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- Title
Outcomes after fluoroscopy-guided iliopsoas bursa injection for suspected iliopsoas tendinopathy.
- Authors
Agten, Christoph; Rosskopf, Andrea; Zingg, Patrick; Peterson, Cynthia; Pfirrmann, Christian
- Abstract
Objectives: To report patient outcomes up to 1 month after fluoroscopy-guided iliopsoas bursa injection for suspected iliopsoas tendinopathy. Methods: Thirty-nine consecutive patients (mean age 45 years; range 15-77) who underwent fluoroscopy-guided therapeutic iliopsoas bursa injection using an anterolateral approach and who returned an outcomes questionnaire were prospectively included. The Patients' Global Impression of Change (PGIC) scale was recorded 1 day, 1 week, and 1 month after the injection (primary outcome measure). Patients' subjective pain level data were collected prior to the injection (baseline) using a numeric rating scale (NRS; 0 = no pain; 10 = maximum pain). NRS scores were completed 15 min, 1 day, 1 week, and 1 month post-injection and compared to baseline. Results: Forty-nine per cent of patients reported clinically relevant 'improvement' (PGIC) 1 month post-injection. Mean NRS score prior to injection was 5.9 ± 2.1. Mean NRS scores after 15 min (3.6 ± 2.7), 1 day (4.4 ± 2.7), 1 week (3.4 ± 1.9), and 1 month (3.5 ± 2.5) were statistically significantly lower ( p ≤ 0.001) compared to baseline. Reduction of NRS ≥50 % after 15 min was achieved in 49 % (56 % of those unimproved at 1 month). Conclusions: Fluoroscopy-guided iliopsoas bursa injection leads to a relevant 'improvement' at 1 month or significant pain reduction after 15 min in most patients. Key points: • Fluoroscopy-guided iliopsoas bursa injection is a safe procedure. • Most patients had a diagnostic or therapeutic benefit from the injection. • The anterolateral approach may reduce the risk of damage to the neurovascular bundle. • The procedure is eligible for patients with and without total hip arthroplasty.
- Subjects
ILIOPSOAS muscle; TENDINITIS treatment; TOTAL hip replacement; FLUOROSCOPY
- Publication
European Radiology, 2015, Vol 25, Issue 3, p865
- ISSN
0938-7994
- Publication type
Article
- DOI
10.1007/s00330-014-3453-x