Abstract:
OBJECTIVE:To investigate the associations between clinical, procedural, and radiographic factors and outcomes of steroid hip injections, including long-term and immediate pain reduction, time to arthroplasty, time to reinjection, and the total number of injections. MATERIALS AND METHODS:All intra-articular anesthetic and steroid injections of the hip under fluoroscopic guidance between January 2014 and March 2016 were retrospectively reviewed. Hip radiographs were scored using the Kellgren-Lawrence (KL) and Osteoarthritis Research Society International (OARSI) scores. Immediate pain relief and response were evaluated using a change in visual analog scale and OMERACT-OARSI criteria respectively. Long-term pain relief was evaluated at 2‑7 months after injection by reviewing the medical records. Correlation between patient characteristics, procedural variations, and radiographic factors with injection outcomes was analyzed by using linear and logistic regression models. RESULTS:Of 361 injections, 79.8% showed an immediate pain response and 32.7% had subjective long-term pain relief (> 2 months). There was no significant correlation between immediate pain relief and response with long-term pain relief and other outcomes. Older age and higher KL score, OARSI-central joint space narrowing (JSN), and inferior acetabular osteophyte were correlated with long-term pain relief (p = 0.01‑0.03). Higher KL and OARSI grades, particularly JSN, were significantly correlated with increased immediate pain relief and total number of injections but decreased time to arthroplasty. Baseline pain positively correlated with immediate pain response (p < 0.001). CONCLUSIONS:Older patients with higher grades of radiographic OA and high baseline pain were good candidates for steroid injections, particularly for those patients awaiting hip arthroplasty.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Kanthawang T,Lee A,Baal JD,Joseph GB,Vail T,Link TM,Patel Rdoi
10.1007/s00256-020-03673-9subject
Has Abstractpub_date
2020-11-27 00:00:00eissn
0364-2348issn
1432-2161pii
10.1007/s00256-020-03673-9pub_type
杂志文章abstract::Melorheostosis is a very rare disorder characterized by irregular cortical thickening seen on radiographs. In this paper, we present a case of melorheostosis with microscopically confirmed soft-tissue components. The patient was a 51-year-old man who complained of severe pain in the lateral aspect of his right knee. T...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2562-9
更新日期:2017-03-01 00:00:00
abstract::Magnetic resonance imaging (MRI) plays a critical role in the management pathway of both soft tissue and bone neoplasms, from diagnosis through to post-treatment follow-up. There are a wide range of surgical, oncological, and combined treatment regimes but these rely on accurate histopathological diagnosis. This artic...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-013-1630-7
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:Our study aims to compare the sensitivity and specificity between orthopaedic trainees and radiologists in diagnosing occult hip fractures from pelvic radiographs. METHODS:All patients undergoing computed tomography (CT) of the hip for a suspected occult hip fracture at our two centres between November 1, 20...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-012-1472-8
更新日期:2013-02-01 00:00:00
abstract::Spindle cell hemangioendothelioma occurring in skeletal muscle is extremely rare. No reported studies have performed an imaging evaluation of intramuscular spindle cell hemangioendothelioma. We report on such a tumor arising in an unusual site, the right extensor digiti minimi, in a 46-year-old woman. An en bloc resec...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050551
更新日期:1999-08-01 00:00:00
abstract::Calcific tendinitis is a common source of musculoskeletal pain in adults; however, it is rarely encountered in children. Calcific tendinitis is the most commonly encountered manifestation of hydroxyapatite deposition disease, in which calcium hydroxyapatite crystal deposition occurs in tendons. It may cause acute or c...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1908-4
