Περίληψη:
Objectives Interventional procedures around the knee are widely adopted
for treating different musculoskeletal conditions. A panel of experts
from the Ultrasound and Interventional Subcommittees of the European
Society of Musculoskeletal Radiology (ESSR) reviewed the existing
literature to assess the evidence on image-guided musculoskeletal
interventional procedures around the knee, with the goal of highlighting
some controversies associated with these procedures, specifically the
role of imaging guidance, as well as the efficacy of the medications
routinely injected.
Methods We report the results of a Delphi-based consensus of 53 experts
in musculoskeletal radiology, who reviewed the published literature for
evidence on image-guided interventional procedures around the knee to
derive a list of pertinent clinical indications.
Results A list of 10 statements about clinical indications of
image-guided procedures around the knee was created by a Delphi-based
consensus. Only two of them had the highest level of evidence; all of
them received 100% consensus.
Conclusions Ultrasonography guidance is strongly recommended for
intra-articular and patellar tendinopathy procedures to ensure the
precision and efficacy of these treatments. Prospective randomized
studies remain warranted to better understand the role of imaging
guidance and assess some of the medications used for interventional
procedures around the knee.
Συγγραφείς:
Sconfienza, Luca Maria
Adriaensen, Miraude
Albano, Domenico and
Alcala-Galiano, Andrea
Allen, Georgina
Gomez, Maria Pilar
Aparisi
Aringhieri, Giacomo
Bazzocchi, Alberto
Beggs, Ian
and Chianca, Vito
Corazza, Angelo
Dalili, Danoob
De Dea,
Miriam
del Cura, Jose Luis
Di Pietto, Francesco
Drakonaki,
Elena
de Castro, Fernando Facal
Filippiadis, Dimitrios and
Gitto, Salvatore
Grainger, Andrew J.
Greenwood, Simon
Gupta,
Harun
Isaac, Amanda
Ivanoski, Slavcho
Khanna, Monica and
Klauser, Andrea
Mansour, Ramy
Martin, Silvia
Mascarenhas,
Vasco
Mauri, Giovanni
McCarthy, Catherine
McKean, David and
McNally, Eugene
Melaki, Kalliopi
Mombiela, Rebeca Miron and
Moutinho, Ricardo
Obradov, Marina
Olchowy, Cyprian
Orlandi,
Davide
Gonzalez, Raquel Prada
Prakash, Mahesh
Posadzy,
Magdalena
Rutkauskas, Saulius
Snoj, Ziga
Tagliafico, Alberto
Stefano
Talaska, Alexander
Tomas, Xavier and
Vasilevska-Nikodinovska, Violeta
Vucetic, Jelena
Wilson, David
and Zaottini, Federico
Zappia, Marcello
Messina, Carmelo
