Article

A 35-yr-old woman was referred to our outpatient clinic for a right
intra-articular knee aspiration and injection. She had a medical history notable
for lymphedema and morbid obesity (Fig. 1). Her body mass index was recently
calculated at greater than 60 kg/m(2). She had a history of four previous
nonguided knee joint injections performed elsewhere that provided no significant
improvement in pain. On physical examination, it was difficult to localize common
knee joint bony landmarks, including the medial and lateral borders of the
patella (Fig. 2). Consequently we opted to utilize ultrasound guidance for the
knee joint injection via the technique described herein.

Langue : ANGLAIS