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2016 ; 89
(1059
): 20150413
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Interventional articular and para-articular knee procedures
#MMPMID26682669
Lalam RK
; Winn N
; Cassar-Pullicino VN
Br J Radiol
2016[]; 89
(1059
): 20150413
PMID26682669
show ga
The knee is a common area of the body to undergo interventional procedures. This
article discusses image-guided interventional issues specific to the knee area.
The soft tissues in and around the knee are frequently affected by sport-related
injuries and often need image-guided intervention. This article details the
specific technical issues related to intervention in these soft tissues,
including the iliotibial tract, fat pads, patellar tendon and other tendons,
bursae and the meniscus. Most often, simple procedures such as injection and
aspiration are performed without image guidance. Rarely image-guided diagnostic
arthrography and therapeutic joint injections are necessary. The technique,
indications and diagnostic considerations for arthrography are discussed in this
article. Primary bone and soft-tissue tumours may involve the knee and adjacent
soft tissues. Image-guided biopsies are frequently necessary for these lesions;
this article details the technical issues related to image-guided biopsy around
the knee. A number of newer ablation treatments are now available, including
cryoablation, high-frequency ultrasound and microwave ablation. Radiofrequency
ablation, however, still remains the most commonly employed ablation technique.
The indications, technical and therapeutic considerations related to the
application of this technique around the knee are discussed here. Finally, we
briefly discuss some newer, but as of yet, unproven image-guided interventions
for osteochondral lesions and Brodie's abscess.
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