Local steroid injection accompanied by ultrasonographic imaging in the treatment of facet syndrome

Ultrasonografi (US) muskuloskeletal system görüntülemesinde gittikçe önemli bir yer tutmaktadır. Lokal enjeksiyon uygulamalarında tanısal rehber olarak kullanılmakla birlikte, derin eklemlerin görüntülenmesi ve enjeksiyonunda daha az sıklıkta kullanılmaktadır. Bu çalışmanın amacı faset sendromu tanısı ile bir yıldır devam eden bel ağrısı olan 19 yaşında erkek hastada, US eşliğinde yapılan faset eklem enjeksiyonu sonucunu literatür derlemesi ile birlikte sunmaktır.

Faset sendromunun tedavisinde ultrasonografik görüntüleme eşliğinde lokal steroid enjeksiyonu uygulaması

Ultrasonography (USG) is becoming increasingly important in visualizing the musculoskeletal system. It is used as a diagnostic guide and in local injection procedures but is less frequently applied in visualizing deep joints and injections. The purpose of this study is to describe the results of USG-guided facet joint injection in a 19-yearold male patient with low back pain for the preceding year and a preliminary diagnosis of facet syndrome, together with a review of the literature.

___

  • Galiano K, Obwegeser AA, Walch C, et al. Ultrasound- guided versus computed tomography-controlled facet joint injections in the lumbar spine: a prospec- tive randomized clinical trial. Reg Anesth Pain Med 2007;32:317-322.
  • Mcalındon T, Kıssın E, Nazarıan L, et al. American Col- lege of Rheumatology Report on Reasonable Use of Musculoskeletal Ultrasonography in Rheumatology Clinical Practice. Arthritis Care & Res 2012;64:1625- 1640.
  • Ucuncu F, Capkin E, Karkucak M, et al. A comparison of the effectiveness of landmark-guided injections and ultrasonography guided injections for shoulder pain. Clin J Pain 2009;25:786-789.
  • Atkinson JH, Slater MA: Behavioral medicine approach- es to chronic low back pain. In Rotman RH, Simeone FA (Eds.) The Spine. Philadelphia, 1961-81,1992.
  • Beresford ZM, Kendall RW, Willick SE. Lumbar facet syndromes. Curr. Sports Med. Rep. 2010;9:50-56.
  • Song KJ, Lee KB. Bilateral facet dislocation on L4- L5 without neurologic deficit. J Spinal Disord Tech 2005;18:462-464.
  • Yang KH, King AI. Mechanism of facet load trans- mission as a hypothesis for low-back pain. Spine 1984;9:557-565.
  • Kleef M, Vanelderen P, Cohen PH, et al. Pain origi- nating from the lumbar facet joints. Pain Practice 2010;10:459-469.
  • Yun DH, Kim HS, Yoo DS, et al. Efficacy of ultraso- nography-guided injections in patients with facet syndrome of the low lumbar spine. Ann Rehabil Med 2012;36:66-71.
  • Chen CPC, Lew HL, Tsai WC, et al. Ultrasound-guid- ed injection techniques for the low back and hip joint. Am J Phys Med Rehabil 2011;90:860-867.
  • Shealy CN. Facet denervation in the management of back and sciatic pain. Clin Orthop Relat Res 1976;115:157-164.
  • Cohen SP, Huang JHY, Brummet C. Facet joint pain advances in patient selection and treatment. Nature Reviews Rheumatology 2013;9:101-116.
  • Civelek E, Cansever T, Kabataş S. Comparison of ef- fectiveness of facet joint injection and radiofrequency denervation in chronic low back pain. Turk Neurosurg 2012;22: 200-206.
  • Ha DH, Shim DM, Kim TK, et al. Comparison of ultra- sonography and fluoroscopy-guided facet joint block in the lumbar spine. Asian Spine J 2010;4:15-22.
Journal of Clinical and Experimental Investigations-Cover
  • Başlangıç: 2010
  • Yayıncı: Sağlık Araştırmaları Derneği
Sayıdaki Diğer Makaleler

Minimally invasive tethered cord release in children: A technical note

Kağan KAMAŞAK, Cüneyt GÖÇMEZ, S. Kağan BAŞARSLAN, Ahmet MENKÜ

Psoas apselerinde etyolojik faktörler

Mehmet Guli ÇETİNÇAKMAK, Haluk SÖYLEMEZ, Namık Kemal HATİPOĞLU, Mazhar UTANGAÇ, Mehmet Nuri BODAKÇI, Mansu DAĞGÜLLİ, Nebahat HATİPOĞLU

Kolorektal kanserlerde c-erbB-2 ve p53 ekspresyonunun prognostik önemi

Cemal GÜNDOĞDU, Aynur ALBAYRAK, Nesrin GÜRSAN

Comparison of two surgical techniques in large incisional hernias

Oğuz ÇATAL, Mustafa SİT, Rıdvan ÇAKMAZ, Affan ÇAKIR, Ahmet Serkan İLGÜN

Local steroid injection accompanied by ultrasonographic imaging in the treatment of facet syndrome

Emre BAKİ, İbrahim BATMAZ, Murat KARKUCAK, Avni Mustafa ÖNDER, İpek CAN, Erhan ÇAPKIN

Intragastric manometric measurements of patients with hiatal hernia: A prospective controlled study

Arda IŞIK, İsmail DEMİRYILMAZ, İsmayil YILMAZ, Kemal PEKER, Abdullah İNAL, Mustafa EMİROĞLU

The importance of surveillance in children with minor head trauma: A case report

Arsal ACARBAŞ, Cüneyt GÖÇMEZ, S. Kağan BAŞARSLAN

Surgery for ingrowing nail is an effective treatment choice in an urban region

Tonguç Utku YILMAZ

Spinal anestezi altında yapılan lomber disk cerrahilerinin retrospektif değerlendirmesi

Bülent ÖZDEMİR, Vaner KÖKSAL, Ahmet ŞEN, Başar ERDİVANLI

Serebral palsi tedavisinde yüksek doz botulinum toksini tip-A tedavisinin etkinliği

Alper İbrahim DAİ