Ultrasound-guided bursal injections

Skeletal Radiol. 2023 May;52(5):967-978. doi: 10.1007/s00256-022-04153-y. Epub 2022 Aug 26.

Abstract

The native bursa is a structure lined by synovium located adjacent to a joint which may serve to decrease friction between the tendons and overlying bone or skin. This extra-articular structure can become inflamed resulting in bursitis. Steroid injections have proven to be an effective method of treating bursal pathology in various anatomic locations. Performing these procedures requires a thorough understanding of relevant anatomy, proper technique, and expected outcomes. Ultrasound is a useful tool for pre procedure diagnostic evaluation and optimizing needle position during these procedures while avoiding adjacent structures. The purpose of this article is to review core principles of ultrasound-guided musculoskeletal procedures involving bursae throughout the upper and lower extremities.

Keywords: Aspiration; Bursa; Injection; Steroid; Ultrasound.

Publication types

  • Review

MeSH terms

  • Bursa, Synovial* / pathology
  • Bursitis* / therapy
  • Humans
  • Injections
  • Injections, Intra-Articular / methods
  • Ultrasonography / methods
  • Ultrasonography, Interventional / methods