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 II, elbow and wrist
- Creators
- Sconfienza L. M.
- Adriaensen M.
- Albano D.
- Aparisi Gomez M. P.
- Bazzocchi A.
- Beggs I.
- Bignotti B.
- Chianca V.
- Corazza A.
- Dalili D.
- De Dea M.
- del Cura J. L.
- Di Pietto F.
- Drakonaki E.
- Facal de Castro F.
- Filippiadis D.
- Gielen J.
- Gitto S.
- Gupta H.
- Klauser A. S.
- Lalam R.
- Martin S.
- Martinoli C.
- Mauri G.
- McCarthy C.
- McNally E.
- Melaki K.
- Messina C.
- Miron Mombiela R.
- Neubauer B.
- Obradov M.
- Olchowy C.
- Orlandi D.
- Plagou A.
- Prada Gonzalez R.
- Rutkauskas S.
- Snoj Z.
- Tagliafico A.
- Talaska A.
- Vasilevska-Nikodinovska V.
- Vucetic J.
- Wilson D.
- Zaottini F.
- Zappia M.
- Allen G.
- Others:
- Sconfienza, L. M.
- Adriaensen, M.
- Albano, D.
- Aparisi Gomez, M. P.
- Bazzocchi, A.
- Beggs, I.
- Bignotti, B.
- Chianca, V.
- Corazza, A.
- Dalili, D.
- De Dea, M.
- del Cura, J. L.
- Di Pietto, F.
- Drakonaki, E.
- Facal de Castro, F.
- Filippiadis, D.
- Gielen, J.
- Gitto, S.
- Gupta, H.
- Klauser, A. S.
- Lalam, R.
- Martin, S.
- Martinoli, C.
- Mauri, G.
- Mccarthy, C.
- Mcnally, E.
- Melaki, K.
- Messina, C.
- Miron Mombiela, R.
- Neubauer, B.
- Obradov, M.
- Olchowy, C.
- Orlandi, D.
- Plagou, A.
- Prada Gonzalez, R.
- Rutkauskas, S.
- Snoj, Z.
- Tagliafico, A.
- Talaska, A.
- Vasilevska-Nikodinovska, V.
- Vucetic, J.
- Wilson, D.
- Zaottini, F.
- Zappia, M.
- Allen, G.
Description
Background: Although image-guided interventional procedures of the elbow and wrist are routinely performed, there is poor evidence in the literature concerning such treatments. Our aim was to perform a Delphi-based consensus on published evidence on image-guided interventional procedures around the elbow and wrist and provide clinical indications on this topic. Methods: A board of 45 experts in image-guided interventional musculoskeletal procedures from the European Society of Musculoskeletal Radiology were involved in this Delphi-based consensus study. All panelists reviewed and scored published papers on image-guided interventional procedures around the elbow and wrist updated to September 2018 according to the Oxford Centre for Evidence-based Medicine levels of evidence. Consensus on statements drafted by the panelists about clinical indications was considered as "strong" when more than 95% of panelists agreed and as "broad" if more than 80% agreed. Results: Eighteen statements were drafted, 12 about tendon procedures and 6 about intra-articular procedures. Only statement #15 reached the highest level of evidence (ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement). Seventeen statements received strong consensus (94%), while one received broad consensus (6%). Conclusions: There is still poor evidence in published papers on image-guided interventional procedures around the elbow and wrist. A strong consensus has been achieved in 17/18 (94%) statements provided by the panel on clinical indications. Large prospective randomized trials are needed to better define the role of these procedures in clinical practice. Key Points: • The panel provided 18 evidence-based statements on clinical indications of image-guided interventional procedures around the elbow and wrist. • Only statement #15 reached the highest level of evidence: ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement. • Seventeen statements received strong consensus (94%), while broad consensus was obtained by 1 statement (6%).
Additional details
- URL
- http://hdl.handle.net/11567/998517
- URN
- urn:oai:iris.unige.it:11567/998517
- Origin repository
- UNIGE