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Inicio Radiología (English Edition) Ultrasound-guided interventional procedures in the musculoskeletal system
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Vol. 52. Issue 6.
Pages 525-533 (January 2010)
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Vol. 52. Issue 6.
Pages 525-533 (January 2010)
Update
Ultrasound-guided interventional procedures in the musculoskeletal system
Intervencionismo guiado por ecografía en el sistema musculoesquelético
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J.L. del Curaa,b,
Corresponding author
, R. Zabalaa, I. Cortaa
a Servicio de Radiodiagnóstico, Hospital de Basurto, Bilbao, Spain
b Universidad del País Vasco – Euskal Herriko Unibertsitatea, Bilbao, Spain
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Abstract

Ultrasonography is the most appropriate tool for interventional procedures in the musculoskeletal system when the lesion is visible on ultrasonography. Procedures performed under ultrasonographic guidance include: taking biopsies; draining abscesses; bursitis; hematomas or muscle tears; treating cystic lesions; diagnostic or therapeutic arthrocentesis; injecting substances into joints or lesions; aspirating calcium deposits and extracting foreign bodies.

Although some of these procedures are often carried out without imaging guidance, ultrasonographic guidance improves their efficacy. Drainage can be performed with catheters or needles and makes it possible to avoid more aggressive treatments in most cases.

Urokinase is useful for draining hematomas or fibrinous collections. Injecting corticoids is useful in the treatment of synovial cysts, Baker's cyst, tendinitis, and non-infective arthritis. Calcifying tendinitis of the shoulder can be treated effectively with percutaneous calcium lavage.

Keywords:
Musculoskeletal system
Ultrasonography
Interventional procedures
Drain
Tendinitis
Arthrocentesis
Resumen

La ecografía es la herramienta más adecuada para la realización de procedimientos intervencionistas en el sistema musculoesquelético (SME) si la lesión es visible ecográficamente. Estas técnicas incluyen: biopsias, drenaje de abscesos, bursitis, hematomas o roturas musculares, tratamiento de lesiones quísticas, artrocentesis diagnóstica o terapéutica, inyección de sustancias en articulaciones o lesiones, aspiración de depósitos cálcicos y extracción de cuerpos extraños.

Aunque algunos procedimientos son realizados con frecuencia sin guía de imagen, la guía ecográfica aumenta su eficacia. Los drenajes pueden realizarse mediante catéteres o agujas y permiten evitar en la mayor parte de las ocasiones actuaciones terapéuticas más agresivas.

La uroquinasa resulta útil para drenar hematomas o colecciones fibrinosas. La inyección de corticoides es útil en el tratamiento de gangliones, quistes de Baker, tendinitis y artritis no infecciosas. La tendinitis calcificante del hombro puede ser tratada eficazmente mediante el «lavado» percutáneo del calcio.

Palabras clave:
Sistema musculoesquelético
Ecografía
Intervencionista
Drenaje
Tendinitis
Artrocentesis

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