122 results match your criteria: "Corticosteroid Injections of Joints and Soft Tissues"

Far Posterior Approach for Rib Fracture Fixation: Surgical Technique and Tips.

JBJS Essent Surg Tech

December 2024

Department of Orthopedics, OhioHealth Health System, Columbus, Ohio.

Article Synopsis
  • The video article discusses the far posterior or paraspinal approach for treating posterior rib fractures, which enhances intraoperative visibility and minimizes muscle damage.
  • This method helps preserve periscapular strength, achieving up to 95% recovery six months after surgery through muscle-sparing techniques.
  • The surgical process involves precise skin incision and careful dissection of muscles like the trapezius, rhomboids, and latissimus dorsi to allow for effective access and treatment of the fractures without significant tissue loss.
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Article Synopsis
  • Total knee arthroplasty (TKA) is a common surgical procedure for patients with severe knee osteoarthritis, especially when non-surgical treatments fail, leading to significant improvements in pain, function, and quality of life.
  • The procedure can use various components (cemented, cementless, or a hybrid) and is generally performed with a focus on mechanical alignment, although newer alignment strategies like gap and kinematic balancing are showing promising results in early studies.
  • The preferred surgical technique for cementless TKA involves a specific patient positioning and incision approach, starting with the application of a thigh tourniquet and a parapatellar incision, ensuring proper alignment and access during the surgery.*
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  • The study assessed the effectiveness of conservative treatments for atraumatic medial sesamoid pain (MSP) in 27 patients involved in sports, focusing on treatment outcomes and underlying pathologies.
  • Nearly half (48.1%) of the patients reported pain relief after treatment, but factors like age, body weight, and the type of sport influenced their recovery outcomes.
  • MRI revealed that 42.8% of patients had no notable abnormalities, with common issues identified being soft tissue signal changes and intraosseous signal changes in the medial sesamoid bone.*
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Article Synopsis
  • Patients with total hip arthroplasty (THA) may experience recurrent pain due to various issues related to the joint and surrounding tissues, such as tendons and nerves.
  • Ultrasound (US) plays a crucial role in diagnosing these conditions, allowing for quick identification of problems and evaluation of pain relief through localized anesthetic injections.
  • US guidance can also assist in procedures like fluid aspiration from the joint and injections of treatments such as corticosteroids and platelet-rich plasma for therapeutic benefits.
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Article Synopsis
  • - Hemiplegic shoulder pain (HSP) is a frequent complication after a stroke, significantly hindering upper limb recovery. Its main cause is nerve injury leading to neuropathic pain, and while corticosteroid injections can help reduce pain, they come with risks like tendon degeneration and unclear long-term effects.
  • - Botulinum toxin injections are a newer approach that may reduce shoulder pain by blocking pain receptors and neurogenic inflammation, but there isn't solid research connecting pain relief to improvements in brain function.
  • - This clinical trial aims to compare the effectiveness of botulinum toxin and glucocorticoid injections in treating HSP by conducting a double-blind study with 78 patients, assessing results at 1 and
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Article Synopsis
  • Orthoregeneration is a medical approach that uses biological solutions to enhance healing, alleviate pain, and promote tissue regeneration in orthopedic conditions.
  • It involves various treatments like drugs, surgeries, and biologics, with a focus on aiding recovery from musculoskeletal injuries, both independently and with surgical treatments.
  • A range of biologics has been explored for elbow and upper extremity issues, showing positive effects on tendon and cartilage conditions, using methods like platelet-rich plasma and mesenchymal stem cell therapies to improve healing outcomes.
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Recent advances in the therapeutic management of calcium pyrophosphate deposition disease.

Front Med (Lausanne)

March 2024

Department of Rheumatology, School of Health Sciences, Faculty of Medicine, University of Ioannina, Ioannina, Greece.

