Hyaluronic Acid for the Treatment of Osteoarthritis in all Joints Except the Knee

Colen, Sascha; Haverkamp, Daniël; Mulier, Michiel; Bekerom, Michel P.J. van den

doi:10.2165/11630830-000000000-00000

Cited by 40 publications

(35 citation statements)

References 63 publications

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“…However, a similar concept cannot be applied when hyaluronic acid is used, as these substances explicate their action only when injected directly in the joint space [30]. Thanks to its high tolerability and low side effects, the use of hyaluronic acid has increased in the local treatment of FJOA and could be suggested in patients with contraindication to corticosteroids [31,32].…”

Section: Discussionmentioning

confidence: 99%

In vivo feasibility of real-time MR–US fusion imaging lumbar facet joint injections

Sartoris

Orlandi²,

Corazza

et al. 2017

J Ultrasound

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Objectives Traditionally, facet joint injections (FJI) are performed under fluoroscopic or computed tomography (CT) guidance, mainly due to the deep anatomical location and the presence of bony landmarks. Fusion imaging technology, which couples the ultrasound scan with the corresponding CT or magnetic resonance (MR) image obtained from the diagnostic examination and reformatted in real time according to the ultrasound scanning plane, allows to combine the panoramic view and the elevated anatomical detail of MR or CT with the ease of use of ultrasound without patient exposure to ionizing radiation. Methods Thirty eight patients (24 females; mean age ± SD: 64 ± 9 years) received MR fusion-assisted ultrasound-guided FJI of 1 ml of a mixture of local anaesthetic and corticosteroid using a ultrasound machine (Logiq E9, GE Healthcare) equipped with a GPS-enhanced fusion imaging technology which couples real-time B-mode images with those of the previous recent diagnostic MR examination. Low-dose CT needle positioning confirmation was performed in the first 28 patients. Patients' pain was recorded using a visual analogue scale (VAS), at baseline and at 2, 4 and 8 weeks.Results All fusion imaging-guided injections were performed successfully. Out of 112, 96 FJI had optimal intraarticular needle positioning (accuracy: 85.7%). Patients VAS significantly decreases after the procedure with no differences among who received CT needle positioning control and who did not receive it. No major complications were observed. Conclusions Ultrasound needle guidance with MR fusion assistance allows for safe and effective injection of degenerative facet joint disease.Keywords Facet joint Á Injection Á Fusion imaging Á Ultrasound Á Magnetic resonance Sommario Obiettivi Tradizionalmente, le iniezioni delle faccette articolari (FJI) sono state eseguite sotto guida fluoroscopica o tomografia computerizzata (TC), principalmente a causa della posizione anatomica profonda e la presenza di reperi ossei. L'imaging di fusione permette di accoppiare le immagine ecografiche con quelle TC o di risonanza magnetica (RM) corrispondenti, ottenute da un precedente esame diagnostico e riformattate in tempo reale in base al piano di scansione ecografico. Questa tecnica permette di coniugare la visione panoramica e l'elevato dettaglio anatomico della RM o TC con la praticità della guida ecografica senza ulteriore esposizione del paziente a radiazioni ionizzanti. Metodi Trentotto pazienti (24 femmine, età media ± DS: 64 ± 9 anni) hanno ricevuto FJI guidata da fusione ecografia-RM di 1 ml di una miscela di anestetico locale e corticosteroide utilizzando una apparecchiatura ecografica (Logiq E9, GE Healthcare) dotata di tecnologia fusion. Nei (2017( ) 20:23-31 DOI 10.1007 primi 28 pazienti il posizionamento dell'ago è stato confermato mediante esame TC a bassa dose. Il dolore dei pazienti è stato registrato utilizzando una scala analogica visiva (VAS), al tempo 0 e dopo 2, 4 e 8 settimane.Risultati Tutte le iniezioni fusion guidate sono state esegui...

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Section: Discussionmentioning

confidence: 99%

In vivo feasibility of real-time MR–US fusion imaging lumbar facet joint injections

Sartoris

Orlandi²,

Corazza

et al. 2017

J Ultrasound

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“…Since the SIJ is a synovial joint, and controlled studies for knee, hip and other forms of osteoarthritis have demonstrated intermediate-term benefit with hyaluronic acid [86,87], some have postulated that viscosupplementation might be effective in a subgroup of patients with degenerative SIJ arthritis. Srejic et al reported 12-16 months of significant pain relief in four patients with SIJ pain who underwent a series of three IA injections with hyaluronic acid [88].…”

Section: Other Ia Injection Therapymentioning

confidence: 99%

Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment

Cohen

Chen

Neufeld

2013

Expert Review of Neurotherapeutics

329

236

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Sacroiliac joint (SIJ) pain is an underappreciated source of mechanical low back pain, affecting between 15 and 30% of individuals with chronic, nonradicular pain. Predisposing factors for SIJ pain include true and apparent leg length discrepancy, older age, inflammatory arthritis, previous spine surgery, pregnancy and trauma. Compared with facet-mediated and discogenic low back pain, individuals with SIJ pain are more likely to report a specific inciting event, and experience unilateral pain below L5. Owing in part to its size and heterogeneity, the pain referral patterns of the SIJ are extremely variable. Although no single physical examination or historical feature can reliably identify a painful SIJ, studies suggest that a battery of three or more provocation tests can predict response to diagnostic blocks. Evidence supports both intra- and extra-articular causes for SIJ pain, with clinical studies demonstrating intermediate-term benefit for both intra- and extra-articular steroid injections. In those who fail to experience sustained relief from SIJ injections, radiofrequency denervation may provide significant relief lasting up to 1 year. This review covers all aspects of SIJ pain, with the treatment section being primarily focused on procedural interventions.

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“…Проведе-ние этих манипуляций показано в сочетании с упражне-ниями на растягивание мышц, массажем [74]. В настоя-щее время отсутствуют методы консервативной терапии, предотвращающие возникновение или прогрессирование дегенеративных изменений в позвоночнике, эффектив-ность так называемых хондропротекторов, в том числе внутрисуставного введения гиалуроновой кислоты, не доказана [75].…”

Section: о б з о р ыunclassified

Nonspecific low back pain: Causes, clinical picture, diagnosis, and treatment

Исайкин

Kavelina

Иванова

2015

RJTAO

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Hyaluronic Acid for the Treatment of Osteoarthritis in all Joints Except the Knee

Cited by 40 publications

References 63 publications

In vivo feasibility of real-time MR–US fusion imaging lumbar facet joint injections

In vivo feasibility of real-time MR–US fusion imaging lumbar facet joint injections

Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment

Nonspecific low back pain: Causes, clinical picture, diagnosis, and treatment

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