Posterior subtalar joint synoviography and corticosteroid injection in rheumatoid arthritis.

Beaudet, F; Dixon, A. St. J.

doi:10.1136/ard.40.2.132

Cited by 12 publications

(17 citation statements)

References 10 publications

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“…Beaudet and Dixon [12] described a lateral approach to puncture the subtalar joint with the patient in a prone position using a straight lateral approach whereas our technique uses the most posterior approach possible without lacerating the Achilles tendon. This technique is based on measurements at the lateral aspect of the ankle in order to determine the correct puncture site.…”

Section: Discussionmentioning

confidence: 99%

“…The posterior subtalar joint is one of the most typically injected foot articulations [10][11][12][13][14][15]. There are various techniques described in the literature for injecting medication into this joint, including the anterolateral, posteromedial, lateral oblique, and posterolateral approaches [10][11][12][13]15].…”

Section: Introductionmentioning

confidence: 99%

“…There are various techniques described in the literature for injecting medication into this joint, including the anterolateral, posteromedial, lateral oblique, and posterolateral approaches [10][11][12][13]15]. Previously the anterolateral approach was claimed to be the best for injecting the posterior subtalar joint [11,16] as this approach appeared to be comparably easy with less chance of contrast leakage or side effects.…”

Section: Introductionmentioning

confidence: 99%

“…Two prospective and one retrospective outcomes studies performed on patients with the specific diagnosis of juvenile chronic arthritis documented substantial clinical improvement in up to 44% of these patients. Sample sizes were rather small, consisting of 6, 10, and 38 subtalar joint injections, respectively [10,12,13]. A larger, prospective outcomes study (done recently from this orthopedic university hospital) demonstrated that 64% of the 118 adult patients who received subtalar injections reported at least a 50% reduction in their pain 20-30 min after injection [14].…”

Section: Introductionmentioning

confidence: 99%

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The posterolateral fluoroscopy-guided injection technique into the posterior subtalar joint: description of the procedure and pilot study on patient outcomes

et al. 2011

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Objective To describe a posterolateral fluoroscopy-guided injection technique into the posterior subtalar joint and to report patient outcomes 1 month post-injection. Materials and methods Twenty-three consecutive adult patients who underwent fluoroscopy-guided injection into the posterior subtalar joint using a direct posterolateral approach and who returned an outcomes-based postal questionnaire after receiving this injection were included. Numerical pain rating scale (NRS) data were collected prior to injection. NRS and Patient's Global Impression of Change (PGIC) scales were completed 1 day, 1 week, and 1 month after injection. The proportion of patients who improved was calculated for each time period. Baseline NRS data were compared to each time point using the Wilcoxon test to assess differences. Spearman's correlation coefficient was used to compare the 20 min NRS score with all follow-up NRS scores. All available images were reviewed for the presence of subtalar osteoarthritis (OA). Patient charts were reviewed to identify characteristics of patients referred for subtalar injections. Risk ratios were calculated comparing presence of OA or other abnormalities with improvement. Results A posterolateral approach for fluoroscopy-guided injections into the subtalar joint is described. There was a significant reduction in the mean NRS score at all time periods compared to baseline (p ≤ 0.004). One-third of patients (7/21) reported clinically relevant improvement at 1 month. Conclusions Fluoroscopy-guided puncture of the posterior subtalar joint using a posterolateral approach is possible. Clinically significant improvement is reported in 33% of patients after 1 month.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The posterolateral fluoroscopy-guided injection technique into the posterior subtalar joint: description of the procedure and pilot study on patient outcomes

et al. 2011

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“…The method was then utilized in several studies with different disorders [8][9][10][11][12]. All studies showed the effect of medications on the thermographic index, which returned to basal levels with the symptoms remission.…”

Section: Introductionmentioning

confidence: 99%