更新日期:2014-10-01 00:00:00
abstract::A 60-year-old man with a 4-year history of intractable neck pain and radicular pain in the C5 nerve root distribution presented to our department for a CT-guided transforaminal left C5 nerve root block. He had had a similar procedure on the right 2 months previously, and had significant improvement of his symptoms wit...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0215-0
更新日期:2007-05-01 00:00:00
abstract::Two cases of neuropathic disease of the shoulder without evidence of a neurological disorder are described. The absence of any neurological disorder led to the cases being initially mistaken for primary neoplasms of bone, lending support to the vascular theory of pathogenesis of this lesion. Careful attention to the r...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00194258
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To assess MRI changes in the ankle and foot after physical exercise. DESIGN AND PATIENTS:Nineteen non-professional marathon runners and 19 age- and sex-matched controls volunteered for the study. All had ankle and foot MR images (1.5 T) taken in three perpendicular planes (STIR, T2F and T1FS sequences) withi...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000316
更新日期:2001-02-01 00:00:00
abstract::The authors present a case report and review of the sparse literature of a rare closed degloving injury to the toe, referred to by Flaherty as an "empty toe phenomenon." A 25-year-old man sustained a twisting injury to his left foot when he was involved in a motorcycle accident. The skin was not lacerated around the t...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-013-1690-8
更新日期:2014-01-01 00:00:00
abstract::This report describes the early magnetic resonance imaging (MRI) findings and long-term follow-up results of albendazole treatment in a 16-year-old girl with primary hydatid disease of the femur diagnosed incidentally during the course of a post-traumatic knee infection. As far as we know, this is the first report of ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560100393
更新日期:2001-11-01 00:00:00
abstract::The spectrum of radiographic abnormalities accompanying bone and joint infection that results from human bites of the hand is presented in an analysis of 13 patients. Features include mono-articular involvement, predilection for a metacarpophalangeal joint, soft tissue swelling, joint space narrowing, bone erosions an...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00352616
更新日期:1985-01-01 00:00:00
abstract::A case of juxtacortical chondromyxoid fibroma in a 31-year-old man was reported. Proof of the diagnosis was obtained by an open biopsy. The histopathology of chondromyxoid fibroma was discussed at length. The radiographic appearances and the differential diagnosis were also described. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::A 23-year-old woman with a medical history significant for tuberous sclerosis presented with symptoms of postpartum endometritis. Focal gigantism of the third digit of her right hand was incidentally noted and is reported to be a rare manifestation of tuberous sclerosis. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050486
更新日期:1999-02-01 00:00:00
abstract::Gorham-Stout disease (also known as "disappearing bone disease") was first described by Jackson in 1838, but was properly defined by Gorham and Stout in a series of 24 patients in 1954-1955. It is a rare disease of unknown etiology (about 200 cases reported in the literature) characterized by spontaneous progressive r...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-010-1051-9
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:Fibrogenesis imperfecta ossium is an extremely rare disorder that can easily be misdiagnosed. We retrospectively reviewed the clinical and imaging data of three confirmed cases of fibrogenesis imperfecta. DESIGN AND PATIENTS:The patients consisted of two men and one woman, ranging in age from 40 to 53 years....
