Abstract:
OBJECTIVE:This study aimed to determine whether the presence of type 2 diabetes impairs the therapeutic response to transforaminal cervical epidural steroid injections (TF-CESI) in the treatment of pain due to cervical radiculopathy. DESIGN:This is a retrospective cohort study of patients with cervical radiculopathy who underwent TF-CESI performed by a single physician. SETTING:Single community-based multidisciplinary pain clinic and ambulatory surgery center. INTERVENTIONS:Patients underwent from one to three TF-CESI with dexamethasone or triamcinolone. MAIN OUTCOME MEASURES:Change in self-reported numerical pain score. RESULTS:Out of 387 charts reviewed, complete data were available for 329 subjects who underwent TF-CESI from February 2006 through January 2010. The injections consisted of either 40 mg triamcinolone or 15 mg dexamethasone. Of the 329 total subjects, 35 had type 2 diabetes and 294 did not. The diabetic group had a mean age of 58.1 years with standard deviation (SD) of 11.2, mean body mass index (BMI) of 33.1 (SD 7.1), mean pre-procedure pain score of 6.7 (SD 2.2) and mean reduction in pain score of 2.5 (SD 2.4). The non-diabetic group had a mean age of 52.8 (SD 12.4), mean BMI of 28.2 (SD 5.4), mean pre-procedure pain score of 6.7 (SD 1.8), and mean reduction in pain score of 2.4 (SD 2.2). A two-sample t test with equivalent variance showed no statistically significant difference in the mean reduction in pain score between the diabetic and non-diabetic groups. The patients in the diabetic group were typically older and had higher BMIs. CONCLUSIONS:The efficacy of TF-CESI for treating cervical radicular pain in this set of 329 patients was independent of the presence of type 2 diabetes.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Ma V,Shakir Adoi
10.1007/s00256-013-1702-8subject
Has Abstractpub_date
2013-11-01 00:00:00pages
1543-7issue
11eissn
0364-2348issn
1432-2161journal_volume
42pub_type
杂志文章abstract::Myositis ossificans (MO) is a benign soft tissue lesion with non-neoplastic heterotopic bone formation. MO in the intermediate and mature stages can be easily diagnosed if characteristic imaging findings such as a peripheral zonal pattern of ossification with variable thickness is observed. However, it is difficult to...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2441-4
更新日期:2016-10-01 00:00:00
abstract::The clinical results of total joint arthroplasty are usually excellent, but surgeons, radiologists, and pathologists are often called upon to evaluate, in one way or another, the stability of the implants. These evaluations are aided by an understanding of the basic pathophysiology of total joint arthroplasty. The fir...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s002560050541
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to determine if the thickness of the subacromial-subdeltoid (SASD) bursa during dynamic ultrasound and on static views differs between patients with shoulder impingement syndrome and healthy volunteers. MATERIALS AND METHODS:Twenty-two patients with a clinical diagnosis of should...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1295-z
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:Since the thickness of cartilage is an important indicator of the status, progression and response to therapy of articular disorders, assessment of it is desirable. This study was undertaken to assess the accuracy, precision, and reliability of magnetic resonance (MR) measurements of articular cartilage. MET...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00941240
更新日期:1995-08-01 00:00:00
abstract:OBJECTIVE:Bony ankylosis has been described following trauma, paralysis, psoriasis, Reiter's syndrome, ankylosing spondylitis, juvenile chronic arthritis and rheumatoid arthritis. Reports of bony ankylosis following thermal and electrical injury are limited. DESIGN AND PATIENTS:Thirteen cases of burn-related joint ank...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560100342
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility of non-invasive diffusion-weighted imaging (DWI) of the knee of children with juvenile idiopathic arthritis (JIA) and, further, to analyze the apparent diffusion coefficient (ADC) levels to distinguish synovium from effusion. MATERIALS AND METHODS:Standard magnetic resonance imagi...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-015-2208-3
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To assess the degree of fluid-fluid levels on MRI in spinal tumours compared with final diagnosis, and the outcome of needle biopsy in such cases. MATERIALS AND METHODS:Retrospective review of patients with a spinal tumour that contained fluid-fluid levels. Data collected included age, sex, spinal location, ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03621-7
更新日期:2020-09-25 00:00:00
abstract::Epithelioid hemangioendothelioma (EH) of bone is a rare vascular neoplasm characterized by epithelioid endothelial cells and a variable biologic behaviour. The principal sites of occurrence of this osteolytic tumor are the lower extremity and the axial skeleton. Approximately half of the cases present with multifocal ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-005-0943-6
更新日期:2006-10-01 00:00:00
abstract:AIM:The aim of the study is to assess the feasibility of whole-body low-dose computed tomography (WBLDCT) in the diagnosis and staging of multiple myeloma and compare to skeletal survey (SS), using bone marrow biopsy and whole-body magnetic resonance imaging (WBMRI; where available) as gold standard. MATERIALS AND MET...
