Presentation is loading. Please wait.

Presentation is loading. Please wait.

Jay Smith, MD, Mark-Friedrich Hurdle, MD, Adam J

Published byDoddy Yuwono Modified over 5 years ago

Similar presentations

Presentation on theme: "Jay Smith, MD, Mark-Friedrich Hurdle, MD, Adam J"— Presentation transcript:

1 Ultrasound-Guided Piriformis Injection: Technique Description and Verification 
Jay Smith, MD, Mark-Friedrich Hurdle, MD, Adam J. Locketz, MD, Stephen J. Wisniewski, MD  Archives of Physical Medicine and Rehabilitation  Volume 87, Issue 12, Pages (December 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) Longitudinal view of the piriformis muscle using a 6-to-1–MHz curvilinear transducer. The piriformis (PIR) muscle–tendon is visualized as a thin, hyperechoic band passing medial (left) to lateral (right) toward the greater trochanter (GT). The piriformis travels deep to the gluteus maximus (GMAX) as it passes out of the superior greater sciatic foramen, formed anteriorly by the ilium. In this picture, the lateral sacrum would lie just off-screen to the left. (B) Transducer position relative to skeletal landmarks to obtain ultrasound picture shown in figure 1A. Abbreviation: RT PIR LG, right piriformis, longitudinal view (parallel to the long axis of the muscle). 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 Transverse view of the sciatic nerve at the level of the quadratus femoris. The transducer is placed in an anatomic transverse plane at the level of the distal–lateral aspect of the ischial tuberosity. Here, the conspicuity of the hyperechoic sciatic nerve is increased as it passes between the hypoechoic quadratus femoris (deep) and gluteus maximus (superficial). The nerve can then be traced cranially to visualize its passage deep to the piriformis. Abbreviations: LAT, lateral; MED, medial; QF, quadratus femoris; RT QF LG, right side, quadratus femoris, longitudinal view (parallel to the long axis of the muscle); SCN, sciatic nerve. 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 (A) Longitudinal US view of the piriformis during needle placement using a medial-to-lateral approach parallel to the long axis of the transducer. The proximal end of the needle has been digitally enhanced to highlight needle trajectory. (B) Postinjection tenogram at the level of the greater sciatic foramen. Anechoic injectate (FLUID) within the piriformis tendon sheath lies superficial and deep to the hyperechoic tendon. Abbreviations: RT PIR LG, right side, piriformis, longitudinal view; TIP, needle tip. 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

5 Fig 4 Piriformis tenogram/myogram obtained after needle placement using US guidance and contrast injection under real-time fluoroscopy. Contrast flow pattern documents accurate injection. 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

Download ppt "Jay Smith, MD, Mark-Friedrich Hurdle, MD, Adam J"

Similar presentations

Randomized Controlled Trial for Efficacy of Intra-Articular Injection for Adhesive Capsulitis: Ultrasonography-Guided Versus Blind Technique Hong-Jae Lee,

Randomized Controlled Trial for Efficacy of Intra-Articular Injection for Adhesive Capsulitis: Ultrasonography-Guided Versus Blind Technique Hong-Jae Lee,
Ultrasound-Guided Piriformis Injection: Technique Description and Verification Jay Smith, MD, Mark-Friedrich Hurdle, MD, Adam J. Locketz, MD, Stephen J.

Ultrasound-Guided Piriformis Injection: Technique Description and Verification Jay Smith, MD, Mark-Friedrich Hurdle, MD, Adam J. Locketz, MD, Stephen J.
Fluoroscopic Analysis of Lumbar Epidural Contrast Spread After Lumbar Interlaminar Injection  Lawrence Weil, MD, Neal H. Frauwirth, MD, Kasra Amirdelfan,

Fluoroscopic Analysis of Lumbar Epidural Contrast Spread After Lumbar Interlaminar Injection  Lawrence Weil, MD, Neal H. Frauwirth, MD, Kasra Amirdelfan,
Jay Smith, MD, Mark-Friedrich B. Hurdle, MD 

Jay Smith, MD, Mark-Friedrich B. Hurdle, MD 
A 72-year-old Male Patient with Right Buttock Pain

A 72-year-old Male Patient with Right Buttock Pain
Ultrasound-Guided Lateral Approach for Needle Insertion into the Subscapularis for Treatment of Spasticity  Dong-wook Rha, MD, PhD, Seung-Ho Han, MD,

Ultrasound-Guided Lateral Approach for Needle Insertion into the Subscapularis for Treatment of Spasticity  Dong-wook Rha, MD, PhD, Seung-Ho Han, MD,
David E. Fish, MD, MPH, Paul C. Lee, BS, MSIV, Daniel B. Marcus, MD 

David E. Fish, MD, MPH, Paul C. Lee, BS, MSIV, Daniel B. Marcus, MD 
Effect of Hand Size on the Stimulation Intensities Required for Median and Ulnar Sensory Nerve Conduction Studies  Thanitta Thanakiatpinyo, MD, Gulapar.

