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荧光透视引导下足部和踝关节注射的要点和陷阱:放射科医生需要了解的内容。

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

机构信息

Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.

Department of Radiology and Imaging Sciences, University of Utah, 30 N 1900 E, Rm #1A71, Salt Lake City, UT, 84132, USA.

出版信息

Skeletal Radiol. 2019 Nov;48(11):1661-1674. doi: 10.1007/s00256-019-03226-9. Epub 2019 May 6.

DOI:10.1007/s00256-019-03226-9
PMID:31062056
Abstract

OBJECTIVE

This article provides a comprehensive, joint-by-joint review of fluoroscopic-guided foot and ankle injections and emphasizes pre-procedural planning, relevant anatomy, appropriate technique, troubleshooting the difficult procedure, and the importance of communicating unexpected findings with the referring clinician. The interrogation of pain generators including variant ossicles, fractures, and post-surgical/traumatic findings is also described.

CONCLUSIONS

Even the most challenging foot and ankle injections may be successfully completed with a solid anatomical understanding and thoughtful approach.

摘要

目的

本文对透视引导下的足部和踝关节注射进行了全面的、关节到关节的综述,并强调了术前规划、相关解剖结构、适当的技术、处理困难操作的技巧,以及与转诊临床医生沟通意外发现的重要性。还描述了对疼痛发生器的检查,包括变异小骨、骨折和术后/创伤性发现。

结论

即使是最具挑战性的足部和踝关节注射,也可以通过扎实的解剖学理解和深思熟虑的方法成功完成。

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AJR Am J Roentgenol. 2019 Apr;212(4):874-882. doi: 10.2214/AJR.18.20347. Epub 2019 Jan 23.
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Fluoroscopically Guided Facet Injections: Comparison of Intra-Articular and Periarticular Steroid and Anesthetic Injection on Immediate and Short-Term Pain Relief.X 线引导下关节突关节注射:关节内和关节周围注射类固醇和麻醉药即刻和短期缓解疼痛的比较。
AJNR Am J Neuroradiol. 2018 Nov;39(11):2161-2165. doi: 10.3174/ajnr.A5805. Epub 2018 Oct 4.
3
关节炎基金会与美国足踝矫形外科学会骨关节炎研究靶点研讨会总结报告:第1部分:流行病学、病理生理学及当前影像学方法
Foot Ankle Orthop. 2022 Oct 15;7(4):24730114221127011. doi: 10.1177/24730114221127011. eCollection 2022 Oct.
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Fluoroscopic-guided procedures of the lower extremity.下肢荧光透视引导下的操作
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Eur Radiol. 2022 Feb;32(2):1384-1394. doi: 10.1007/s00330-021-08125-z. Epub 2021 Aug 25.
Guided Intra-articular Corticosteroid Injections in the Midfoot.
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