title: Safety of sonographically guided aspiration of intramuscular, bursal, articular and subcutaneous hematomas.
abstract: OBJECTIVE
  To evaluate the safety and efficacy of sonographically guided aspiration of intramuscular, bursal and subcutaneous hematomas.
  
  
  METHODS
  One hundred eleven interventions were performed in 75 patients at a single institution from January 2005 to December 2009. In all cases the target of interest was identified with ultrasonography.
  
  
  RESULTS
  Ninety-six procedures (87.3%) were successful, 14 procedures (12.7%) were unsuccessful due to excessive density and/or viscosity of the content. No significant complications were encountered during or immediately after any procedure. Clinical follow-up records were available for 73 (75%) procedures in 45 (66%) patients, 30 patients did not return for follow-up after hematoma evacuation. No septic or hemorrhagic complications or cases of neurovascular compromise were recorded.
  
  
  CONCLUSIONS
  Sonographically guided hematoma evacuation is a safe procedure. However, the proportion of unsuccessful evacuations and hematoma recurrence is substantial.
authors.affiliation: Department of Diagnostic Imaging, Second Faculty of Medicine, Medical University of Warsaw, ul Kondratowicza 8, 03-242 Warsaw, Poland. kszopinski@wum.edu.pl
authors.forename: Kazimierz T
authors.initials: KT
authors.lastname: Szopinski
authors.forename: Robert
authors.initials: R
authors.lastname: Smigielski
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D061214:Patient Safety; D012008:Recurrence; D012189:Retrospective Studies; D013396:Suction / Q000379:methods; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional