Frequency of technical success of ultrasound-guided arthrogram injections in children
Background MR arthrography is an essential diagnostic tool to assess and guide management of labral, ligamentous, fibrocartilaginous, and capsular abnormalities in children. While fluoroscopy is traditionally used for intra-articular contrast administration, ultrasound offers advantages of portabili...
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| Veröffentlicht in: | Pediatric radiology 2023-11, Vol.53 (12), p.2380-2385 |
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| creator | O’Sullivan, Joseph Kim, Helen H. R. Otjen, Jeffrey P. Ngo, Anh-Vu Maloney, Ezekiel Menashe, Sarah J. Iyer, Ramesh S. Thapa, Mahesh |
| description | Background
MR arthrography is an essential diagnostic tool to assess and guide management of labral, ligamentous, fibrocartilaginous, and capsular abnormalities in children. While fluoroscopy is traditionally used for intra-articular contrast administration, ultrasound offers advantages of portability and lack of ionizing radiation exposure for both the patient and proceduralist.
Objective
The purpose of this retrospective study is to quantify technical success and frequency of complications of ultrasound-guided arthrogram injections at our institution.
Materials and methods
This retrospective analysis investigates the results of 217 ultrasound-guided arthrograms of the shoulder, elbow, and hip in patients aged 5–18 years. Successful injection of contrast into the target joint, clinical indication for MR arthrography, and complications were reviewed.
Results
Accurate ultrasound-guided intra-articular administration of contrast into the target joint was successful for 100% of shoulder cases (90/90), 97% of elbow cases (77/79), and 98% of hip cases (47/48). Leak of contrast outside the target joint occurred in 1.4% (3/217) of cases. No major side effects including excessive bleeding, paresthesia, allergic reactions, or infection occurred during or after the procedure. Additionally, no major vessel, nerve, or tendon complications were observed on MR images.
Conclusion
Ultrasound guidance is a reliable, effective, and safe approach to arthrography in children.
Graphical Abstract |
| doi_str_mv | 10.1007/s00247-023-05777-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2870989385</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2887708300</sourcerecordid><originalsourceid>FETCH-LOGICAL-c303t-cae8438590bbdc4974a8545898999947a4f994a83c9e888c51164539745dee633</originalsourceid><addsrcrecordid>eNp9kMFOAyEQhonRxFp9AU-bePGCDgsU9mgarSZNvOiZUHa23WYLFXYPfXupa6LxIJeZkG_-gY-QawZ3DEDdJ4BSKAolpyCVUlSekAkTvKSsqvTpr_6cXKS0BQAuGZ-Q96eIHwN6dyhCU_ToNr51tivS4BymdLwcuj7aFAZf0_XQ1lgXNvabGNbR7orWb9H1bfApt4XbtF0d0V-Ss8Z2Ca--6zTveXybP9Pl6-Jl_rCkjgPvqbOoBdeygtWqdqJSwmoppK50lY9QVjS5WM1dhVprJxmbCckzJ2vEGedTcjvm7mPIv0i92bXJYddZj2FIptQKclhekdGbP-g2DNHn12VKKwWaZydTUo6UiyGliI3Zx3Zn48EwMEfTZjRtsmnzZdoco_k4lDLs1xh_ov-Z-gT-JYBl</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2887708300</pqid></control><display><type>article</type><title>Frequency of technical success of ultrasound-guided arthrogram injections in children</title><source>Springer Nature - Complete Springer Journals</source><creator>O’Sullivan, Joseph ; Kim, Helen H. R. ; Otjen, Jeffrey P. ; Ngo, Anh-Vu ; Maloney, Ezekiel ; Menashe, Sarah J. ; Iyer, Ramesh S. ; Thapa, Mahesh</creator><creatorcontrib>O’Sullivan, Joseph ; Kim, Helen H. R. ; Otjen, Jeffrey P. ; Ngo, Anh-Vu ; Maloney, Ezekiel ; Menashe, Sarah J. ; Iyer, Ramesh S. ; Thapa, Mahesh</creatorcontrib><description>Background
MR arthrography is an essential diagnostic tool to assess and guide management of labral, ligamentous, fibrocartilaginous, and capsular abnormalities in children. While fluoroscopy is traditionally used for intra-articular contrast administration, ultrasound offers advantages of portability and lack of ionizing radiation exposure for both the patient and proceduralist.
Objective
The purpose of this retrospective study is to quantify technical success and frequency of complications of ultrasound-guided arthrogram injections at our institution.
Materials and methods
This retrospective analysis investigates the results of 217 ultrasound-guided arthrograms of the shoulder, elbow, and hip in patients aged 5–18 years. Successful injection of contrast into the target joint, clinical indication for MR arthrography, and complications were reviewed.
