Research ArticleArticle

Does Sonographic Needle Guidance Affect the Clinical Outcome of Intraarticular Injections?

WILMER L. SIBBITT Jr, ANDRES PEISAJOVICH, ADRIAN A. MICHAEL, KYE S. PARK, RANDY R. SIBBITT, PHILIP A. BAND and ARTHUR D. BANKHURST
The Journal of Rheumatology September 2009, 36 (9) 1892-1902; DOI: https://doi.org/10.3899/jrheum.090013

REFERENCES

  1. 1.↵
    1. Brown AK,
    2. O’Connor PJ,
    3. Roberts TE,
    4. Wakefield RJ,
    5. Karim Z,
    6. Emery P
    . Recommendations for musculoskeletal ultrasonography by rheumatologists: setting global standards for best practice by expert consensus. Arthritis Rheum 2005;53:83–92.
    OpenUrlCrossRefPubMed
  2. 2.
    1. Cimmino MA,
    2. Grassi W,
    3. Cutolo M
    . Modern imaging techniques: a revolution for rheumatology practice. Best Pract Res Clin Rheumatol 2008;22:951–9.
    OpenUrlCrossRefPubMed
  3. 3.
    1. Atchia I,
    2. Birrell F,
    3. Kane D
    . A modular, flexible training strategy to achieve competence in diagnostic and interventional musculoskeletal ultrasound in patients with hip osteoarthritis. Rheumatology 2007;46:1583–6.
    OpenUrlAbstract/FREE Full Text
  4. 4.
    1. Brown AK,
    2. Roberts TE,
    3. O’Connor PJ,
    4. Wakefield RJ,
    5. Karim Z,
    6. Emery P
    . The development of an evidence-based educational framework to facilitate the training of competent rheumatologist ultrasonographers. Rheumatology 2007;46:391–7.
    OpenUrlAbstract/FREE Full Text
  5. 5.↵
    1. Kane D,
    2. Balint PV,
    3. Sturrock RD
    . Ultrasonography is superior to clinical examination in the detection and localization of knee joint effusion in rheumatoid arthritis. J Rheumatol 2003;30:966–71.
    OpenUrlAbstract/FREE Full Text
  6. 6.↵
    1. Epis O,
    2. Iagnocco A,
    3. Meenagh G,
    4. et al.,
    Ultrasound imaging for the rheumatologist. XVI. Ultrasound-guided procedures. Clin Exp Rheumatol 2008;26:515–8.
    OpenUrlPubMed
  7. 7.
    1. Louis LJ
    . Musculoskeletal ultrasound intervention: principles and advances. Radiol Clin North Am 2008;46:515–33.
    OpenUrlCrossRefPubMed
  8. 8.
    1. Grassi W,
    2. Farina A,
    3. Filippucci E,
    4. Cervini C
    . Sonographically guided procedures in rheumatology. Semin Arthritis Rheum 2001;30:347–53.
    OpenUrlCrossRefPubMed
  9. 9.↵
    1. Sofka CM,
    2. Collins AJ,
    3. Adler RS
    . Use of ultrasonographic guidance in interventional musculoskeletal procedures: a review from a single institution. J Ultrasound Med 2001;20:21–6.
    OpenUrlAbstract
  10. 10.↵
    1. Koski JM
    . Ultrasound guided injections in rheumatology. J Rheumatol 2000;27:2131–8.
    OpenUrlPubMed
  11. 11.
    1. Roberts WN,
    2. Hayes CW,
    3. Breitbach SA,
    4. Owen DS, Jr
    . Dry taps and what to do about them: a pictorial essay on failed arthrocentesis of the knee. Am J Med 1996;100:461–4.
    OpenUrlCrossRefPubMed
  12. 12.↵
    1. Jones A,
    2. Regan M,
    3. Ledingham J,
    4. Patrick M,
    5. Manhire A,
    6. Doherty M
    . Importance of placement of intra-articular steroid injections. BMJ 1993;307:1329–30.
    OpenUrlFREE Full Text
  13. 13.
    1. Esenyel C,
    2. Demirhan M,
    3. Esenyel M,
    4. et al.,
    Comparison of four different intra-articular injection sites in the knee: a cadaver study. Knee Surg Sports Traumatol Arthrosc 2007;15:573–7.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Eustace JA,
    2. Brophy DP,
    3. Gibney RP,
    4. Bresnihan B,
    5. FitzGerald O
