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Interventional MSK procedures: the hip.

Emilie Dodré1, Guillaume Lefebvre1, Eric Cockenpot1

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The British Journal of Radiology
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Summary
This summary is machine-generated.

Minimally invasive percutaneous procedures offer safe and effective treatments for various hip conditions, including osteoarthritis and metastatic bone disease. Image-guided techniques like radiofrequency ablation and cementoplasty provide targeted pain relief and consolidation.

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Area of Science:

  • Musculoskeletal radiology
  • Interventional oncology
  • Pain management

Background:

  • Percutaneous musculoskeletal procedures are established as minimally invasive, effective, and safe for hip pathologies.
  • Interventional radiology has advanced significantly in managing metastatic disease with ablative techniques.
  • Hip injections and ablative procedures offer therapeutic options for pain and structural issues.

Purpose of the Study:

  • To review the role and efficacy of percutaneous musculoskeletal procedures in managing hip pathologies.
  • To highlight image-guided ablative techniques for skeletal metastases.
  • To discuss novel interventional approaches for hip fractures and tumors.

Main Methods:

  • Review of percutaneous techniques including intra-articular injections, corticosteroid injections, radiofrequency ablation (RFA), cryotherapy, MR-guided focused ultrasound surgery, cementoplasty, and percutaneous screw fixation.
  • Image-guidance is central to these minimally invasive procedures.
  • Focus on palliative treatment for painful lytic lesions and management of acetabular metastases and fractures.

Main Results:

  • Percutaneous hip injections are effective for osteoarthritis and pain syndromes.
  • Image-guided ablation (RFA, cryotherapy) is a safe and effective palliative treatment for painful skeletal metastases.
  • Cementoplasty and RFA combination aids acetabular metastases management; RFA treats osteoid osteomas; percutaneous screw fixation addresses acetabular roof fractures.

Conclusions:

  • Percutaneous musculoskeletal procedures are versatile and effective for diverse hip conditions, from osteoarthritis to metastatic disease.
  • Image-guided interventions provide minimally invasive therapeutic options with good safety profiles.
  • Interventional radiology continues to expand its role in musculoskeletal tumor management and fracture treatment.