The Precision and Safety of Ultrasound-Guided versus Palpation-Guided Needle Placement on the Plantar Fascia and Flexor Digitorum Brevis Interface: An Anatomical Study

被引:1
|
作者
Malo-Urries, Miguel [1 ]
Borrella-Andres, Sergio [1 ]
Lopez-de-Celis, Carlos [2 ,3 ,4 ]
Fernandez-de-las-Penas, Cesar [5 ]
Perez-Bellmunt, Albert [2 ,3 ]
Arias-Buria, Jose L. [5 ]
Albarova-Corral, Isabel [1 ]
Rodriguez-Sanz, Jacobo [2 ,3 ]
机构
[1] Univ Zaragoza, Hlth Sci Fac, Dept Physiatry & Nursing, Zaragoza 50009, Spain
[2] Univ Int Catalunya, Fac Med & Hlth Sci, Sant Cugat Del Valles 08195, Spain
[3] ACTIUM Funct Anat Grp, Sant Cugat Del Valles 08195, Spain
[4] Univ Recerca Atencio, Fundacio Inst, Primaria Salut Jordi Gol i Gurina IDIAPJGol, Barcelona 08028, Spain
[5] Univ Rey Juan Carlos, Dept Phys Therapy Occupat Therapy Rehabil & Phys M, Alcorcon 28922, Spain
关键词
plantar fascia; ultrasound; needling; interphase; accuracy; safety; cadaver; REGIONAL ANESTHESIA; PERCUTANEOUS ELECTROLYSIS; PAIN;
D O I
10.3390/healthcare12101000
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Evidence suggests the plantar fascia and its interphase with the flexor digitorum brevis muscle can play a relevant role in plantar heel pain. Needling interventions could offer an appropriate treatment strategy to addressing this interface. Objective: We compared the accuracy and safety of ultrasound-guided versus palpation-guided procedures for the proper targeting of the interface between the plantar fascia and the flexor digitorum brevis with a solid needle. Methods: A crossover cadaveric study was conducted. Five experienced therapists performed a series of 20 needle insertions each (n = 100 in total, 10 landmark-guided and 10 ultrasound-guided) on 10 anatomical samples. The therapists were instructed to accurately place the needle on the interface between the plantar fascia and the flexor digitorum brevis muscle. The distance of the tip of the needle to the identified target (accuracy), the surrounding sensitive structures targeted (safety), the time needed for the procedure, the number of needle passes, and the needle length outside the skin were assessed. Results: The ultrasound-guided technique was associated with a significantly higher accuracy (p < 0.001) but without differences in safety (p = 0.249) as compared to the palpation-guided procedure. Conclusion: Our results suggest that ultrasound-guided insertion exhibits greater accuracy but not greater safety than palpation-guided insertion when targeting the interface between the plantar fascia and the flexor digitorum brevis.
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页数:10
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