Journal article
American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine
British journal of sports medicine, Vol.49(3), p.151
02/2015
DOI: 10.1136/bjsports-2014-094219
PMID: 25330777
Abstract
Background The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilisation is by non-radiologists. In sports medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases and hydrodissections. Objective Critically review the literature related to the accuracy, efficacy and cost-effectiveness of ultrasound-guided injections (USGIs) in major, intermediate and small joints; and soft tissues. Design Systematic review of the literature. Results USGIs are more accurate than landmark-guided injections (LMGIs; strength of recommendation taxonomy (SORT) Evidence Rating=A). USGIs are more efficacious than LMGIs (SORT Evidence Rating=B). USGIs are more cost-effective than LMGIs (SORT Evidence Rating=B). Ultrasound guidance is required to perform many new procedures (SORT Evidence Rating=C). Conclusions The findings of this position statement indicate there is strong evidence that USGIs are more accurate than LMGI, moderate evidence that they are more efficacious and preliminary evidence that they are more cost-effective. Furthermore, ultrasound-guided (USG) is required to perform many new, advanced procedures and will likely enable the development of innovative USG surgical techniques in the future.
Details
- Title: Subtitle
- American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine
- Creators
- Jonathan T Finnoff - Department of Physical Medicine and Rehabilitation, Mayo Clinic college of Medicine, Mayo Clinic Sports Medicine Center, Rochester, Minnesota, USAMederic M Hall - Department of Orthopedics and Rehabilitation, Department of Family Medicine, University of Iowa Sports Medicine, Iowa City, Iowa, USAErik Adams - Midwest Sports Medicine Institute, Middleton, Wisconsin, USADavid Berkoff - Department of Orthopaedics and Emergency Medicine, University of North Carolina Chapel Hill, Chapel Hill, North Carolina, USAAndrew L Concoff - Department of Family Medicine, Division of Sports Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, USAWilliam Dexter - Tufts University School of Medicine, Boston, Massachusetts, USAJay Smith - Department of Radiology, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota, USA
- Resource Type
- Journal article
- Publication Details
- British journal of sports medicine, Vol.49(3), p.151
- DOI
- 10.1136/bjsports-2014-094219
- PMID
- 25330777
- ISSN
- 0306-3674
- eISSN
- 1473-0480
- Language
- English
- Date published
- 02/2015
- Academic Unit
- Radiology; Orthopedics and Rehabilitation; Family and Community Medicine
- Record Identifier
- 9984024501902771
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