Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/45591
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Type: Journal article
Title: The long-term efficiacy of corticosteroid injection into the acromioclavicular joint using a dynamic fluoroscopic method
Author: Bain, G.
van Riet, R.
Gooi, C.
Ashwood, N.
Citation: International Journal of Shoulder Surgery, 2007; 1(4):104-107
Publisher: Medknow Publications Pvt Ltd.
Issue Date: 2007
ISSN: 0973-6042
Statement of
Responsibility: 
G.I. Bain, R.P. Van Riet, C. Gooi, N. Ashwood
Abstract: Purpose: Accuracy and efficacy of an intra-articular infiltration of corticosteroid and local anesthetic in the symptomatic acromioclavicular joint were studied in 44 patients. Methods: Accuracy of the infiltration was studied using a blind technique with a dynamic fluoroscopic control. Results: Accuracy of the blind infiltration technique was only 50% and the dynamic fluoroscopic technique remains our preferred technique in the clinical setting. On average patients reported a 65% decrease in the intensity of the pain following the injection. At an average follow-up of forty-two months, 59% had undergone surgery, 14% of patients reported more than three months of symptoms relief. Conclusions: Despite the poor long-term results of injecting the acromioclavicular joint, it remains a valuable technique. It has a low cost, minor risks of complications and has high diagnostic value. All but one patients reporting short-term pain relief. Level of Evidence: Level III, case control study.
Keywords: acromioclavicular joint; corticosteroids; intra-articular injection
Description: Copyright © 2007 International Journal of Shoulder Surgery
RMID: 0020077207
DOI: 10.4103/0973-6042.37112
Published version: http://www.internationalshoulderjournal.org/text.asp?2007/1/4/104/37112
Appears in Collections:Orthopaedics and Trauma publications

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