Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

Przeglądasz jako GOŚĆ
Tytuł pozycji:

Hip MRI findings and outcomes following imaging-guided hip injections.

Tytuł :
Hip MRI findings and outcomes following imaging-guided hip injections.
Autorzy :
Pochon L; Cabinet aux 4 mains, Fischergässli 33, 3280 Murten, Switzerland.
Peterson CK; European Council on Chiropractic Education, Aachen, Germany.
Sutter R; Department of Radiology, University Hospital Balgrist University of Zürich Forchstrasse 340 8008, Zürich, Switzerland.
Del Grande F; Department of Radiology, Regional Hospital Via Tesserete 46 6900, Lugano, Switzerland.
Ulbrich EJ; Department of Radiology, University Hospital Zürich Rämistrasse 100 8091, Zürich, Switzerland.
Pfirrmann CW; Department of Radiology, University Hospital Balgrist University of Zürich Forchstrasse 340 8008, Zürich, Switzerland.
Pokaż więcej
Źródło :
The British journal of radiology [Br J Radiol] 2020 Apr; Vol. 93 (1108), pp. 20190817. Date of Electronic Publication: 2020 Jan 08.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Original Publication: London, British Institute of Radiology.
MeSH Terms :
Magnetic Resonance Imaging, Interventional*
Hip Joint/*diagnostic imaging
Osteoarthritis, Hip/*diagnostic imaging
Peptides/*administration & dosage
Acetabulum/diagnostic imaging ; Adult ; Aged ; Bone Marrow/diagnostic imaging ; Cartilage/diagnostic imaging ; Chi-Square Distribution ; Female ; Hip Joint/drug effects ; Humans ; Injections, Intra-Articular/methods ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Osteoarthritis, Hip/drug therapy ; Prospective Studies ; Retrospective Studies ; Time Factors ; Treatment Outcome
References :
Skeletal Radiol. 2016 Dec;45(12):1677-1685. (PMID: 27683253)
Spine J. 2014 Oct 1;14(10):2442-8. (PMID: 24642053)
Clin Radiol. 2015 Nov;70(11):1276-80. (PMID: 26350147)
Arthroscopy. 2011 May;27(5):619-27. (PMID: 21663719)
Ann Rheum Dis. 1997 Aug;56(8):476-80. (PMID: 9306870)
Ann Rheum Dis. 2010 Oct;69(10):1796-802. (PMID: 20421344)
AJR Am J Roentgenol. 2014 Jan;202(1):160-9. (PMID: 24370140)
J Rheumatol. 2004 Nov;31(11):2265-8. (PMID: 15517641)
Med Clin North Am. 2014 Jul;98(4):737-54, xi. (PMID: 24994049)
Skeletal Radiol. 2013 Oct;42(10):1429-35. (PMID: 23857420)
Osteoarthritis Cartilage. 2016 Oct;24(10):1745-1752. (PMID: 27233775)
Trials. 2015 May 27;16:233. (PMID: 26013142)
Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):750-5. (PMID: 24488223)
Arthritis Res Ther. 2015 Dec 18;17:366. (PMID: 26680278)
Curr Rev Musculoskelet Med. 2008 Dec;1(3-4):227-33. (PMID: 19468910)
AJR Am J Roentgenol. 2013 Oct;201(4):865-71. (PMID: 24059377)
J Rheumatol. 2014 Nov;41(11):2223-31. (PMID: 25225284)
Arthritis Rheum. 2007 Jul;56(7):2278-87. (PMID: 17599747)
J Bone Joint Surg Am. 2015 Sep 2;97(17):1386-97. (PMID: 26333733)
Osteoarthritis Cartilage. 2016 Mar;24(3):443-50. (PMID: 26497609)
Spine (Phila Pa 1976). 2010 Sep 1;35(19):1801-6. (PMID: 20581759)
Semin Arthritis Rheum. 2013 Apr;42(5):451-73. (PMID: 23374502)
Skeletal Radiol. 2014 Jul;43(7):979-84. (PMID: 24737087)
J Bone Joint Surg Am. 2017 Jan 4;99(1):33-41. (PMID: 28060231)
Ann Rheum Dis. 1996 Nov;55(11):829-32. (PMID: 8976640)
Osteoarthritis Cartilage. 2006 Feb;14(2):163-70. (PMID: 16290043)
Clin Orthop Relat Res. 2015 Dec;473(12):3849-57. (PMID: 26224293)
Radiographics. 1993 Sep;13(5):1001-11; discussion 1012. (PMID: 8210586)
Substance Nomenclature :
0 (Peptides)
12656-87-0 (corticotensin)
Entry Date(s) :
Date Created: 20200104 Date Completed: 20200326 Latest Revision: 20200724
Update Code :
20201023
PubMed Central ID :
PMC7362914
DOI :
10.1259/bjr.20190817
PMID :
31899657
Czasopismo naukowe
Objective: To determine if MRI findings prior to intra-articular corticosteroid hip infiltration are related to treatment outcomes.
Methods: This prospective outcome study with retrospective MRI evaluation includes 100 consecutive patients with MRI within 6 months before a therapeutic intra-articular hip injection. Labrum, bone marrow, acetabular and femoral cartilage abnormalities were assessed by two radiologists blinded to patient outcomes: the proportion reporting "improvement" on the Patient's Global Impression of Change (PGIC) scale at 1 day, 1 week and 1 month follow-up were compared based on MRI findings using χ 2 . The t -test was used to compare pain change scores with MRI abnormalities.
Results: Patients with a normal labrum in the posterosuperior quadrant were more likely to report PGIC "improvement" at 1 week compared to labral degeneration ( p = 0.048). Significant differences in pain change scores were found at all time points for the labral anteroinferior quadrant ( p = 0.001, 1 day; p = 0.010, 1 week; p = 0.034, 1 month) with the highest reduction in patients with labral degeneration. Females were 2.80 times more likely to report clinically relevant "improvement" at 1 day ( p = .049) and 2.90 times more likely to report clinically relevant "improvement" at 1 month ( p = .045).
Conclusion: Cartilage defects and marrow abnormalities were not associated with outcomes. Patients with a normal labrum in the posterosuperior quadrant had better outcomes at 1 week. Patients with labral degeneration of the anteroinferior quadrant had higher levels of pain reduction at all time points. Females were significantly more likely to report PGIC "improvement".
Advances in Knowledge: A significant treatment outcome was observed amongst gender, although there were no significant differences in the MRI findings.

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies