Prospective Pilot Study of Painful Lumbar Facet Joint Arthropathy after Intra‐articular Injection of Hylan G‐F 20

DePalma, Michael J.; Ketchum, Jessica M.; Queler, Evan D.; Trussell, Brian

doi:10.1016/j.pmrj.2009.09.008

Cited by 16 publications

(12 citation statements)

References 31 publications

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“…[75] In this study, HA scored slightly better than CS, but both reduced the VAS pain significantly. The main concern about this study was that they only report a follow-up DePalma et al, [73] of 2 months and, as shown earlier, CS act very fast and effectively, but for a shorter period.…”

Section: First Metatarsophalangeal Jointmentioning

confidence: 89%

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

et al. 2012

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Our recommendation for future research is that one should focus on adequately powered randomized trials comparing HA treatment with other types of intra-articular or conservative treatment. We think it is useless to further perform and publish (large) non-comparative prospective studies about the use of HA in the treatment of problems caused by OA. It is well perceived that HA exerts positive effects in the treatment of OA, but up to now there is no (strong) evidence available that HA is superior to other treatments of OA such as corticosteroids, physiotherapy or other conservative measures.

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Section: First Metatarsophalangeal Jointmentioning

confidence: 89%

“…[71] The two prospective studies show an opposite outcome. Cleary et al, [72] in their prospective case series of 13 patients, showed no improvement on the VAS for pain, while DePalma et al [73] showed a significant improvement in a series of 15 patients using the same VAS for pain.…”

Section: Lumbar Facet Jointmentioning

confidence: 94%

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

et al. 2012

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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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“…The use of intra‐articular viscosupplements has been explored by several researchers, with a recent pilot study that demonstrated a significant improvement in low back pain, disability, function, range of motion, and sitting tolerance at 6‐month follow‐up [118]. More rigorous studies are required to investigate the role of viscosupplements in the management of facet‐mediated low back pain.…”

Section: Treatmentsmentioning

confidence: 99%

Spine Osteoarthritis

Laplante

DePalma

2012

PM&R

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Osteoarthritis of the spine develops as a consequence of the natural aging process and is associated with significant morbidity and health care expenditures. Effective diagnosis and treatment of the resultant pathologic conditions can be clinically challenging. Recent evidence has emerged to aid the investigating clinician in formulating an accurate diagnosis and in implementing a successful treatment algorithm. This article details the degenerative cascade that results in the osteoarthritic spine, reviews prevalence data for common painful spinal disorders, and discusses evidence-based treatment options for management of zygapophysial and sacroiliac joint arthrosis.

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Prospective Pilot Study of Painful Lumbar Facet Joint Arthropathy after Intra‐articular Injection of Hylan G‐F 20

Cited by 16 publications

References 31 publications

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

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

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

Spine Osteoarthritis

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