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.

Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part V, knee / L.M. Sconfienza, M. Adriaensen, D. Albano, A. Alcala-Galiano, G. Allen, M.P. Aparisi Gómez, G. Aringhieri, A. Bazzocchi, I. Beggs, V. Chianca, A. Corazza, D. Dalili, M. De Dea, J.L. del Cura, F. Di Pietto, E. Drakonaki, F. Facal de Castro, D. Filippiadis, S. Gitto, A.J. Grainger, S. Greenwood, H. Gupta, A. Isaac, S. Ivanoski, M. Khanna, A. Klauser, R. Mansour, S. Martin, V. Mascarenhas, G. Mauri, C. McCarthy, D. McKean, E. McNally, K. Melaki, R. Mirón Mombiela, R. Moutinho, M. Obradov, C. Olchowy, D. Orlandi, R. Prada González, M. Prakash, M. Posadzy, S. Rutkauskas, Ž. Snoj, A. Stefano Tagliafico, A. Talaska, X. Tomas, V. Vasilevska-Nikodinovska, J. Vucetic, D. Wilson, F. Zaottini, M. Zappia, C. Messina. - In: EUROPEAN RADIOLOGY. - ISSN 0938-7994. - (2021), pp. 1-10. [Epub ahead of print] [10.1007/s00330-021-08258-1]

Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part V, knee

L.M. Sconfienza
Primo
;
S. Gitto;G. Mauri;C. Messina
2021

Abstract

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.
Interventional radiology; Knee; Patellar tendon; Platelet-rich plasma; Hyaluronic acid;
Settore MED/36 - Diagnostica per Immagini e Radioterapia
14-set-2021
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/868291
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