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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 VII, nerves of the lower limb

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 Eur...

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Autores principales: Sconfienza, Luca Maria, Adriaensen, Miraude, Albano, Domenico, Alcala-Galiano, Andrea, Allen, Georgina, Aparisi Gómez, Maria Pilar, Aringhieri, Giacomo, Bazzocchi, Alberto, Beggs, Ian, Chianca, Vito, Corazza, Angelo, Dalili, Danoob, De Dea, Miriam, del Cura, Jose Luis, Di Pietto, Francesco, Drakonaki, Elena, Facal de Castro, Fernando, Filippiadis, Dimitrios, Gitto, Salvatore, Grainger, Andrew J., Greenwood, Simon, Gupta, Harun, Ivanoski, Slavcho, Khanna, Monica, Klauser, Andrea, Mansour, Ramy, Martin, Silvia, Mascarenhas, Vasco, Mauri, Giovanni, McCarthy, Catherine, McKean, David, McNally, Eugene, Melaki, Kalliopi, Messina, Carmelo, Miron Mombiela, Rebeca, Moutinho, Ricardo, Olchowy, Cyprian, Orlandi, Davide, Prada González, Raquel, Prakash, Mahesh, Posadzy, Magdalena, Rutkauskas, Saulius, Snoj, Žiga, Tagliafico, Alberto Stefano, Talaska, Alexander, Tomas, Xavier, Vasilevska Nikodinovska, Violeta, Vucetic, Jelena, Wilson, David, Zaottini, Federico, Zappia, Marcello, Isaac, Amanda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8831230/
https://www.ncbi.nlm.nih.gov/pubmed/34581843
http://dx.doi.org/10.1007/s00330-021-08283-0
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author Sconfienza, Luca Maria
Adriaensen, Miraude
Albano, Domenico
Alcala-Galiano, Andrea
Allen, Georgina
Aparisi Gómez, Maria Pilar
Aringhieri, Giacomo
Bazzocchi, Alberto
Beggs, Ian
Chianca, Vito
Corazza, Angelo
Dalili, Danoob
De Dea, Miriam
del Cura, Jose Luis
Di Pietto, Francesco
Drakonaki, Elena
Facal de Castro, Fernando
Filippiadis, Dimitrios
Gitto, Salvatore
Grainger, Andrew J.
Greenwood, Simon
Gupta, Harun
Ivanoski, Slavcho
Khanna, Monica
Klauser, Andrea
Mansour, Ramy
Martin, Silvia
Mascarenhas, Vasco
Mauri, Giovanni
McCarthy, Catherine
McKean, David
McNally, Eugene
Melaki, Kalliopi
Messina, Carmelo
Miron Mombiela, Rebeca
Moutinho, Ricardo
Olchowy, Cyprian
Orlandi, Davide
Prada González, Raquel
Prakash, Mahesh
Posadzy, Magdalena
Rutkauskas, Saulius
Snoj, Žiga
Tagliafico, Alberto Stefano
Talaska, Alexander
Tomas, Xavier
Vasilevska Nikodinovska, Violeta
Vucetic, Jelena
Wilson, David
Zaottini, Federico
Zappia, Marcello
Isaac, Amanda
author_facet Sconfienza, Luca Maria
Adriaensen, Miraude
Albano, Domenico
Alcala-Galiano, Andrea
Allen, Georgina
Aparisi Gómez, Maria Pilar
Aringhieri, Giacomo
Bazzocchi, Alberto
Beggs, Ian
Chianca, Vito
Corazza, Angelo
Dalili, Danoob
De Dea, Miriam
del Cura, Jose Luis
Di Pietto, Francesco
Drakonaki, Elena
Facal de Castro, Fernando
Filippiadis, Dimitrios
Gitto, Salvatore
Grainger, Andrew J.
Greenwood, Simon
Gupta, Harun
Ivanoski, Slavcho
Khanna, Monica
Klauser, Andrea
Mansour, Ramy
Martin, Silvia
Mascarenhas, Vasco
Mauri, Giovanni
McCarthy, Catherine
McKean, David
McNally, Eugene
Melaki, Kalliopi
Messina, Carmelo
Miron Mombiela, Rebeca
Moutinho, Ricardo
Olchowy, Cyprian
Orlandi, Davide
Prada González, Raquel
Prakash, Mahesh
Posadzy, Magdalena
Rutkauskas, Saulius
Snoj, Žiga
Tagliafico, Alberto Stefano
Talaska, Alexander
Tomas, Xavier
Vasilevska Nikodinovska, Violeta
Vucetic, Jelena
Wilson, David
Zaottini, Federico
Zappia, Marcello
Isaac, Amanda
author_sort Sconfienza, Luca Maria
collection PubMed
description 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. KEY POINTS: • 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. The volume of local anesthetic affects the size of the blocked sensory area.
