Ultrasound-guided injections for the retrotrochanteric region: A cadaveric investigation

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F25%3A10498467" target="_blank" >RIV/00064165:_____/25:10498467 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/25:10498467

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=33bzxHSY90" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=33bzxHSY90</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1002/pmrj.13381" target="_blank" >10.1002/pmrj.13381</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Ultrasound-guided injections for the retrotrochanteric region: A cadaveric investigation

Popis výsledku v původním jazyce

Background: Injections for the piriformis and triceps coxae tendons/bursae have not been described and validated. Objective: To investigate the deep retrotrochanteric anatomy and validate an ultrasound (US)-guided injection technique. Methods: Fifteen sides of the pelvic half/lower limb of formalin-fixed cadaveric specimens were dissected to investigate the deep retrotrochanteric region. An US-guided superficial/peritendinous green latex dye injection was performed on both sides of a single full body cadaver. Next, seven sides of another four full body cadavers were injected using a deep/intrabursal technique. The cadavers were dissected to observe the dye&apos;s location. Results: In the anatomical part of the study, we observed a consistent fusion of the piriformis tendon (PT) with the triceps coxae tendon (TCT) (15/15), and with the gluteus medius tendon in 93% (14/15). A bursa of piriformis was identified in 80% (12/15) of the cases, and a subtendinous bursa of obturator internus was found in 73% (11/15). A fat pad overlying the PT-TCT was present in 93% (14/15) of the cases. Regarding the US-guided injections, success rate for superficial/peritendinous injection was 0% (0/2), with the latex dye being identified in the fat pad covering the PT-TCT in both cases. For the deep/intrabursal injection, the success rate was 86% (6/7). Conclusions: The results indicated a satisfactory success rate for the deep/intrabursal injection of PT-TCT in retrotrochanteric pain syndrome. This technique holds promise for the treatment of bursa and tendon pathologies in relevant patients.

Název v anglickém jazyce

Ultrasound-guided injections for the retrotrochanteric region: A cadaveric investigation

Popis výsledku anglicky

Background: Injections for the piriformis and triceps coxae tendons/bursae have not been described and validated. Objective: To investigate the deep retrotrochanteric anatomy and validate an ultrasound (US)-guided injection technique. Methods: Fifteen sides of the pelvic half/lower limb of formalin-fixed cadaveric specimens were dissected to investigate the deep retrotrochanteric region. An US-guided superficial/peritendinous green latex dye injection was performed on both sides of a single full body cadaver. Next, seven sides of another four full body cadavers were injected using a deep/intrabursal technique. The cadavers were dissected to observe the dye&apos;s location. Results: In the anatomical part of the study, we observed a consistent fusion of the piriformis tendon (PT) with the triceps coxae tendon (TCT) (15/15), and with the gluteus medius tendon in 93% (14/15). A bursa of piriformis was identified in 80% (12/15) of the cases, and a subtendinous bursa of obturator internus was found in 73% (11/15). A fat pad overlying the PT-TCT was present in 93% (14/15) of the cases. Regarding the US-guided injections, success rate for superficial/peritendinous injection was 0% (0/2), with the latex dye being identified in the fat pad covering the PT-TCT in both cases. For the deep/intrabursal injection, the success rate was 86% (6/7). Conclusions: The results indicated a satisfactory success rate for the deep/intrabursal injection of PT-TCT in retrotrochanteric pain syndrome. This technique holds promise for the treatment of bursa and tendon pathologies in relevant patients.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30306 - Sport and fitness sciences

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

PM and R

ISSN

1934-1482

e-ISSN

1934-1563

Svazek periodika

17

Číslo periodika v rámci svazku

10

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

8

Strana od-do

1191-1198

Kód UT WoS článku

001485926100001

EID výsledku v databázi Scopus

2-s2.0-105004843888