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透视引导下关节内注射类固醇治疗局限性皮肤型系统性硬化症继发的胸锁关节关节炎：一例报告

Fluoroscopy-guided intra-articular steroid injection for sternoclavicular joint arthritis secondary to limited cutaneous systemic sclerosis: a case report.

作者信息

Sencan Savas, Güler Emel, Cüce Isa, Erol Kemal

机构信息

Department of Algology, Kayseri Training and Research Hospital, Kayseri, Turkey.

Division of Algology, Department of Physical Medicine and Rehabilitation, Erciyes University, School of Medicine, Kayseri, Turkey.

出版信息

Korean J Pain. 2017 Jan;30(1):59-61. doi: 10.3344/kjp.2017.30.1.59. Epub 2016 Dec 30.

DOI:10.3344/kjp.2017.30.1.59
PMID:28119772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5256259/
Abstract

We report a case of fluoroscopy-guided intraarticular steroid injection for sternoclavicular joint (SCJ) arthritis caused by limited cutaneous systemic sclerosis (SSc). A 50-year-old woman diagnosed with limited cutaneous SSc presented with swelling and pain in the right SCJ. MRI revealed signs of inflammation consistent with right-sided sternoclavicular joint arthritis. After the failure of oral medications, we performed fluoroscopy-guided injection in this region. She reported complete resolution of her symptoms at 4 and 12-week follow-ups. This outcome suggests that a fluoroscopy-guided SCJ injection might be a safe and successful treatment option for sternoclavicular joint arthritis.

摘要

我们报告了一例针对由局限性皮肤系统性硬化症（SSc）引起的胸锁关节（SCJ）关节炎进行透视引导下关节内类固醇注射的病例。一名50岁被诊断为局限性皮肤SSc的女性患者出现右侧SCJ肿胀和疼痛。MRI显示有与右侧胸锁关节关节炎相符的炎症迹象。口服药物治疗失败后，我们在该区域进行了透视引导下注射。她在4周和12周随访时报告症状完全缓解。这一结果表明，透视引导下的SCJ注射可能是胸锁关节关节炎一种安全且成功的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/914d/5256259/2ea0ff7bb09d/kjpain-30-59-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/914d/5256259/dc89a015ed36/kjpain-30-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/914d/5256259/2ea0ff7bb09d/kjpain-30-59-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/914d/5256259/dc89a015ed36/kjpain-30-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/914d/5256259/2ea0ff7bb09d/kjpain-30-59-g002.jpg

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