© 2018

Image-guided Intra- and Extra-articular Musculoskeletal Interventions

An Illustrated Practical Guide

  • Marina Obradov
  • Jan L.M.A. Gielen


  • Step-by-step descriptions of diagnostic and therapeutic image-guided intra- and extra-articular injection procedures for all joints and musculoskeletal regions

  • Guidance on equipment and medications

  • Helpful tips and tricks

  • Many informative drawings, model photographs, and radiological images


Table of contents

  1. Front Matter
    Pages i-xiv
  2. Marina Obradov
    Pages 15-33
  3. Marc G. Romijn
    Pages 35-43
  4. Marina Obradov
    Pages 45-58
  5. Marina Obradov
    Pages 59-65
  6. Anastasios Kyriazopoulos
    Pages 67-86
  7. Steven C. Bokhoven
    Pages 87-99
  8. Alberto Bazzocchi, Giancarlo Facchini, Maria Pilar Aparisi Gómez
    Pages 101-118
  9. Alberto Bazzocchi, Maria Pilar Aparisi Gómez
    Pages 119-130
  10. Miguel Oliveira e Castro
    Pages 131-138
  11. Elena Drakonaki
    Pages 139-144
  12. Luca Maria Sconfienza, Davide Orlandi
    Pages 145-153
  13. Luca Maria Sconfienza, Davide Orlandi
    Pages 155-168
  14. Dimitrios K. Filippiadis, Alexis Kelekis
    Pages 169-174
  15. Thomas Le Corroller
    Pages 175-182
  16. Jan L. M. A. Gielen
    Pages 183-189
  17. Dimitrios K. Filippiadis, Alexis Kelekis
    Pages 191-217
  18. Philip Robinson
    Pages 219-228
  19. Back Matter
    Pages 229-240

About this book


Significant advances have been achieved in musculoskeletal injection procedures during the past two decades, supported by the rapid development of imaging technology and the resulting clear presentation of three-dimensional anatomy. However, these procedures require additional training and expertise not always provided in residency training programs.

This comprehensive book covers diagnostic and therapeutic intra- and extra-articular injection procedures for all joints and musculoskeletal regions. Each procedure is explained step by step, with discussion of indications, anatomy, pre- and postprocedural medications, needles, radiological equipment (conventional X-ray, US, and, when appropriate, CT, PET-CT, and MRI), patient positioning, technique, and aftercare. Potential difficulties are identified and helpful tips and tricks, provided. The lucid text is supported by informative drawings, model photographs, and radiological images.  

This book will assist beginners in starting to carry out injections by providing clear, precise procedural instructions and guidance on equipment and medications. It is hoped that while using the book, the reader will gain confidence by feeling that the authors are standing alongside, ready to answer any question that may arise.


Bone biopsy CT-guided intervention Extra-articular procedures Injection techniques in Orthopedics Intra-articular procedures Musculo-skeletal injection Musculo-skeletal intervention Soft tissue biopsy Ultrasound-guided intervention X-Ray guided intervention

Editors and affiliations

  • Marina Obradov
    • 1
  • Jan L.M.A. Gielen
    • 2
  1. 1.RadiologySint MaartenskliniekNijmegenThe Netherlands
  2. 2.University Hospital Antwerpen, Department RadiologyEdegemBelgium

About the editors

Marina Obradov is trained in radiology at University Medical Center, Sarajevo, Bosnia and VU University Medical Center, Amsterdam, The  Netherlands. She performed a part of her musculo-skeletal specialisation at the UCSD, California, USA  at the Department of D. Resnick and is ESSR certified musculo-skeletal radiologist.

From 1997 she works as Head of the Department of Radiology and  dedicated musculoskeletal radiologist at Sint Maartenskliniek, Nijmegen, The Netherlands, hospital which is specialised in orthopaedics, rheumatology, rehabilitation and sport medicine.Whole this period she was closely associated with the development of Department of  Radiology and all aspects of musculo-skeletale radiology. From 2012 she is Head of the radiological musculo-skeletal education and fellowship in the same institution.

She is co-initiator and  active member of the Intervention subcommittee of the ESSR and in the same time chef (co)organiser of the multiple, ESSR accredited, musculo-skeletale  courses and meetings dedicated to musculo-skeletale radiology, particularly US and interventions.

Her special interest in addition to radiological intervention procedures lies in radiology of the elbow. She has written article and book chapter on this topic.


 Jan L. Gielen receive medical and radiology education at  Katholieke Universiteit Leuven (KUL) Belgium. Muskuloskeletal radiology fellowship in the department of D. Resnick (UCSD, California) and B. Maldague (UCLouvain).

Since October 2000 musculoskeletal radiologist at Antwerp University Hospital (UZA) with special interest in radiological imaging of sports lesions and MSK tumors. PhD  since February  2004,  thesis  “Magnetic resonance imaging of soft tissue tumors”. Since October 2006 associate professor at Antwerp University (UA).

“Believer” in multidisciplinary approach in radiology. Organisation of ESSR accredited cyclus hands-on courses musculoskeletal ultrasound since 2004 and MRI since 2007. Organisator of Yearly International Hands on course on US guided intervention since 2011, ESSR accredited. Initiator and first chair of the ESSR intervention subcommittee since 2014.

Organisator STMS (Society for Tennis Medicine and Science) congress februari 2007 Antwerp and EFSMA 2015 congress. Past president and treasurer of the  "Flemish society of Sports Medicine" (VVS).

Author and co-editor of a specialised book on sports radiology "Imaging in Orthopedic Sports Injuries" (2006 Springer Verlag), soft tissue tumors “Imaging of soft tissue tumors”  (4 editions Springer Verlag), Nuclear Medicine and Radiological Imaging in sports injuries (2015 Springer Verlag). 

Bibliographic information

  • Book Title Image-guided Intra- and Extra-articular Musculoskeletal Interventions
  • Book Subtitle An Illustrated Practical Guide
  • Editors Marina Obradov
    Jan L.M.A. Gielen
  • DOI
  • Copyright Information Springer International Publishing AG, part of Springer Nature 2018
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-69893-9
  • Softcover ISBN 978-3-030-09920-6
  • eBook ISBN 978-3-319-69895-3
  • Edition Number 1
  • Number of Pages XIV, 240
  • Number of Illustrations 34 b/w illustrations, 143 illustrations in colour
  • Topics Interventional Radiology
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Oncology & Hematology


“The attraction of this work is not just in the con­cise, clear style, cutting to the quick, but also in the sharing of image-guided intervention practised in Europe … . This work will be of par­ticular value to registrars/ residents in clinical radiology but also of use to rheumatologists and orthopaedic sur­geons who perform image-guided procedures. I suspect there will be copies on the shelves of many imaging departments to provide guid­ance at one’s fingertips …” (Denis Remedios, RAD Magazine, June, 2019)

“This is a quick reference for most musculoskeletal outpatient and clinic‐based interventions available to physicians. … I really enjoyed reviewing this book. The material is pertinent for a greater audience than the authors may have targeted, but they execute their goal beautifully. … it is more thorough, covers a wider breadth (includes fluoro), and has many more useful pictures/illustrations, all while explaining each procedure with an equal level of ease and efficiency.” (Ian D McKeag, Doody's Book Reviews, November, 2018)