Article Synopsis
  • Calcium pyrophosphate deposition (CPPD) disease results from calcium pyrophosphate crystal buildup in joints, causing inflammation and potential joint damage, with presentations ranging from asymptomatic to chronic arthritis.
  • Risk factors include prior joint injury, osteoarthritis, and certain genetic and metabolic conditions, complicating CPPD diagnosis and treatment due to a lack of randomized controlled trials.
  • Current management focuses on relieving inflammation and pain with NSAIDs, corticosteroids, and colchicine; other treatments like anakinra and tocilizumab are available for severe cases, but no therapies effectively modify the disease to reduce calcification.
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Background: Physiotherapists in the United Kingdom (UK), who have received additional training can adopt injection therapy for the treatment of musculoskeletal (MSK) disorders.

Objectives: The objective of this practice survey was to explore (i) the frequency of use of injection therapy by UK physiotherapists for MSK disorders; and (ii) the clinical reasoning for selection of injectate, dose and pre/post injection practice.

Design: Cross-sectional online survey.

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Suppurative tenosynovitis with chronic carpal tunnel syndrome due to corticosteroid injections: A case report.

Int J Surg Case Rep

October 2023

Department of Orthopedics, The First People's Hospital of Lianyungang, Lianyungang 222000, Jiangsu Province, China. Electronic address:

Article Synopsis
  • Steroid hormone blocking is commonly used to treat tenosynovitis but needs careful monitoring to avoid severe local inflammatory responses that could lead to infection.* -
  • A case study of a 46-year-old woman shows that after receiving steroid treatment, she developed worsening symptoms, including pain and numbness, eventually requiring surgery for relief.* -
  • Effective management of local soft tissue infections is crucial to prevent complications like recurrent granulomas and nerve compressions, particularly in cases affecting the wrist.*
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Background: Shoulder instability continues to be a common problem that is difficult to treat. Part of this difficulty can be attributed to the numerous postoperative complications that can impact the clinical course. Our study aims to primarily identify the incidence of subclinical infection in patients undergoing revision shoulder stabilization surgery and secondarily identify any risk factors for developing a subclinical infection.

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Joint and soft tissue injections can be divided into two primary categories: diagnostic and therapeutic. Diagnostic injections facilitate a diagnosis by using a local anesthetic to identify the site of pain or through fluid aspiration for analysis. Therapeutic injections are categorized by the type of injectate and include corticosteroids, hyaluronic acid, dextrose prolotherapy, and platelet-rich plasma.

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Glenohumeral osteoarthritis (OA) is one of the most common causes of shoulder pain. Conservative treatment options include physical therapy, pharmacological therapy, and biological therapy. Patients with glenohumeral OA present shoulder pain and decreased shoulder range of motion (ROM).

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Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies.

J Clin Med

May 2023

Department of Paediatric Orthopaedics, Amiens Picardie University Hospital, University of Picardie Jules Verne, 80054 Amiens, France.

Juvenile idiopathic arthritis is the most common chronic rheumatic disease encountered in children under the age of sixteen and causes significant impairments in daily life. Over the last two decades, the introduction of new drug treatments (including disease-modifying antirheumatic drugs and biologics) has changed the course of this disease, thus reducing the indication for surgery. However, some patients fail to respond to drug therapy and thus require personalized surgical management, e.

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Unlabelled: The anterior-based muscle-sparing (ABMS) technique for total hip arthroplasty (THA) has gained popularity in recent years because of its proposed advantages in terms of postoperative pain and periprosthetic dislocation risk.

Description: The procedure is performed with the patient in the supine position. A minimally invasive Watson-Jones approach is utilized to access the hip.

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Background: Musculoskeletal conditions are common in primary care, causing significant morbidity. Intra-articular and soft tissue corticosteroid injections are commonly performed by GPs internationally. It is unknown how commonly they are performed by GPs in the Republic of Ireland.

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Development and Resolution of Secondary Adrenal Insufficiency after an Intra-Articular Steroid Injection.

Case Rep Endocrinol

December 2022

Department of Endocrinology, Bridgeport Hospital, Yale New Haven Health System, Bridgeport, Connecticut, USA.

Corticosteroid injections are commonly indicated in inflammatory conditions involving the soft tissues, tendon sheaths, bursae, and joints. Local corticosteroids carry a lower risk of complications than systemic corticosteroid but may be systemically absorbed and subsequently suppress the hypothalamic-pituitary-adrenal (HPA) axis. This can cause secondary adrenal insufficiency (SAI) as well as iatrogenic Cushing's syndrome.

