Abstract
Original language | English |
---|---|
Pages (from-to) | 2220-2230 |
Number of pages | 11 |
Journal | Eur. Radiol. |
Volume | 30 |
Issue number | 4 |
DOIs | |
Publication status | Published - 2020 |
Keywords
- Elbow
- Injections
- Radiology, interventional
- Ultrasonography
- Wrist
- hyaluronic acid
- steroid
- glucocorticoid
- viscosupplement
- Article
- controlled study
- Delphi study
- elbow
- evidence based medicine
- joint function
- medical society
- metacarpophalangeal joint
- musculoskeletal procedure
- musculoskeletal system
- priority journal
- proximal interphalangeal joint
- recurrence risk
- rheumatoid arthritis
- trigger finger
- ultrasound
- wrist
- consensus development
- De Quervain tenosynovitis
- epicondylitis
- fluoroscopy
- human
- injection
- interventional radiology
- interventional ultrasonography
- intraarticular drug administration
- prospective study
- radiography
- tenotomy
- thrombocyte rich plasma
- De Quervain Disease
- Delphi Technique
- Dry Needling
- Elbow Joint
- Elbow Tendinopathy
- Fluoroscopy
- Glucocorticoids
- Humans
- Hyaluronic Acid
- Injections, Intra-Articular
- Platelet-Rich Plasma
- Prospective Studies
- Radiography
- Radiography, Interventional
- Tenotomy
- Trigger Finger Disorder
- Ultrasonography, Interventional
- Viscosupplements
- Wrist Joint
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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 II, elbow and wrist : European Radiology. / Sconfienza, L.M.; Adriaensen, M.; Albano, D.; Aparisi Gómez, M.P.; Bazzocchi, A.; Beggs, I.; Bignotti, B.; Chianca, V.; Corazza, A.; Dalili, D.; De Dea, M.; del Cura, J.L.; Di Pietto, F.; Drakonaki, E.; Facal de Castro, F.; Filippiadis, D.; Gielen, J.; Gitto, S.; Gupta, H.; Klauser, A.S.; Lalam, R.; Martin, S.; Martinoli, C.; Mauri, G.; McCarthy, C.; McNally, E.; Melaki, K.; Messina, C.; Mirón Mombiela, R.; Neubauer, B.; Obradov, M.; Olchowy, C.; Orlandi, D.; Plagou, A.; Prada Gonzalez, R.; Rutkauskas, S.; Snoj, Z.; Tagliafico, A.S.; Talaska, A.; Vasilevska-Nikodinovska, V.; Vucetic, J.; Wilson, D.; Zaottini, F.; Zappia, M.; Allen, G.; (ESSR), on behalf of the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology.
In: Eur. Radiol., Vol. 30, No. 4, 2020, p. 2220-2230.Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - 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 II, elbow and wrist
T2 - European Radiology
AU - Sconfienza, L.M.
AU - Adriaensen, M.
AU - Albano, D.
AU - Aparisi Gómez, M.P.
AU - Bazzocchi, A.
AU - Beggs, I.
AU - Bignotti, B.
AU - Chianca, V.
AU - Corazza, A.
AU - Dalili, D.
AU - De Dea, M.
AU - del Cura, J.L.
AU - Di Pietto, F.
AU - Drakonaki, E.
AU - Facal de Castro, F.
AU - Filippiadis, D.
AU - Gielen, J.
AU - Gitto, S.
AU - Gupta, H.
AU - Klauser, A.S.
AU - Lalam, R.
AU - Martin, S.
AU - Martinoli, C.
AU - Mauri, G.
AU - McCarthy, C.
AU - McNally, E.
AU - Melaki, K.
AU - Messina, C.
AU - Mirón Mombiela, R.
AU - Neubauer, B.
AU - Obradov, M.
AU - Olchowy, C.
AU - Orlandi, D.
AU - Plagou, A.
AU - Prada Gonzalez, R.
AU - Rutkauskas, S.
AU - Snoj, Z.
AU - Tagliafico, A.S.
AU - Talaska, A.
AU - Vasilevska-Nikodinovska, V.
AU - Vucetic, J.
AU - Wilson, D.
AU - Zaottini, F.
AU - Zappia, M.
AU - Allen, G.
