Ultrasound-Guided Intra-Articular Injection of the Trapeziometacarpal Joint: Description of Technique Gregory L. Umphrey, MD, Jeff S. Brault, DO, Mark-Friedrich.

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Presentation transcript:

Ultrasound-Guided Intra-Articular Injection of the Trapeziometacarpal Joint: Description of Technique Gregory L. Umphrey, MD, Jeff S. Brault, DO, Mark-Friedrich B. Hurdle, MD, Jay Smith, MD Archives of Physical Medicine and Rehabilitation Volume 89, Issue 1, Pages 153-156 (January 2008) DOI: 10.1016/j.apmr.2007.07.048 Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 Preinjection ultrasound of the TMC joint in a cadaver specimen. Archives of Physical Medicine and Rehabilitation 2008 89, 153-156DOI: (10.1016/j.apmr.2007.07.048) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 Ultrasound transducer over TMC joint in a cadaver specimen. Needle is positioned on the volar side of the transducer at the midpoint of the transducer’s long axis. Path of entry is 30° to 45° relative to the transducer. Archives of Physical Medicine and Rehabilitation 2008 89, 153-156DOI: (10.1016/j.apmr.2007.07.048) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Postinjection image showing ultrasound-guided injection of the TMC joint in a cadaver specimen. A hypoechoic cleft is visualized between the trapezium (left) and first metacarpal (right) defining the joint space. The needle tip is visualized in the center of the joint space. Archives of Physical Medicine and Rehabilitation 2008 89, 153-156DOI: (10.1016/j.apmr.2007.07.048) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 Left posteroanterior view of the wrist in a cadaver specimen. Fluoroscopic imaging of the first carpometacarpal joint confirming contrast material in joint space and expansion of the surrounding joint capsule. Archives of Physical Medicine and Rehabilitation 2008 89, 153-156DOI: (10.1016/j.apmr.2007.07.048) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions