Abstract:
:For patients with disabling foot or ankle pain, medical or surgical treatment decisions can be difficult to make when multiple joints show changes of osteoarthritis or if the patient's pain clinically is related to a joint or tendon that is normal by other imaging studies. For these patients, injection of anesthetic, steroid, or both, into joints or tendon sheaths of the foot and ankle provides important diagnostic information and therapeutic relief. Diagnostic injections may show that the joints noted by other imaging studies have osteoarthritis that are not responsible for a patient's pain or that a normal joint is responsible. When multiple joints show changes of arthritis, anesthetic injections can help decide which and how many joints could benefit from surgical arthrodesis. Relief of pain after anesthetic joint injection correlates well with postoperative pain relief subsequent to arthrodesis. This article discusses the indications and the contraindications for performing diagnostic and therapeutic joint injections, and also presents the techniques for performing these studies.
journal_name
Semin Musculoskelet Radioljournal_title
Seminars in musculoskeletal radiologyauthors
Chow S,Brandser Edoi
10.1055/s-2008-1080122subject
Has Abstractpub_date
1998-01-01 00:00:00pages
421-432issue
4eissn
1089-7860issn
1098-898Xpii
smr000065journal_volume
2pub_type
杂志文章abstract::Computed tomography (CT) has gained multiplanar capability and submillimeter spatial resolution due to the development of spiral acquisition mode and multidetector row technology. Multidetector spiral CT arthrography of the knee is a valuable imaging modality for the assessment of lesions of the meniscus, anterior cru...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-2002-23163
更新日期:2002-03-01 00:00:00
abstract::The differential diagnosis for a midfoot or forefoot mass or mass-like abnormality includes several common benign and malignant pathologies. Evaluation with imaging can often provide a diagnosis, or at least several likely etiologies, and guide management. Determining if a mass is cystic or solid with ultrasound or MR...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1581118
更新日期:2016-04-01 00:00:00
abstract::The treatment of articular cartilage injuries remains a challenge because cartilage has a limited capacity for spontaneous repair. Over the past decade, a number of surgical interventions have been developed to produce a durable repair. This article reviews the available treatment options, including their indications,...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-2001-19044
更新日期:2001-12-01 00:00:00
abstract::This article provides an overview of the current use of diagnostic imaging modalities in the evaluation of a heterogeneous group of disorders causing chronic anemias by impaired blood cell production (inherited bone marrow failure syndromes of childhood, aplastic anemia and myelodysplastic syndromes, β-thalassemia) or...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0031-1278426
更新日期:2011-07-01 00:00:00
abstract::Ankle ligament injuries are among the most common injuries in sports and recreational activities. Injuries of the medial collateral ligament or deltoid ligament complex account for ∼ 15% of ligamentous ankle trauma. They are usually associated with injuries of the lateral collateral ligaments and the tibiofibular synd...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1580617
更新日期:2016-02-01 00:00:00
abstract::Awareness of risk factors associated with impending fracture and its radiologic appearance allows early diagnosis, supports prophylactic surgical treatment, and prevents the multiple complications of a pathologic fracture. Because the femur is the most common long bone affected by metastatic bone lesions, we address t...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0038-1675804
更新日期:2019-02-01 00:00:00
abstract::Fortunately, serious injuries to the cervical spine in athletes are rare. Most injuries are self-limited and related to sprains and strains. Although radiographs may be used to screen for fractures, potentially serious soft-tissue injuries require additional diagnostic techniques. In these cases, advanced imaging with...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-2004-823017
更新日期:2004-03-01 00:00:00
abstract::Shoulder MR imaging and MR arthrography are frequently used to evaluate shoulder pain and instability and to assess different types of shoulder injuries. We review different normal variants that can mimic pathologic conditions and some pitfalls that may be encountered in image interpretation. A proper knowledge of nor...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0034-1365833
更新日期:2014-02-01 00:00:00
abstract::Nerve entrapment and muscle denervation syndromes are often hard to diagnose, presenting as pain or unusual weakness. In addition many of the clinically named syndromes are poorly defined and understood. An understanding of the clinical signs, the normal and variant anatomy, and the often variable relationship between...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0030-1253162
更新日期:2010-06-01 00:00:00
abstract::Entrapment and compressive neuropathies are frequent clinical conditions occurring about the elbow. In most instances clinical and electromyograhic evaluation are adequate for patient management, but in some cases further evaluation with imaging techniques is required. Magnetic resonance imaging (MRI) has been shown t...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章
doi:10.1055/s-2008-1080098
更新日期:1998-01-01 00:00:00
abstract::Synovial membranes line the diarthrodial (movable) joints, bursae, and tendon sheaths of the body. The primary function of this specialized, vascular tissue is to serve as a filter system that lubricates and nourishes the articular structures as well as serving as a shock-absorber. The synovium is affected by a variet...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0029-1242186
更新日期:2009-12-01 00:00:00
abstract::Magnetic resonance (MR) imaging technique and findings in the setting of athletic pubalgia, including injury at the rectus abdominis/adductor aponeurosis, are becoming widely recognized. A subset of these patients is treated with various pelvic floor repairs, mesh reinforcements, and tendon releases. Most of these pat...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0031-1286017
更新日期:2011-09-01 00:00:00
abstract::Ulnar-sided wrist pain is one of the most common symptoms in athletes of baseball, racket sports, golf, and wrestling where there is frequent use of the hands as well as in soccer and running, where hand use is minimal. Compared with all wrist injuries, ulnar-sided wrist injury is a relatively serious condition for at...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0032-1327006
更新日期:2012-09-01 00:00:00
abstract::This paper has been written to stimulate the radiologist to consider the various aspects of spinal steroid injections as therapeutic procedures. Special emphasis is placed on needle guidance, asepsis, and possible problems involved. It constitutes a highly practical and variously illustrated and informative guide for ...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章
