ArticleEuropean radiology2022
Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part VII, nerves of the lower limb.
Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Updates in ultrasound-guided musculoskeletal interventions.The British journal of radiology · 2026Review
- Meralgia paresthetica: from qualitative ultrasound assessment to quantitative multimodality imaging.Journal of ultrasonography · 2026Review
- The evolving landscape of minimally invasive procedures in musculoskeletal diseases-Part II.Frontiers in medicine · 2026Review
- Image-guided injections for facet joint pain: evidence-based Delphi conjoined consensus paper from the European Society of Musculoskeletal Radiology and European Society of Neuroradiology.European radiology · 2025Article
- Imaging of elbow entrapment neuropathies.Insights into imaging · 2025Article
- Standardized reporting of spine and sacroiliac joints in axial spondyloarthritis MRI: from the ESSR-Arthritis Subcommittee.European radiology · 2025Article
- Ultrasound guided procedures in the musculoskeletal system: a narrative review with illustrative examples.Quantitative imaging in medicine and surgery · 2024Review
- Practical Use of Ultrasound in Modern Rheumatology-From A to Z.Life (Basel, Switzerland) · 2024Review
- US-Guided Interventional Procedures for Total Hip Arthroplasty.Journal of clinical medicine · 2024Review
- MRI of total hip arthroplasty: technical aspects and imaging findings.Insights into imaging · 2024Review
- US/CT fusion imaging and virtual navigation to guide lumbar intradiscal oxygen-ozone therapy: a pilot study.Journal of ultrasound · 2024Article
- Musculoskeletal Radiology Education: A National Survey by the Italian College of Musculoskeletal Radiology.Diagnostics (Basel, Switzerland) · 2023Article
- Sonographic assessment of the tarsal tunnel compared to cadaveric findings: a pictorial study.Journal of ultrasonography · 2023Article
- Bone biopsies guided by augmented reality: a pilot study.European radiology experimental · 2023Article
- Ultrasound-guided Musculoskeletal Interventional Procedures Around the Hip: A Practical Guide.Journal of ultrasonography · 2023Article
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Authors and funding
52 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo perform a Delphi-based consensus on published evidence on image-guided interventional procedures for peripheral nerves of the lower limb (excluding Morton's neuroma) and provide clinical indications.
methodsWe report the results of a Delphi-based consensus of 53 experts from the European Society of Musculoskeletal Radiology who reviewed the published literature for evidence on image-guided interventional procedures offered around peripheral nerves in the lower limb (excluding Morton's neuroma) to derive their clinical indications. Experts drafted a list of statements and graded them according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus was considered strong when > 95% of experts agreed with the statement or broad when > 80% but < 95% agreed. The results of the Delphi-based consensus were used to write the paper.
resultsNine statements on image-guided interventional procedures for peripheral nerves of the lower limb have been drafted. All of them received strong consensus. Image-guided pudendal nerve block is safe, effective, and well tolerated with few complications. US-guided perisciatic injection of anesthetic provides good symptom relief in patients with piriformis syndrome; however, the addition of corticosteroids to local anesthetics still has an unclear role. US-guided lateral femoral cutaneous nerve block can be used to provide effective post-operative regional analgesia.
conclusionDespite the promising results reported by published papers on image-guided interventional procedures for peripheral nerves of the lower limb, there is still a lack of evidence on the efficacy of most procedures. KEY POINTS: • Image-guided pudendal nerve block is safe, effective, and well tolerated with few complications. • US-guided perisciatic injection of anesthetic provides good symptom relief in patients with piriformis syndrome; however, the addition of corticosteroids to local anesthetics still has an unclear role. • US-guided lateral femoral cutaneous nerve block can be used to provide effective post-operative regional analgesia. The volume of local anesthetic affects the size of the blocked sensory area.
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