Effect of Hand Size on the Stimulation Intensities Required for Median and Ulnar Sensory Nerve Conduction Studies  Thanitta Thanakiatpinyo, MD, Gulapar.
Alan D. Hough, PhD, Ann P. Moore, PhD, Mark P. Jones, PhD 

Alan D. Hough, PhD, Ann P. Moore, PhD, Mark P. Jones, PhD 
Electrodiagnostic Findings and Surgical Outcome in Isolated First Branch Lateral Plantar Neuropathy: A Case Series With Literature Review  Kenneth T.

Electrodiagnostic Findings and Surgical Outcome in Isolated First Branch Lateral Plantar Neuropathy: A Case Series With Literature Review  Kenneth T.
Volume 8, Issue 7, Pages (July 2016)

Volume 8, Issue 7, Pages (July 2016)
David T. Burke, MD, MA, Amir El Shami, BS, Edward Heinle, MD, Burt D

David T. Burke, MD, MA, Amir El Shami, BS, Edward Heinle, MD, Burt D
Ultrasound-guided paravertebral puncture and placement of catheters in human cadavers: an imaging study  C. Luyet, U. Eichenberger, R. Greif, A. Vogt,

Ultrasound-guided paravertebral puncture and placement of catheters in human cadavers: an imaging study  C. Luyet, U. Eichenberger, R. Greif, A. Vogt,
Dry Endoscopic-Assisted Mini-Open Approach With Neuromonitoring for Chronic Hamstring Avulsions and Ischial Tunnel Syndrome  Juan Gómez-Hoyos, M.D., Manoj.

Dry Endoscopic-Assisted Mini-Open Approach With Neuromonitoring for Chronic Hamstring Avulsions and Ischial Tunnel Syndrome  Juan Gómez-Hoyos, M.D., Manoj.
Cost-Effectiveness of Screening for Deep Vein Thrombosis by Ultrasound at Admission to Stroke Rehabilitation  Richard D. Wilson, MD, Patrick K. Murray,

Cost-Effectiveness of Screening for Deep Vein Thrombosis by Ultrasound at Admission to Stroke Rehabilitation  Richard D. Wilson, MD, Patrick K. Murray,
Use of Ultrasound in Needle Placement in Intercostal Muscles: A Method for Increased Accuracy in Cadavers  Michele Retrouvey, MD, Tony Chiodo, MD, Anton.

Use of Ultrasound in Needle Placement in Intercostal Muscles: A Method for Increased Accuracy in Cadavers  Michele Retrouvey, MD, Tony Chiodo, MD, Anton.
Ultrasound-Guided Versus Fluoroscopy-Guided Sacroiliac Joint Intra-articular Injections in the Noninflammatory Sacroiliac Joint Dysfunction: A Prospective,

Ultrasound-Guided Versus Fluoroscopy-Guided Sacroiliac Joint Intra-articular Injections in the Noninflammatory Sacroiliac Joint Dysfunction: A Prospective,
Bilateral, simultaneous, spontaneous rupture of quadriceps tendons without trauma in an obese patient: A case report  Brian M. Kelly, DO, Noel Rao, MD,

Bilateral, simultaneous, spontaneous rupture of quadriceps tendons without trauma in an obese patient: A case report  Brian M. Kelly, DO, Noel Rao, MD,
The Role of Subacromial Shoulder Irrigation in the Treatment of Calcific Rotator Cuff Tendinosis: A Case Series  Vijay B. Vad, MD, Jennifer Solomon, MD,

The Role of Subacromial Shoulder Irrigation in the Treatment of Calcific Rotator Cuff Tendinosis: A Case Series  Vijay B. Vad, MD, Jennifer Solomon, MD,
Irreversible Spinal Nerve Injury From Dorsal Ramus Radiofrequency Neurotomy: A Case Report  Zachary Abbott, DO, Matthew Smuck, MD, Andrew Haig, MD, Oren.

Irreversible Spinal Nerve Injury From Dorsal Ramus Radiofrequency Neurotomy: A Case Report  Zachary Abbott, DO, Matthew Smuck, MD, Andrew Haig, MD, Oren.

Similar presentations

Ads by Google