Top Uses of MSK Ultrasound of the Shoulder, Elbow, Hip, and Knee (AANA19)-Ultrasound of the Hip and Knee-Dr. Ethan L. Kellum, M.D., M.S.

Video Transcription

Video Summary

Dr. Kellum provides an in-depth overview of using ultrasound for hip and knee injections, emphasizing the importance of precise imaging for accurate diagnosis and treatment in orthopedic care. He begins by reviewing normal and abnormal hip anatomy, including the femoral neck, greater trochanter, bursitis, hamstring insertion, and piriformis syndrome, illustrating how ultrasound guides needle placement for injections with real-time visualization of structures and pathology like partial tears and bursitis. Transitioning to the knee, he discusses ultrasound use for injections into the suprapatellar pouch and tendons such as the quadriceps, patella, MCL, and LCL, demonstrating identification of tissue abnormalities, tendonitis, and ligament tears. Dr. Kellum advocates for ultrasound-guided procedures over blind injections, sharing his approach to bone marrow aspiration from the posterior iliac crest using ultrasound to safely harvest stem cells. His technique uses a longitudinal ultrasound view to identify the "mountain" anatomy of the iliac crest, and a multi-depth aspiration strategy to maximize stem cell count. He highlights the benefits of smaller syringe sizes and the reproducibility and safety of this office-based method. Throughout, he underscores ultrasound's role in enhancing accuracy, reducing complications, and improving patient outcomes in regenerative medicine and orthopedic interventions.

Asset Caption

Instructional Course Lecture: Top Uses of MSK Ultrasound of the Shoulder, Elbow, Hip, and Knee

Keywords

ultrasound-guided injections

hip anatomy

knee injections

orthopedic ultrasound

stem cell aspiration

iliac crest ultrasound

regenerative medicine