The author responds-pain control in AC joint separation

We appreciate the letter in regards to our recent publication on a strategy for pain control for patients with acute acromioclavicular (AC) joint separation. First, we agree that the in-plane technique allows for clear needle tip visualization, but this may not be possible in most patients with an AC separation. The distance from skin surface to AC joint is often less the 1-2 cm and there is very little surrounding tissue to perform a visualized in-plane technique. We have used the out-of-plane technique safely on numerous occasions for AC separations as well as other ultrasound-guided procedures (posterior tibial nerve block, ankle arthrocentesis, etc.), and feel that when the target of the procedure is shallow, the in-plane technique can be more difficult.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research

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ConclusionUltrasound-guided single-puncture arthrocentesis using a customized needle is a promising method to perform joint lavage with minimal trauma and in a precise manner.
Source: Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Publication date: Available online 4 December 2018Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): P.G. Antony, Aneesh Sebastian, Annapoorani D., K. George Varghese, Mohan S., Jayakumar N., Shiney Dominic, Bobby JohnAbstractPatients with disorders of the temporomandibular joint (TMJ) who do not respond to non-operative treatment may require invasive procedures such as arthrocentesis and arthroscopy. We divided 80 patients with dysfunction of the TMJ into two groups: a control group who were treated by conventional arthrocentesis, and an experimental group who were treated by ultrasound-guided arthrocente...
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
An 82-year-old man presented with left hand swelling and pain for 2  days. He had a history of gouty arthritis and hypertension without regular medication. The physical examination showed tophi on both big toes and left hand swelling with limited motion. Laboratory assessments showed a serum uric acid level of 13 mg/dL. Sonography revealed the double contour sig n (Figure 1A, white arrow), bone erosion, and a lesion with a snowstorm appearance in the third metacarpophalangeal joint (Figure 1A, asterisk). Ultrasound-guided arthrocentesis was performed (Figure 1A, red arrow); the aspirate was whitish milk-like ...
Source: QJM - Category: Internal Medicine Source Type: research
Suspicious lacerations should be investigated, even if the X-ray is normal. A step-by-step pictorial guide. It is a busy Friday evening in the emergency department when you get called to the resuscitation bay for a 14-year-old female who was the restrained back seat passenger in a rollover motor vehicle crash. After a quick call to your significant other to ensure that your daughter is safe in bed, you proceed to evaluate this young patient. You are once again amazed by modern safety technology with the minimal amount of head, torso and abdominal trauma on this patient. After a thorough initial inspection you find that the...
Source: EPMonthly.com - Category: Emergency Medicine Authors: Tags: Uncategorized Source Type: news
Introduction: Arthrocentesis is a minor and minimally invasive procedure and a very efficient way to remove tissue breakdown products, reduce inflammation, with a subsequent reduction in joint pain, and increase opening of the mouth for patients with locked TMJ. The purpose of the procedure is to remove adhesions between the surface of the articular disc and the glenoid fossa using pressure irrigation in the upper chamber of the temporomandibular joint. The aim is to evaluate the technical advantage of using ultrasound to determine the correct placement of needles during arthrocentesis
Source: The British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Tags: P243 Source Type: research
Suspicious lacerations should be investigated, even if the X-ray is normal. A step-by-step pictorial guide. It is a busy Friday evening in the emergency department when you get called to the resuscitation bay for a 14-year-old female who was the restrained back seat passenger in a rollover motor vehicle crash. After a quick call to your significant other to ensure that your daughter is safe in bed, you proceed to evaluate this young patient. You are once again amazed by modern safety technology with the minimal amount of head, torso and abdominal trauma on this patient. After a thorough initial inspection you find that the...
Source: EPMonthly.com - Category: Emergency Medicine Authors: Tags: Uncategorized Source Type: news
ela Rojas E Abstract We aim to describe imaging-guided (ultrasound and CT) interventional techniques in the musculoskeletal system that can be performed by general radiologists, whether in hospitals, primary care clinics, private offices, or other settings. The first requirement for doing these procedures is adequate knowledge of the anatomy of the musculoskeletal system. The second requirement is to inform the patient thoroughly about the technique, the risks involved, and the alternatives available in order to obtain written informed consent. The third requirement is to ensure that the procedure is performed in ...
Source: Radiologia - Category: Radiology Authors: Tags: Radiologia Source Type: research
Publication date: Available online 23 April 2016 Source:British Journal of Oral and Maxillofacial Surgery Author(s): Mustan Barıs Sivri, Yasar Ozkan, Filiz Namdar Pekiner, Gokhan Gocmen Arthrocentesis of the temporomandibular joint (TMJ) can be done either conventionally or under ultrasonographic guidance, and we have compared the effectiveness of the two techniques. Twenty patients who required arthrocentesis of the TMJ were randomly assigned to ultrasonographically guided (US-guided) and conservative arthrocentesis (n=10 in each group). The number of relocations of the first and second punctures, pain experienced ...
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
The objective was to assess the efficacy of ultrasound guided (USG) versus land mark (LM) knee arthrocentesis in adults with knee pain or effusion.
Source: Seminars in Arthritis and Rheumatism - Category: Rheumatology Authors: Source Type: research
The objective was to assess the efficacy of ultrasound-guided (USG) versus landmark (LM) knee arthrocentesis in adults with knee pain or effusion.
Source: Seminars in Arthritis and Rheumatism - Category: Rheumatology Authors: Source Type: research
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