超声引导下经皮穿刺针开窗及皮质类固醇注射治疗踝关节前侧和前外侧撞击综合征

Ultrasound-Guided Percutaneous Needle Fenestration and Corticosteroid Injection for Anterior and Anterolateral Ankle Impingement.

作者信息

Nazarian Levon N, Gulvartian Nar V, Freeland Erik C, Chao Wen

机构信息

Department of Radiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (LNN, NVG).

Cooper Medical School of Rowan University, Camden, New Jersey (ECF).

出版信息

Foot Ankle Spec. 2018 Feb;11(1):61-66. doi: 10.1177/1938640017709904. Epub 2017 May 15.

DOI:10.1177/1938640017709904

PMID:28506083

Abstract

BACKGROUND

Ankle impingement is a common cause of chronic ankle pain. We retrospectively studied the effectiveness of ultrasound-guided percutaneous needle fenestration of the pathological soft tissues combined with corticosteroid injection to treat this condition.

METHODS

We administered a telephone survey to patients who underwent the procedure. Patients were asked questions on the Foot Function Index and queried about their overall satisfaction with the procedure on a scale of 0 (completely unsatisfied) to 10 (very satisfied).

RESULTS

Forty-nine patients participated in the survey: 26 women and 23 men, mean age 42.7 years (range, 19-65 years). Impingement was anterior in 26/49 (53.1%), anterolateral in 14/49 (28.6%), and both in 9/49 (18.4%). Mean pain level before the procedure was 6.76 ± 1.84 and after the procedure was 2.73 ± 2.21. Reported pain scale levels declined by 4.02 ± 2 units after the procedure (P < .0001). Patient's overall satisfaction was 7.9 ± 2.44.

CONCLUSIONS

Ultrasound-guided percutaneous needle fenestration and corticosteroid injection appears to be an effective nonoperative alternative for treatment of anterior and/or anterolateral ankle impingement.

LEVELS OF EVIDENCE

Level IV.

摘要

背景

踝关节撞击是慢性踝关节疼痛的常见原因。我们回顾性研究了超声引导下经皮穿刺对病理性软组织进行针孔开窗术联合皮质类固醇注射治疗这种疾病的有效性。

方法

我们对接受该手术的患者进行了电话调查。询问患者有关足部功能指数的问题，并让他们以0分（完全不满意）至10分（非常满意）的量表对手术的总体满意度进行评分。

结果

49名患者参与了调查，其中女性26名，男性23名，平均年龄42.7岁（范围19 - 65岁）。49例中，26例（53.1%）为前侧撞击，14例（28.6%）为前外侧撞击，9例（18.4%）为双侧撞击。手术前平均疼痛水平为6.76±1.84，手术后为2.73±2.21。手术后报告的疼痛量表水平下降了4.02±2个单位（P <.000）。患者的总体满意度为7.9±2.44。