Pearls and pitfalls of fluoroscopic-guided foot and ankle injections: what the radiologist needs to know

Hansford, Barry G.; Mills, Megan; Hanrahan, Christopher J.; Yablon, Corrie M.

doi:10.1007/s00256-019-03226-9

Cited by 14 publications

(40 citation statements)

References 51 publications

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“…The clinical duration of effect is considered to be inversely proportional to the solubility of the injected steroid. Intraarticular injections may serve both as therapeutic and diagnostic procedures [19,20]. Injection of local anesthetic, while giving very short-term pain relief, may assist in determining the patient's source of pain in the presence of multiple confounding factors.…”

Section: Non-operative Treatmentmentioning

confidence: 99%

Imaging and Treatment of Posttraumatic Ankle and Hindfoot Osteoarthritis

Gorbachova

Melenevsky

Latt

et al. 2021

JCM

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Posttraumatic osteoarthritis of the ankle and hindfoot is a common and frequently debilitating disorder. 70% to 90% of ankle osteoarthritis is related to prior trauma that encompasses a spectrum of disorders including fractures and ligamentous injuries that either disrupt the articular surface or result in instability of the joint. In addition to clinical evaluation, imaging plays a substantial role in the treatment planning of posttraumatic ankle and hindfoot osteoarthritis. Imaging evaluation must be tailored to specific clinical scenarios and includes weight bearing radiography that utilizes standard and specialty views, computed tomography which can be performed with a standard or a weight bearing technique, magnetic resonance imaging, and ultrasound evaluation. This review article aims to familiarize the reader with treatment rationale, to provide a brief review of surgical techniques and to illustrate expected imaging appearances of common operative procedures performed in the setting of posttraumatic ankle and hindfoot osteoarthritis, such as joint-preserving procedures, ankle fusion, subtalar fusion, tibiotalarcalcaneal fusion and ankle arthroplasty. Preoperative findings will be discussed along with the expected postoperative appearance of various procedures in order to improve detection of their complications on imaging and to provide optimal patient care.

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Section: Non-operative Treatmentmentioning

confidence: 99%

Imaging and Treatment of Posttraumatic Ankle and Hindfoot Osteoarthritis

Gorbachova

Melenevsky

Latt

et al. 2021

JCM

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“…A solid anatomical understanding and thoughtful approach is therefore required for injection therapy (Hansford et al, 2019). Iborra et al (2019) found that high resolution US could delineate the anatomic course of the nerves and vessels in the medial ankle but note that the experience and skills of the examiner, and quality of the US machine, are important.…”

Section: Stepmentioning

confidence: 99%

High Volume Injection (Hydrodissection) for Tarsal Tunnel Syndrome Using Peripheral Nerve Stimulation: Treatment Protocol

Reilly¹,

Uddin²

2021

Preprint

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Tarsal tunnel syndrome is a focal compressive neuropathy of the posterior tibial nerve or one of its associated branches. Brief mention is made in the literature of the use of corticosteroid injections for this condition. The basic technique of hydrodissection is used for other nerve entrapments and includes identifying the region of nerve compression, and the injection of a fluid medium to dissect between structures or fascial planes. We introduce our treatment protocol using a methylprednisolone/sterile water/ropivacaine hydrochloride injectate mix and peripheral nerve stimulation to a perform hydrodissection technique for tarsal tunnel syndrome.

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“…The 1 st MTP jt is a condyloid synovial juncture (26); the metatarso-sesamoid complex consists of the head of the rst metatarsal, the base of the proximal phalanx, two sesamoid bones and associated soft tissue attachments including the tendons, collateral ligaments, and a plantar plate complex (27,28). Injections into the joint can be performed using anatomical (palpation-guided) guided methods (29) or performed with needle placement aided by diagnostic imaging from ultrasound (US) or uoroscopy, with or without the use of contrast media (12,25,(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45).…”

Section: Introductionmentioning

confidence: 99%