: Techniques for releasing joint contractures, particularly in the knee, ankle, and hip joints, using ultrasound to guide the needle for minimal damage.
• Ultrasound-Guided Synovial Fluid Drainage: A detailed approach to draining synovial fluid from joints like the knee or hip, often used for conditions like rheumatoid arthritis or septic arthritis.

8. Platelet-Rich Plasma (PRP) and Stem Cell Therapy

• PRP Injection Techniques: In-depth discussion on the technique of preparing and injecting PRP for musculoskeletal conditions like tendon injuries, arthritis, and soft tissue damage in the lower limb.
• Stem Cell Injections: This chapter focuses on the preparation and application of stem cells for musculoskeletal regeneration, addressing lower limb injuries and conditions resistant to other treatments.

9. Safety and Complication Management

• Avoiding Complications: This section discusses potential complications during ultrasound-guided musculoskeletal procedures, including vascular, nerve, or tendon injuries, and how to avoid them.
• Handling Procedural Errors: Tips for troubleshooting if a procedure doesn’t go as planned, such as difficulty visualizing the target area, misplacement of the needle, or incomplete injection.

10. Case Studies and Clinical Scenarios

• Clinical Scenarios in Lower Limb Musculoskeletal Disorders: Detailed case studies that show the application of ultrasound-guided procedures for various lower limb conditions, such as osteoarthritis, ligament injuries, chronic tendinopathy, and muscle tears. These cases would demonstrate both diagnosis and treatment approaches.
• Preoperative Planning and Postoperative Care: Using ultrasound to guide treatment decisions, plan procedures, and monitor recovery in the context of musculoskeletal procedures.

11. Future Directions in Ultrasound-Guided Procedures

• Technological Advancements: Discussing emerging technologies in musculoskeletal ultrasound, such as elastography, 3D imaging, and artificial intelligence, and their potential applications in improving the outcomes of lower limb procedures.
• Expanding the Role of Ultrasound in Musculoskeletal Medicine: Insights into how ultrasound may evolve to play an even more central role in the future of musculoskeletal medicine, including diagnostic and therapeutic applications.

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