How to Approach a Hip PARTI With Confidence: Ultrasound-Guided Parallel Transverse in-Plane Technique for Intra-articular Hip Interventions

J Ultrasound Med. 2021 Oct;40(10):2219-2223. doi: 10.1002/jum.15608. Epub 2020 Dec 27.

Abstract

The "parallel transverse in-plane" technique for ultrasound-guided intra-articular hip interventions ensures needle visualization for the entire procedure, with the needle clearly shown entering the joint. With the widely described longitudinal in-plane approach, needle visualization can be poor, necessitating reliance on tissue distortion, which can reduce user confidence and safety. The parallel transverse in-plane approach is invaluable in those with anterior thigh skin breakdown and where anterior access is contraindicated. The approach also allows a broad width of the synovium to be traversed and is therefore well suited to synovial biopsy. This short Technical Innovation highlights this alternative approach to hip joint intervention.

Keywords: PARTI technique; hip joint intervention; parallel in-plane; transverse; ultrasound-guided.

MeSH terms

  • Hip Joint* / diagnostic imaging
  • Hip Joint* / surgery
  • Humans
  • Injections, Intra-Articular
  • Needles*
  • Ultrasonography
  • Ultrasonography, Interventional