EMERGENCY RADIOLOGY

Disc Aspiration/Biopsy

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Disc Aspiration/Biopsy

Disc Aspiration/Biopsy Donald V. La Barge, III, MD Key Facts Terminology Fine needle aspiration of intervertebral disc material ± core biopsy Pre-Procedure Suspected osteomyelitis/discitis To confirm infectious organism Procedure For…

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Sacral Nerve Root Block

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Sacral Nerve Root Block

Sacral Nerve Root Block Donald V. La Barge, III, MD Key Facts Terminology Selective corticosteroid and long-acting anesthetic injection of a sacral nerve root at the level of neural foramen…

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Scapulothoracic Bursa Injection

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Scapulothoracic Bursa Injection

Scapulothoracic Bursa Injection Donald V. La Barge, III, MD Key Facts Pre-Procedure Indication: Scapulothoracic bursitis Subscapular pain and crepitus with scapulothoracic motion Pre-procedure imaging Look for other causes of pain…

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Epidural Steroid Injection

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Epidural Steroid Injection

Epidural Steroid Injection Donald V. La Barge, III, MD Key Facts Terminology Corticosteroid/anesthetic injection into lumbar epidural space via interlaminar, transforaminal, or caudal approach Pre-Procedure Indications Lumbar radiculopathy Residual pain…

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Vertebral Biopsy

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Vertebral Biopsy

Vertebral Biopsy Donald V. La Barge, III, MD Key Facts Terminology Image-guided percutaneous vertebral biopsy Cerebrospinal fluid (CSF) Pre-Procedure Indications Suspected tumor (biopsy ± vertebroplasty/ kyphoplasty) Osteomyelitis/discitis (identify responsible organism,…

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Pubic Symphysis Injection

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Pubic Symphysis Injection

Pubic Symphysis Injection Donald V. La Barge, III, MD Key Facts Terminology Image-guided aspiration or injection of pubic symphysis to evaluate possible infection or to alleviate painful instability Pre-Procedure Osteoarthritis…

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Sacroiliac Joint Injection

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Sacroiliac Joint Injection

Sacroiliac Joint Injection Donald V. La Barge, III, MD Key Facts Terminology Image-guided injection of corticosteroid and long-acting anesthetic into sacroiliac joint Pre-Procedure Indications Diagnostic injection for hip/back/buttock pain Sacroiliitis…

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Vertebroplasty

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Vertebroplasty

Vertebroplasty Donald V. La Barge, III, MD Key Facts Terminology Percutaneous cement augmentation of fractured vertebral body Pre-Procedure STIR MR provides excellent depiction of bone marrow edema in acute fracture…

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Piriformis Steroid Injection

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Piriformis Steroid Injection

Piriformis Steroid Injection Donald V. La Barge, III, MD Key Facts Terminology Selective image-guided injection of long-acting anesthetic and corticosteroid into piriformis muscle adjacent to sciatic nerve in treatment of…

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Facet Joint Injection

Sep 22, 2016 by in EMERGENCY RADIOLOGY Comments Off on Facet Joint Injection

Facet Joint Injection Donald V. La Barge, III, MD Key Facts Terminology Injection of corticosteroid and anesthetic into lumbar facet joint Pre-Procedure Facet joint osteoarthritis Synovial cyst causing neurologic symptoms…

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