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spelling pubmed-88312302022-02-23 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 VII, nerves of the lower limb Sconfienza, Luca Maria Adriaensen, Miraude Albano, Domenico Alcala-Galiano, Andrea Allen, Georgina Aparisi Gómez, Maria Pilar Aringhieri, Giacomo Bazzocchi, Alberto Beggs, Ian Chianca, Vito Corazza, Angelo Dalili, Danoob De Dea, Miriam del Cura, Jose Luis Di Pietto, Francesco Drakonaki, Elena Facal de Castro, Fernando Filippiadis, Dimitrios Gitto, Salvatore Grainger, Andrew J. Greenwood, Simon Gupta, Harun Ivanoski, Slavcho Khanna, Monica Klauser, Andrea Mansour, Ramy Martin, Silvia Mascarenhas, Vasco Mauri, Giovanni McCarthy, Catherine McKean, David McNally, Eugene Melaki, Kalliopi Messina, Carmelo Miron Mombiela, Rebeca Moutinho, Ricardo Olchowy, Cyprian Orlandi, Davide Prada González, Raquel Prakash, Mahesh Posadzy, Magdalena Rutkauskas, Saulius Snoj, Žiga Tagliafico, Alberto Stefano Talaska, Alexander Tomas, Xavier Vasilevska Nikodinovska, Violeta Vucetic, Jelena Wilson, David Zaottini, Federico Zappia, Marcello Isaac, Amanda Eur Radiol Musculoskeletal 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. KEY POINTS: • 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. The volume of local anesthetic affects the size of the blocked sensory area. Springer Berlin Heidelberg 2021-09-28 2022 /pmc/articles/PMC8831230/ /pubmed/34581843 http://dx.doi.org/10.1007/s00330-021-08283-0 Text en © The Author(s) 2021, corrected publication 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Musculoskeletal
Sconfienza, Luca Maria
Adriaensen, Miraude
Albano, Domenico
Alcala-Galiano, Andrea
Allen, Georgina
Aparisi Gómez, Maria Pilar
Aringhieri, Giacomo
Bazzocchi, Alberto
Beggs, Ian
Chianca, Vito
Corazza, Angelo
Dalili, Danoob
De Dea, Miriam
del Cura, Jose Luis
Di Pietto, Francesco
Drakonaki, Elena
Facal de Castro, Fernando
Filippiadis, Dimitrios
Gitto, Salvatore
Grainger, Andrew J.
Greenwood, Simon
Gupta, Harun
Ivanoski, Slavcho
Khanna, Monica
Klauser, Andrea
Mansour, Ramy
Martin, Silvia
Mascarenhas, Vasco
Mauri, Giovanni
McCarthy, Catherine
McKean, David
McNally, Eugene
Melaki, Kalliopi
Messina, Carmelo
Miron Mombiela, Rebeca
Moutinho, Ricardo
Olchowy, Cyprian
Orlandi, Davide
Prada González, Raquel
Prakash, Mahesh
Posadzy, Magdalena
Rutkauskas, Saulius
Snoj, Žiga
Tagliafico, Alberto Stefano
Talaska, Alexander
Tomas, Xavier
Vasilevska Nikodinovska, Violeta
Vucetic, Jelena
Wilson, David
Zaottini, Federico
Zappia, Marcello
Isaac, Amanda
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 VII, nerves of the lower limb
title 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 VII, nerves of the lower limb
title_full 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 VII, nerves of the lower limb
title_fullStr 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 VII, nerves of the lower limb
title_full_unstemmed 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 VII, nerves of the lower limb
title_short 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 VII, nerves of the lower limb
title_sort 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 vii, nerves of the lower limb
topic Musculoskeletal
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8831230/
https://www.ncbi.nlm.nih.gov/pubmed/34581843
http://dx.doi.org/10.1007/s00330-021-08283-0
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