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Jay Smith, MD, Mark-Friedrich B. Hurdle, MD 

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1 Office-Based Ultrasound-Guided Intra-Articular Hip Injection: Technique for Physiatric Practice 
Jay Smith, MD, Mark-Friedrich B. Hurdle, MD  Archives of Physical Medicine and Rehabilitation  Volume 87, Issue 2, Pages (February 2006) DOI: /j.apmr Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig 1 (A) Sagittal ultrasound view of the anterior hip showing the hyperechoic femoral head (FH), triangular echo of the anterior labrum (AL), and overlying iliofemoral ligament (arrows). (B) Ultrasound transducer orientation used to obtain picture in figure 1A. The transducer was oriented in the sagittal plane with respect to body. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig 2 (A) Ultrasound view with transducer oriented along the long axis of the femoral neck (FN) (left side is superior [SUP], right side is inferior [INF]). Needle is easily seen piercing the hyperechoic iliofemoral ligament and entering the hip joint near the femoral head-neck junction. Superiorly, a thin band of hyperechoic corticosteroid crystals is seen outlining the curvilinear shape of the femoral head, deep to the iliofemoral ligament. (B) Ultrasound transducer orientation used to obtain picture in figure 2A. The transducer was oriented longitudinal to the femoral neck. Compare with figure 1B. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig 3 Hip arthrogram obtained by ultrasound-guided needle placement. The needle was placed during a single attempt, anechoic contrast was injected, and then fluoroscopy was used to document the successful placement. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

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