Ultrasonographic assessment of local steroid injection in Tietze's syndrome |
| |
Authors: | Kamel M; Kotob H |
| |
Institution: | Department of Rheumatology, Al Azhar University, Cairo, Egypt. |
| |
Abstract: | The purpose of this study was to investigate the value of ultrasonographic
examination in the diagnosis of Tietze's syndrome and assessment of the
changes in costal cartilage following local steroid injection. Nine
patients with Tietze's syndrome and 20 normal subjects were studied
consecutively. Ultrasound examination was performed using a Sonoline SL
Siemens Machine with a linear 5 MHz small parts transducer and ATL Apogee
800 with a 10 MHz linear array transducer. The affected costochondral joint
was injected with a combination of 15 mg of triamcinolone hexacetonide and
1 ml of 2% lidocaine. Ultrasound examination was performed following the
clinical evaluation and repeated immediately after the injection, then 1
and 4 weeks later. Abnormal echo appearance was detected as an
inhomogeneous increase in the echogenicity with intense broad posterior
acoustic shadow. Hypoechogenicity and a decrease in the size of costal
cartilage were observed 1 week after local steroid injection with absence
of the posterior acoustic shadowing. Ultrasonographic examination of costal
cartilage is easy and quick to perform. We believe that ultrasound should
be the screening procedure of choice for Tietze's syndrome. Local steroid
injection proved to be clinically safe and effective in the treatment of
patients with Tietze's syndrome.
|
| |
Keywords: | |
本文献已被 Oxford 等数据库收录! |
|