Ultrasound Guided Procedures

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Blind injections are inaccurate. Even in the hands of experienced orthopedic surgeons, the failure rate of shoulder injections is up to 70% and hip is between 20-40%. The benefits of ultrasonography reported in multiple clinical studies including randomized control trials where ultrasound guidance (UG) was compared to the conventional palpation-guided (PG) method.  The medical literature suggests the improvement after UG is greater and lasted longer than PG. The correct injection can provide useful diagnostic information regarding the location of a pain generator. If medicine is misplaced, it may lead to complications such as skin depigmentation, subcutaneous fat atrophy, tendon rupture, neurovascular injury, increased procedural and postprocedural pain or seizures.