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Updated: Jun 7, 2026

A Novel Application of Musculoskeletal Ultrasound Imaging
Published on: September 17, 2013
Pediatric image-guided nonvascular musculoskeletal interventions
Jack-Nghia Vo1, Fredric A Hoffer, Dennis W W Shaw
1Department of Radiology, Seattle Children's Hospital and The University of Washington, Seattle, WA 98105, USA. nghia.vo@seattlechildrens.org
Insights
Pediatric interventional radiology offers image-guided musculoskeletal (MSK) procedures for pain relief and treatment in children. Techniques for common MSK interventions like injections and biopsies are detailed.
Area of Science:
- Pediatric Radiology
- Interventional Radiology
- Musculoskeletal Imaging
Background:
- Pediatric musculoskeletal (MSK) imaging presents unique challenges due to developmental variability.
- Imaging findings and disease presentations in skeletally immature patients differ from adults.
- Interventional radiology MSK procedures are influenced by local expertise and referral patterns.
Purpose of the Study:
- To describe common image-guided nonvascular interventional radiology procedures for pediatric musculoskeletal conditions.
- To outline techniques for corticosteroid injections, osteoid osteoma treatment, bone biopsies, and foreign body removal in children.
Main Methods:
- Review of techniques for commonly performed image-guided pediatric MSK procedures.
- Focus on nonvascular interventions addressing pain and therapeutic needs.
- Procedures include corticosteroid injections, osteoid osteoma ablation, bone biopsy, and foreign body retrieval.
Main Results:
- The majority of nonvascular MSK procedures in this practice target pediatric pain.
- Specific techniques for corticosteroid injections, osteoid osteoma treatment, bone biopsies, and foreign body removal are detailed.
- These interventions provide therapeutic options for pediatric MSK conditions.
Conclusions:
- Image-guided interventional radiology offers valuable therapeutic options for pediatric musculoskeletal pain and disease.
- Standardized techniques are crucial for successful MSK procedures in children.
- Interventional radiology services can effectively manage a range of pediatric MSK conditions.
Abstract:
Image-guided procedures involving the musculoskeletal (MSK) system of children can be challenging because of the variability posed by the child's age, skeletal maturity, and the stage of development. The imaging findings of the maturing MSK system and the underlying diseases affecting children, particularly those that are skeletally immature, can differ significantly from typical adults. The breadth of possible MSK procedures performed by an interventional radiology service depends on the availability of local expertise/experience as well as the referral patterns. In our practice, the majority of nonvascular MSK procedures involve children with a sequela of pain and in need of a therapeutic intervention. We describe our techniques for our more commonly performed MSK procedures, including corticosteroid injections, treating osteoid osteomas, and performance of image-guided bone biopsies and foreign body removal.
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