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050535
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:Real-time sonoelastography (SE) is a new ultrasound-based imaging technique that provides information on tissue elasticity and stiffness. We determined the efficacy of SE for assessing Achilles tendon abnormalities in patients with ankylosing spondylitis (AS). MATERIALS AND METHODS:Forty-one consecutive AS p...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1637-0
更新日期:2013-08-01 00:00:00
abstract::Acute febrile neutrophilic dermatosis (Sweet's syndrome) is a clinical condition that is histopathologically characterized by infiltration of the dermis with mature neutrophils with or without vessel wall destruction. Frequently, an extracutaneous systemic disease can be seen. We report magnetic resonance imaging (MRI...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1104-8
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To report the application of dynamic contrast-enhanced subtraction MRI for detecting recurrences in aggressive or malignant soft tissue tumors. DESIGN:The imaging studies consisted of static (T1- and T2-weighted spin-echo) acquisitions, followed by dynamic conventional spin-echo short TR/TE images (at 45 s, ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050428
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:To document the imaging findings observed in patients with an unusual pattern of abnormality of the femoral head, most likely representing osteonecrosis. DESIGN AND PATIENTS:The imaging findings in 11 patients (10 men, 1 woman; age range 32-55 years) with a distinct lesion of the femoral head were reviewed w...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0503-2
更新日期:2002-08-01 00:00:00
abstract::A 12-year-old female suffering from osteogenesis imperfecta (OI) was treated with 3-amino-1-hydroxypropylidene-1,1-bisphosphonate (APD) orally, 250 mg daily, for periods of 2 months, alternating with periods of 2 months of abstinence. Total duration of therapy was 1 year. Radiological and clinical improvement was stri...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00350961
更新日期:1987-01-01 00:00:00
abstract::Anatomical variants of muscle are commonly encountered by surgeons and radiologists. The flexor carpi radialis brevis (FCRB) is an anomalous muscle in the distal forearm with an estimated prevalence of 2-8%. In the literature, there are a few case reports of symptomatic FCRB tenosynovitis without a concomitant tear, a...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-018-2971-z
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:The purpose of this research was to retrospectively characterize paralabral cysts of the hip as seen at MR arthrography. MATERIALS AND METHODS:After Institutional Review Board approval, 704 patients who had MR arthrography were identified over a 3-year period and 40 patients were identified as having a cyst or...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-012-1395-4
更新日期:2012-09-01 00:00:00
abstract::Osteomyelitis may pose as a diagnostic dilemma on various imaging modalities and may be confused with neoplasms and other pathology. Although a rare finding, extra-osseous fat fluid level, especially when associated with spongy bone destruction, can be considered a specific sign of osteomyelitis. Previously, only two ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0194-1
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:We used magnetic resonance imaging (MRI) to evaluate where articular degeneration begins and which ligaments are most often involved in the early clinical stage first carpometacarpal joint (CMCJ-1) osteoarthritis. MATERIALS AND METHODS:We retrospectively analyzed the MRI findings of 26 patients with early cl...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03383-2
更新日期:2020-07-01 00:00:00
abstract::The pre-ossification center represents the initial structural change in the development of the secondary ossification center. We report CT and MRI findings of a focus in the cartilaginous trochlea of an appropriately aged child compatible with the pre-ossification center. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-004-0773-y
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to use morphological as well as biochemical (T2 and T2* relaxation times and diffusion-weighted imaging (DWI)) magnetic resonance imaging (MRI) for the evaluation of healthy cartilage and cartilage repair tissue after matrix-associated autologous chondrocyte transplantation (MACT) of...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0682-1
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:To describe the MR appearance following autogenous osteochondral "plug" transfer for the treatment of focal chondral defects of the knee. DESIGN AND PATIENTS:Twenty-nine 1.5-T MR knee studies including dynamic gadolinium enhancement were performed on 21 patients following autogenous osteochondral "plug" tran...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560100371
更新日期:2001-10-01 00:00:00
abstract::Selective digital subtraction arteriographic investigations of the arteries of the femoral head in 31 patients with traumatic and 34 patients with nontraumatic femoral head necrosis (FHN) were compared with investigations in a control group of 35 patients without hip disease. In the control group and in patients with ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361467
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate whether ultrasound allows precise assessment of a focal defect at the lateral patellar retinaculum (LPR) and to determine its anatomical significance. MATERIALS AND METHODS:This work was initially undertaken in four cadaveric specimens and followed by high-resolution...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-019-03209-w
更新日期:2019-11-01 00:00:00
abstract::We report the case of a 64-year-old man who initially presented with a maculopapular rash followed several weeks later by bilateral shin pain and infiltrative cutaneous lesions over the lower legs. The plain radiographs were not contributory, and the patient was referred for a whole-body bone scan, which demonstrated ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0806-7
更新日期:2010-03-01 00:00:00