Abstract：
:Ultrasound (US)-guided corticosteroid injection has been shown to be safe and effective for varied causes of plantar fasciitis; however, its use for Achilles tendinitis is controversial. We studied the efficacy and changes in US findings at Achilles enthesitis after corticosteroid injection in patients with spondyloarthropathy (SpA). Patients with SpA with symptomatic Achilles enthesitis, refractory to 6 weeks of full-dose NSAIDs, were offered US-guided local corticosteroid injection. Injected entheses were examined by US (both B mode and power Doppler) at baseline and 6 weeks after injection. Standard OMERACT definitions were used to define enthesitis. Achilles tendon thickness >5.29 mm, 2 cm proximal to insertion in long axis, was considered thickened. Twenty-seven symptomatic Achilles tendons (in 18 patients) were injected with 20 mg methylprednisolone under US guidance baseline, and 6-week follow-up US features were compared. All patients reported improvement in pain (VAS) in the affected tendon after injection (p < 0.0001). Simultaneously, improvement in local inflammatory changes were noted, in the form of significant reduction in tendon thickness (p < 0.0001), vascularity (p < 0.0001), peritendinous oedema (p = 0.001), bursitis and bursal vascularity (p < 0.001 and < 0.0001, respectively). There was no change in bone erosions and enthesophyte. None of the patients had tendon rupture or other injection-related complications at 6 weeks of follow-up. US-guided local corticosteroid injection is an effective and safe modality for refractory Achilles enthesitis in patients with SpA and leads to reversion of acute changes at entheseal site.
journal_name
Rheumatol Intjournal_title
Rheumatology internationalauthors
Srivastava P,Aggarwal Adoi
10.1007/s00296-016-3440-4subject
Has Abstractpub_date
2016-06-01 00:00:00pages
875-80issue
6eissn
0172-8172issn
1437-160Xpii
10.1007/s00296-016-3440-4journal_volume
36pub_type
杂志文章abstract：:Neopterin levels of serum and fluid were determined in 30 patients with inflammatory synovial fluids and in 30 controls with joint effusions induced by trauma or osteoarthritis. Neopterin was significantly elevated in inflammatory fluids. There was no correlation with the acute phase reactants. Neopterin levels were s...
journal_title：Rheumatology international
pub_type： 杂志文章
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journal_title：Rheumatology international
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journal_title：Rheumatology international
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00296-016-3625-x
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journal_title：Rheumatology international
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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journal_title：Rheumatology international
pub_type： 杂志文章
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journal_title：Rheumatology international
pub_type： 杂志文章,评审
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journal_title：Rheumatology international
pub_type： 杂志文章
doi：10.1007/s00296-007-0419-1
更新日期：2008-01-01 00:00:00
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pub_type： 杂志文章
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journal_title：Rheumatology international
pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：Rheumatology international
pub_type： 临床试验,杂志文章
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更新日期：2008-02-01 00:00:00
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journal_title：Rheumatology international
pub_type： 杂志文章
doi：10.1007/s00296-009-1184-0
更新日期：2011-04-01 00:00:00
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journal_title：Rheumatology international
pub_type： 杂志文章
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更新日期：2009-05-01 00:00:00
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journal_title：Rheumatology international
pub_type： 杂志文章
doi：10.1007/s00296-012-2500-7
更新日期：2013-05-01 00:00:00
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journal_title：Rheumatology international
pub_type： 杂志文章
doi：10.1007/s00296-012-2469-2
更新日期：2013-04-01 00:00:00
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journal_title：Rheumatology international
pub_type： 杂志文章
doi：10.1007/s00296-009-1033-1
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pub_type： 杂志文章
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pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：Rheumatology international
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journal_title：Rheumatology international
pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：Rheumatology international
pub_type： 历史文章,杂志文章
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journal_title：Rheumatology international
pub_type： 杂志文章
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journal_title：Rheumatology international
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