Clinical indications for musculoskeletal ultrasound: A Delphi-based consensus paper of the European society of musculoskeletal radiology

Klauser, Andrea; Tagliafico, Alberto; Allen, Gina; Boutry, N; Campbell, Rob; Court‐Payen, Michel; Grainger, Andrew J.; Guerini, H.; McNally, Eugene; O’Connor, Philip; Ostlere, S; Petroons, Philippe; Reijnierse, M.; Sconfienza, Luca Maria; Silvestri, Enzo; Wilson, David J.; Martinoli, Carlo

doi:10.1007/s00330-011-2356-3

Cited by 181 publications

(177 citation statements)

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“…However, the presence of subclinical residual inflammatory joint activity with subsequent documented radiological progression in more than 25% of patients attaining clinical remission, has triggered attention for complementary evaluation methods [6][7][8][9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Concepts in diagnosing, scoring, and monitoring tenosynovitis and other tendon abnormalities in patients with rheumatoid arthritis- the role of musculoskeletal ultrasound.

Micu¹,

Berghea

Fodor

2016

Med Ultrason

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In the last years, important advancements have been made in implementing high resolution imaging related information inside the global management algorithm in RA patients. Musculoskeletal ultrasound has already proven its utility in visualizing directly the joint synovial tissue, the synovial vascularization and in monitoring the response to therapy. Recently, much attention has been given to the presence of tenosynovitis, as a constant, complementary but different facet of the inflammatory involvement in RA. Tenosynovitis identification in early RA stages may allow adequate treatment adjustment in early and established disease in order to prevent and/ or slow down the development of structural damage at tendon and joint level.

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Section: Introductionmentioning

confidence: 99%

Concepts in diagnosing, scoring, and monitoring tenosynovitis and other tendon abnormalities in patients with rheumatoid arthritis- the role of musculoskeletal ultrasound.

Micu¹,

Berghea

Fodor

2016

Med Ultrason

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“…US is not recommended as first-line examination to assess peri-prosthetic bone complications [16], being limited by the deep location of the hip implant. However, US can be efficiently used to detect the presence of periprosthetic fluid collections, being also occasionally able to differentiate septic from aseptic collections.…”

Section: Discussionmentioning

confidence: 99%

The role of ultrasonography in the assessment of peri-prosthetic hip complications

et al. 2014

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Purpose Total hip arthroplasty (THA) is a widespread option for treating hip osteoarthritis. Peri-prosthetic complications after THA represent a common event influencing patient outcome and costs. The purpose of this paper is to report the use of ultrasonography (US) to detect periprosthetic complications in symptomatic patients who underwent THA. Methods We retrospectively reviewed the records of patients with THA who underwent imaging evaluation between January 2009 and December 2012 at two different institutions. We evaluated the presence/absence of superficial and/or deep peri-prosthetic collections as well as the presence/absence of a cutaneous sinus tract. For patients who underwent both MRI and US, a concordance correlation analysis between US and MR findings was performed. Results In the reference period, 532 symptomatic patients (mean age ± standard deviation 74 ± 12 years) underwent X-ray and MRI examinations for suspected periprosthetic complications. Among them, 111 (20.9 %) underwent also US. Overall, 108 patients underwent both US and MRI. US findings included 67 superficial collections, 48 subcutaneous fistulas, 74 deep peri-prosthetic collections. Twenty-four patients had solid, mass-like periprosthetic collections. In 11 patients, no peri-prosthetic complications were seen. MRI findings included 68 superficial collections, 49 subcutaneous fistulas, 79 deep peri-prosthetic collections. Twenty-four patients had solid, mass-like peri-prosthetic collections. In four patients, no peri-prosthetic complications were seen. Concordance analysis between US and MRI findings showed almost perfect agreement (k C 0.89). Conclusion US is an efficient and practical imaging modality to evaluate peri-prosthetic complications in patients with THA, being almost comparable to MRI in detecting and characterizing these complications.Keywords Ultrasound Á Total hip arthroplasty Á Hip infection Á Magnetic resonance imaging Riassunto Obiettivo L'artroprotesi totale di anca (PTA) rappresenta una valida opzione per il trattamento della patologia osteoartrosica. L'incidenza di complicanze post-intervento è una problematica che influenza costi e risultato terapeutico. Scopo del lavoro è stato riportare la nostra esperienza nella valutazione ecografica di complicanze peri-protesiche in pazienti sottoposti a PTA. Metodi Abbiamo riesaminato retrospettivamente i referti di pazienti con sospetto di complicanze peri-protesiche che hanno eseguito follow up diagnostico presso due ospedali da Gennaio 2009 e Dicembre 2012. Abbiamo valutato la presenza/assenza di raccolte superficiali e/o profonde e la presenza di eventuali fistole cutanee. Per ogni paziente che ha eseguito risonanza magnetica (RM) ed ecografia abbiamo stimato la concordanza dei dati. Risultati In tale periodo, 532 pazienti (età media ± deviazione standard 74 ± 12 anni) hanno eseguito follow-up radiologico e RM presso gli istituti di riferimento. Centoundici pazienti (20.9 %) hanno anche effettuato ecografia. I pazienti che hanno eseguito ecografia e RM sono st...

