Enzo Silvestri – författare

This book presents the major advances and technological updates in diagnostic ultrasound procedures, focusing on the principal technological aspects and multiple exam procedures for the pertinent anatomy, both under basal conditions and using Doppler techniques.

It offers a comprehensive and precise evaluation of the ultrasound semiotics of the musculoskeletal apparatus, with descriptions of numerous rheumatic and orthopedic disease patterns. It also discusses in detail the vital role of ultrasound in monitoring chronic inflammatory joint disease during therapy, and brand-new highly sensitive Doppler techniques.

In view of the tremendous impact of ultrasound-guided interventional procedures on the management of drug delivery in a musculoskeletal setting, the book also includes a chapter on the practical aspects of performing US-guided diagnostic and therapeutic procedures. Providing outstanding diagrams, dynamic images and videos to guide readers, it is a valuableresource for radiologists and clinicians (rheumatologists, orthopedists, physiatrists and anesthesiologists) with different levels of experience — ranging from physicians in training to those who already perform US examinations and US-guided procedures.

The book provides a comprehensive description of the basic ultrasound principles, normal anatomy of the lower limb muscles and classification of muscle strain injuries. Ultrasound images are coupled with anatomical schemes explaining probe positioning and scanning technique for the various muscles of the thigh and leg. For each muscle, a brief explanation of normal anatomy is also provided, together with a list of tricks and tips and advice on how to perform the ultrasound scan in clinical practice. This book is an excellent practical teaching guide for beginners and a useful reference for more experienced sonographers.

This book offers a comprehensive but straightforward, practical handbook on ultrasound (US)-guided nerve blocks. It presents the normal US anatomy of peripheral nerves, clinical aspects of nerve entrapment and different procedures / techniques for each block. Axial or peripheral chronic radicular pain can be particularly severe and debilitating for the patient. The aim of treatment is to provide medium-/ long-term pain relief, and consequently to restore function. The therapeutic nerve block, performed with a perineural injection of anaesthetic, steroid or painkiller, is generally used once conservative treatments have proven unsuccessful and is aimed to avoid surgical options.

 Ultrasound guidance, offering the direct and real-time visualization of the needle and adjacent relevant anatomic structures, significantly increases the accuracy and safety of nerve blocks reducing the risk of intraneural or intravascular injection and the potential damage to the surrounding structures, but also enhances the efficacy of the block itself, reducing  its onset and drug doses.

 This practical volume addresses the needs of physicians dealing with pain management, e.g. anaesthesiologists, radiologists, orthopaedists and physiatrists, with various levels of experience, ranging from physicians in training to those who already perform peripheral nerve blocks with traditional techniques and who want to familiarize with US guided procedures.

L’ecografia è utile nella valutazione di patologie articolari in pazienti con malattia reumatica e, oltre che nella diagnosi, è efficace nel monitoraggio con power Doppler della sinovite, con una sensibilità superiore rispetto all’esame clinico. L’ecografia ad alta risoluzione, integrata con la tecnica power Doppler, è anche in grado di individuare le anomalie entesopatiche, l’erosione ossea e il coinvolgimento del tendine. L’obiettivo dell’opera è di presentare la tecnica d’esame, i progressi ecografici nella patologia reumatica muscoloscheletrica e il ruolo diagnostico della ecografia nella patologia reumatica articolare. L’iconografia è arricchita con immagini integrate di ecografia, radiologia convenzionale, TC e RM.

This book elucidates on the examination technique, the sonographic changes in musculoskeletal rheumatic involvement and the ultrasound assessment of joint rheumatic diseases. The atlas is enriched with several figures, in which the US picture is compared with that of conventional radiography, CT and MRI. It provides a unique collection of black and white and color images for easy and reliable diagnosis. The book is a practice-oriented tool.