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- Title
Efficacy of ultrasound-guided steroid injections for pain management of midfoot joint degenerative disease.
- Authors
Drakonaki, Eleni; Kho, James; Sharp, Robert; Ostlere, Simon; Drakonaki, Eleni E; Kho, James S B; Sharp, Robert J; Ostlere, Simon J
- Abstract
<bold>Objective: </bold>To examine the efficacy of ultrasound (US)-guided injections for midfoot joint degenerative changes.<bold>Materials and Methods: </bold>The US images and radiographs of 63 patients with midfoot joint degenerative changes were retrospectively reviewed. In those patients who had US-guided intra-articular steroid injection, the response to the injection was recorded by reviewing the 2-week pain diaries and clinical notes. Partial or complete pain relief was defined as a positive response and the same or increased level of pain as a negative response to the injection.<bold>Results: </bold>Fifty-nine (59/63, 93.6%) patients with midfoot joint degenerative changes received US-guided injection. The majority of patients had a positive response up to 3 months post-injection (78.4% still experiencing pain relief at 2 weeks, 57.5% at 3 months and fewer than 15% of patients further than 3 months post-injection). The number of positive therapeutic responses did not differ significantly between patients with diagnostic and non-diagnostic response (p = 0.2636).<bold>Conclusions: </bold>US-guided intra-articular injections for midfoot degenerative changes can have a good therapeutic result in the majority of patients up to 3 months post-injection. Therapeutic response cannot be predicted by a positive diagnostic response.
- Subjects
OSTEOARTHRITIS; STEROID drugs; PAIN management; ULTRASONIC imaging; THERAPEUTICS
- Publication
Skeletal Radiology, 2011, Vol 40, Issue 8, p1001
- ISSN
0364-2348
- Publication type
journal article
- DOI
10.1007/s00256-010-1094-y