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“…It thus provides an indication for surgery by demonstrating, before the operation, the various degrees of scarring described by Millesi et al [19] Moreover, according to a paper of the European Society of Musculoskeletal Radiology, musculoskeletal US seems to be the imaging technique of choice for peripheral nerve structure evaluation. [24] Most studies use US to investigate the intraneural structures and changes due to chronic compression or trauma. [25] In these patients, US has proven to be even more effective than electrophysiological tests in depicting intraneural distress.…”

Section: Diagnosismentioning

confidence: 99%

Painful scar neuropathy: principles of diagnosis and treatment

Tos¹,

Crosio²,

Pugliese³

et al. 2015

Plast Aesthet Res

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Nerve-tissue interactions are critical. Peripheral nerve injuries may involve intraneural and extraneural scar formation and affect nerve gliding planes, sometimes leading to complex clinical presentations. All of these pathological entities involve pain as the main clinical symptom and can be subsumed under the term "painful scar neuropathy". The authors review the literature on treatment approaches to peripheral nerve scar neuropathy and the outcomes of neurolysis-associated procedures and propose a simple classification and a therapeutic approach to scar neuropathy. The search retrieved twenty-one papers, twenty of which reported pain reduction or resolution with various techniques. There is no consensus on the best therapeutic approach to neuropathic pain due to scar tethering. Most authors report good or excellent results with different techniques, from nerve wrapping with anti-adhesion devices to nerve coverage or wrapping with vascularized tissue. The authors' classification of and therapeutic approach to peripheral nerve scar lesions aims at promoting a logical approach based on the analysis of lesion type (perineural, or endoneural and perineural), pain type (due to traction or external trauma, pain at rest), and number of previous operations. Patients need to be informed that multiple procedures may be required, that outcomes may be partial, and that surgery can potentially worsen preoperative conditions. The review found no evidence for the best therapeutic approach to scar neuropathy, but there is consensus on a multidisciplinary approach.

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Clinical indications for musculoskeletal ultrasound: A Delphi-based consensus paper of the European society of musculoskeletal radiology

Abstract: Musculoskeletal ultrasound is indicated for detecting joint synovitis, effusions and fluid collections. • Musculoskeletal ultrasound is poor at detecting loose bodies. • Musculoskeletal ultrasound is relevant for most joints.

Cited by 181 publications

References 0 publications

Concepts in diagnosing, scoring, and monitoring tenosynovitis and other tendon abnormalities in patients with rheumatoid arthritis- the role of musculoskeletal ultrasound.

Concepts in diagnosing, scoring, and monitoring tenosynovitis and other tendon abnormalities in patients with rheumatoid arthritis- the role of musculoskeletal ultrasound.

The role of ultrasonography in the assessment of peri-prosthetic hip complications

Painful scar neuropathy: principles of diagnosis and treatment

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