Notes in 18 Musculoskeletal interventions

To Subscribe, use this Key

Status	Last Update	Fields
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsArthrography can be performed for {{c1::diagnostic}} or {{c2::therapeutic}} purposes.
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsIn {{c1::diagnostic arthrography}}, contrast is injected into the joint to assess the intra-arti…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsIn diagnostic arthrography, post-arthrogram {{c1::MR::imaging}} or {{c1::CT::imaging}} is almost…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor MR arthrography, a {{c1::1:100::ratio}} or {{c2::1:200::ratio}} dilution of {{c3::gadolinium…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor {{c1::therapeutic}} joint injections, {{c2::steroid}} and {{c3::anesthetic}} medications are…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsSteroids are thought to reduce pain by reducing intra-articular {{c2::inflammation}} but do…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsTherapeutic injections should be limited to once every {{c1::6}} months.
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsTherapeutic injections should be limited to once every {{c1::3}} months in cases of debilitating…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsComplications of any arthrogram could include: {{c4::infection}}{{c3::hematoma}} formation{…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsComplications of any arthrogram could include mechanical injury from the needle to structur…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsSteroid-specific complications could include: progression of {{c1::osteoarthritis::joint di…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsLocal anesthetic is toxic to {{c1::chondrocytes::cell type}} ex-vivo.
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal Interventions{{c1::Ropivacaine}} is thought to be the {{c3::least::least/most}} chondrotoxic, and {…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsStep that should always be performed in safe arthrography: Patient {{c1::consent}}
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsStep that should always be performed in safe arthrography: Procedural {{c1::time-…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsStep that should always be performed in safe arthrography:  {{c1::Sterile}} preparatio…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsStep that should always be performed in safe arthrography:  At least {{c1::one}} image show…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsIn patients allergic to iodinated contrast; {{c1::air}} or {{c2::gadolinium}} can be used for ar…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsOne should always maintain the {{c1::ALARA (as low as reasonably achievable)}} principle for&nbs…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFluoroscopy dose reduction method: Decrease the imaging parameters by reducing the {{c1::mA…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFluoroscopy dose reduction method: Decrease the {{c1::number}} of images taken.
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsDecreasing the number of images to reduce dose in fluoroscopic procedures can be done in three w…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsDose reduction in fluoroscopic procedures: Decrease the {{c1::source-to-image}} distance
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsThe {{c1::image intensifier (II)}} should always be as {{c2::close to::close to/far from}} the p…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsDose reduction method in fluoroscopic procedures: {{c1::Cone-in}} the image as much as poss…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor diagnostic shoulder arthrography a total intra-articular volume of {{c1::10–12::range}} mL i…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsCommunication of the {{c1::glenohumeral}} joint with the {{c2::subacromial/subdel…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsDiagnostic hip MR arthrography is commonly performed to assess for {{c1::labral}} tears and…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor diagnostic hip MR arthrography, a total intra-articular volume of {{c1::10–12::range}} mL is…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsTherapeutic hip injections are commonly performed to reduce {{c1::osteoarthritis}}-related {{c2:…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor diagnostic wrist injections approximately {{c1::3}} mL of injectate is administered.
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor diagnostic wrist injections, it is important to inject the contrast under {{c1::real-time fl…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsDiagnostic wrist injections: Communication between {{c1::radiocarpal}} compartmen…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsDiagnostic wrist injections: Communication between the {{c1::radiocarpal}} compartment and …
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsAppropriate indication for bone and soft tissue biopsy: Need for pathologic diagnosis …
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsAppropriate indication for bone and soft tissue biopsy: Confirmation of and/or molecul…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsAppropriate indication for bone and soft tissue biopsy: Need for {{c1::microbial}} ana…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsIt is important to perform a thorough imaging workup prior to biopsy planning, in order to best:…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsAbsolute contraindications for bone and soft tissue lesion biopsy are not common but includ…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsClose consultation with {{c1::orthopedic oncologists}} is required when planning biops…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsCollaborative planning with orthopedic oncologists ensures that the {{c1::bi…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor thigh biopsies (bone or soft tissues), it is critical not to traverse the {{c1::rectus …
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsThe {{c1::rectus femoris}} is one of the primary extensors of the leg traversing …
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor biopsy of weight-bearing bones of the {{c1::lower extremity (such as the femur or tibia…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsSoft tissue mass biopsies are generally performed with a {{c1::coaxial spring-loaded}} biopsy de…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsIn soft tissue mass biopsies, for highest yield, the most {{c1::avidly enhancing}} portion (or m…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsThe majority of musculoskeletal soft tissue biopsies can be performed by {{c1::ultrasound::modal…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsMost bone biopsies are performed with {{c1::CT}} guidance.
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsLesions that are occult on CT but apparent on {{c2::MR}} can generally be targeted by CT us…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsSimilar to fluoroscopic interventions, patient dose in CT-guided interventions should be maintai…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsA major contribution to patient dose is the initial planning CT with the {{c1::grid}}.
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsIntraprocedural CT {{c1::fluoroscopy}} generally yields {{c3::lower::higher or lower}} pati…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsTo reduce operator dose during CT fluoroscopy, take a step back and stand behind in the {{c…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsOperator dose is {{c1::100::number}} times less at the {{c2::wings}} of…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal Interventions{{c2::Lucent}} lesions generally have {{c1::higher::higher or lower}} diagnostic yield…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsIn bone biopsies, the most {{c1::avidly enhancing}} component or region of {{c2::highest FD…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsThe safest approach to biopsy a vertebral body is {{c1::transpedicular}}.
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsIn a transpedicular approach, the bony walls of the {{c1::pedicle}} protect the needle from inad…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsThe {{c2::sensitivity::sensitivity/specificity}} of biopsy for diagnosing osteomyelitis is highl…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsBiopsy {{c2::should not::should or should not}} be performed to diagnose osteomyelitis in {…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsWhen imaging already confirms osteomyelitis, biopsy should be performed to obtain {{c1::microbia…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor diagnostic wrist injections, injecting more than {{c1::3}} mL of contrast can increase the c…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsFor MR arthrography, dilution of gadolinium-containing contrast can be admixed with {{c1::iodina…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsMany fluoroscopic machines have a "{{c1::low-dose}}" mode that should be utilized routinely unle…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsThe image intensifier should always be close to the patient, but it is ok to "ride" it up and do…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsIt is especially important to cone-in the image as much as possible in {{c1::hip}} arthrography,…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsHow can you make dose reduction strategies in fluoroscopic procedures fun? ;){{c1::Friendly comp…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsCase: Normal shoulder arthrogramYellow arrow: {{c1::BB marker}} for a "{{c2::rotator interv…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsRisk-stratifying lesions on imaging is very important prior to biopsy:If PET reveals aggressive-…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsRisk-stratifying lesions on imaging is very important prior to biopsy:If PET reveals less-aggres…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsCase: Soft tissue biopsy - Cellular myxoma. Contrast-enhanced MRI (L), pre-procedural color…
Published	05/01/2023	Musculoskeletal Imaging: Musculoskeletal InterventionsCase: CT-guided bone biopsy. Planning image (top L), Intraprocedural CT-fluoroscopic images…
Status	Last Update	Fields