Jay Smith, MD, Mark-Friedrich Hurdle, MD, Adam J

Slides:



Advertisements
Similar presentations
Randomized Controlled Trial for Efficacy of Intra-Articular Injection for Adhesive Capsulitis: Ultrasonography-Guided Versus Blind Technique Hong-Jae Lee,
Advertisements

Ultrasound-Guided Piriformis Injection: Technique Description and Verification Jay Smith, MD, Mark-Friedrich Hurdle, MD, Adam J. Locketz, MD, Stephen J.
Fluoroscopic Analysis of Lumbar Epidural Contrast Spread After Lumbar Interlaminar Injection  Lawrence Weil, MD, Neal H. Frauwirth, MD, Kasra Amirdelfan,
Jay Smith, MD, Mark-Friedrich B. Hurdle, MD 
A 72-year-old Male Patient with Right Buttock Pain
Ultrasound-Guided Lateral Approach for Needle Insertion into the Subscapularis for Treatment of Spasticity  Dong-wook Rha, MD, PhD, Seung-Ho Han, MD,
David E. Fish, MD, MPH, Paul C. Lee, BS, MSIV, Daniel B. Marcus, MD 
Effect of Hand Size on the Stimulation Intensities Required for Median and Ulnar Sensory Nerve Conduction Studies  Thanitta Thanakiatpinyo, MD, Gulapar.
Alan D. Hough, PhD, Ann P. Moore, PhD, Mark P. Jones, PhD 
Electrodiagnostic Findings and Surgical Outcome in Isolated First Branch Lateral Plantar Neuropathy: A Case Series With Literature Review  Kenneth T.
Volume 8, Issue 7, Pages (July 2016)
David T. Burke, MD, MA, Amir El Shami, BS, Edward Heinle, MD, Burt D
Ultrasound-guided paravertebral puncture and placement of catheters in human cadavers: an imaging study  C. Luyet, U. Eichenberger, R. Greif, A. Vogt,
Dry Endoscopic-Assisted Mini-Open Approach With Neuromonitoring for Chronic Hamstring Avulsions and Ischial Tunnel Syndrome  Juan Gómez-Hoyos, M.D., Manoj.
Cost-Effectiveness of Screening for Deep Vein Thrombosis by Ultrasound at Admission to Stroke Rehabilitation  Richard D. Wilson, MD, Patrick K. Murray,
Use of Ultrasound in Needle Placement in Intercostal Muscles: A Method for Increased Accuracy in Cadavers  Michele Retrouvey, MD, Tony Chiodo, MD, Anton.
Ultrasound-Guided Versus Fluoroscopy-Guided Sacroiliac Joint Intra-articular Injections in the Noninflammatory Sacroiliac Joint Dysfunction: A Prospective,
Bilateral, simultaneous, spontaneous rupture of quadriceps tendons without trauma in an obese patient: A case report  Brian M. Kelly, DO, Noel Rao, MD,
The Role of Subacromial Shoulder Irrigation in the Treatment of Calcific Rotator Cuff Tendinosis: A Case Series  Vijay B. Vad, MD, Jennifer Solomon, MD,
Irreversible Spinal Nerve Injury From Dorsal Ramus Radiofrequency Neurotomy: A Case Report  Zachary Abbott, DO, Matthew Smuck, MD, Andrew Haig, MD, Oren.
Ultrasound-guided thoracic paravertebral puncture and placement of catheters in human cadavers: where do catheters go?†   C Luyet, G Herrmann, S Ross,
Are Tender Points Associated With Cervical Radiculopathy?
Accuracy of Manual Needle Placement for Gastrocnemius Muscle in Children With Cerebral Palsy Checked Against Ultrasonography  Eun Joo Yang, MD, Dong-wook.
