Περίληψη:
Objectives To perform a Delphi-based consensus on published evidence on
image-guided interventional procedures for peripheral nerves of the
lower limb (excluding Morton’s neuroma) and provide clinical
indications.
Methods We report the results of a Delphi-based consensus of 53 experts
from the European Society of Musculoskeletal Radiology who reviewed the
published literature for evidence on image-guided interventional
procedures offered around peripheral nerves in the lower limb (excluding
Morton’s neuroma) to derive their clinical indications. Experts drafted
a list of statements and graded them according to the Oxford Centre for
evidence-based medicine levels of evidence. Consensus was considered
strong when > 95% of experts agreed with the statement or broad when >
80% but < 95% agreed. The results of the Delphi-based consensus were
used to write the paper.
Results Nine statements on image-guided interventional procedures for
peripheral nerves of the lower limb have been drafted. All of them
received strong consensus. Image-guided pudendal nerve block is safe,
effective, and well tolerated with few complications. US-guided
perisciatic injection of anesthetic provides good symptom relief in
patients with piriformis syndrome; however, the addition of
corticosteroids to local anesthetics still has an unclear role.
US-guided lateral femoral cutaneous nerve block can be used to provide
effective post-operative regional analgesia.
Conclusion Despite the promising results reported by published papers on
image-guided interventional procedures for peripheral nerves of the
lower limb, there is still a lack of evidence on the efficacy of most
procedures.
Συγγραφείς:
Sconfienza, Luca Maria
Adriaensen, Miraude
Albano, Domenico and
Alcala-Galiano, Andrea
Allen, Georgina
Aparisi Gomez, Maria
Pilar
Aringhieri, Giacomo
Bazzocchi, Alberto
Beggs, Ian and
Chianca, Vito
Corazza, Angelo
Dalili, Danoob
De Dea, Miriam
and del Cura, Jose Luis
Di Pietto, Francesco
Drakonaki, Elena
and Facal de Castro, Fernando
Filippiadis, Dimitrios
Gitto,
Salvatore
Grainger, Andrew J.
Greenwood, Simon
Gupta, Harun
and Ivanoski, Slavcho
Khanna, Monica
Klauser, Andrea and
Mansour, Ramy
Martin, Silvia
Mascarenhas, Vasco
Mauri,
Giovanni
McCarthy, Catherine
McKean, David
McNally, Eugene
and Melaki, Kalliopi
Messina, Carmelo
Miron Mombiela, Rebeca and
Moutinho, Ricardo
Olchowy, Cyprian
Orlandi, Davide
Prada
Gonzalez, Raquel
Prakash, Mahesh
Posadzy, Magdalena and
Rutkauskas, Saulius
Snoj, Ziga
Tagliafico, Alberto Stefano and
Talaska, Alexander
Tomas, Xavier
Vasilevska Nikodinovska,
Violeta
Vucetic, Jelena
Wilson, David
Zaottini, Federico and
Zappia, Marcello
Isaac, Amanda
