Cardiovascular and Interventional Radiological Society of Europe
OnlineCIRSE Academy coursesNon-Vascular Intervention - online coursesIntra-articular injections under image guidance (2024 – CME) – online course

Intra-articular injections under image guidance (2024 – CME) – online course


Authors: J. L. Del Cura Rodriguez and J. Martel Villagrán

Reviewers: A. Barnacle, D. Filippiadis, I. J. McCafferty, E. Kehagias, R. Uberoi

This course corresponds to chapter Intra-articular injection under image guidance in the European Curriculum and Syllabus for Interventional Radiology.



Image-guided injection is one the most essential procedures in the musculoskeletal system. Joints are one of the structures in which these procedures are most frequently performed. There are several indications, including corticosteroid, hyaluronic acid, and platelet rich plasma (PRP) injection in arthritis as adjunctive therapy or for pain relief, and contrast injection in MR or CT arthrography.

Image-guided techniques are more accurate than blind injection; thus, image guidance should always be used. Ultrasound is the best technique to guide joint injections in all the joints of the appendicular skeleton, but CT or fluoroscopy can be the technique of choice in some difficult locations. The technique is safe, and technical success should be achieved in all the cases. Contraindications include those related only to the substance injected

The course includes instructions for specific access to knee, hip, shoulder, elbow, ankle, carpal, fingers, foot, sacroiliac joints, facet joints, and spine.


Learning objectives

  • To describe the best approach to perform intra-articular joint injections
  • To know its indications and requirements
  • To know the technical aspects of these procedures and how to perform them
  • To be able to identify the articulation to be injected and the planned percutaneous approach
  • To know the pharmacological agents to inject for diagnostic or therapeutic purposes
  • To discuss their potential complications and how to prevent them
  • To know the postprocedural instructions to be delivered to the patients


Further information

This course covers a basic level of IR knowledge and is designed for trainees, students or young consultants aiming to acquire essential knowledge or prepare for the EBIR exam. Thereby, it is tailored to the European Curriculum and Syllabus for IR and corresponds to chapter Intra-articular injection under image guidance.

The format of the course is interactive and easy to use, including texts, graphics, videos and a quiz to support your learning. The course duration is around one and a half hours and is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to award 1.5 European CME credits (ECMEC). The CME accreditation for this course will expire on June 28, 2026. A non-CME accredited version of the course will remain available for two more years.

The acquired CME Certificate will be available in the myCIRSE area under CIRSE Academy.

The enrolment period of this course is linked to the validity of the All-Access Pass.

Release date: June 2024