Results
Accurate ultrasound-guided intra-articular administration of contrast into the target joint was successful for 100% of shoulder cases (90/90), 97% of elbow cases (77/79), and 98% of hip cases (47/48). Leak of contrast outside the target joint occurred in 1.4% (3/217) of cases. No major side effects including excessive bleeding, paresthesia, allergic reactions, or infection occurred during or after the procedure. Additionally, no major vessel, nerve, or tendon complications were observed on MR images.
Conclusion
Ultrasound guidance is a reliable, effective, and safe approach to arthrography in children.
Graphical Abstract</description><identifier>ISSN: 1432-1998</identifier><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-023-05777-5</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abnormalities ; Allergic reactions ; Children ; Elbow ; Elbow (anatomy) ; Fluoroscopy ; Hip ; Hypersensitivity ; Imaging ; Ionizing radiation ; Joints (anatomy) ; Medicine ; Medicine & Public Health ; Neuroradiology ; Nuclear Medicine ; Oncology ; Original Article ; Paresthesia ; Pediatrics ; Radiation effects ; Radiology ; Shoulder ; Side effects ; Ultrasonic imaging ; Ultrasound</subject><ispartof>Pediatric radiology, 2023-11, Vol.53 (12), p.2380-2385</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c303t-cae8438590bbdc4974a8545898999947a4f994a83c9e888c51164539745dee633</cites><orcidid>0000-0002-2947-5435</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00247-023-05777-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00247-023-05777-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids></links><search><creatorcontrib>O’Sullivan, Joseph</creatorcontrib><creatorcontrib>Kim, Helen H. R.</creatorcontrib><creatorcontrib>Otjen, Jeffrey P.</creatorcontrib><creatorcontrib>Ngo, Anh-Vu</creatorcontrib><creatorcontrib>Maloney, Ezekiel</creatorcontrib><creatorcontrib>Menashe, Sarah J.</creatorcontrib><creatorcontrib>Iyer, Ramesh S.</creatorcontrib><creatorcontrib>Thapa, Mahesh</creatorcontrib><title>Frequency of technical success of ultrasound-guided arthrogram injections in children</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><description>Background
MR arthrography is an essential diagnostic tool to assess and guide management of labral, ligamentous, fibrocartilaginous, and capsular abnormalities in children. While fluoroscopy is traditionally used for intra-articular contrast administration, ultrasound offers advantages of portability and lack of ionizing radiation exposure for both the patient and proceduralist.
Objective
The purpose of this retrospective study is to quantify technical success and frequency of complications of ultrasound-guided arthrogram injections at our institution.
Materials and methods
This retrospective analysis investigates the results of 217 ultrasound-guided arthrograms of the shoulder, elbow, and hip in patients aged 5–18 years. Successful injection of contrast into the target joint, clinical indication for MR arthrography, and complications were reviewed.
Results
Accurate ultrasound-guided intra-articular administration of contrast into the target joint was successful for 100% of shoulder cases (90/90), 97% of elbow cases (77/79), and 98% of hip cases (47/48). Leak of contrast outside the target joint occurred in 1.4% (3/217) of cases. No major side effects including excessive bleeding, paresthesia, allergic reactions, or infection occurred during or after the procedure. Additionally, no major vessel, nerve, or tendon complications were observed on MR images.
Conclusion
Ultrasound guidance is a reliable, effective, and safe approach to arthrography in children.
Graphical Abstract</description><subject>Abnormalities</subject><subject>Allergic reactions</subject><subject>Children</subject><subject>Elbow</subject><subject>Elbow (anatomy)</subject><subject>Fluoroscopy</subject><subject>Hip</subject><subject>Hypersensitivity</subject><subject>Imaging</subject><subject>Ionizing radiation</subject><subject>Joints (anatomy)</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Nuclear Medicine</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Paresthesia</subject><subject>Pediatrics</subject><subject>Radiation effects</subject><subject>Radiology</subject><subject>Shoulder</subject><subject>Side effects</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>1432-1998</issn><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kMFOAyEQhonRxFp9AU-bePGCDgsU9mgarSZNvOiZUHa23WYLFXYPfXupa6LxIJeZkG_-gY-QawZ3DEDdJ4BSKAolpyCVUlSekAkTvKSsqvTpr_6cXKS0BQAuGZ-Q96eIHwN6dyhCU_ToNr51tivS4BymdLwcuj7aFAZf0_XQ1lgXNvabGNbR7orWb9H1bfApt4XbtF0d0V-Ss8Z2Ca--6zTveXybP9Pl6-Jl_rCkjgPvqbOoBdeygtWqdqJSwmoppK50lY9QVjS5WM1dhVprJxmbCckzJ2vEGedTcjvm7mPIv0i92bXJYddZj2FIptQKclhekdGbP-g2DNHn12VKKwWaZydTUo6UiyGliI3Zx3Zn48EwMEfTZjRtsmnzZdoco_k4lDLs1xh_ov-Z-gT-JYBl</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>O’Sullivan, Joseph</creator><creator>Kim, Helen H. R.