keyword
https://read.qxmd.com/read/38012777/a-multi-center-single-blinded-randomized-parallel-group-superiority-study-to-compare-the-efficacy-of-manipulation-under-anesthesia-versus-intra-articular-steroid-injection-in-the-treatment-of-patients-with-frozen-shoulder-and-a-diagnosis-of-rotator-cuff-injury
#21
JOURNAL ARTICLE
Wuwei Song, Xiaoyu Guo, Xiang Wang, Jiacheng Yu, Wenyu Jiang, Chen Wei, Yuhao Zhao
BACKGROUND: Frozen shoulder (FS) is a common condition that can cause severe pain and limited range of motion in the shoulder joint. While intra-articular steroid injection has been shown to be an effective treatment for FS, manipulation under anesthesia (MUA) is an alternative treatment that has gained popularity in recent years. However, there is a lack of evidence regarding the effectiveness of MUA on FS patients with concomitant rotator cuff injury or tear. Though a few studies have shown that MUA is not associated with rotator cuff tears, and will not exacerbate the injury, more high-quality studies with bigger sample sizes are needed...
November 27, 2023: Trials
https://read.qxmd.com/read/37982760/athrodesis-of-the-lateral-atlanto-axial-joint-for-the-relief-of-neck-pain-and-cervicogenic-headache
#22
JOURNAL ARTICLE
Richard D Ferch, Tyson Zhang, Nikolai Bogduk
BACKGROUND: Osteoarthrosis of the lateral atlanto-axial joint (LAAJ) may be a cause of upper neck pain and headache. Intra-articular injection of steroids may provide only short-lasting relief. For intractable pain, arthrodesis of the joint might be considered. OBJECTIVE: To determine the success rates of arthrodesis of the lateral atlanto-axial joint for relieving neck pain and disability. DESIGN: Practice audit. SETTING: Private practice of senior author...
November 20, 2023: Pain Medicine
https://read.qxmd.com/read/37975377/under-what-conditions-is-the-intra-articular-steroid-injection-superior-to-nonsteroidal-anti-inflammatory-drugs-for-treating-sacroiliac-joint-pain
#23
JOURNAL ARTICLE
H S Cine, E Uysal, M Demirkol, E Cetin
OBJECTIVE: The purpose of this prospective study was to determine the conditions under which intra-articular injection therapy may be superior to nonsteroidal anti-inflammatory drugs (NSAIDs) in patients with sacroiliac joint pain in the outpatient setting at our hospital. PATIENTS AND METHODS: Patients with sacroiliac pain were divided into two groups: NSAID and the sacroiliac injection group. The NSAID group received 25 mg of indometacin orally once a day and 750 mg of naproxen orally once a day...
November 2023: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/37965413/analyzing-public-interest-in-osteoarthritis-and-its-minimally-invasive-treatments-a-google-trends-analysis
#24
JOURNAL ARTICLE
Cigdem Cinar
Introduction In recent years, online search engines have become a source of information about medical issues. We aimed to evaluate the public's interest in osteoarthritis and minimally invasive treatments of osteoarthritis in the last 10 years using Google Trends (GT). Methods Interventional physiatrist analyzed 14 selected terms (joint pain, joint pain treatment, joint cartilage damage, narrowing of the joint, osteoarthrosis, osteoarthritis, intra-articular injection, intra-articular steroid, intra-articular hyaluronic acid, intra-articular plasma rich platelet (PRP), essential oil for joint pain, joint pain supplements, home remedies for joint pain, and stem cell for joint) related with osteoarthritis and minimally invasive treatments of osteoarthritis in physical medicine and rehabilitation discipline...
October 2023: Curēus
https://read.qxmd.com/read/37941894/glanzmann-thrombasthenia-associated-with-siderotic-synovitis-and-arthropathy-a-case-report
#25
Mouhammad J Alawad, Mohammad Abu-Tineh, Awni Alshurafa, Alaa Al-Taie, Anil Yousaf, Mohamed A Yassin
Glanzmann thrombasthenia is a bleeding disorder with a low incidence. It typically manifests as superficial bleeding episodes, which tend to be mild. Deep organ involvement is not uncommon but remains rare due to the rarity of the disease itself and the unusual association between platelet disorders and deep organ implications. A 17-year-old boy with Glanzmann thrombasthenia since infancy developed ankle pain after a minor trauma. His initial workup was negative, but he continued to experience ankle pain. A magnetic resonance imaging (MRI) done after four weeks suggested siderotic synovitis...
