Ultrasound-Guided Musculoskeletal Injections

Mortons neuroma

Cause, clinical and ultrasound findings Fibrous tissue around the interdigital nerve may result from friction from wearing high heels, abnormal loading, etc. The patient has stabbing or aching pain and a tender area at the interdigital space on pressure (Tinel…

Plantar fasciitis

Cause, clinical and ultrasound findings Plantar fasciitis is characterized by inflammation and microtearing of the calcaneal insertion of the plantar fascia; the condition is related to arthritis, weight bearing for long periods, improper shoes and excessive physical activity. Presentation includes…

Talonavicular joint

Cause, clinical and ultrasound findings Reasons for the injection include inflammatory arthritis and osteoarthritis. The patient has functionally limiting midfoot/forefoot pain. Ultrasound findings are hypoechoic fluid and/or synovial proliferation with or without neovascularity bulging out of the joint. You’re Reading…

Metatarsophalangeal joint

Cause, clinical and ultrasound findings Reasons for the injection include inflammatory arthritis and osteoarthritis. The patient has functionally limiting forefoot pain. Ultrasound findings are hypoechoic fluid and/or synovial proliferation with or without neovascularity bulging out of the joint. You’re Reading…

Sinus tarsi

Cause, clinical and ultrasound findings The causes of sinus tarsi syndrome are not well defined. The condition is associated with oedema and swelling in the space between the calcaneus and talus. Some consider the cause to be cruciate and interosseous…

Tibialis posterior tendon sheath

Cause, clinical and ultrasound findings Inflammatory arthritis, athletic activity or injury may cause tendinopathy or tenosynovitis of the ankle tendons. The patient suffers pain and swelling on the medial aspect of the foot. Ultrasound shows tendon sheath distension with fluid…

Peroneal tendon sheath

Cause, clinical and ultrasound findings Inflammatory arthritis, athletic activity or injury may cause tendinopathy or tenosynovitis of the ankle tendons. The patient suffers pain and swelling on the lateral aspect of the foot. Ultrasound shows tendon sheath distension with fluid…

High-volume injection for achilles tendinopathy (saline stripping)

Cause, clinical and ultrasound findings Chronic Achilles tendinopathy may be associated with overuse injury, athletic activity, inflammatory arthritis or obesity. Presentation may include pain and swelling at the heel and impaired performance. Ultrasound findings may include fusiform thickening and intratendinous…

Anterolateral gutter

Cause, clinical and ultrasound findings Reasons for the injection include inflammatory arthritis, osteoarthritis and posterolateral ligament injury. The joint may present with functionally limiting anterolateral pain. Ultrasound findings may include hypoechoic fluid and/or synovial proliferation with or without neovascularity bulging…