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29.09.2023 | Original Article

Frequency of technical success of ultrasound-guided arthrogram injections in children

verfasst von: Joseph O’Sullivan, Helen H. R. Kim, Jeffrey P. Otjen, Anh-Vu Ngo, Ezekiel Maloney, Sarah J. Menashe, Ramesh S. Iyer, Mahesh Thapa

Erschienen in: Pediatric Radiology | Ausgabe 12/2023

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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

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Titel: Frequency of technical success of ultrasound-guided arthrogram injections in children
verfasst von: Joseph O’Sullivan
Helen H. R. Kim
Jeffrey P. Otjen
Anh-Vu Ngo
Ezekiel Maloney
Sarah J. Menashe
Ramesh S. Iyer
Mahesh Thapa
Publikationsdatum: 29.09.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Radiology / Ausgabe 12/2023
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-023-05777-5

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Frequency of technical success of ultrasound-guided arthrogram injections in children