2023: Journal of Blood Medicine
https://read.qxmd.com/read/37903599/superficial-vein-thrombosis-following-intra-articular-particulate-steroid-injection-for-knee-osteoarthritis
#26
JOURNAL ARTICLE
Francesco Sammartino, Steven M Dean, Michael R Baria
Intra-articular (IA)steroid injections for knee osteoarthritis (OA) are a routine procedure in musculoskeletal clinics. While their role in OA care is debatable, they serve as an important therapeutic option to relieve OA-associated pain. Potential risks are self-limited (increased pain flare, local skin irritation, flushing, insomnia) or severe (septic arthritis, intravascular medication placement, and the deleterious effect on cartilage and bone). In our experience, more serious adverse events are rare. In this case, we present a complication secondary to IA steroid administration that has not previously been reported in the literature: superficial vein thrombosis...
October 30, 2023: American Journal of Physical Medicine & Rehabilitation
https://read.qxmd.com/read/37872977/comparison-between-intra-articular-injections-of-corticosteroids-hyaluronic-acid-prp-and-placebo-for-thumb-base-osteoarthritis-a-frequentist-network-meta-analysis
#27
REVIEW
Arjuna Thakker, Sanjeev C Sharma, Nick Johnson, Joseph J Dias
BACKGROUND AND AIMS: Current evidence for the use of intra-articular injections for thumb base osteoarthritis (TBOA) is equivocal. This study aims to investigate the efficacy of intra-articular corticosteroids, hyaluronic acid and platelet-rich plasma. METHODS: A Frequentist network meta-analysis was conducted comparing outcomes at short (≤3 months) and medium-term (>3-12 months) time points. RESULTS: Data from 7 RCTs and 1 non-RCT (446 patients) were collected, consisting of corticosteroids (n = 7), hyaluronic acid (n = 7), platelet-rich plasma (n = 2) and placebo (n = 2)...
November 2023: Journal of Orthopaedics
https://read.qxmd.com/read/37845758/a-multi-professional-survey-of-uk-practice-in-the-use-of-intra-articular-corticosteroid-injection-for-symptomatic-first-metatarsophalangeal-joint-osteoarthritis
#28
JOURNAL ARTICLE
Michael R Backhouse, Jill Halstead, Edward Roddy, Vivek Dhukaram, Anna Chapman, Susanne Arnold, Julie Bruce
BACKGROUND: The first metatarsophalangeal joint is the most common site of osteoarthritis (OA) in the foot and ankle. Intra-articular corticosteroid injections are widely used for this condition, but little is known about their use in practice. This study explored current practice within the UK National Health Service (NHS) relating to the administration of intra-articular corticosteroids for people with painful first metatarsophalangeal joint (MTPJ) OA. METHODS: A cross-sectional survey using Qualtrics online survey platform (Qualtrics, Provo, UT, USA), distributed through professional bodies, special interest groups, and social media...
October 17, 2023: Journal of Foot and Ankle Research
https://read.qxmd.com/read/37821601/efficacy-of-three-different-techniques-in-the-fluoroscopy-guided-intra-articular-steroid-injection-of-the-hip-a-randomized-controlled-trial
#29
JOURNAL ARTICLE
Rakop Taveesuksiri, Prapasri Kulalert, Chane Jitapunkul, Adinun Apivatgaroon
Fluoroscopy-guided injection via the anterior (A), anterolateral (AL), or proximal anterolateral (PAL) approaches are the common hip injection techniques without comparing the efficacy of the three techniques. The prospective randomized controlled trial was conducted from August 2020 to March 2022. Included patients with intra-articular hip disorders indicated an intra-articular steroid injection. Excluded significant spine pathology with radiculopathy or significant neurological deficits, previous hip surgery of the injection side, suspected tumor or infection origins, steroid or contrast media allergy, and body mass index > 35 kg/m2 ...
October 11, 2023: Scientific Reports
https://read.qxmd.com/read/37798841/glenohumeral-versus-subacromial-steroid-injections-for-impingement-syndrome-with-mild-stiffness-a-randomized-controlled-trial
#30
JOURNAL ARTICLE
Yong-Tae Kim, Tae-Yeong Kim, Jun-Beom Lee, Jung-Taek Hwang
BACKGROUND: The subacromial (SA) space is a commonly used injection site for treatment of impingement syndrome. For shoulder stiffness, glenohumeral (GH) injections are commonly performed. However, in cases of impingement syndrome with mild shoulder stiffness, the optimal site of steroid injection has yet to be identified. METHODS: This prospective, randomized study compared the short-term outcomes of ultrasound-guided GH and SA steroid injections in patients who were diagnosed with impingement syndrome and mild stiffness...