journal_title:Skeletal radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00256-008-0607-4
更新日期:2009-03-01 00:00:00
abstract::A thrombosed, leaking aneurysm of the popliteal artery, mimicking a soft tissue sarcoma both clinically and by MRI examination, is described. It may be difficult to separate a leaking, thrombosed aneurysm from an inflammatory response secondary to a sarcoma with intralesional hemorrhage. An aneurysm should, however, b...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00243728
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:The objectives of the current study were (1) to quantify the incidence of increased T2 signal in the distal clavicle and (2) to assess the clinical significance of this finding in patients with chronic acromioclavicular (AC) joint pain. DESIGN AND PATIENTS:Eight patients (five male and three female, 15-41 ye...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000284
更新日期:2000-12-01 00:00:00
abstract::A 2-year-old black boy with focal fibrocartilaginous dysplasia is described with illustrations of the typical radiographic appearances supplemented by computed tomographic and magnetic resonance images. Since this rare condition is self-correcting, diagnosis is important so that surgical intervention and biopsy can be...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF02416986
更新日期:1994-07-01 00:00:00
abstract::Entrapped soft tissues such as periosteum and tendons have been described within joints and physeal fractures in the literature and frequently result in irreducible fractures and posttraumatic growth disturbances. We believe this case represents a novel presentation of acute, preoperative, magnetic resonance (MR) imag...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-008-0521-9
更新日期:2008-10-01 00:00:00
abstract::Plantar fat pad syndrome has received little attention in the literature. A variety of structural changes of the plantar fat pad have been described in the literature, including atrophy, contusion, and fractured fat pad. This case series presents 4 patients (5 heels) with subluxation of a fractured plantar fat pad on ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03639-x
更新日期:2020-11-02 00:00:00
abstract::Over the past four decades, articular cartilage imaging has developed rapidly. Imaging now plays a critical role not only in clinical practice and therapeutic decisions but also in the basic research probing our understanding of cartilage physiology and biomechanics. ...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-011-1226-z
更新日期:2011-09-01 00:00:00
abstract:PURPOSE:To study the early change of bone matrix and soft tissue around articulation in adjuvant-induced arthritic (AIA) rats non-invasively by X-ray phase-contrast imaging (XPCI), a new imaging method. MATERIALS AND METHODS:Adjuvant-induced arthritis was established in male Sprague-Dawley (SD) rats (n=6, age 40 days)...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-005-0026-8
更新日期:2006-03-01 00:00:00
abstract::Salter Harris II fractures of the distal femur are associated with a high incidence of complications, especially premature physeal closure. Many risk factors for this high rate of premature physeal closure have been proposed. More recently, entrapment of periosteum within the physis has been suggested as an additional...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-015-2201-x
更新日期:2015-10-01 00:00:00
abstract::Idiopathic intervertebral disc calcification is a rare condition in children with a very good prognosis. As there are no biological markers, imaging is invaluable for diagnosing this "do not touch" lesion. While the characteristic feature is nucleus pulposus calcification at one or more cervical or thoracic levels, it...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-021-03713-y
更新日期:2021-01-22 00:00:00
abstract::In this study we analysed the imaging patterns in two families containing five members with asymptomatic and uncomplicated autosomal dominant osteopetrosis (ADO II), and we report new and uncommon radiological manifestations. These findings might be useful in the context of reducing the incidence of fractures and othe...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0718-6
更新日期:2009-10-01 00:00:00
abstract:PURPOSE:To analyze the prevalence of classic magnetic resonance imaging (MRI) findings of intramuscular peripheral nerve sheath tumors (PNSTs), including schwannoma, ancient schwannoma, and neurofibroma. METHOD:Thirty pathologically confirmed benign intramuscular PNSTs (24 schwannomas, 3 ancient schwannomas, and 3 neu...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03371-6
