A vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study

Abstract Background Intra-articular injection in the dry knee joint is technically challenging particularly for the beginners. The aim of this study was to investigate the possible use of the vibration sensor to detect if the needle tip was at the knee intra-articular position by characterizing the...

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Autores principales:	Rit Apinyankul, Kritsada Siriwattanasit, Kakanand Srungboonmee, Witchaporn Witayakom, Weerachai Kosuwon
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Intra-articular knee injection Needle tip placement Vibration sensor Vibration frequency band power Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/fdf9ec98ea7d4633b6c3a98faf303f26
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spelling	oai:doaj.org-article:fdf9ec98ea7d4633b6c3a98faf303f262021-11-21T12:27:39ZA vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study10.1186/s12891-021-04836-y1471-2474https://doaj.org/article/fdf9ec98ea7d4633b6c3a98faf303f262021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04836-yhttps://doaj.org/toc/1471-2474Abstract Background Intra-articular injection in the dry knee joint is technically challenging particularly for the beginners. The aim of this study was to investigate the possible use of the vibration sensor to detect if the needle tip was at the knee intra-articular position by characterizing the frequency component of the vibration signal during empty syringe air injection. Methods Two milliliters of air were injected supero-laterally at extra- and intra-articular positions of a cadaveric knee joint, using needles of size 18, 21 and 24 gauge (G). Ultrasonography was used to confirm the positions of needle tip. A piezoelectric accelerometer was mounted medially on the knee joint to collect the vibration signals which were analyzed to characterize the frequency components of the signals during injections. Results The vibration frequency band power in the range of 500–1500 Hz was visually observed to potentially localize the needle tip placement during air injection whether they were at the knee extra-articular or intra-articular positions, as demonstrated by the higher band power (over − 40 dB or dB) for all the needle sizes. The differences of frequency band power between extra- and intra-articular positions were 18.1 dB, 26.4 dB and 39.2 dB for the needle size 18G, 21G and 24G respectively. The largest difference in spectral power was found in the smallest needle diameter (24G). Conclusions A vibration sensor approach was preliminarily proved to distinguish the intra-articular from extra-articular needle placement in the knee joint. This study demonstrated a possible implementation of an alternative electronic device based on this technique to detect the intra-articular knee injection.Rit ApinyankulKritsada SiriwattanasitKakanand SrungboonmeeWitchaporn WitayakomWeerachai KosuwonBMCarticleIntra-articular knee injectionNeedle tip placementVibration sensorVibration frequency band powerDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Intra-articular knee injection Needle tip placement Vibration sensor Vibration frequency band power Diseases of the musculoskeletal system RC925-935
spellingShingle	Intra-articular knee injection Needle tip placement Vibration sensor Vibration frequency band power Diseases of the musculoskeletal system RC925-935 Rit Apinyankul Kritsada Siriwattanasit Kakanand Srungboonmee Witchaporn Witayakom Weerachai Kosuwon A vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study
description	Abstract Background Intra-articular injection in the dry knee joint is technically challenging particularly for the beginners. The aim of this study was to investigate the possible use of the vibration sensor to detect if the needle tip was at the knee intra-articular position by characterizing the frequency component of the vibration signal during empty syringe air injection. Methods Two milliliters of air were injected supero-laterally at extra- and intra-articular positions of a cadaveric knee joint, using needles of size 18, 21 and 24 gauge (G). Ultrasonography was used to confirm the positions of needle tip. A piezoelectric accelerometer was mounted medially on the knee joint to collect the vibration signals which were analyzed to characterize the frequency components of the signals during injections. Results The vibration frequency band power in the range of 500–1500 Hz was visually observed to potentially localize the needle tip placement during air injection whether they were at the knee extra-articular or intra-articular positions, as demonstrated by the higher band power (over − 40 dB or dB) for all the needle sizes. The differences of frequency band power between extra- and intra-articular positions were 18.1 dB, 26.4 dB and 39.2 dB for the needle size 18G, 21G and 24G respectively. The largest difference in spectral power was found in the smallest needle diameter (24G). Conclusions A vibration sensor approach was preliminarily proved to distinguish the intra-articular from extra-articular needle placement in the knee joint. This study demonstrated a possible implementation of an alternative electronic device based on this technique to detect the intra-articular knee injection.
format	article
author	Rit Apinyankul Kritsada Siriwattanasit Kakanand Srungboonmee Witchaporn Witayakom Weerachai Kosuwon
author_facet	Rit Apinyankul Kritsada Siriwattanasit Kakanand Srungboonmee Witchaporn Witayakom Weerachai Kosuwon
author_sort	Rit Apinyankul
title	A vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study
title_short	A vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study
title_full	A vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study
title_fullStr	A vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study
title_full_unstemmed	A vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study
title_sort	vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fdf9ec98ea7d4633b6c3a98faf303f26
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A vibration sensor approach to detect intra-articular needle tip placement in the knee joint: a proof-of-concept study

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