Sonography of the first metatarsophalangeal joint and sonographically guided intraarticular injection of corticosteroid in acute gout attack

Kang, Myung Ho; Moon, Kwangsu; Jeon, Yong Hwan; Cho, Seong Whi

doi:10.1002/jcu.22206

Cited by 21 publications

(15 citation statements)

References 21 publications

(40 reference statements)

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“…All 21 patients experienced significant improvement in pain, general disability, and walking disability within 48-h post-treatment with average reduction on visual analog scale (VAS) of 48 mm (SD 27), 35 mm (SD 26), and 39 mm (SD 26), respectively. No adverse events occurred within the first 7 days post injection, the duration of the study [59].…”

Section: Goutmentioning

confidence: 94%

“…Intra-articular steroid injections are recommended by both European League Against Rheumatism and the American College of Rheumatology for the treatment of gout [58,63]. They are often used when systemic steroids, colchicine, or non-steroidal anti-inflammatory drugs are contraindicated [59]. The ACR recommends that dosing be based on the size of the affected joint [63].…”

Section: Goutmentioning

confidence: 99%

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Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

et al. 2020

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Purpose of Review: This is a comprehensive literature review of the available evidence and techniques of foot injections for chronic pain conditions. It briefly describes common foot chronic pain syndromes and then reviews available injection techniques for each of these syndromes, weighing the available evidence and comparing the available approaches. Recent Findings: Foot and ankle pain affects 20% of the population over 50 and significantly impairs mobility and ability to participate in activities of daily living (ADLs), as well as increases fall risk. It is commonly treated with costly surgery, at times with questionable efficacy. Injection therapy is challenging when the etiology is anatomical or compressive. Morton's neuroma is a budging of the interdigital nerve. Steroid, alcohol, and capsaicin injections Enhanced Digital Features To view enhanced digital features for this article go to https://doi.org/10.6084/ m9.figshare.11836971.

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Section: Goutmentioning

confidence: 94%

Section: Goutmentioning

confidence: 99%

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

et al. 2020

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“…Jalava and Saario compared triamcinolone hexacetonide with methylprednisolone injected into the IP joints and found superior patient‐reported clinical improvement with use of triamcinolone. Corticosteroid injection of the MTP joint demonstrated significant improvement in pain and function for up to 8 weeks . One of these studies was an RCT, which showed pain relief in the corticosteroid cohort, but it was inferior in functional measures to HA, at a borderline clinically significant level.…”

Section: Resultsmentioning

confidence: 99%

“…Corticosteroid injection of the MTP joint demonstrated significant improvement in pain and function for up to 8 weeks. 24,25 One of these studies was an RCT, 24 which showed pain relief in the corticosteroid cohort, but it was inferior in functional measures to HA, at a borderline clinically significant level.…”

Section: Small-size Jointsmentioning

confidence: 99%

Comparison of Varying Corticosteroid Type, Dose, and Volume for the Treatment of Pain in Small‐ and Intermediate‐Size Joint Injections: A Narrative Review

Cushman

Ofek

Syed

et al. 2019

PM&R

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Objective To systematically evaluate the scientific literature examining the effect of corticosteroid type, dose, and volume of small‐ and intermediate‐size joint injections on pain and function. Type Narrative review. Literature Survey Medline (PubMed), Cochrane Central Register of Controlled Trial, and SportDiscus databases were searched. Methodology Inclusion criteria included prospective studies evaluating pain‐ and/or function‐related improvements following a corticosteroid injection of a small‐ or intermediate‐size joint. Synthesis A total of 28 articles were included, all studying patients with osteoarthritis and/or rheumatoid arthritis. Eleven studies were randomized‐controlled trials comparing corticosteroid injections to a control treatment and three were randomized trials comparing corticosteroid dose or type; the rest were prospective case series without a control. Most studies used 10 to 20 mg of methylprednisolone or triamcinolone for small joints and 20 to 40 mg for intermediate joints; wrist joints were the only joint studied that directly compared doses—20 mg was noninferior to 40 mg. Triamcinolone hexacetonide was found to be superior to methylprednisolone in the interphalangeal finger joints in a single randomized‐controlled trial; no other studies compared steroid types in any joint. No studies evaluated the effect of volume on clinical outcomes. Conclusions Very few studies directly examine the effect of corticosteroid type, corticosteroid dose, or injectate volume on clinical outcomes for small‐ or intermediate‐size joint arthralgia. Future studies are needed to better elucidate the most effective treatment protocols. Level of Evidence IV.

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“…US guidance enables a more accurate and safe procedure. Ho Kang et al [60] reported their experience in 21 patients with acute gout attack involving the first metatarsophalangeal joint, unilaterally. US was more sensitive than CR in detecting erosion and tophuslike lesion.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal ultrasonography in gout

et al. 2015

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Gout is a frequent inflammatory disease induced by the deposition of monosodium urate crystals in joints and extraarticular tissues. The natural history of the disease includes four different phases: asymptomatic hyperuricemia, acute attacks, intercritical phase, and chronic tophaceous gout. Imaging techniques have several applications in the diagnosis, clinical monitoring and management of the disease but, particularly, musculoskeletal ultrasound is able to detect a wide set of abnormalities in gout. This review reports the most relevant findings detectable by ultrasound and the current available data in the literature regarding the role of musculoskeletal ultrasound in gout.

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Sonography of the first metatarsophalangeal joint and sonographically guided intraarticular injection of corticosteroid in acute gout attack

Abstract: US is a sensitive tool to evaluate joint abnormality of the MTPJ1 in acute gout attack and US-guided intraarticular corticosteroid injection to this joint is effective and safe.

Cited by 21 publications

References 21 publications

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

Comparison of Varying Corticosteroid Type, Dose, and Volume for the Treatment of Pain in Small‐ and Intermediate‐Size Joint Injections: A Narrative Review

Musculoskeletal ultrasonography in gout

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