Safety, Tolerability and Feasibility of Minimally Invasive Ultrasound-Guided Synovial Biopsy of Wrist and Metacarpophalangeal Joints – an Ultrasound Follow-up Study
Success Rate and Utility of Ultrasound-guided Synovial Biopsies in Clinical Practice
Ultrasound-guided synovial biopsy: a safe, well-tolerated and reliable technique for obtaining high-quality synovial tissue from both large and small joints in early arthritis patients
US-guided Percutaneous Release of the Trigger Finger by Using a 21-gauge Needle: A Prospective Study of 60 Cases
Intramuscular versus ultrasound-guided intratenosynovial glucocorticoid injection for tenosynovitis in patients with rheumatoid arthritis: a randomised, double-blind, controlled study
Point-of-care ultrasound is a great help for precision-targeting in procedures:
1) studies have demonstrated the better efficacy of USG joint and tendon sheath injection with corticosteroid (although we “traditionally” believe that steroid, being lipophilic, will diffuse all around to do its thing anyway);
2) when it comes to viscosupplementation or PRP in a dry OA joint, there simply is no other way;
3) USG access to “difficult” joints like hip and sacroiliac is not subject to ionising radiation compared to fluoroscopic or CT guidance;
4) synovial & mass biopsy;
5) barbotage of calcific tendinosis;
6) fenestration of A1 pulley or flexor retinaculum for trigger finger or carpal tunnel syndrome respectively;
7) hydrodissection of entrapped nerves.