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 III, nerves of the upper limb.
Injections; Steroids
Peripheral nerves
Radiology, interventional
Ultrasonography
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
16
07
2019
accepted:
27
09
2019
revised:
30
08
2019
pubmed:
13
11
2019
medline:
22
9
2020
entrez:
13
11
2019
Statut:
ppublish
Résumé
Image-guided interventional procedures of the nerves are commonly performed by physicians from different medical specialties, although there is a lack of clinical indications for these types of procedures. This Delphi-based consensus provided a list of indications on image-guided interventional procedures for nerves of the upper limb based on updated published evidence. An expert panel of 45 members of the Ultrasound and Interventional Subcommittees of the ESSR participated in this Delphi-based consensus study. After revision of the published papers on image-guided interventional procedures for nerves of the upper limb updated to September 2018, the experts drafted a list of statements according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus on statements regarding clinical indications was considered as strong when more than 95% of experts agreed, and broad if more than 80% agreed. Ten statements were drafted on procedures for nerves of the upper limb. Only two statements reached the highest level of evidence (ultrasound guidance is a safe and effective method for brachial plexus block; ultrasound-guided non-surgical approaches are safe and effective methods to treat carpal tunnel syndrome in the short term, but there is sparse evidence on the mid- and long-term effectiveness of these interventions). Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%). This Delphi-based consensus study reported poor evidence on image-guided interventional procedures for nerves of the upper limb. Sixty percent of statements on clinical indications provided by the expert board reached a strong consensus. • An expert panel of the ESSR provided 10 evidence-based statements on clinical indications for image-guided interventional procedures for nerves of the upper limb • Two statements reached the highest level of evidence • Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%).
Sections du résumé
BACKGROUND
BACKGROUND
Image-guided interventional procedures of the nerves are commonly performed by physicians from different medical specialties, although there is a lack of clinical indications for these types of procedures. This Delphi-based consensus provided a list of indications on image-guided interventional procedures for nerves of the upper limb based on updated published evidence.
METHODS
METHODS
An expert panel of 45 members of the Ultrasound and Interventional Subcommittees of the ESSR participated in this Delphi-based consensus study. After revision of the published papers on image-guided interventional procedures for nerves of the upper limb updated to September 2018, the experts drafted a list of statements according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus on statements regarding clinical indications was considered as strong when more than 95% of experts agreed, and broad if more than 80% agreed.
RESULTS
RESULTS
Ten statements were drafted on procedures for nerves of the upper limb. Only two statements reached the highest level of evidence (ultrasound guidance is a safe and effective method for brachial plexus block; ultrasound-guided non-surgical approaches are safe and effective methods to treat carpal tunnel syndrome in the short term, but there is sparse evidence on the mid- and long-term effectiveness of these interventions). Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%).
CONCLUSIONS
CONCLUSIONS
This Delphi-based consensus study reported poor evidence on image-guided interventional procedures for nerves of the upper limb. Sixty percent of statements on clinical indications provided by the expert board reached a strong consensus.
KEY POINTS
CONCLUSIONS
