Pearls and pitfalls of fluoroscopic-guided foot and ankle injections: what the radiologist needs to know

Objective This article provides a comprehensive, joint-by-joint review of fluoroscopic-guided foot and ankle injections and emphasizes pre-procedural planning, relevant anatomy, appropriate technique, troubleshooting the difficult procedure, and the importance of communicating unexpected findings wi...

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Bibliographic Details
Published in:Skeletal radiology 2019-11, Vol.48 (11), p.1661-1674
Main Authors: Hansford, Barry G., Mills, Megan K., Hanrahan, Christopher J., Yablon, Corrie M.
Format: Article
Language:English
Subjects:
Adrenal Cortex Hormones - administration & dosage
Adrenal Cortex Hormones - therapeutic use
Ankle
Ankle Joint - anatomy & histology
Ankle Joint - diagnostic imaging
Communication
Feet
Fluoroscopy
Foot Diseases - drug therapy
Foot Diseases - physiopathology
Foot Joints - anatomy & histology
Foot Joints - diagnostic imaging
Foot Joints - physiology
Fractures
Humans
Imaging
Injections, Intra-Articular
Interrogation
Medicine
Medicine & Public Health
Nuclear Medicine
Orthopedics
Pain
Pain - drug therapy
Pain - physiopathology
Pathology
Radiography, Interventional - methods
Radiology
Review Article
Troubleshooting
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Description
Summary:Objective This article provides a comprehensive, joint-by-joint review of fluoroscopic-guided foot and ankle injections and emphasizes pre-procedural planning, relevant anatomy, appropriate technique, troubleshooting the difficult procedure, and the importance of communicating unexpected findings with the referring clinician. The interrogation of pain generators including variant ossicles, fractures, and post-surgical/traumatic findings is also described. Conclusions Even the most challenging foot and ankle injections may be successfully completed with a solid anatomical understanding and thoughtful approach.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-019-03226-9