<p begin="00:00:07.442" end="00:00:09.161" style="s2">- [Voiceover] A linear array transducer</p>
<p begin="00:00:09.161" end="00:00:11.351" style="s2">with a musculoskeletal exam type</p>
<p begin="00:00:11.351" end="00:00:14.278" style="s2">is used to perform an<br />ultrasound guided injection</p>
<p begin="00:00:14.278" end="00:00:16.258" style="s2">of the pubic symphysis.</p>
<p begin="00:00:16.258" end="00:00:18.665" style="s2">The patient is in a supine position.</p>
<p begin="00:00:18.665" end="00:00:21.467" style="s2">The transducer is placed longitudinally</p>
<p begin="00:00:21.467" end="00:00:23.198" style="s2">over the pubic prominence</p>
<p begin="00:00:23.198" end="00:00:26.593" style="s2">with the orientation marker<br />directed to the patient's right.</p>
<p begin="00:00:26.593" end="00:00:28.603" style="s2">The right and left pubic bodies</p>
<p begin="00:00:28.603" end="00:00:32.134" style="s2">are seen as bright,<br />hyperechoic curved structures.</p>
<p begin="00:00:32.134" end="00:00:34.986" style="s2">The pubic symphysis is seen as a darker,</p>
<p begin="00:00:34.986" end="00:00:38.201" style="s2">hypoechoic line between the two bodies.</p>
<p begin="00:00:38.201" end="00:00:41.189" style="s2">The needle is inserted using<br />an out-of-plane technique</p>
<p begin="00:00:41.189" end="00:00:43.676" style="s2">superior to the transducer.</p>
<p begin="00:00:43.676" end="00:00:47.083" style="s2">The needle is advanced until<br />it enters the pubic symphysis</p>
<p begin="00:00:47.083" end="00:00:49.429" style="s2">where the injection can be performed.</p>
<p begin="00:00:49.429" end="00:00:51.588" style="s2">The pubic symphysis should be scanned</p>
<p begin="00:00:51.588" end="00:00:52.929" style="s2">following needle removal</p>
<p begin="00:00:52.929" end="00:00:57.096" style="s2">to ensure there is no bleeding<br />following the procedure.</p>