    . Comparison of the accuracy of steroid placement with clinical outcome in patients with shoulder symptoms. Ann Rheum Dis 1997;56:59–63.
    OpenUrlAbstract/FREE Full Text
  15. 15.↵
    1. Esenyel CZ,
    2. Esenyel M,
    3. Yesiltepe R,
    4. Ayanoglu S,
    5. Bulbul MM,
    6. Kara AN
    . The correlation between the accuracy of steroid injections and subsequent shoulder pain and function in subacromial impingement syndrome. Acta Orthop Traumatol Turc 2003;37:41–5.
    OpenUrlPubMed
  16. 16.
    1. Partington PF,
    2. Broome GH
    . Diagnostic injection around the shoulder: hit and miss? A cadaveric study of injection accuracy. J Shoulder Elbow Surg 1998;7:147–50.
    OpenUrlCrossRefPubMed
  17. 17.
    1. Yamakado K
    . The targeting accuracy of subacromial injection to the shoulder: an arthrographic evaluation. J Arthroscop Rel Surg 2002;18:887–91.
    OpenUrlCrossRef
  18. 18.
    1. Jackson DW,
    2. Evans NA,
    3. Thomas BM
    . Accuracy of needle placement in the intra-articular space of the knee. J Bone Joint Surg Am 2002;84:1522–7.
    OpenUrlPubMed
  19. 19.↵
    1. Pollard MA,
    2. Cermak MB,
    3. Williams DP,
    4. Buck WR
    . Accuracy of injection into the basal joint of the thumb. Orthopedics 2003; Suppl:4.
  20. 20.↵
    1. Balint PV,
    2. Kane D,
    3. Hunter J,
    4. McInnes IB,
    5. Field M,
    6. Sturrock RD
    . Ultrasound guided versus conventional joint and soft tissue fluid aspiration in rheumatology practice: a pilot study. J Rheumatol 2002;29:2209–13.
    OpenUrlAbstract/FREE Full Text
  21. 21.
    1. Hanchard N,
    2. Shanahan D,
    3. Howe T,
    4. Thompson J,
    5. Goodchild L
    . Accuracy and dispersal of subacromial and glenohumeral injections in cadavers. J Rheumatol 2006;33:1143–6.
    OpenUrlAbstract/FREE Full Text
  22. 22.↵
    1. Henkus HE,
    2. Cobben LP,
    3. Coerkamp EG,
    4. Nelissen RG,
    5. van Arkel ER
    . The accuracy of subacromial injections: a prospective randomized magnetic resonance imaging study. Arthroscopy 2006;22:277–82.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Masi AT,
    2. Driessnack RP,
    3. Yunus MB,
    4. Neustadt DH
    . Techniques for “blind” glucocorticosteroid injections into glenohumeral joints. J Rheumatol 2007;34:1201–2.
    OpenUrlFREE Full Text
  24. 24.
    1. Sethi PM,
    2. Kingston S,
    3. Elattrache N
    . Accuracy of anterior intra-articular injection of the glenohumeral joint. Arthroscopy 2005;21:77–80.
    OpenUrlCrossRefPubMed
  25. 25.
    1. Sethi PM,
    2. El Attrache N
    . Accuracy of intra-articular injection of the glenohumeral joint: a cadaveric study. Orthopedics 2006;29:149–52.
    OpenUrlPubMed
  26. 26.↵
    1. Dabke HV
    . Accuracy of needle placement into the intra-articular space of the knee. J Bone Joint Surg Am 2004;86:433–4.
    OpenUrlPubMed
  27. 27.↵
    1. Raza K,
    2. Lee CY,
    3. Pilling D,
    4. et al.,
    Ultrasound guidance allows accurate needle placement and aspiration from small joints in patients with early inflammatory arthritis. Rheumatology 2003;42:976–9.
    OpenUrlAbstract/FREE Full Text
  28. 28.↵
    1. Naredo E,
    2. Cabero F,
    3. Beneyto P,
    4. et al.,
    A randomized comparative study of short term response to injection versus sonographic-guided injection of local corticosteroids in patients with painful shoulder. J Rheumatol 2004;31:308–14.
    OpenUrlAbstract/FREE Full Text
  29. 29.
    1. Klauser A,
    2. De Zordo T,
    3. Feuchtner G,
    4. et al.,
    Feasibility of ultrasound-guided sacroiliac joint injection considering sonoanatomic landmarks at two different levels in cadavers and patients. Arthritis Rheum 2008;59:1618–24.