Volume 6, Issue 1, Pages (January 2014)
M. Aschwanden, H.G. Heidecker, C. Thalhammer, K.A. Jaeger, D. Bilecen 
Fluoroscopically guided aspiration of a zygapophyseal joint cyst
Endoscopic Release of the Piriformis Tendon and Sciatic Nerve Exploration by the Lateral Decubitus Approach Through an Incision on the Iliotibial Band 
Kenneth P. Finn, MD, Jamie L. Case, MSPA-C 
David E. Fish, MD, MPH, Paul C. Lee, BS, MSIV, Daniel B. Marcus, MD 
Analysis of Effective Radiating Area, Power, Intensity, and Field Characteristics of Ultrasound Transducers  Lennart D. Johns, PhD, ATC, Stephen J. Straub,
Accuracy of Self-Reported Physical Activity as an Indicator of Cardiovascular Fitness Depends on Education Level  Paul Gerrard, MD  Archives of Physical.
Ultrasound-Guided Blockade of the Lateral Femoral Cutaneous Nerve: Technical Description and Review of 10 Cases  Mark F. Hurdle, MD, Toby N. Weingarten,
Peripheral Nerve Involvement in a Neurofibromatosis Type 2 Patient With Plexiform Neurofibroma of the Cauda Equina: A Sonographic Vignette  Murat Kara,
Ultrasound-Guided Lateral Approach for Needle Insertion into the Subscapularis for Treatment of Spasticity  Dong-wook Rha, MD, PhD, Seung-Ho Han, MD,
Norman A. Broadhurst, MD, PhD, D. Neil Simmons, MD, Malcolm J
Kenneth P. Botwin, MD, Robert D. Gruber, DO, Constantine G
Fluoroscopic Analysis of Lumbar Epidural Contrast Spread After Lumbar Interlaminar Injection  Lawrence Weil, MD, Neal H. Frauwirth, MD, Kasra Amirdelfan,
Ultrasound-guided infraclavicular brachial plexus block
Power Doppler Presentation of Shoulders With Biceps Disorder
Carl P. Chen, MD, PhD, Alice M
Tim P. Harrison, MBBS, BSc, Anna Sadnicka, MBChB, BSc, Deborah M
Diagnostic Value of Ultrasonography for Clinical Medial Epicondylitis
Assessing the Effectiveness of Postacute Care Rehabilitation
Hugh Anton, MD  Archives of Physical Medicine and Rehabilitation 
Sources of Sacroiliac Region Pain: Insights Gained From a Study Comparing Standard Intra-Articular Injection With a Technique Combining Intra- and Peri-Articular.
Comparing Saphenous Nerve Conduction Study Techniques at the Knee and at the Ankle and Their Relationship to Body Mass Index  Anthony Chiodo, MD, Teresa.
David A. Krause, PT, MBA, OCS, James W. Youdas, PT, MS, John H
Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection  Wen-Chung Tsai, MD, Chung-Li Wang, MD, PhD, Fuk-Tan Tang, MD, Tsz-Ching.
Preliminary results of a new ultrasound-guided approach to block the sacral plexus: the parasacral parallel shift  T.F. Bendtsen, P.A. Lönnqvist, K.V.
Reliability of Isometric Strength Measurements in Trunk and Neck Region: Patients With Chronic Neck Pain Compared With Pain-Free Persons  Raphael Scheuer,
Holly J. Haight, MA, Diane L. Dahm, MD, Jay Smith, MD, David A
Jay Smith, MD, Mark-Friedrich B. Hurdle, MD 
Postherpetic Neuralgia Involving the Right C5 Dermatome Treated With a Cervical Transforaminal Epidural Steroid Injection: A Case Report  Ali Shakir,
An Accurate and Reliable Method of Thermal Data Analysis in Thermal Imaging of the Anterior Knee for Use in Cryotherapy Research  James Selfe, PhD, Natalie.
Intravascular Uptake During Fluoroscopically Guided Cervical Interlaminar Steroid Injection at C6-7: A Case Report  Mark S. Kaplan, MD, John Cooke, PhD,
Endoscopic Sciatic Neurolysis
Ultrasound-Guided Intra-Articular Injection of the Trapeziometacarpal Joint: Description of Technique  Gregory L. Umphrey, MD, Jeff S. Brault, DO, Mark-Friedrich.
Randomized Controlled Trial for Efficacy of Intra-Articular Injection for Adhesive Capsulitis: Ultrasonography-Guided Versus Blind Technique  Hong-Jae.
