John Carney, Sara Ungerleider, Joseph Tanenbaum, Jeremy Marx, Bejan Alvandi, Matthew Saltzman, Ken Yamaguchi, Guido Marra
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引用次数: 0
Abstract
Purpose: The goal of this study was to report the duration of pain relief and need for subsequent surgical intervention following intra-articular steroid injection of the elbow in the setting of arthritis.
Methods: The authors' institutional database was accessed to identify patients who underwent a corticosteroid injection of the elbow for arthritis. For included patients, demographic information, steroid dosage, duration of symptoms relief, complications, and progression to surgical management were recorded. A chi-squared or Fisher exact test was utilized for categorical variables while a two-way Analysis of Variance (ANOVA) or Wilcoxon ranked sum test was utilized for continuous variables as appropriate. Statistical significance was defined as p < 0.05.
Results: There were 67 patients included in the study who underwent between one and 14 injections. Patients experienced some degree of pain relief 80% of the time for an average of 12.5 (range 0-64) weeks after their first injections. There was only one documented complication following steroid injection. Twenty-one (7.9%) patients ultimately underwent surgical intervention for their elbow arthritis. Younger age was associated with progression to surgical intervention (p = 0.01).
Conclusion: Corticosteroid injections to the elbow are an effective method of pain control in patients with elbow arthritis.
期刊介绍：
International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters.
Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers.
Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable.
The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.
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