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Ganglions in the Hand and Wrist: Advances in 2 Decades.

J Am Acad Orthop Surg

January 2023

From the Department of Orthopedic Surgery, Hand and Upper Extremity Surgery, Kaiser Permanente Riverside Medical Center, Riverside, CA (Zoller) and the Department of Orthopedics and Sports Medicine, University of Washington, Seattle, WA (Benner and Iannuzzi).

Article Synopsis
  • Ganglion cysts are the most common soft-tissue masses found in the hand and wrist, typically occurring at the wrist's dorsal or volar sides, and may also develop from various tendons and joints.
  • Diagnosis mainly relies on medical history and physical exams, with additional tools like transillumination, aspiration, and imaging used to rule out other conditions or solid masses.
  • Treatment options include observation, aspiration with possible steroid injection, and surgical excision, with over 50% of patients seeing resolution without surgery; however, surgery can have a recurrence rate of 7% to 39%.
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Background: There has been expanding use of platelet-rich plasma (PRP) in the management of musculoskeletal soft tissue injuries.

Purpose: To determine if there are any recent studies that show any clear benefits regarding the use of PRP in the management of soft tissue injuries.

Study Design: Systematic review.

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Ultrasound-guided interventions of the upper extremity joints.

Skeletal Radiol

May 2023

Department of Radiology and Biomedical Imaging, University of California, San Francisco, 500 Parnassus Avenue, San Francisco, CA, 94143, USA.

Ultrasound guidance is valuable for performing precise joint interventions. Joint interventions may be requested for therapeutic and diagnostic pain injections, joint aspiration in the setting of suspected infection, or contrast injection for arthrography. In practice, interventions of the shoulder girdle, elbow, and hand/wrist joints may be performed without any imaging guidance.

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Purpose: Scaphotrapezium-trapezoid (STT) joint arthritis is one of the most common forms of wrist arthritis. Conservative management often involves corticosteroid injection. Despite this, there is a scarcity of literature on palpation-guided injection techniques for the STT joint.

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Tietze's syndrome (TS) is an inflammatory disorder characterised by painful, non-suppurative swelling in the sternocostal or sternoclavicular joint. The aetiology of TS is unknown. Herein, we described a case of isolated enthesitis in the sternocostal joint in a 42-year-old male patient whose clinical course led to the diagnosis of TS.

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US-guided Musculoskeletal Interventions of the Body Wall and Core with MRI and US Correlation.

Radiographics

November 2021

From the Department of Radiology, New York University Grossman School of Medicine, 660 First Ave, New York, NY 10016 (S.P.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (C.D.V., A.B.R., J.Y.T., K.S.L.); and Department of Medical Imaging, University of Toronto, Scarborough Health Network, Scarborough, ON, Canada (J.I.B.).

Chest, abdominal, and groin pain are common patient complaints that can be due to a variety of causes. Once potentially life-threatening visceral causes of pain are excluded, the evaluation should include musculoskeletal sources of pain from the body wall and core muscles. Percutaneous musculoskeletal procedures play a key role in evaluating and managing pain, although most radiologists may be unfamiliar with applications for the body wall and core muscles.

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A 72-year-old man presented with tenosynovitis of the left hand's extensor tendons that had been present for several months. He was initially treated with corticosteroids, first by local injection then systemically, but with no effect. When re-evaluated, the patient had developed a rash, and the symptoms had spread locally to surrounding structures.

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Article Synopsis
  • - The study evaluates the accuracy of shoulder injections for adhesive capsulitis using two landmark-based techniques: a traditional posterior approach and a new anterior approach, without ultrasound assistance.
  • - A total of 95 eligible patients, who experienced shoulder pain lasting less than four months, were injected, with 41 receiving the posterior technique and 54 receiving the anterior technique performed by experienced specialists.
  • - The purpose is to determine which method yields greater accuracy for glenohumeral injections, potentially providing insights for improving non-ultrasound methods in clinical practice.
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