The precision and safety of ultrasound-guided versus palpation-guided needle placement on the plantar fascia and flexor digitorum brevis interface: an anatomical study
Autor/a
Fecha de publicación
2024ISSN
2227-9032
Resumen
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.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
English
Materias (CDU)
616.3 - Patología del aparato digestivo. Odontología
Palabras clave
Fàscia plantar
Ecografia
Agulla
Interfase
Precisió
Seguretat
Cadàver
Fascia plantar
Ultrasonido
Punción
Interfase
Exactitud
Seguridad
Cadáver
Plantar fascia
Ultrasound
Needling
Interphase
Accuracy
Safety
Cadaver
Páginas
10
Publicado por
Healthcare
Colección
12; 10
Publicado en
Healthcare
Citación
Malo Urriés, Miguel; Borrella Andrés, Sergio; López-de-Celis, Carlos [et al.]. The precision and safety of ultrasound-guided versus palpation-guided needle placement on the plantar fascia and flexor digitorum brevis interface: an anatomical study. Healthcare, 2024, 12(10), 1000. Disponible en: <https://www.mdpi.com/2227-9032/12/10/1000>. Fecha de acceso: 24 may. 2024. DOI: 10.3390/healthcare12101000
Este ítem aparece en la(s) siguiente(s) colección(ones)
- Odontologia [239]
Derechos
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Excepto si se señala otra cosa, la licencia del ítem se describe como https://creativecommons.org/licenses/by/4.0/