AU - (ESSR), on behalf of the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology
N1 - Cited By :6 Export Date: 5 March 2021 CODEN: EURAE Correspondence Address: Sconfienza, L.M.; Dipartimento di Scienze Biomediche per la Salute, Italy; email: io@lucasconfienza.it Chemicals/CAS: hyaluronic acid, 31799-91-4, 9004-61-9, 9067-32-7; Glucocorticoids; Hyaluronic Acid; Viscosupplements Funding details: European Musculoskeletal Oncology Society, EMSOS Funding text 1: All authors are members of the Ultrasound and/or Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR). 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PY - 2020
Y1 - 2020
N2 - Background: Although image-guided interventional procedures of the elbow and wrist are routinely performed, there is poor evidence in the literature concerning such treatments. Our aim was to perform a Delphi-based consensus on published evidence on image-guided interventional procedures around the elbow and wrist and provide clinical indications on this topic. Methods: A board of 45 experts in image-guided interventional musculoskeletal procedures from the European Society of Musculoskeletal Radiology were involved in this Delphi-based consensus study. All panelists reviewed and scored published papers on image-guided interventional procedures around the elbow and wrist updated to September 2018 according to the Oxford Centre for Evidence-based Medicine levels of evidence. Consensus on statements drafted by the panelists about clinical indications was considered as “strong” when more than 95% of panelists agreed and as “broad” if more than 80% agreed. Results: Eighteen statements were drafted, 12 about tendon procedures and 6 about intra-articular procedures. Only statement #15 reached the highest level of evidence (ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement). Seventeen statements received strong consensus (94%), while one received broad consensus (6%). Conclusions: There is still poor evidence in published papers on image-guided interventional procedures around the elbow and wrist. A strong consensus has been achieved in 17/18 (94%) statements provided by the panel on clinical indications. Large prospective randomized trials are needed to better define the role of these procedures in clinical practice. Key Points: • The panel provided 18 evidence-based statements on clinical indications of image-guided interventional procedures around the elbow and wrist. • Only statement #15 reached the highest level of evidence: ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement. • Seventeen statements received strong consensus (94%), while broad consensus was obtained by 1 statement (6%). © 2019, European Society of Radiology.
AB - Background: Although image-guided interventional procedures of the elbow and wrist are routinely performed, there is poor evidence in the literature concerning such treatments. Our aim was to perform a Delphi-based consensus on published evidence on image-guided interventional procedures around the elbow and wrist and provide clinical indications on this topic. Methods: A board of 45 experts in image-guided interventional musculoskeletal procedures from the European Society of Musculoskeletal Radiology were involved in this Delphi-based consensus study. All panelists reviewed and scored published papers on image-guided interventional procedures around the elbow and wrist updated to September 2018 according to the Oxford Centre for Evidence-based Medicine levels of evidence. Consensus on statements drafted by the panelists about clinical indications was considered as “strong” when more than 95% of panelists agreed and as “broad” if more than 80% agreed. Results: Eighteen statements were drafted, 12 about tendon procedures and 6 about intra-articular procedures. Only statement #15 reached the highest level of evidence (ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement). Seventeen statements received strong consensus (94%), while one received broad consensus (6%). Conclusions: There is still poor evidence in published papers on image-guided interventional procedures around the elbow and wrist. A strong consensus has been achieved in 17/18 (94%) statements provided by the panel on clinical indications. Large prospective randomized trials are needed to better define the role of these procedures in clinical practice. Key Points: • The panel provided 18 evidence-based statements on clinical indications of image-guided interventional procedures around the elbow and wrist. • Only statement #15 reached the highest level of evidence: ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement. • Seventeen statements received strong consensus (94%), while broad consensus was obtained by 1 statement (6%). © 2019, European Society of Radiology.
KW - Elbow
KW - Injections
KW - Radiology, interventional
KW - Ultrasonography
KW - Wrist
KW - hyaluronic acid
KW - steroid
KW - glucocorticoid
KW - viscosupplement
KW - Article
KW - controlled study
KW - Delphi study
KW - elbow
KW - evidence based medicine
KW - joint function
KW - medical society
KW - metacarpophalangeal joint
KW - musculoskeletal procedure
KW - musculoskeletal system
KW - priority journal
KW - proximal interphalangeal joint
KW - recurrence risk
KW - rheumatoid arthritis
KW - trigger finger
KW - ultrasound
KW - wrist
KW - consensus development
KW - De Quervain tenosynovitis
KW - epicondylitis
KW - fluoroscopy
KW - human
KW - injection
KW - interventional radiology
KW - interventional ultrasonography
KW - intraarticular drug administration
KW - prospective study
KW - radiography
KW - tenotomy
KW - thrombocyte rich plasma
KW - De Quervain Disease
KW - Delphi Technique
KW - Dry Needling
KW - Elbow Joint
KW - Elbow Tendinopathy
KW - Fluoroscopy
KW - Glucocorticoids
KW - Humans
KW - Hyaluronic Acid
KW - Injections, Intra-Articular
KW - Platelet-Rich Plasma
KW - Prospective Studies
KW - Radiography
KW - Radiography, Interventional
KW - Tenotomy
KW - Trigger Finger Disorder
KW - Ultrasonography, Interventional
KW - Viscosupplements
KW - Wrist Joint
U2 - 10.1007/s00330-019-06545-6
DO - 10.1007/s00330-019-06545-6
M3 - Article
VL - 30
SP - 2220
EP - 2230
JO - Eur. Radiol.
JF - Eur. Radiol.
SN - 0938-7994
IS - 4
ER -