    OpenUrlCrossRefPubMed
  30. 30.
    1. Rutten MJ,
    2. Collins JM,
    3. Maresch BJ,
    4. et al.,
    Glenohumeral joint injection: a comparative study of ultrasound and fluoroscopically guided techniques before MR arthrography. Eur Radiol 2009;19:722–30.
    OpenUrlCrossRefPubMed
  31. 31.
    1. Luz KR,
    2. Furtado RN,
    3. Nunes CC,
    4. Rosenfeld A,
    5. Fernandes AR,
    6. Natour J
    . Ultrasound-guided intra-articular injections in the wrist in patients with rheumatoid arthritis: a double-blind, randomised controlled study. Ann Rheum Dis 2008;67:1198–200.
    OpenUrlFREE Full Text
  32. 32.
    1. Boesen M,
    2. Jensen KE,
    3. Torp-Pedersen S,
    4. Cimmino MA,
    5. Danneskiold-Samsøe B,
    6. Bliddal H
    . Intra-articular distribution pattern after ultrasound-guided injections in wrist joints of patients with rheumatoid arthritis. Eur J Radiol 2009;69:331–8.
    OpenUrlCrossRefPubMed
  33. 33.
    1. Umphrey GL,
    2. Brault JS,
    3. Hurdle MF,
    4. Smith J
    . Ultrasound-guided intra-articular injection of the trapeziometacarpal joint: description of technique. Arch Phys Med Rehabil 2008;89:153–6.
    OpenUrlCrossRefPubMed
  34. 34.
    1. Pourbagher MA,
    2. Ozalay M,
    3. Pourbagher A
    . Accuracy and outcome of sonographically guided intra-articular sodium hyaluronate injections in patients with osteoarthritis of the hip. J Ultrasound Med 2005;24:1391–5.
    OpenUrlAbstract/FREE Full Text
  35. 35.
    1. Zwar RB,
    2. Read JW,
    3. Noakes JB
    . Sonographically guided glenohumeral joint injection. AJR Am J Roentgenol 2004;183:48–50.
    OpenUrlPubMed
  36. 36.
    1. Sofka CM,
    2. Adler RS
    . Ultrasound-guided interventions in the foot and ankle. Semin Musculoskel Radiol 2002;6:163–8.
    OpenUrlCrossRef
  37. 37.
    1. Qvistgaard E,
    2. Kristoffersen H,
    3. Terslev L,
    4. Danneskiold-Samsøe B,
    5. Torp-Pedersen S,
    6. Bliddal H
    . Guidance by ultrasound of intra-articular injections in the knee and hip joints. Osteoarthritis Cartilage 2001;9:512–7.
    OpenUrlCrossRefPubMed
  38. 38.↵
    1. Carson BW,
    2. Wong A
    . Ultrasonographic guidance for injections of local steroids in the native hip. J Ultrasound Med 1999;18:159–60.
    OpenUrlPubMed
  39. 39.
    1. Valls R,
    2. Melloni P
    . Sonographic guidance of needle position for MR arthrography of the shoulder. AJR Am J Roentgenol 1997;169:845–7.
    OpenUrlCrossRefPubMed
  40. 40.
    1. Fredberg U,
    2. van Overeem Hansen G,
    3. Bolvig L
    . Placement of intra-articular injections verified by ultrasonography and injected air as contrast medium. Ann Rheum Dis 2001;60:542.
    OpenUrlFREE Full Text
  41. 41.↵
    1. Karim Z,
    2. Wakefield RJ,
    3. Conaghan PG,
    4. et al.,
    The impact of ultrasonography on diagnosis and management of patients with musculoskeletal conditions. Arthritis Rheum 2001;44:2932–3.
    OpenUrlCrossRefPubMed
  42. 42.↵
    1. Speed CA,
    2. Bearcroft PW
    . Musculoskeletal sonography by rheumatologists: the challenges. Rheumatology 2002;41:241–2.
    OpenUrlFREE Full Text
  43. 43.↵
    1. Mandl LA,
    2. Hotchkiss RN,
    3. Adler RS,
    4. Ariola LA,
    5. Katz JN
    . Can the carpometacarpal joint be injected accurately in the office setting? Implications for therapy. J Rheumatol 2006;33:1137–9.
    OpenUrlAbstract/FREE Full Text
  44. 44.↵
    1. Awerbuch MS