October 5, 2023: Clinics in shoulder and elbow
https://read.qxmd.com/read/37757466/the-effect-of-intra-articular-steroid-injection-on-the-cartilage-and-tendon-thicknesses-in-juvenile-idiopathic-arthritis
#31
JOURNAL ARTICLE
Nihal Şahin, Sümeyra Özdemir Çiçek, Ayşenur Paç Kısaarslan, İsmail Dursun, Muammer Hakan Poyrazoğlu, Ruhan Düşünsel
BACKGROUND AND AIM: Intra-articular corticosteroid injection (IACI) is a safe first-line or adjunct therapy that can be used in any subtype of juvenile idiopathic arthritis (JIA). However, limited studies evaluated the effect of IACI on cartilage. As a result, our study aimed to examine the distal femoral cartilage thickness of patients with JIA who received IACI to the knee joint using ultrasound imaging. METHODS: We randomly selected JIA patients who performed IACI in the knee joint...
September 27, 2023: Modern Rheumatology
https://read.qxmd.com/read/37756077/the-single-intra-articular-injection-of-platelet-rich-plasma-vs-non-steroidal-anti-inflammatory-drugs-as-treatment-options-for-canine-cruciate-ligament-rupture-and-patellar-luxation
#32
JOURNAL ARTICLE
Kristina Raulinaitė, Rasa Želvytė, Kristina Škėmienė, Evelina Burbaitė, Birutė Karvelienė, Ingrida Monkevičienė
Cranial cruciate ligament rupture (CCLR) and patellar luxation (PL) are common pathologies affecting canines. Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used as a non-surgical treatment plan in these cases. Clinical usage of platelet-rich plasma (PRP) is an emerging area of interest in veterinary medicine. There is a lack of studies comparing those two different treatment methods in veterinary medicine. The main purpose of this study was to evaluate and compare the use of oral NSAIDs and single intra-articular injection of PRP on treatment outcomes in cases of canine CCLR and PL...
September 4, 2023: Veterinary Sciences
https://read.qxmd.com/read/37702747/arthroscopic-capsular-release-for-frozen-shoulder-when-etiology-matters
#33
JOURNAL ARTICLE
Olimpio Galasso, Michele Mercurio, Francesco Luciano, Claudia Mancuso, Giorgio Gasparini, Massimo De Benedetto, Nicola Orlando, Roberto Castricini
PURPOSE: No therapeutic intervention is universally accepted for frozen shoulder, and the most effective management to restore motion and diminish pain has yet to be defined. The aim of this study was to investigate functional and psychological outcomes in patients who underwent arthroscopic capsular release for a frozen shoulder. METHODS: A retrospective study with prospective data collection was conducted with 78 patients suffering from frozen shoulder resistance to conservative treatment...
September 13, 2023: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/37679552/italian-orthopaedic-and-traumatology-society-siot-position-statement-on-the-non-surgical-management-of-knee-osteoarthritis
#34
REVIEW
Elisa Pesare, Giovanni Vicenti, Elisaveta Kon, Massimo Berruto, Roberto Caporali, Biagio Moretti, Pietro S Randelli
BACKGROUND: Knee osteoarthritis (OA) is a chronic disease associated with a severe impact on quality of life. However, unfortunately, there are no evidence-based guidelines for the non-surgical management of this disease. While recognising the gap between scientific evidence and clinical practice, this position statement aims to present recommendations for the non-surgical management of knee OA, considering the available evidence and the clinical knowledge of experienced surgeons. The overall goal is to offer an evidenced-based expert opinion, aiding clinicians in the management of knee OA while considering the condition, values, needs and preferences of individual patients...
September 7, 2023: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/37623477/is-radiofrequency-ablation-superior-to-intra-articular-injections-for-the-treatment-of-symptomatic-knee-osteoarthritis-a-systematic-review
#35
REVIEW
Byron Chalidis, Pericles Papadopoulos, Panagiotis Givissis, Charalampos Pitsilos
The radiofrequency ablation (RFA) is considered a valid, minimally invasive treatment modality for the management of symptomatic knee osteoarthritis (OA). The aim of this study was to compare the outcomes of RFA with that of commonly used intra-articular injections for the persistent knee pain due to OA. Medline/Pubmed and Scopus databases were systematically searched up to April 2023 to identify studies comparing the effect of RFA and intra-articular injections (IAIs) on knee OA. Nine studies including 899 patients fulfilled the eligibility criteria and were included in the systematic review...
