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|Title:||The long-term efficiacy of corticosteroid injection into the acromioclavicular joint using a dynamic fluoroscopic method|
van Riet, R.
|Citation:||International Journal of Shoulder Surgery, 2007; 1(4):104-107|
|Publisher:||Medknow Publications Pvt Ltd.|
|G.I. Bain, R.P. Van Riet, C. Gooi, N. Ashwood|
|Abstract:||Purpose: Accuracy and efficacy of an intra-articular infiltration of corticosteroid and local anesthetic in the symptomatic acromioclavicular joint were studied in 44 patients. Methods: Accuracy of the infiltration was studied using a blind technique with a dynamic fluoroscopic control. Results: Accuracy of the blind infiltration technique was only 50% and the dynamic fluoroscopic technique remains our preferred technique in the clinical setting. On average patients reported a 65% decrease in the intensity of the pain following the injection. At an average follow-up of forty-two months, 59% had undergone surgery, 14% of patients reported more than three months of symptoms relief. Conclusions: Despite the poor long-term results of injecting the acromioclavicular joint, it remains a valuable technique. It has a low cost, minor risks of complications and has high diagnostic value. All but one patients reporting short-term pain relief. Level of Evidence: Level III, case control study.|
|Keywords:||acromioclavicular joint; corticosteroids; intra-articular injection|
|Description:||Copyright © 2007 International Journal of Shoulder Surgery|
|Appears in Collections:||Orthopaedics and Trauma publications|
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