    . The clinical utility of ultrasonography for rotator cuff disease, shoulder impingement syndrome and subacromial bursitis. Med J Aust 2008;188:50–3.
    OpenUrlPubMed
  45. 45.↵
    1. Litt AW,
    2. Ryan DR,
    3. Batista D,
    4. Perry KN,
    5. Lewis RS,
    6. Sunshine JH
    . Relative procedure intensity with self-referral and radiologist referral: extremity radiography. Radiology 2005;235:142–7.
    OpenUrlCrossRefPubMed
  46. 46.
    1. Levin DC,
    2. Rao VM,
    3. Parker L,
    4. Maitino AJ,
    5. Sunshine JH
    . Who gets paid for diagnostic imaging, and how much? J Am Coll Radiol 2004;1:931–5.
    OpenUrlCrossRefPubMed
  47. 47.↵
    1. Kane D,
    2. Balint PV,
    3. Sturrock R,
    4. Grassi W
    . Musculoskeletal ultrasound — a state of the art review in rheumatology. Part 1: Current controversies and issues in the development of musculoskeletal ultrasound in rheumatology. Rheumatology 2004;43:823–8.
    OpenUrlAbstract/FREE Full Text
  48. 48.↵
    1. Hall S,
    2. Buchbinder R
    . Do imaging methods that guide needle placement improve outcome?. Ann Rheum Dis 2004;63:1007–8.
    OpenUrlFREE Full Text
  49. 49.↵
    1. Bellamy N,
    2. Campbell J,
    3. Robinson V,
    4. Gee T,
    5. Bourne R,
    6. Wells G
    . Intraarticular corticosteroid for treatment of osteoarthritis of the knee. Cochrane Database Syst Rev 2006;2:CD005328.
    OpenUrlPubMed
  50. 50.
    1. Ravaud P,
    2. Moulinier L,
    3. Giraudeau B,
    4. et al.,
    Effects of joint lavage and steroid injection in patients with osteoarthritis of the knee: results of a multicenter, randomized, controlled trial. Arthritis Rheum 1999;42:475–82.
    OpenUrlCrossRefPubMed
  51. 51.↵
    1. Firestein GS,
    2. Paine MM,
    3. Littman BH
    . Gene expression (collagenase, tissue inhibitor of metalloproteinases, complement, and HLA-DR) in rheumatoid arthritis and osteoarthritis synovium. Quantitative analysis and effect of intraarticular corticosteroids. Arthritis Rheum 1991;34:1094–105.
    OpenUrlCrossRefPubMed
  52. 52.↵
    1. Sibbitt RR,
    2. Sibbitt WL, Jr,
    3. Nunez SE,
    4. Kettwich LG,
    5. Kettwich SC,
    6. Bankhurst AD
    . Control and performance characteristics of eight different suction biopsy devices. J Vasc Interv Radiol 2006;17:1657–69.
    OpenUrlCrossRefPubMed
  53. 53.↵
    1. Nunez SE,
    2. Draeger HT,
    3. Rivero DP,
    4. Kettwich LG,
    5. Sibbitt WL, Jr,
    6. Bankhurst AD
    . Reduced pain of intraarticular hyaluronate injection with the reciprocating procedure device. J Clin Rheumatol 2007;13:16–9.
    OpenUrlCrossRefPubMed
  54. 54.↵
    1. Bankhurst AD,
    2. Nunez SE,
    3. Draeger HT,
    4. Kettwich SC,
    5. Kettwich LG,
    6. Sibbitt WL, Jr
    . A randomized controlled trial of the reciprocating procedure device for intraarticular injection of corticosteroid. J Rheumatol 2007;34:187–92.
    OpenUrlAbstract/FREE Full Text
  55. 55.
    1. Sibbitt WL, Jr,
    2. Sibbitt RR,
    3. Michael AA,
    4. et al.,
    Physician control of needle and syringe during traditional aspiration-injection procedures with the new reciprocating syringe. J Rheumatol 2006;33:771–8.
    OpenUrlAbstract/FREE Full Text
  56. 56.
    1. Nunez SE,
    2. Bedrick EJ,
    3. Kettwich SC,
    4. Kettwich LG,
    5. Bankhurst AD,
    6. Sibbitt WL, Jr
    . A randomized, controlled trial of the reciprocating procedure device for local anesthesia. J Emerg Med 2008;35:119–25.
    OpenUrlCrossRefPubMed
  57. 57.↵
    1. Sander O
    . Intra-articular corticosteroid injections with the reciprocating procedure device reduced procedural pain and duration more than the conventional syringe. Evid Based Med 2007;12:106.
