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.