August 3, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/37564611/patient-satisfaction-with-pisiform-excision-for-pisotriquetral-instability-or-arthritis-a-prospective-review
#36
JOURNAL ARTICLE
Mikaela J Peters, Avi Mazor, Zafeiria Glaris, Thomas Joseph Goetz
Background  Pisotriquetral pain and instability is an elusive cause of ulnar-sided wrist pain. Initial treatment of chronic pisotriquetral pathology should involve a trial of nonoperative therapy such as neutral wrist splint, anti-inflammatories, and intra-articular steroid injections. The mainstay of surgical management of pisotriquetral pain is pisiform excision. Purpose  This prospective study seeks to understand patient satisfaction after pisiform excision in patients with isolated pisotriquetral pathology...
August 2023: Journal of Wrist Surgery
https://read.qxmd.com/read/37560363/comparison-of-intra-articular-knee-injection-of-corticosteroid-between-hemodialysis-and-non-hemodialysis-patients
#37
JOURNAL ARTICLE
Yusuke Tabata, Satoshi Omori, Osamu Mitsuhashi, Kazuo Enomoto, Yuki Sawano, Noriyoshi Murotani, Koichiro Omori, Yoichiro Tabata, Tokifumi Majima
INTRODUCTION: Hemodialysis patients have various complications, and orthopedic diseases include carpal tunnel syndrome, spinal canal stenosis, spondylosis destruction, fractures, and osteoarthritis. As a treatment for knee osteoarthritis, intra-articular injections of hyaluronic acid and steroids are performed. In general, steroid injections have a strong short-term anti-inflammatory effect, but there is a risk of complications, such as infection. In addition to aging, dialysis patients are prone to weakened immune systems and susceptibility to infection...
July 14, 2023: JMA journal
https://read.qxmd.com/read/37560144/one-to-two-days-of-rest-is-recommended-before-returning-to-sport-after-intra-articular-corticosteroid-injection-in-the-high-level-athlete
#38
JOURNAL ARTICLE
Katie McMorrow, Sachin Allahabadi, Landon Frazier, Ryan Quigley, Brian Serrano, Brian J Cole
UNLABELLED: Return to sport following a corticosteroid injection is a complex decision. Multiple considerations should be taken into account, including steroid dose and formulation, involvement of the affected joint in the activity, and intensity of the activity. Research investigating the adverse effects of corticosteroid injections with early initiation of high-intensity activity is limited and has produced mixed results. Rest following injections has typically been recommended to minimize both chondrotoxic effects and systemic absorption...
October 2023: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/37525216/neutrophils-extracellular-traps-formation-may-serve-as-a-biomarker-for-disease-activity-in-oligoarticular-juvenile-idiopathic-arthritis-a-pilot-study
#39
JOURNAL ARTICLE
Merav Heshin-Bekenstein, Szilvia Baron, Grant Schulert, Anna Shusterman, Victoria Fidel, Yoav Ben-Shahar, Rachel Shukrun, Yoav Binenbaum, Ronit Elhasid
BACKGROUND: Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in children, causing significant morbidity. Despite the dramatic improvement in treatment, many patients do not achieve complete remission, and biomarkers for subclinical disease, flares, and response to treatment are lacking. Neutrophils and neutrophil extracellular traps (NETs) play key roles in the pathogenesis of autoimmune and inflammatory conditions. In this study, we characterized neutrophil enzyme activity and NETs formation in oligoarticular and polyarticular JIA and explored their association with disease activity...
July 31, 2023: Arthritis Research & Therapy
https://read.qxmd.com/read/37506124/republication-of-current-concepts-review-hallux-rigidus
#40
REVIEW
Michael R Anderson, Bryant S Ho, Judith F Baumhauer
Arthritis of the first metatarsophalangeal (MTP) joint, hallux rigid, is a common and disabling source of foot pain in the adult population. Hallux rigidus is characterized by diseased cartilage and large, periarticular osteophytes that result in a stiff, painful joint. Activity modification, sensible shoes, orthotics, anti-inflammatory medications and occasional intra-articular steroid injections can be attempted to alleviate the discomfort associated with hallux rigidus. A number of surgical options exist for the treatment of recalcitrant hallux rigidus...
July 2023: Foot & ankle orthopaedics
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