ArticlePercutaneous Ultrasound-Guided Injections in the Musculoskeletal SystemAdler, Ronald S. Ph.D., M.D.*; Sofka, Carolyn M. M.D.†Author Information *Attending Radiologist, Chief of the Division of Ultrasound & Body Imaging, and Professor of Radiology, Weill Medical College of Cornell University, New York, New York, U.S.A.; and †Radiologist and Director of Education, Hospital for Special Surgery, Department of Radiology & Imaging, New York, New York, U.S.A. The authors have disclosed that they have no significant relationships with or financial interests in any commercial company pertaining to this educational activity. Address correspondence and reprint request to Dr. Ronald S. Adler, Hospital for Special Surgery, Department of Radiology & Imaging, 535 East 70th Street, New York, NY 10021. E-mail: [email protected] Ultrasound Quarterly: March 2003 - Volume 19 - Issue 1 - p 3-12 Buy CME Test Abstract Ultrasound guidance is an accurate method for the delivery of therapeutic injections in the musculoskeletal system. The visualization of the needle in real time allows for reliable placement of the needle tip in the tendon sheath, bursa, or joint of interest. Both superficial and deep articulations and tendon sheaths can be targeted for diagnostic or therapeutic interventions. In addition, intratendinous calcifications, the plantar fascia, and interdigital (Morton's) neuromas can also be visualized and injected directly under real-time guidance. Performing percutaneous interventions with ultrasound ensures accurate needle tip placement and helps direct the needle away from other regional soft-tissue structures such as nearby neurovascular bundles. © 2003 Lippincott Williams & Wilkins, Inc.