New Trends in Ultrasound-Guided Musculoskeletal Injuries Approaches

Review Article | Volume 1 | Issue 1 | JRS December 2021 | Page 30-34 | Bernáldez Domínguez Pedro, Dallo Lazzarini Ignacio. DOI: 10.13107/jrs.2021.v01.i01.017

Author: Bernáldez Domínguez Pedro [1], Dallo Lazzarini Ignacio [1]

[1] Department of Orthopaedic Surgery and Sports Medicine, SportMe Medical Center, Unit of Biological Therapies, Seville, Spain.


Address of Correspondence
Dr. Bernáldez Domínguez Pedro, MD
Tabladilla, 2, 41013, Seville, Spain.


The ultrasound not only allows us to diagnose musculoskeletal injuries but is also a fantastic tool to assist us when performing different therapies on the tissues. Multiple studies compare the classic blind versus ultrasound-guided infiltrations, with a significant difference in the results. In this article, we present the different indications for ultrasound-guided therapies, including ultrasound-guided local infiltration, percutaneous needle tenotomy, intracapsular hydrodilatation, hydrodissection, high-volume injection, percutaneous needle scraping and ultrasound-guided surgery (EAS). We describe the techniques, their advantages, and disadvantages, as well as possible complications. These procedures require a good learning curve, but once achieved, it will allow us to use them to obtain good clinical results, and in many cases avoiding the operating room. We have included these therapies in the so-called “SUBA Protocol” that includes the application of the concepts of modern Sports trauma, the use of musculoskeletal Ultrasounds, consider Biological therapies as one more tool in the therapeutic arsenal, and finally, the use of Arthroscopic surgeries, minimally invasive procedures with minor tissue damage.

Keywords: Musculoskeletal ultrasound, Ultrasound-guided therapies, Percutaneous needle tenotomy, Intracapsular hydrodilatation,
Hydrodissection, Percutaneous needle scraping, Ultrasound-guided surgery, SUBA protocol.


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How to Cite this article: Pedro BD, Ignacio DL | New Trends in Ultrasound-Guided Musculoskeletal Injuries Approaches. | Journal of Regenerative Science | Dec 2021; 1(1): 30-34.

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