Comparison of Effectiveness of Ultrasound Guided Injection and Injection with Palpation to the Radiocarpal Joint
INTRODUCTION: In this study, we aimed to compare the ultrasound guided injection and injection with palpation using MR arthrography regarding the differences in success rate and the extravasation rate of the two techniques. METHODS: In this prospective study, we planned to include patients to whom a...
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| Format: | Article |
| Language: | English |
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Van Yuzuncu Yil University, School of Medicine
2018-10-01
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| Series: | Van Tıp Dergisi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-09825 |
| _version_ | 1797430304940490752 |
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| author | Gökhan Polat Ahmet Yalçın |
| author_facet | Gökhan Polat Ahmet Yalçın |
| author_sort | Gökhan Polat |
| collection | DOAJ |
| description | INTRODUCTION: In this study, we aimed to compare the ultrasound guided injection and injection with palpation using MR arthrography regarding the differences in success rate and the extravasation rate of the two techniques. METHODS: In this prospective study, we planned to include patients to whom an injection to the wrist was performed due to an indication. First, forty patients were divided into two groups and, ultrasound guided injection was performed to one group whereas injection was performed with palpation to the other. After the procedures, MR arthrography was performed to assess the reach of the contrast in to the joint space as well as extravasation into the adjacent soft tissues. RESULTS: There was contrast in the joint space in all injections guided by ultrasound (100%). Seventeen out of 20 injections which performed with palpation, there was contrast within the joint space (85%). Extravasations were seen in 3 patients (15%) with ultrasound guided injections group and 5 patients (25%) with palpation group. DISCUSSION AND CONCLUSION: Injection to the wrist either under ultrasound guidance or with palpation, there was no significant difference by means of success and extravasation rate. Injection with palpation is a rapid and cost-effective technique however its success rate is hindered by pathologies that affect the palpation of the joint structure. In such circumstances, ultrasound guidance increase the success rate of the procedure. |
| first_indexed | 2024-03-09T09:25:41Z |
| format | Article |
| id | doaj.art-0a0cfd0a6edf4c56a85f06d7466d6ec4 |
| institution | Directory Open Access Journal |
| issn | 2587-0351 |
| language | English |
| last_indexed | 2024-03-09T09:25:41Z |
| publishDate | 2018-10-01 |
| publisher | Van Yuzuncu Yil University, School of Medicine |
| record_format | Article |
| series | Van Tıp Dergisi |
| spelling | doaj.art-0a0cfd0a6edf4c56a85f06d7466d6ec42023-12-02T05:56:00ZengVan Yuzuncu Yil University, School of MedicineVan Tıp Dergisi2587-03512018-10-0125448749110.5505/vtd.2018.09825VTD-09825Comparison of Effectiveness of Ultrasound Guided Injection and Injection with Palpation to the Radiocarpal JointGökhan Polat0Ahmet Yalçın1Ataturk University, Faculty of Medicine, Department of RadiologyErzincan University, Faculty of Medicine, Department of RadiologyINTRODUCTION: In this study, we aimed to compare the ultrasound guided injection and injection with palpation using MR arthrography regarding the differences in success rate and the extravasation rate of the two techniques. METHODS: In this prospective study, we planned to include patients to whom an injection to the wrist was performed due to an indication. First, forty patients were divided into two groups and, ultrasound guided injection was performed to one group whereas injection was performed with palpation to the other. After the procedures, MR arthrography was performed to assess the reach of the contrast in to the joint space as well as extravasation into the adjacent soft tissues. RESULTS: There was contrast in the joint space in all injections guided by ultrasound (100%). Seventeen out of 20 injections which performed with palpation, there was contrast within the joint space (85%). Extravasations were seen in 3 patients (15%) with ultrasound guided injections group and 5 patients (25%) with palpation group. DISCUSSION AND CONCLUSION: Injection to the wrist either under ultrasound guidance or with palpation, there was no significant difference by means of success and extravasation rate. Injection with palpation is a rapid and cost-effective technique however its success rate is hindered by pathologies that affect the palpation of the joint structure. In such circumstances, ultrasound guidance increase the success rate of the procedure.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-09825wristpalpationultrasonographyarthrography |
| spellingShingle | Gökhan Polat Ahmet Yalçın Comparison of Effectiveness of Ultrasound Guided Injection and Injection with Palpation to the Radiocarpal Joint Van Tıp Dergisi wrist palpation ultrasonography arthrography |
| title | Comparison of Effectiveness of Ultrasound Guided Injection and Injection with Palpation to the Radiocarpal Joint |
| title_full | Comparison of Effectiveness of Ultrasound Guided Injection and Injection with Palpation to the Radiocarpal Joint |
| title_fullStr | Comparison of Effectiveness of Ultrasound Guided Injection and Injection with Palpation to the Radiocarpal Joint |
| title_full_unstemmed | Comparison of Effectiveness of Ultrasound Guided Injection and Injection with Palpation to the Radiocarpal Joint |
| title_short | Comparison of Effectiveness of Ultrasound Guided Injection and Injection with Palpation to the Radiocarpal Joint |
| title_sort | comparison of effectiveness of ultrasound guided injection and injection with palpation to the radiocarpal joint |
| topic | wrist palpation ultrasonography arthrography |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-09825 |
| work_keys_str_mv | AT gokhanpolat comparisonofeffectivenessofultrasoundguidedinjectionandinjectionwithpalpationtotheradiocarpaljoint AT ahmetyalcın comparisonofeffectivenessofultrasoundguidedinjectionandinjectionwithpalpationtotheradiocarpaljoint |