Reference Values for Median Nerve Conduction to the Pronator Quadratus
Rotator cuff tendonitis in lymphedema: A retrospective case series
Longitudinal Description of the Disability Rating Scale for Individuals in the National Institute on Disability and Rehabilitation Research Traumatic.
Measurement of Motor Nerve Conduction Velocity of the Sciatic Nerve in Patients With Piriformis Syndrome: A Magnetic Stimulation Study  Chein-Wei Chang,
Matthew J. Smith, MD, Henry C. Tong, MD, MS 
Archives of Physical Medicine and Rehabilitation 
Sciatic neuropathy caused by disorder of a nutrient artery: A case report of thromboembolism secondary to profunda femoral artery aneurysm  Kiyoshi Eguchi,
John Chae, MD, Tova Wolf-Johnson, MD, Harsh Govil, MD 
A 2-item screen for depression in rehabilitation inpatients
Journal-Based CME Evaluation and Application
ACRM News Archives of Physical Medicine and Rehabilitation
Endurance Times of Trunk Muscles in Male Intercollegiate Rowers in Hong Kong  Romy H. Chan, DPT, MS, OCS  Archives of Physical Medicine and Rehabilitation 
Presentation transcript:

Ultrasound-Guided Piriformis Injection: Technique Description and Verification  Jay Smith, MD, Mark-Friedrich Hurdle, MD, Adam J. Locketz, MD, Stephen J. Wisniewski, MD  Archives of Physical Medicine and Rehabilitation  Volume 87, Issue 12, Pages 1664-1667 (December 2006) DOI: 10.1016/j.apmr.2006.08.337 Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 (A) Longitudinal view of the piriformis muscle using a 6-to-1–MHz curvilinear transducer. The piriformis (PIR) muscle–tendon is visualized as a thin, hyperechoic band passing medial (left) to lateral (right) toward the greater trochanter (GT). The piriformis travels deep to the gluteus maximus (GMAX) as it passes out of the superior greater sciatic foramen, formed anteriorly by the ilium. In this picture, the lateral sacrum would lie just off-screen to the left. (B) Transducer position relative to skeletal landmarks to obtain ultrasound picture shown in figure 1A. Abbreviation: RT PIR LG, right piriformis, longitudinal view (parallel to the long axis of the muscle). Archives of Physical Medicine and Rehabilitation 2006 87, 1664-1667DOI: (10.1016/j.apmr.2006.08.337) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 Transverse view of the sciatic nerve at the level of the quadratus femoris. The transducer is placed in an anatomic transverse plane at the level of the distal–lateral aspect of the ischial tuberosity. Here, the conspicuity of the hyperechoic sciatic nerve is increased as it passes between the hypoechoic quadratus femoris (deep) and gluteus maximus (superficial). The nerve can then be traced cranially to visualize its passage deep to the piriformis. Abbreviations: LAT, lateral; MED, medial; QF, quadratus femoris; RT QF LG, right side, quadratus femoris, longitudinal view (parallel to the long axis of the muscle); SCN, sciatic nerve. Archives of Physical Medicine and Rehabilitation 2006 87, 1664-1667DOI: (10.1016/j.apmr.2006.08.337) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 (A) Longitudinal US view of the piriformis during needle placement using a medial-to-lateral approach parallel to the long axis of the transducer. The proximal end of the needle has been digitally enhanced to highlight needle trajectory. (B) Postinjection tenogram at the level of the greater sciatic foramen. Anechoic injectate (FLUID) within the piriformis tendon sheath lies superficial and deep to the hyperechoic tendon. Abbreviations: RT PIR LG, right side, piriformis, longitudinal view; TIP, needle tip. Archives of Physical Medicine and Rehabilitation 2006 87, 1664-1667DOI: (10.1016/j.apmr.2006.08.337) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 Piriformis tenogram/myogram obtained after needle placement using US guidance and contrast injection under real-time fluoroscopy. Contrast flow pattern documents accurate injection. Archives of Physical Medicine and Rehabilitation 2006 87, 1664-1667DOI: (10.1016/j.apmr.2006.08.337) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions