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Preoperative Localization of Cystic Lesions in the Knee Using Ultrasound-Guided Injection of Indigo Carmine

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Author(s)
Hee-Jin ParkSung-Moon LeeJung-Ah ChoiNoh-Hyuck ParkHyung-Soo KimSung-Il Park
Keimyung Author(s)
Lee, Sung Mun
Department
Dept. of Radiology (영상의학)
Journal Title
Journal of Clinical Ultrasound
Issued Date
2010
Volume
38
Issue
6
Keyword
ultrasound (US)localizationindigo carminemeniscal cyst
Abstract
Purpose.

To evaluate the feasibility and effectiveness of preoperative localization of cystic lesions in the knee using ultrasound-guided indigo carmine injection.


Method.

Twenty-three cysts in the knee in 23 patients (M:F = 15:8, mean age, 42 years) were localized preoperatively by ultrasound-guided indigo carmine injection. These included 12 meniscal cysts, 7 popliteal cysts, and 4 ganglion cysts. To stain the lesions, 0.2–3 mL of indigo carmine was injected into the cyst using a 22-gauge spinal needle. After localization, the patient was immediately transferred to the operating room and surgery was performed. Intraoperative findings and arthroscopic images were reviewed.


Result.

All 23 cysts were stained successfully. Twenty cases were confirmed during arthroscopy and 3 cases were confirmed during excisional surgery. There was no significant bleeding/hematoma or anaphylactic reaction. Four patients felt pain during aspiration before indigo carmine injection. The lesions were stained blue and could be clearly identified by the surgeon and were removed arthroscopically or by open surgery.


Conclusion.

Preoperative localization of cystic lesions in the knee joint region using ultrasound-guided indigo carmine injection is a feasible technique and can be easily and safely be performed.
Keimyung Author(s)(Kor)
이성문
Publisher
School of Medicine
Citation
Hee-Jin Park et al. (2010). Preoperative Localization of Cystic Lesions in the Knee Using Ultrasound-Guided Injection of Indigo Carmine. Journal of Clinical Ultrasound, 38(6), 305–308. doi: 10.1002/jcu.20682
Type
Article
ISSN
0091-2751
Source
https://onlinelibrary.wiley.com/doi/abs/10.1002/jcu.20682
DOI
10.1002/jcu.20682
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34005
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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