[Show abstract][Hide abstract]ABSTRACT: To assess medium and long-term outcomes of psoas tendinopathy to psoas tenotomy and image-guided steroid injections.
This is a 14-year retrospective case-control study to identify the efficacy of psoas tenotomy and image-guided steroid injections.
This study was undertaken in a secondary care setting.
Patients with confirmed psoas tendinopathy were followed up by postal questionnaire, which included a nonarthritic hip score (NAHS) and a study patient satisfaction questionnaire.
Patients underwent image-guided steroid injections. Depending on the analgesic or symptomatic relief, some patients proceeded to psoas tenotomy.
Response to steroid injection. Pain relief and symptomatic relief after the surgery.
Twenty-three patients were reviewed with a 70% follow-up over a time of 49 months for surgery (range, 13-144 months) and 77 months for injection (range, 14-160 months). Eight patients had a lasting response to injection and required no further intervention, and 15 patients proceeded to psoas tenotomy using a medial Ludloff approach. The average NAHS scores after the surgery and injection were 66.15 and 76.08, respectively. Ten patients reported pain relief after their tenotomy, and 5 patients reported no change in pain. All 8 patients, who only underwent injection, reported lasting pain relief.
Local steroid injections can provide long-term relief for patients presenting with psoas tendinopathy. For those patients with only temporary relief from injection, psoas tenotomy can provide good long-term pain relief.
Article · Nov 2013 · Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine
[Show abstract][Hide abstract]ABSTRACT: We report a case of a 9-year old male patient who presented with right shoulder pain and a reduced range of motion. There was no history of trauma and the patient was systemically well. The patient was admitted to the hospital for further investigation and treatment. Magnetic resonance imaging, blood tests, including microbiology culture, and a tissue biopsy were obtained. A multidisciplinary team approach was employed to reach the diagnosis. Clinical, radiological and laboratory investigations revealed an inflammatory process consistent with an idiopathic sub-acromial bursitis. The diagnosis was confirmed after exclusion of serious pathology such as infection and malignancy. This was successfully treated with simple analgesia and anti-inflammatory medications.
[Show abstract][Hide abstract]ABSTRACT: USG has been used for the diagnosis of carpal tunnel syndrome. Scarring and incomplete decompression are the main causes for persistence or recurrence of symptoms. We performed a retrospective study to assess the role of ultrasound in failed carpal tunnel decompression. Of 422 USG studies of the wrist performed at our center over the last 5 years, 14 were for failed carpal tunnel decompression. Scarring was noted in three patients, incomplete decompression in two patients, synovitis in one patient, and an anomalous muscle belly in one patient. No abnormality was detected in seven patients. We present a pictorial review of USG findings in failed carpal tunnel decompression.
Article · Feb 2012 · The Indian journal of radiology and imaging