EFFECTIVE ULTRASONOGRAPHICALLY GUIDED INTERVENTION FOR DIAGNOSIS OF MUSCULOSKELETAL LESIONS

Current algorithms recommend computed tomography or fluoroscopic guida nce rather than ultrasonography for musculoskeletal intervention.(1) W e analyzed our ultrasonographically guided experience to evaluate its efficacy. Forty-seven patients underwent needle aspirates or biopsies or both in 13 extremity and 34 axial locations for 12 inflammatory les ions, 23 soft tissue masses, and 12 lesions arising from bone. Four le sions were initially imaged by ultrasonography; the remaining lesions were identified by computed tomography (25) or magnetic resonance imag ing (18). Forty-six samples were diagnostic; one needle aspirate of an inflammatory mass yielded no diagnostic material. No complications oc curred. Ultrasonographically guided musculoskeletal aspiration and bio psy are diagnostic and effective throughout the body, and with appropr iate lesion access, they should be considered as an alternative to com puted tomographic-guided procedures.