US-guided temporomandibular joint injection: Validation of an in-plane longitudinal approach.

Abstract:

:Ultrasonography of the temporomandibular joint is a non-invasive imaging technic, easy to perform in daily practice. It can be used for diagnosis and to guide intra-articular injections. The objective was to validate a longitudinal in-plane US injection approach of the joint and assess its accuracy. We performed a study in 13 non-embalmed cadavers. The injection was done under real-time US guidance using a needle inserted in-plane with an angulation of 30°and positioned under the capsule until the injection was feasible without resistance. The intra-articular injection was successful in all cases and confirmed by a liquid backflow in 96% of cases. The median duration between skin puncture and the intra-articular injection was 23 seconds. Our technique allows a direct visualization of the needle throughout its course to the joint with a high accuracy. Other studies will be needed to confirm its feasibility and usefulness in patients with TMJ disorders.

authors

Champs B,Corre P,Hamel A,Laffite CD,Le Goff B

doi

10.1016/j.jormas.2018.10.008

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

67-70

issue

1

eissn

2468-8509

issn

2468-7855

pii

S2468-7855(18)30219-2

journal_volume

120

pub_type

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