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Fluoroscopic-guided procedures of the lower extremity
Gunjan Malhotra1, Barry G Hansford2, Cindy Felcher1
1Department of Radiology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109, USA.
Skeletal Radiology
|August 5, 2022
Summary
This review covers fluoroscopically guided lower extremity procedures, detailing injections and aspirations from hip to toes. It highlights common agents, risks, and best practices for successful joint interventions.
Area of Science:
- Orthopedics
- Radiology
- Pain Management
Background:
- Fluoroscopically guided procedures are essential for diagnosing and treating lower extremity conditions.
- Accurate joint and soft tissue injections require specialized knowledge of anatomy and imaging.
- Understanding the risks and benefits of commonly used agents is crucial for patient safety.
Purpose of the Study:
- To provide a comprehensive review of lower extremity fluoroscopically guided procedures.
- To discuss the indications, risks, and complications associated with injections and aspirations.
- To detail various procedural approaches, including pearls and pitfalls.
Main Methods:
- Literature review of existing studies on lower extremity fluoroscopic guidance.
- Analysis of authors' clinical experience with these procedures.
- Discussion of anesthetic, corticosteroid, and contrast agent performance.
Main Results:
- Fluoroscopic guidance offers precision for hip to toe interventions.
- Anesthetics, corticosteroids, and contrast agents have specific indications and risk profiles.
- Successful outcomes depend on understanding anatomical approaches and potential complications.
Conclusions:
- Fluoroscopically guided procedures are valuable for lower extremity joint and soft tissue management.
- Careful patient selection, procedural technique, and agent choice optimize outcomes.
- Awareness of potential pitfalls enhances the safety and efficacy of these interventions.
Keywords:
Corticosteroid injection (CSI)Fluoroscopic-guided joint injectionsFoot injectionHip aspirationHip injectionIntraarticular contrastKnee aspirationKnee injectionMetatarsophalangeal injectionNaviculocuneiform injectionProsthetic joint infection (PJI)Septic arthritisSubtalar injectionTalonavicular injectionTarsometatarsal injectionTibiotalar injectionMore Related Videos
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