Ultrasound-guided needle placement for bone marrow aspiration of the anterior iliac crest
Introduction: Bone marrow aspirate concentrate (BMAC) use has increased for both primary treatment and as a surgical adjunct of several other musculoskeletal conditions such as degenerative joint disease and rotator cuff tears. Bone marrow harvest, when performed as part of musculoskeletal treatment...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Journal of Cartilage & Joint Preservation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667254522000191 |
| _version_ | 1811210252080644096 |
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| author | Shane A. Shapiro Jennifer R. Arthurs |
| author_facet | Shane A. Shapiro Jennifer R. Arthurs |
| author_sort | Shane A. Shapiro |
| collection | DOAJ |
| description | Introduction: Bone marrow aspirate concentrate (BMAC) use has increased for both primary treatment and as a surgical adjunct of several other musculoskeletal conditions such as degenerative joint disease and rotator cuff tears. Bone marrow harvest, when performed as part of musculoskeletal treatment or in conjunction with orthopedic surgery is commonly performed at the anterior iliac crest. No technique for ultrasound guidance has been validated at the anterior iliac crest. Objectives: Here we describe a novel approach for bone marrow aspiration at the anterior iliac crest utilizing ultrasound guidance to facilitate safe needle placement using a human cadaveric model. Methods: Using cadaver hemipelvises, needle placements were attempted along the anterior iliac crest via ultrasound guidance and latex dye was used to mark the site of cortical penetration. Results: A total of 39 cortical penetrations were attempted on 8 iliac crests. Needle placements were accurately placed on the crest under ultrasound guidance as confirmed by dissection of the relevant anatomy and confirmation of colored dye within the cortical penetration. Conclusion: Ultrasound can be used as a valuable tool for image guidance during bone marrow needle placement along the anterior iliac crest. This technique for initial needle placement at the anterior iliac crest is safe and feasible for providers with skill in ultrasound guided needle placement to assist with localization along safe zones for quality bone marrow cellular harvest. |
| first_indexed | 2024-04-12T04:52:41Z |
| format | Article |
| id | doaj.art-9fb8a878ce614a34840bdeb0dd124509 |
| institution | Directory Open Access Journal |
| issn | 2667-2545 |
| language | English |
| last_indexed | 2024-04-12T04:52:41Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Cartilage & Joint Preservation |
| spelling | doaj.art-9fb8a878ce614a34840bdeb0dd1245092022-12-22T03:47:15ZengElsevierJournal of Cartilage & Joint Preservation2667-25452022-09-0123100057Ultrasound-guided needle placement for bone marrow aspiration of the anterior iliac crestShane A. Shapiro0Jennifer R. Arthurs1Department of Orthopedic Surgery, Mayo Clinic Florida, Jacksonville, FL, USA; Corresponding author. Shane A. Shapiro, Mayo Clinic Florida, Department of Orthopedic Surgery, 4500 San Pablo Road, Jacksonville, FL 32224, USAMayo Clinic Center for Regenerative Medicine, Jacksonville, FL, USAIntroduction: Bone marrow aspirate concentrate (BMAC) use has increased for both primary treatment and as a surgical adjunct of several other musculoskeletal conditions such as degenerative joint disease and rotator cuff tears. Bone marrow harvest, when performed as part of musculoskeletal treatment or in conjunction with orthopedic surgery is commonly performed at the anterior iliac crest. No technique for ultrasound guidance has been validated at the anterior iliac crest. Objectives: Here we describe a novel approach for bone marrow aspiration at the anterior iliac crest utilizing ultrasound guidance to facilitate safe needle placement using a human cadaveric model. Methods: Using cadaver hemipelvises, needle placements were attempted along the anterior iliac crest via ultrasound guidance and latex dye was used to mark the site of cortical penetration. Results: A total of 39 cortical penetrations were attempted on 8 iliac crests. Needle placements were accurately placed on the crest under ultrasound guidance as confirmed by dissection of the relevant anatomy and confirmation of colored dye within the cortical penetration. Conclusion: Ultrasound can be used as a valuable tool for image guidance during bone marrow needle placement along the anterior iliac crest. This technique for initial needle placement at the anterior iliac crest is safe and feasible for providers with skill in ultrasound guided needle placement to assist with localization along safe zones for quality bone marrow cellular harvest.http://www.sciencedirect.com/science/article/pii/S2667254522000191Anterior superior iliac spineASISBMACBone marrow aspirationIliac crestUltrasound |
| spellingShingle | Shane A. Shapiro Jennifer R. Arthurs Ultrasound-guided needle placement for bone marrow aspiration of the anterior iliac crest Journal of Cartilage & Joint Preservation Anterior superior iliac spine ASIS BMAC Bone marrow aspiration Iliac crest Ultrasound |
| title | Ultrasound-guided needle placement for bone marrow aspiration of the anterior iliac crest |
| title_full | Ultrasound-guided needle placement for bone marrow aspiration of the anterior iliac crest |
| title_fullStr | Ultrasound-guided needle placement for bone marrow aspiration of the anterior iliac crest |
| title_full_unstemmed | Ultrasound-guided needle placement for bone marrow aspiration of the anterior iliac crest |
| title_short | Ultrasound-guided needle placement for bone marrow aspiration of the anterior iliac crest |
| title_sort | ultrasound guided needle placement for bone marrow aspiration of the anterior iliac crest |
| topic | Anterior superior iliac spine ASIS BMAC Bone marrow aspiration Iliac crest Ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S2667254522000191 |
| work_keys_str_mv | AT shaneashapiro ultrasoundguidedneedleplacementforbonemarrowaspirationoftheanterioriliaccrest AT jenniferrarthurs ultrasoundguidedneedleplacementforbonemarrowaspirationoftheanterioriliaccrest |