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Percutaneous foot joint needle placement using a C-arm flat-panel detector CT

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Image guidance is valuable for diagnostic injections in foot orthopaedics. Flat-detector computed tomography (FD-CT) was implemented using a C-arm, and the system was tested for needle guidance in foot joint injections.

Methods

FD-CT—guided joint infiltration was performed in 6 patients referred from the orthopaedic department for diagnostic foot injections. All interventions were performed utilising a flat-panel fluoroscopy system utilising specialised image guidance and planning software. Successful infiltration was defined by localisation of contrast media depot in the targeted joint. The pre- and post-interventional numeric analogue scale (NAS) pain score was assessed.

Results

All injections were technically successful. Contrast media deposit was documented in all targeted joints. Significant relief of symptoms was noted by all 6 participants.

Conclusions

FD-CT—guided joint infiltration is a feasible method for diagnostic infiltration of midfoot and hindfoot joints. The FD-CT approach may become an alternative to commonly used 2D-fluoroscopically guidance.

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Authors and Affiliations

  1. Orthopaedic Department, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland

    Martin Wiewiorski & Victor Valderrabano

  2. Institute of Interventional Radiology, University Hospital Basel, Basel, Switzerland

    Martin Thanh Long Takes & Augustinus Ludwig Jacob

Authors
  1. Martin Wiewiorski
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  2. Martin Thanh Long Takes
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  3. Victor Valderrabano
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  4. Augustinus Ludwig Jacob
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Correspondence to Martin Wiewiorski.

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Wiewiorski, M., Takes, M.T.L., Valderrabano, V. et al. Percutaneous foot joint needle placement using a C-arm flat-panel detector CT. Int J CARS 7, 177–180 (2012). https://doi.org/10.1007/s11548-011-0630-0

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  • DOI: https://doi.org/10.1007/s11548-011-0630-0

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