• An expert panel of the ESSR provided 10 evidence-based statements on clinical indications for image-guided interventional procedures for nerves of the upper limb • Two statements reached the highest level of evidence • Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%).
Identifiants
pubmed: 31712960
doi: 10.1007/s00330-019-06479-z
pii: 10.1007/s00330-019-06479-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1498-1506Références
Eur Radiol. 2019 Jul;29(7):3410-3413
pubmed: 31062137
Radiol Med. 2019 Nov;124(11):1112-1120
pubmed: 30828775
J Clin Neurophysiol. 2017 Mar;34(2):107-113
pubmed: 27749616
Chir Main. 2014 Sep;33(4):256-62
pubmed: 24981578
Ann Neurol. 2018 Oct;84(4):601-610
pubmed: 30187524
Radiographics. 2016 Mar-Apr;36(2):452-63
pubmed: 26963456
Pain Med. 2017 Jan 1;18(1):184-186
pubmed: 27744402
Orthop Traumatol Surg Res. 2014 May;100(3):287-92
pubmed: 24685369
Semin Musculoskelet Radiol. 2018 Nov;22(5):546-563
pubmed: 30399619
Saudi J Anaesth. 2018 Jan-Mar;12(1):22-27
pubmed: 29416452
Med Ultrason. 2018 Dec 8;20(4):461-466
pubmed: 30534653
Anesth Essays Res. 2017 Apr-Jun;11(2):467-471
pubmed: 28663643
Acta Neurol Belg. 2015 Sep;115(3):355-60
pubmed: 25319131
J Orthop Surg Res. 2018 Apr 3;13(1):69
pubmed: 29615088
Ann Rehabil Med. 2015 Apr;39(2):176-82
pubmed: 25932413
Eur Radiol. 2012 May;22(5):1140-8
pubmed: 22453857
Medicine (Baltimore). 2019 Jan;98(1):e13917
pubmed: 30608419
PM R. 2019 Oct;11(10):1101-1106
pubmed: 30734506
Int J Surg. 2017 Sep;45:85-91
pubmed: 28755885
Int J Hyperthermia. 2019;36(1):376-382
pubmed: 30909759
Semin Musculoskelet Radiol. 2016 Nov;20(5):453-460
pubmed: 28002867
Muscle Nerve. 2011 Jul;44(1):128-30
pubmed: 21660983
Curr Sports Med Rep. 2016 Jan-Feb;15(1):20-2
pubmed: 26745165
BMC Anesthesiol. 2018 Oct 19;18(1):143
pubmed: 30340524
Ann Rehabil Med. 2012 Aug;36(4):496-500
pubmed: 22977775
Clin Anat. 2018 Sep;31(6):824-829
pubmed: 29732608
Muscle Nerve. 2017 Aug;56(2):237-241
pubmed: 27875620
J Rehabil Med. 2018 Feb 13;50(2):200-208
pubmed: 29355292
Am J Phys Med Rehabil. 2013 Nov;92(11):999-1004
pubmed: 23811617
Anesth Analg. 2014 Sep;119(3):686-92
pubmed: 25010824
J Ultrasound Med. 2019 Nov;38(11):2821-2842
pubmed: 31025409
Muscle Nerve. 2015 Sep;52(3):380-5
pubmed: 25522919
Sci Rep. 2017 Dec;7(1):94
pubmed: 28273894
Cardiovasc Intervent Radiol. 2017 Apr;40(4):568-575
pubmed: 28028577
Mayo Clin Proc. 2017 Aug;92(8):1179-1189
pubmed: 28778254
Br J Anaesth. 2011 Jan;106(1):124-30
pubmed: 21059701
Muscle Nerve. 2019 Sep;60(3):222-231
pubmed: 31093989
Anesth Analg. 2012 Sep;115(3):728-33
pubmed: 22745114
Eur Radiol. 2020 Feb;30(2):903-913
pubmed: 31529252
Skeletal Radiol. 2011 Aug;40(8):959-61
pubmed: 21667147
J Ultrasound Med. 2012 Sep;31(9):1341-9
pubmed: 22922613
Ultrasound Med Biol. 2018 Jan;44(1):14-36
pubmed: 29126752
Ultrasound Med Biol. 2015 Aug;41(8):2119-24
pubmed: 25937521
J Clin Ultrasound. 2016 Oct;44(8):465-9
pubmed: 27155542
PLoS One. 2015 Jun 12;10(6):e0129918
pubmed: 26067628
Arthroscopy. 2014 Aug;30(8):906-14
pubmed: 24880194
Semin Musculoskelet Radiol. 2018 Jul;22(3):344-353
pubmed: 29791962
Radiol Med. 2018 Apr;123(4):314-321
pubmed: 29249079
Clin Interv Aging. 2018 Jan 18;13:117-124
pubmed: 29403268
Anaesthesist. 2014 Oct;63(10):760-5
pubmed: 25098777
Insights Imaging. 2017 Oct;8(5):491-497
pubmed: 28755330
Arch Phys Med Rehabil. 2017 May;98(5):947-956
pubmed: 28209506
Eur J Anaesthesiol. 2010 Jul;27(7):628-33
pubmed: 20299995
Anaesthesia. 2016 Feb;71(2):213-27
pubmed: 26670119
Eur J Orthop Surg Traumatol. 2019 Jan;29(1):1-8
pubmed: 30022241
S D Med. 2017 Oct;70(10):444-447
pubmed: 28957618
Arch Phys Med Rehabil. 2018 Apr;99(4):766-775
pubmed: 28943161
Anaesthesia. 2017 Apr;72(4):461-469
pubmed: 28185262
Insights Imaging. 2017 Jun;8(3):311-317
pubmed: 28432574
Eur Radiol. 2018 Dec;28(12):5338-5351
pubmed: 29876703
Eur J Neurol. 2012 Dec;19(12):1582-4
pubmed: 22339768
Turk J Med Sci. 2017 Dec 19;47(6):1785-1790
pubmed: 29306239
Case Rep Orthop. 2015;2015:378627
pubmed: 25685573
J Ultrasound Med. 2016 Jun;35(6):1149-57
pubmed: 27105949
Skeletal Radiol. 2017 Jul;46(7):963-964
pubmed: 28396961
Reg Anesth Pain Med. 2009 Mar-Apr;34(2):134-70
pubmed: 19282714
Vet Anaesth Analg. 2019 Jul;46(4):523-528
pubmed: 31160170