</creator><creator>Otjen, Jeffrey P.</creator><creator>Ngo, Anh-Vu</creator><creator>Maloney, Ezekiel</creator><creator>Menashe, Sarah J.</creator><creator>Iyer, Ramesh S.</creator><creator>Thapa, Mahesh</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2947-5435</orcidid></search><sort><creationdate>20231101</creationdate><title>Frequency of technical success of ultrasound-guided arthrogram injections in children</title><author>O’Sullivan, Joseph ; Kim, Helen H. R. ; Otjen, Jeffrey P. ; Ngo, Anh-Vu ; Maloney, Ezekiel ; Menashe, Sarah J. ; Iyer, Ramesh S. ; Thapa, Mahesh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c303t-cae8438590bbdc4974a8545898999947a4f994a83c9e888c51164539745dee633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abnormalities</topic><topic>Allergic reactions</topic><topic>Children</topic><topic>Elbow</topic><topic>Elbow (anatomy)</topic><topic>Fluoroscopy</topic><topic>Hip</topic><topic>Hypersensitivity</topic><topic>Imaging</topic><topic>Ionizing radiation</topic><topic>Joints (anatomy)</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Paresthesia</topic><topic>Pediatrics</topic><topic>Radiation effects</topic><topic>Radiology</topic><topic>Shoulder</topic><topic>Side effects</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O’Sullivan, Joseph</creatorcontrib><creatorcontrib>Kim, Helen H. R.</creatorcontrib><creatorcontrib>Otjen, Jeffrey P.</creatorcontrib><creatorcontrib>Ngo, Anh-Vu</creatorcontrib><creatorcontrib>Maloney, Ezekiel</creatorcontrib><creatorcontrib>Menashe, Sarah J.</creatorcontrib><creatorcontrib>Iyer, Ramesh S.</creatorcontrib><creatorcontrib>Thapa, Mahesh</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O’Sullivan, Joseph</au><au>Kim, Helen H. R.</au><au>Otjen, Jeffrey P.</au><au>Ngo, Anh-Vu</au><au>Maloney, Ezekiel</au><au>Menashe, Sarah J.</au><au>Iyer, Ramesh S.</au><au>Thapa, Mahesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency of technical success of ultrasound-guided arthrogram injections in children</atitle><jtitle>Pediatric radiology</jtitle><stitle>Pediatr Radiol</stitle><date>2023-11-01</date><risdate>2023</risdate><volume>53</volume><issue>12</issue><spage>2380</spage><epage>2385</epage><pages>2380-2385</pages><issn>1432-1998</issn><issn>0301-0449</issn><eissn>1432-1998</eissn><abstract>Background
MR arthrography is an essential diagnostic tool to assess and guide management of labral, ligamentous, fibrocartilaginous, and capsular abnormalities in children. While fluoroscopy is traditionally used for intra-articular contrast administration, ultrasound offers advantages of portability and lack of ionizing radiation exposure for both the patient and proceduralist.
Objective
The purpose of this retrospective study is to quantify technical success and frequency of complications of ultrasound-guided arthrogram injections at our institution.
Materials and methods
This retrospective analysis investigates the results of 217 ultrasound-guided arthrograms of the shoulder, elbow, and hip in patients aged 5–18 years. Successful injection of contrast into the target joint, clinical indication for MR arthrography, and complications were reviewed.
Results
Accurate ultrasound-guided intra-articular administration of contrast into the target joint was successful for 100% of shoulder cases (90/90), 97% of elbow cases (77/79), and 98% of hip cases (47/48). Leak of contrast outside the target joint occurred in 1.4% (3/217) of cases. No major side effects including excessive bleeding, paresthesia, allergic reactions, or infection occurred during or after the procedure. Additionally, no major vessel, nerve, or tendon complications were observed on MR images.
Conclusion
Ultrasound guidance is a reliable, effective, and safe approach to arthrography in children.
Graphical Abstract</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00247-023-05777-5</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2947-5435</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-1998 |
| ispartof | Pediatric radiology, 2023-11, Vol.53 (12), p.2380-2385 |
| issn | 1432-1998 0301-0449 1432-1998 |
| language | eng |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Abnormalities Allergic reactions Children Elbow Elbow (anatomy) Fluoroscopy Hip Hypersensitivity Imaging Ionizing radiation Joints (anatomy) Medicine Medicine & Public Health Neuroradiology Nuclear Medicine Oncology Original Article Paresthesia Pediatrics Radiation effects Radiology Shoulder Side effects Ultrasonic imaging Ultrasound |
| title | Frequency of technical success of ultrasound-guided arthrogram injections in children |
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