Efficacy of ultrasound-guided steroid injections for pain management of midfoot joint degenerative disease.

Abstract:

OBJECTIVE:To examine the efficacy of ultrasound (US)-guided injections for midfoot joint degenerative changes. MATERIALS AND METHODS: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. RESULTS: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). CONCLUSIONS: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.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Drakonaki EE,Kho JS,Sharp RJ,Ostlere SJ

doi

10.1007/s00256-010-1094-y

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

1001-6

issue

8

eissn

0364-2348

issn

1432-2161

journal_volume

40

pub_type

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