Ultrasound-Guided Joint Injection and Aspiration for Arthritic Conditions and Hemophilia

Available Dates: April 25, 2020 (cancelled) • October 3, 2020 • December 12, 2020 • January 30, 2021 • April 10, 2021 • August 7, 2021

Jump to: Faculty | Agenda | Resources

Ultrasound-Guided Joint Injection and Aspiration for Arthritic Conditions and Hemophilia has been developed as an educational opportunity to provide training in ultrasound-guided intra-articular needle placement, to perform joint injections and aspirations. Many practices caring for patients with orthopedic conditions, sports injuries or hemophilia have introduced musculoskeletal ultrasound for non-invasive management of painful joints. Adding training to perform needle placement into joints using ultrasound guidance will greatly enhance providers’ ability to manage joint pains by aspiration of joint fluid/blood as well as placement if intra-articular injections.  

We encourage you to extend your learning experience by combining this course with our additional live courses Musculoskeletal Ultrasound Training for Hemophilia and Other Arthritic Conditions, Musculoskeletal Ultrasound of the Shoulder, Hip and Spine Training Course and by viewing our online companion series Musculoskeletal Ultrasound in Hemophilia Web-Based Modules.

Target Audience

This educational program is designed for physicians, physician assistants, nurse practitioners, nurses, and physical therapists involved and/or interested in point-of care ultrasound-guided intra-articular interventions to manage arthritic conditions and other musculoskeletal conditions, including hemophilic joint disease.

Objectives

Upon completion of this activity, participants should be able to:

  • Describe techniques and protocols for performing ultrasound guided injections of elbow, knee, hip, ankle and shoulder.
  • Describe the benefits of guided versus unguided intra-articular injections
  • Describe the indications and contra-indications of performing ultrasound guided intra-articular injections
  • Perform ultrasound-guided needle placement into joints
  • Identify sonographic target interfaces for accurate joint injections
  • Operate an ultrasound machine to include beam steer and optimization techniques for needle visualization
  • Use the Color Flow and Power Doppler to visualize vessels
  • Describe various approaches to access the intraarticular space for needle placement based on underlying joint pathology
  • Describe sterile techniques for needle placement
  • Describe advantages and limitations of current intraarticular treatment modalities for pain relief

Jump to: Faculty | Agenda | Resources

Faculty

Annette von Drygalski, MD, PharmD, RMSK

Annette von Drygalski, MD, PharmD, RMSK
Course Director 
Clinical Professor of Medicine
Director of the UC San Diego Health Hemophilia and Thrombosis Treatment Center
University of California San Diego
San Diego, California

Randy Moore, DC, RDMS, RMSK 

Randy E. Moore, DC, RDMS, RMSK 
General Musculoskeletal Imaging, Inc.
MSKMasters
Cincinnati, Ohio

Paula F. Abeleda, RN

Paula F. Abeleda, RN
Clinical Nurse
Hemophilia & Thrombosis Treatment Center at UC San Diego Health
University of California San Diego
San Diego, California

Chang

Cliffe Corpuz, RN, BSN
Clinical Nurse
Hemophilia & Thrombosis Treatment Center at UC San Diego Health
University of California San Diego
San Diego, California

Andres Flores, ATC, MS, CES

Jessica Seacrist, RN
Planning Committee
UC San Diego Health Hemophilia and Thrombosis Treatment Center
University of California San Diego
San Diego, California

Andres Flores, ATC, MS, CES

Andres Flores, ATC, MS, CES
Planning Committee
UC San Diego Health Hemophilia and Thrombosis Treatment Center
University of California San Diego
San Diego, California

Jump to: Faculty | Agenda | Resources

Agenda: Ultrasound-Guided Joint Injection and Aspiration for Arthritic Conditions and Hemophilia

Saturday

7:30 AM Breakfast 

8:00 AM

Welcome and Introductions
Annette von Drygalski
8:15 AM  Ultrasound Guided Injection Technique: The Need and The Benefits
Randy Moore
9:15 AM     Intra-Articular Corticosteroid Injections in Arthritic Conditions
Annette von Drygalski
10:00 AM     Sterile Techniques
Paula F. Abeleda
10:15 AM  Break