doi:10.1055/s-2008-1080142
更新日期:1997-01-01 00:00:00
abstract::The vast majority of soft tissue masses are benign. Benign lesions such as superficial lipomas and ganglia are by far the most common soft tissue masses and can be readily identified and excluded on ultrasound (US). US is an ideal triaging tool for superficial soft tissue masses. Compared with magnetic resonance imagi...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章
doi:10.1055/s-0039-3402060
更新日期:2020-04-01 00:00:00
abstract::Magnetic resonance imaging (MRI) has revolutionized the imaging assessment of patients sustaining acute vertebral injury and is indicated for all hemodynamically stable patients with acute neurologic deficits related to spinal column injury, particularly in the cervical region. MRI defines the presence and extent of l...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章
doi:10.1055/s-2008-1080086
更新日期:1998-01-01 00:00:00
abstract::There has been a renewed interest in the recent literature with regard to the normal anatomy of the distal biceps tendon. Cadaveric studies have demonstrated that a large percentage of individuals have two independent muscle bellies, the short and the long head, with two distinct separate tendons attaching at the radi...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0033-1333910
更新日期:2013-02-01 00:00:00
abstract::There is a broad spectrum of benign soft tissue tumors in children, including, among others, vascular, fibroblastic/myofibroblastic, and adipocytic lesions as well as pseudotumors. The diagnosis of superficial soft tissue tumors is in many instances made clinically, whereas those with more equivocal presentation and t...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0029-1237689
更新日期:2009-09-01 00:00:00
abstract::The posterolateral corner (PLC) of the knee is a complex area, previously poorly understood by radiologists. Numerous structures make up the PLC, whose evaluation is difficult because of the variable presence of the individual components, their intimate and commonly overlapping insertions, and their oblique course on ...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-2006-957175
更新日期:2006-09-01 00:00:00
abstract::High-resolution multidetector computed tomography (MDCT) arthrography of the shoulder can diagnose internal derangement of the glenohumeral joints including abnormalities of the rotator cuff, glenoid labrum, and articular cartilage. Isotropic data sets and postprocessing techniques enable interactive three-dimensional...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0034-1384824
更新日期:2014-09-01 00:00:00
abstract::Ligamentous injuries of the elbow are common in sports. The diagnosis is usually based on a combination of the assessment of the mechanism of injury during the sporting activity and physical examination. Imaging with radiographs and MR imaging has an important diagnostic role, particularly when the clinical presentati...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0033-1360666
更新日期:2013-11-01 00:00:00
abstract::Osteoid-producing skeletal tumors are commonly encountered lesions by radiologists. Lesions include both benign tumors--osteoma, enostosis, osteoid osteoma, and osteoblastoma--as well as the malignant neoplasm, osteosarcoma. Radiologic features of these lesions are emphasized in this article and are frequently diagnos...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-2000-6853
更新日期:2000-01-01 00:00:00
abstract::Athletic pubalgia is a frequently encountered syndrome for clinicians who treat active patients participating in a wide variety of athletic endeavors worldwide. Pathologies associated with this clinical scenario span anatomically from the pubic symphysis to the hip and include a myriad of poorly understood and incompl...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-2008-1067933
更新日期:2008-03-01 00:00:00
abstract::Hydroxyapatite (HA) crystal deposition disease (HADD) is a well-recognized systemic disease of unknown etiology that is caused by para-articular and/or intra-articular deposition of HA crystals. The disease is clinically manifested by localized pain, swelling, and tenderness about the affected joint along with variabl...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-2003-43229
更新日期:2003-09-01 00:00:00
abstract::Imaging of the extra-articular structures of the knee is important, particularly in overuse injury. Close attention needs to be paid to these areas on magnetic resonance (MR) imaging because misdiagnosis of extra-articular pathology is common, and these lesions are important to consider when planning management. This ...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0031-1271959
更新日期:2011-02-01 00:00:00
abstract::Planning for total hip arthroplasty (THA) has traditionally been performed using static supine anteroposterior radiographs of the pelvis. Recent advances in imaging technology and the understanding of human spinopelvic kinematics have made weight-bearing radiography an important adjunct to supine imaging. Hip surgeons...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0039-1697935
更新日期:2019-12-01 00:00:00
abstract::MRI of the peripheral nerves continues to grow technologically and in clinical use. This article reviews the technological aspects and basic interpretation of high-resolution MR imaging of the upper extremity nerves. These techniques work with 1.5-, or preferably 3-T, scanners regardless of vendors. The article also i...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0035-1545078
更新日期:2015-04-01 00:00:00
abstract::In the musculoskeletal system, tumor-like lesions may present similar imaging findings as bone and soft tissue tumors and can be defined as tumors on radiologic examinations. Misinterpretation of the imaging findings can lead to inappropriate clinical management of the patient.There is still some debate regarding the ...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章
doi:10.1055/s-0040-1721378
更新日期:2020-12-01 00:00:00
abstract::Quantitative ultrasound (QUS) has been applied to the assessment of bone for almost two decades. The physical interaction of ultrasound and bone is complex and not completely understood. However, it is considered that QUS provides information on bone mass and structure. Although dual-energy X-ray absorptiometry (DXA) ...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-2002-36720
更新日期:2002-09-01 00:00:00
abstract::Osteoid osteomas are small painful benign bone tumors that can be effectively treated by radiofrequency ablation (RFA) in most situations. This article briefly reviews the typical imaging findings of osteoid osteomas and the RFA technique used to treat them at our institution. It concludes with several examples of ost...
journal_title:Seminars in musculoskeletal radiology
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1594280
更新日期:2016-11-01 00:00:00