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Ultrasound-Guided Joint Injection

Build a working approach to planning and performing ultrasound-guided injections of the knee, shoulder, hip, and other major joints.

What this track covers

This track covers the anatomy, ultrasound landmarks, and approach selection needed to plan a joint injection, along with the reasoning behind injectate choice and technique for major peripheral joints. It emphasizes how to think through patient selection, imaging guidance, and post-procedure counseling rather than reciting a fixed protocol.

What you will practice

  • Identify ultrasound landmarks and optimal needle approach for knee, shoulder, and hip joints
  • Reason through injectate selection based on patient presentation and joint pathology
  • Practice in-plane and out-of-plane probe positioning for real-time needle visualization
  • Work through pre-procedure checks, including contraindications and informed consent discussion
  • Talk through post-injection counseling and follow-up planning with a patient

Simulator scenario

A timed case where a patient with knee pain and effusion is evaluated to determine whether ultrasound-guided injection is appropriate before planning the procedure.

Board question topics

  • Ultrasound anatomy of the shoulder and knee
  • Indications and contraindications for joint injection
  • Approach selection for hip versus knee injections
  • Post-procedure monitoring and complication recognition

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