Semin intervent Radiol 2002; 19(3): 189-196
DOI: 10.1055/s-2002-35324
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Interventional Procedures in Musculoskeletal Ultrasound

P. Peetrons1 , M. Court-Payen2
  • 1Department of Radiology, C.H. Molière-Longchamp, Brussels, Belgium
  • 2Department of Ultrasound, Herlev Hospital, Herlev, Denmark
Further Information

Publication History

Publication Date:
07 November 2002 (online)


After a short review of the requirements and the examination's technique, different indications of ultrasound-guided interventional procedures are described. Older indications such as abscess drainage or diagnostic core biopsy of tumors and newer and lesser-known newer indications are described. Among them are the removal of foreign bodies of the hand, the percutaneous tenotomy of the patellar tendon, and the removal of supraspinatus calcified deposits. Ultrasound-guided interventional procedures are safe, easy to perform, and less invasive than many others are. They are sometimes underused in clinical practice but should be evaluated in each clinical case in which they might be helpful.


  • 1 Christensen R A, Van Sonneberg E, Casola G, Wittich G R. Interventional ultrasound in the musculoskeletal system.  Radiol Clin North Am . 1988;  26 145-156
  • 2 Bureau N J, Cardinal E. Interventions échoguidées du système locomoteur. In: Peetrons P, Chhem RK, eds. Atlas Échographique du Système Locomoteur (Tome 2) Montpellier: Sauramps Médical; 2001: 235-252
  • 3 Cardinal E, Chhem R K, Beauregard C G. Ultrasound-guided interventional procedures in the musculoskeletal system.  Radiol Clin North Am . 1998;  36 597-604
  • 4 Craig J G. Infection: ultrasound guided procedures.  Radiol Clin North Am . 1999;  37 669-678
  • 5 Gibbon W W. Interventional radiology techniques in musculoskeletal disease.  Baillieres Clin Rheumatol . 1996;  10 711-727
  • 6 Holm H H, Skjoldbye B. Interventional ultrasound.  Ultrasound Med Biol . 1996;  22 773-789
  • 7 Rubens D J, Fultz P J, Gottlieb R H, Rubin S J. Effective ultrasonographically guided intervention for diagnosis of musculoskeletal lesions.  J Ultrasound Med . 1997;  16 831-842
  • 8 Sofka C M, Collins A J, Adler R S. Use of ultrasonographic guidance in interventional musculoskeletal procedures: a review from a single institution.  J Ultrasound Med . 2001;  20 21-26
  • 9 Fessell D P, Jacobson J A, Craig J. Using sonography to reveal and aspirate joint effusions.  AJR Am J Roentgenol . 2000;  174 1353-1362
  • 10 Komppa G H, Northern J R, Hass D K. Ultrasound guidance for needle aspiration of the hip in patients with painful hip prosthesis.  J Clin Ultrasound . 1985;  13 433-434
  • 11 Van Holsbeeck T M, Eyler W R, Sherman L S. Detection of infection in loosened hip prosthesis: efficacy of sonography.  AJR Am J Roentgenol . 1994;  163 381-384
  • 12 Eustace J A, Brophy D P, Gibney R P, Bresnihan B, FitzGerald O. Comparison of the accuracy of steroid placement with clinical outcome in patients with shoulder symptoms.  Am Rheum Dis . 1997;  56 59-63
  • 13 Breidhahl W H, Adler R S. Ultrasound-guided injection of ganglia with corticosteroids.  Skeletal Radiol . 1996;  25 635-638
  • 14 Chiou H J, Chou Y H, Wu J J. Alternative and effective treatment of shoulder ganglion cyst: ultrasonographically guided aspiration.  J Ultrasound Med . 1999;  18 531-535
  • 15 Hill S A, McLarnon J C, Nag D. Ultrasound guided aspiration for transient synovitis of the hip.  J Bone Joint Surg Br . 1990;  72 852-853
  • 16 Kaiser S, Rosenborg M. Early detection of subperiostal abscesses by ultrasonography. A means for further successful treatment in paediatric osteomyelitis.  Pediatr Radiol . 1994;  24 336-339
  • 17 Bradley M, Bhamra M S, Robson M J. Ultrasound guided aspiration of symptomatic supraspinatus calcific deposits.  Br J Radiol . 1995;  68 716-719
  • 18 Farin P U. Consistency of rotator cuff calcifications. Observations on plain radiography, sonography, computed tomography and at needle treatment.  Invest Radiol . 1996;  31 300-304
  • 19 Farin P U, Rasanen H, Jaroma H, Harju A. Rotator cuff calcifications: treatment with ultrasound guided percutaneous needle aspiration and lavage.  Skeletal Radiol . 1996;  25 551-554
  • 20 Little C M, Parker M G, Callowich M C, Sartori J C. The ultrasonic detection of foreign bodies.  Invest Radiol . 1986;  21 275-277
  • 21 Blankstein A, Cohen I, Heiman Z. Localization, detection and guided removal of soft tissue in the hands using sonography.  Arch Orthop Trauma Surg . 2000;  120 514-517
  • 22 Whittle C, Gonzalez P, Horvath E. Detection and characterisation by ultrasonography of soft tissue foreign bodies.  Rev Med Chil . 2000;  128 419-424
  • 23 Crawford R, Matheson A B. Clinical value of ultrasonography in the detection and removal of radiolucent foreign body.  Injury . 1989;  20 341
  • 24 Shiels II E W, Babcock D S, Wilson J L, Burch R A. Localization and guided removal of soft-tissue foreign bodies with sonography.  AJR Am J Roentgenol . 1990;  155 1277-1281
  • 25 Fornage B D, Lorigan J G. Sonographic detection and fine needle aspiration of nonpalpable recurrent or metastatic melanoma in subcutaneous tissues.  J Ultrasound Med . 1989;  8 421-424
  • 26 Testa V, Capasso G, Maffulli N, Bifulco G. Ultrasound guided percutaneous longitudinal tenotomy for the management of patellar tendinopathy.  Med Sci Sports Exerc . 1999;  31 1509-1515