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVES:The aim of this work was to assess the performance of facet joint and nerve root infiltrations under computed tomography guidance for the management of low back pain and to investigate the complications and patient tolerance. MATERIALS AND METHODS:The study was board-certified and informed consent was obtai...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00256-011-1353-6
更新日期:2012-09-01 00:00:00
abstract::The biceps brachii myotendinous unit is a common source of shoulder, arm, and elbow pain. Its complex anatomy can present a challenge when interpreting MR images. We discuss the clinical and imaging presentations of injury related to the proximal biceps brachii separately in another manuscript. The purpose of this man...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-020-03501-0
更新日期:2020-11-01 00:00:00
abstract::In computed tomography of the skeleton, as in other radiologic modalities, recognition of normal skeletal variants is essential for defining the extent and type of injury or neoplasm. Computed tomography findings, because of the unique use of cross-sectional anatomy, must be carefully studied to avoid labeling a norma...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00357773
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:MRI signal intensity of pediatric bone marrow can be difficult to interpret using conventional methods. Chemical shift imaging (CSI), which can quantitatively assess relative fat content, may improve the ability to accurately diagnose bone marrow abnormalities in children. METHODS:Consecutive pelvis and extr...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2403-x
更新日期:2016-09-01 00:00:00
abstract::Rosai-Dorfman disease is a rare entity predominantly affecting children and young adults, characterized in 83-95% of cases by painless bilateral cervical lymphadenopathy. We report the unusual case of a 41-year-old woman with Rosai-Dorfman disease that presented as a solitary lesion of the radius without other clinica...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0613-x
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:Conventional MR sequences are sometimes nonspecific in differentiating benign from pathologic fractures. To address this difficulty, diffusion-weighted images were conjectured to aid in this discrimination with variable results. As each of these studies contained somewhat small numbers of patients, we perform...
journal_title:Skeletal radiology
pub_type: 杂志文章,meta分析
doi:10.1007/s00256-008-0503-y
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:Zoledronic acid (ZOL) has a suppressive effect on marrow adiposity in ovariectomized rats. Currently, however, data on the effect of ZOL on marrow fat in humans are unavailable. The purpose of this work was to determine the in vivo effect of ZOL on bone remodeling and marrow adipogenesis in postmenopausal ost...
journal_title:Skeletal radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00256-015-2200-y
更新日期:2015-10-01 00:00:00
abstract::We report on a rare case of an intraosseous hemangioma involving the proximal tibia in a 70-year-old man. Radiographically, the lesion was a well-defined osteolytic lesion with marginal sclerosis. The CT images demonstrated a well-defined osteolytic lesion with partial cortical breakthrough. T1-weighted MR images show...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000256
更新日期:2000-09-01 00:00:00
abstract::Fractures of the anterior process of the calcaneus are often missed. This error follows from the tendency to focus exclusively on the mortise and malleoli when a history of ankle trauma is supplied. Seven patients with this fracture are presented. The anatomy, mechanism of injury, clinical presentation, and the radiog...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00349747
更新日期:1985-01-01 00:00:00
abstract::Acute megakaryoblastic leukemia or acute "malignant" myelosclerosis is an acute and rapidly progressive myeloproliferative syndrome characterized by minimal or absent splenomegaly, pancytopenia, diffuse marrow fibrosis, and circulating blasts of megakaryocytic origin. The disease must be differentiated from other hema...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00367381
更新日期:1982-01-01 00:00:00