Ultrasound-Guided Intra-Articular Injection of the Trapeziometacarpal Joint: Description of Technique

Gregory L. Umphrey, Jeff S. Brault, Mark Friedrich B. Hurdle, Jay Smith

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

Umphrey GL, Brault JS, Hurdle M-FB, Smith J. Ultrasound-guided intra-articular injection of the trapeziometacarpal joint: description of technique. Objective: To describe a new technique to perform an ultrasound-guided intra-articular injection of the trapeziometacarpal (TMC) joint. Design: Ultrasound-guided injection of the TMC joint was completed on fresh frozen cadaver hand specimens using diatriazoate meglumine contrast. A fluoroscopic posteroanterior image of the TMC joint was then obtained to verify intra-articular placement of the contrast. Setting: Anatomy lab in a medical college. Specimens: Seventeen fresh frozen cadaver hand specimens. Interventions: Not applicable. Main Outcomes Measure: Verification of this technique was confirmed using fluoroscopy and contrast. Results: Sixteen (94%) of 17 joints injected showed contrast material within the TMC joint with a single cutaneous puncture. One intra-articular injection was initially misplaced into the scaphotrapeziotrapezoid joint. Conclusions: Ultrasound may be used to accurately perform intra-articular TMC injections. Ultrasound provides a viable alternative to fluoroscopy when accurate injection into the TMC joint is required for diagnostic or therapeutic purposes.

Original languageEnglish (US)
Pages (from-to)153-156
Number of pages4
JournalArchives of Physical Medicine and Rehabilitation
Volume89
Issue number1
DOIs
StatePublished - Jan 1 2008

Keywords

  • Arthritis
  • Carpometacarpal joints
  • Injections
  • Rehabilitation
  • Ultrasonography
  • Wrist

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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