    OpenUrlFREE Full Text
  58. 58.↵
    1. Uziel Y,
    2. Berkovitch M,
    3. Gazarian M,
    4. et al.,
    Evaluation of eutectic lidocaine/prilocaine cream (EMLA) for steroid joint injection in children with juvenile rheumatoid arthritis: a double blind, randomized, placebo controlled trial. J Rheumatol 2003;30:594–6.
    OpenUrlAbstract/FREE Full Text
  59. 59.
    1. Bhachu HS,
    2. Kay B,
    3. Healy TE,
    4. et al.,
    Grading of pain and anxiety. Comparison between a linear analogue and a computerised audiovisual analogue scale. Anaesthesia 1983;38:875–8.
    OpenUrlPubMed
  60. 60.
    1. Katz J,
    2. Melzack R
    . Measurement of pain. Surg Clin North Am 1999;79:231–52.
    OpenUrlCrossRefPubMed
  61. 61.↵
    1. Miller MD,
    2. Ferris DG
    . Measurement of subjective phenomena in primary care research: the Visual Analogue Scale. Fam Pract Res J 1993;13:15–24.
    OpenUrlPubMed
  62. 62.↵
    1. Derendorf H,
    2. Möllmann H,
    3. Grüner A,
    4. Haack D,
    5. Gyselby G
    . Pharmacokinetics and pharmacodynamics of glucocorticoid suspensions after intra-articular administration. Clin Pharmacol Ther 1986;39:313–7.
    OpenUrlPubMed
  63. 63.↵
    1. Emkey RD,
    2. Lindsay R,
    3. Lyssy J,
    4. Weisberg JS,
    5. Dempster DW,
    6. Shen V
    . The systemic effect of intraarticular administration of corticosteroid on markers of bone formation and bone resorption in patients with rheumatoid arthritis. Arthritis Rheum 1996;39:277–82.
    OpenUrlPubMed
  64. 64.↵
    1. Boesen M,
    2. Boesen L,
    3. Jensen KE,
    4. et al.,
    Clinical outcome and imaging changes after intraarticular (IA) application of etanercept or methylprednisolone in rheumatoid arthritis: magnetic resonance imaging and ultrasound-Doppler show no effect of IA injections in the wrist after 4 weeks. J Rheumatol 2008;35:584–91.
    OpenUrlAbstract/FREE Full Text
  65. 65.↵
    1. Furtado RN,
    2. Oliveira LM,
    3. Natour J
    . Polyarticular corticosteroid injection versus systemic administration in treatment of rheumatoid arthritis patients: a randomized controlled study. J Rheumatol 2005;32:1691–8.
    OpenUrlAbstract/FREE Full Text
  66. 66.↵
    1. Kettwich SC,
    2. Sibbitt WL, Jr,
    3. Brandt JR,
    4. Johnson CR,
    5. Wong CS,
    6. Bankhurst AD
    . Needle phobia and stress-reducing medical devices in pediatric and adult chemotherapy patients. J Pediatr Oncol Nurs 2007;24:20–8.
    OpenUrlAbstract/FREE Full Text
  67. 67.↵
    1. Kettwich SC,
    2. Sibbitt WL, Jr,
    3. Kettwich LG,
    4. Palmer CJ,
    5. Draeger HT,
    6. Bankhurst AD
    . Patients with needle phobia? Try stress-reducing medical devices: A randomized, controlled trial comparing decorated and plain syringes and butterfly needles. J Fam Pract 2006;55:697–700.
    OpenUrlPubMed
  68. 68.↵
    1. Adams D,
    2. Elliott TS
    . Impact of safety needle devices on occupationally acquired needlestick injuries: a four-year prospective study. J Hosp Infect 2006;64:50–5.
    OpenUrlCrossRefPubMed
  69. 69.↵
    1. Moorjani GR,
    2. Michael AA,
    3. Peisjovich A,
    4. Park KS,
    5. Sibbitt WL, Jr,
    6. Bankhurst AD
    . Patient pain and tissue trauma during syringe procedures: A randomized controlled trial. J Rheumatol 2008;35:1124–9.
    OpenUrlAbstract/FREE Full Text
Back to top

In this issue

Print
Download PDF
Article Alerts
Email Article
Citation Tools

 Request Permissions

Bookmark this article

Jump to section