10:30 AM

Demonstration: In-Plane and Out-of Plane Needle Advancement (Pig Cadaver Joints)
Randy Moore
11:00 AM Hands-On: In-Plane and Out-of Plane Needle Advancement (Phantom or Similar Tissue)
Randy Moore, Annette von Drygalski, Paula F. Abeleda, Cliffe Corpuz, Andres Flores
12:30 PM Lunch                                      
1:00 PM Ankle/Elbow/Knee/Shoulder/Hip/SI-Joints/Lumbar Facettes 
Guided Injection Setups: Common Target Interfaces for Injection

Randy Moore

1:30 PM

Live Demonstrations, Teaching and Practice
Participant and Patients as available
Randy Moore, Annette von Drygalski, Paula F. Abeleda, Cliffe Corpuz, Andres Flores
3:00 PM Break
3:30 PM Live Demonstrations, Teaching and Practice
Participant and Patients as available
Randy Moore, Annette von Drygalski, Paula F. Abeleda, Cliffe Corpuz, Andres Flores
5:00  PM Adjourn

ADD-ON ACTIVITIES (Additional fee required)

Musculoskeletal Ultrasound Training for Hemophilia and Other Arthritic Conditions (Wednesday/Thursday)

Musculoskeletal Ultrasound of the Shoulder, Hip and Spine Training Course (Friday)

Jump to: Faculty | Agenda | Resources

Suggested Resources

Efficacy and safety of point-of-care ultrasound-guided intra-articular corticosteroid joint injections in patients with hemophilic arthropathy. E Martin, RFW Barnes, CM Moran, S Holle, TH Hughes, RE Moore, and A von Drygalski. Haemophilia2016 Aug 3. doi: 10.1111/hae.13057. [Epub ahead of print]

Rapid musculoskeletal ultrasound for painful episodes in adult hemophilia patients. A Ceponis, I Wong-Sefidan, CS Glass, A von Drygalski. Haemophilia 2013;19:790-798 [Epub Epub 2013 May 15]

Point-of-care musculoskeletal ultrasound is critical for the diagnosis of hemarthroses, inflammation and soft tissue abnormalities in adult patients with painful hemophilic arthropathy. W Kidder, S Ngugen, J Larios, J Bergstrom, A Ceponis, A von Drygalski. Haemophilia; in press

Development and definition of a simplified scanning procedure and scoring method for Haemophilia Early Arthropathy Detection with Ultrasound (HEAD-US). C Martinoli , 0 Della Casa Alberighi , G Di Minno, E Graziano, AC Molinari, G Pasta, G Russo , E Santagostino, A Tagliaferri, A Tagliafico. Thromb Haemost 2013; 109:1170-1179

Intraarticular dexamethasone in advanced chronic synovitis in hemophilia. Fernandez-Palazzi F, Caviglia HA, Salazar JR, Lopez J, Aoun R Clin Orthop Relat Res. 1997; 343: 25–9.

Intra-articular methylprednisolone therapy in chronic hemophilic synovitis of the knee. Rodriguez-Merchan EC, Villar A, Orbe A, Magallon M.. Rev Clin Esp 1994; 194: 480–2.

Intraarticular methylprednisolone therapy in hemophilic arthropathy.  Shupak R, Teitel J, Garvey MB, Freedman J. Am J Hematol 1988; 27: 26–9.

Other

Musculoskeletal Ultrasound in Hemophilia, presented by UC San Diego School of Medicine

Scans in Demand. Using ultrasound to treat and diagnose more accurately. 12/2015 Featured in HEMAWARE (The Bleeding Disorders Magazine). 

European League against Rheumatism (EULAR) offers online classes to learn MSKUS technology specific to rheumatology

American College of Rheumatology (ACR) recommends MSKUS for point-of care diagnosis and treatment of joint disease. American College of Rheumatology Report on Reasonable Use of Musculoskeletal Ultrasonography in Rheumatology Clinical Practice. T MCALINDON, E KISSIN, L NAZARIAN, V RANGANATH, S PRAKASH, M TAYLOR, RR BANNURU, S SRINIVASAN, M GOGIA, MA MCMAHON, J GROSSMAN, S KAFAJA, AND J FITZGERALD. Arthritis Care&Research 2012. 64: 1625-1640

Photographs and/or videos may be taken throughout the course for educational and/or marketing purposes

 

UCSD CMEUCSD CME facebook UCSD CME twitter

Content is subject to change without notice. Please refer to the activity website for the most current information.

Official website of the University of California San Diego. Copyright ©2019 Regents of the University of California. All rights reserved.