Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1)

Current concepts review

Introduction to Ultrasound-Guided Musculoskeletal InterventionsCurrent concepts review

KAMAL MEZIAN, TOMÁ© NOVOTNÝ, ONDØEJ NAÒKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):5-8 | DOI: 10.55095/achot2025/016  

The text is an introduction to six articles on ultrasound-guided musculoskeletal interventions for the major extremity joints. Each article provides a detailed overview of injections for the shoulder, elbow, wrist and hand, hip, knee, ankle, and foot. The text of this manuscript emphasizes general advantages, techniques, and practical considerations of ultrasound guided injections. It highlights the benefits of ultrasound guidance over traditional palpation-based methods, emphasizing improved accuracy, safety, and therapeutic efficacy. Various ultrasound-guided techniques, including in-plane and out-of-plane needle approaches and indirect marking methods,...

Ultrasound-Guided Interventions for the ShoulderCurrent concepts review

KAMAL MEZIAN, TOMÁ© NOVOTNÝ, ONDØEJ NAÒKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):9-13 | DOI: 10.55095/achot2025/017  

Ultrasound imaging of the shoulder is a highly valuable modality that enhances diagnostic accuracy and facilitates precise injection therapy for a variety of shoulder conditions. This article provides a review of ultrasound-guided interventions, including intra-articular injections of the glenohumeral joint, subacromial-subdeltoid bursa, injections into the biceps tendon recess, and acromioclavicular joint. Comprehensive guidance is presented on probe selection, patient positioning, and step-by-step procedural protocols tailored to specific anatomical targets. Emphasis is placed on optimizing needle placement using in-plane and out-of-plane techniques,...

Ultrasound-Guided Interventions for the ElbowCurrent concepts review

TOMÁ© NOVOTNÝ, KAMAL MEZIAN, ONDØEJ NAÒKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):14-20 | DOI: 10.55095/achot2025/018  

Ultrasound imaging of the elbow is an invaluable tool that enhances diagnostic precision and facilitates therapeutic procedures with high accuracy. Compared to palpation-guided techniques, ultrasound-guided interventions significantly improve precision. This article reviews ultrasound-guided techniques for elbow joint interventions, including intra-articular injections, tennis elbow, golfer's elbow, triceps and distal biceps tendinopathy, and ulnar nerve neuropathy. Practical guidance is provided on probe selection, patient positioning, and step-by-step procedural details. Special emphasis is placed on optimizing needle placement and minimizing risks...

Ultrasound-Guided Interventions for the Wrist and HandCurrent concepts review

KAMAL MEZIAN, TOMÁ© NOVOTNÝ, ONDØEJ NAÒKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):21-26 | DOI: 10.55095/achot2025/019  

Ultrasound-guided interventions for the wrist and hand provide valuable therapeutic options for managing various conditions. This article reviews common procedures including injections into the radiocarpal joint, first metacarpophalangeal joint, ganglions, and tendon sheaths, as well as the interventional management of De Quervain's tenosynovitis, trigger finger, and carpal tunnel syndrome. Detailed instructions are provided on probe selection, patient positioning, and procedural techniques tailored to each anatomical target. The importance of careful needle placement, and appropriate risk management is emphasized. Risks such as nerve injury, tendon...

Ultrasound-Guided Interventions for the HipCurrent concepts review

TOMÁ© NOVOTNÝ, KAMAL MEZIAN, ONDØEJ NAÒKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):27-33 | DOI: 10.55095/achot2025/020  

Ultrasound imaging of the hip is a highly valuable modality that enhances diagnostic precision and facilitates injection therapy with remarkable accuracy. This article reviews the use of ultrasound in various hip interventions, including intra-articular injections, iliopsoas and trochanteric bursa treatments, lateral femoral cutaneous nerve blocks, and interventions for adductor and hamstring tendinopathies. Comprehensive guidance is offered on probe selection, patient positioning, and step-by-step procedural protocols tailored for specific conditions and anatomical targets. Key aspects include optimizing needle placement using in-plane and out-of-plane...

Ultrasound-Guided Interventions for the KneeCurrent concepts review

TOMÁ© NOVOTNÝ, KAMAL MEZIAN, ONDØEJ NAÒKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):34-38 | DOI: 10.55095/achot2025/021  

Ultrasound imaging of the knee is a highly valuable modality that enhances diagnostic accuracy and optimizes the precision of injection therapy. This article reviews the application of ultrasound in various knee interventions, including intra-articular injections, treatments for prepatellar bursitis and patellar ligament tendinopathy, pes anserinus, iliotibial band procedures, and guidance for popliteal fossa pathologies. Detailed guidance is provided on probe selection, patient positioning, and procedural techniques for specific anatomical targets. Key considerations include optimizing needle placement using in-plane and out-of-plane techniques, ensuring...

Ultrasound-Guided Interventions for the Ankle and FootCurrent concepts review

TOMÁ© NOVOTNÝ, KAMAL MEZIAN, ONDØEJ NAÒKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):39-44 | DOI: 10.55095/achot2025/022  

Ultrasound-guided interventions for the ankle and foot offer precise treatment for musculoskeletal conditions. This article reviews injections of the talocrural joint, first metatarsophalangeal joint, Achilles tendon (via stripping and retrocalcaneal bursa injections), plantar aponeurosis, and tibialis posterior tendon, detailing probe selection, patient positioning, and procedural techniques. Precise needle guidance is emphasized to prevent complications like nerve injury and tendon rupture. Text is supplemented with anatomical notes.