Dataset Information

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 VI, foot and ankle.

ABSTRACT:

Objectives

Clarity regarding accuracy and effectiveness for interventional procedures around the foot and ankle is lacking. Consequently, a board of 53 members of the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR) reviewed the published literature to evaluate the evidence on image-guided musculoskeletal interventional procedures around this anatomical region.

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 foot and ankle in order 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 that was shared with all panel members for final approval.

Results

A list of 16 evidence-based statements on clinical indications for image-guided musculoskeletal interventional procedures in the foot and ankle were drafted after a literature review. The highest level of evidence was reported for four statements, all receiving 100% agreement.

Conclusion

According to this consensus, image-guided interventions should not be considered a first-level approach for treating Achilles tendinopathy, while ultrasonography guidance is strongly recommended to improve the efficacy of interventional procedures for plantar fasciitis and Morton's neuroma, particularly using platelet-rich plasma and corticosteroids, respectively.

Key points

• The expert panel of the ESSR listed 16 evidence-based statements on clinical indications of image-guided musculoskeletal interventional procedures in the foot and ankle. • Strong consensus was obtained for all statements. • The highest level of evidence was reached by four statements concerning the effectiveness of US-guided injections of corticosteroid for Morton's neuroma and PRP for plantar fasciitis.

SUBMITTER: Sconfienza LM

PROVIDER: S-EPMC8794903 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Publications

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 VI, foot and ankle.

Sconfienza Luca Maria LM Adriaensen Miraude M Albano Domenico D Alcala-Galiano Andrea A Allen Georgina G Aparisi Gómez Maria Pilar MP Aringhieri Giacomo G Bazzocchi Alberto A Beggs Ian I Chianca Vito V Corazza Angelo A Dalili Danoob D De Dea Miriam M Del Cura Jose Luis JL Di Pietto Francesco F Drakonaki Elena E Facal de Castro Fernando F Filippiadis Dimitrios D Gitto Salvatore S Grainger Andrew J AJ Greenwood Simon S Gupta Harun H Isaac Amanda A Ivanoski Slavcho S Khanna Monica M Klauser Andrea A Mansour Ramy R Martin Silvia S Mascarenhas Vasco V Mauri Giovanni G McCarthy Catherine C McKean David D McNally Eugene E Melaki Kalliopi K Messina Carmelo C Mirón Mombiela Rebeca R Moutinho Ricardo R Olchowy Cyprian C Orlandi Davide D Prada González Raquel R Prakash Mahesh M Posadzy Magdalena M Rutkauskas Saulius S Snoj Žiga Ž Tagliafico Alberto Stefano AS Talaska Alexander A Tomas Xavier X Vasilevska Nikodinovska Violeta V Vucetic Jelena J Wilson David D Zaottini Federico F Zappia Marcello M Obradov Marina M

European radiology 20210825 2

<h4>Objectives</h4>Clarity regarding accuracy and effectiveness for interventional procedures around the foot and ankle is lacking. Consequently, a board of 53 members of the Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR) reviewed the published literature to evaluate the evidence on image-guided musculoskeletal interventional procedures around this anatomical region.<h4>Methods</h4>We report the results of a Delphi-based consensus of 53 ex ...[more]

PMID: 34432122

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Dataset Information

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 VI, foot and ankle.

Objectives

Methods

Results

Conclusion

Key points

Publications

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 VI, foot and ankle.

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