Review
Copyright ©2011 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Orthop. Jul 18, 2011; 2(7): 57-66
Published online Jul 18, 2011. doi: 10.5312/wjo.v2.i7.57
Ultrasound-assisted musculoskeletal procedures: A practical overview of current literature
Nelson A Royall, Emily Farrin, David P Bahner, Stanislaw PA Stawicki
Nelson A Royall, David P Bahner, Department of Emergency Medicine, The Ohio State University Medical Center, Columbus, OH 43210, United States
Emily Farrin, Department of Orthopaedics, The Ohio State University Medical Center, Columbus, OH 43210, United States
Stanislaw PA Stawicki, Department of Surgery, Division of Critical Care, Trauma and Burn, The Ohio State Unviersity Medical Center, Columbus, OH 43210, United States
Author contributions: Royall NA contributed to conception of the manuscript, comprehensive literature search, drafting and critically revising the article and final manuscript approval before publication; Farrin E contributed to comprehensive literature search, drafting and critically revising the article and final manuscript approval before publication; Bahner DP contributed to conception and design, revising the article and final manuscript approval before publication; Stawicki SPA contributed to conception and design, drafting and critically revising the article and final manuscript approval before publication.
Correspondence to: Stanislaw PA Stawicki, MD, Department of Surgery, Division of Critical Care, Trauma and Burn, The Ohio State University Medical Center, Suite 634, 395 West 12th Avenue, Columbus, OH 43210, United States. stanislaw.stawicki@osumc.edu
Telephone: +1-614-2939348 Fax: +1-614-2939155
Received: June 21, 2011
Revised: June 28, 2011
Accepted: July 5, 2011
Published online: July 18, 2011
Abstract

Traditionally performed by a small group of highly trained specialists, bedside sonographic procedures involving the musculoskeletal system are often delayed despite the critical need for timely diagnosis and treatment. Due to this limitation, a need evolved for more portability and accessibility to allow performance of emergent musculoskeletal procedures by adequately trained non-radiology personnel. The emergence of ultrasound-assisted bedside techniques and increased availability of portable sonography provided such an opportunity in select clinical scenarios. This review summarizes the current literature describing common ultrasound-based musculoskeletal procedures. In-depth discussion of each ultrasound procedure including pertinent technical details, indications and contraindications is provided. Despite the limited amount of prospective, randomized data in this area, a substantial body of observational and retrospective evidence suggests potential benefits from the use of musculoskeletal bedside sonography.

Keywords: Musculoskeletal ultrasound-guided procedures, Arthrocentesis, Tendon injection, Articular injection, Fluid collection, Abscess drainage, Foreign body removal