دورية أكاديمية
أعرض في EDS

Treatment of Greater Trochanteric Pain Syndrome With Ultrasound-Guided Bipolar Pulsed Radiofrequency of the Trochanteric Branches of the Femoral Nerve: A Case Series of Nine Patients.

التفاصيل البيبلوغرافية
العنوان: Treatment of Greater Trochanteric Pain Syndrome With Ultrasound-Guided Bipolar Pulsed Radiofrequency of the Trochanteric Branches of the Femoral Nerve: A Case Series of Nine Patients.
المؤلفون: Vieira A; Physical Medicine and Rehabilitation, Hospital Central do Funchal, Funchal, PRT., Coroa MC; Anesthesiology, Centro Hospitalar de Vila Nova de Gaia e Espinho, Vila Nova de Gaia, PRT., Carrillo-Alfonso N; Anesthesiology, Centro Hospitalar Universitário do Algarve, Faro, PRT., Correia FD; Pain Medicine, Hospital Central do Funchal, Funchal, PRT.
المصدر: Cureus [Cureus] 2023 Dec 12; Vol. 15 (12), pp. e50422. Date of Electronic Publication: 2023 Dec 12 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background: Greater trochanteric pain syndrome (GTPS) is a prevalent cause of lateral hip pain that often leads to significant functional limitations. Conservative treatment options include physical therapy, pharmacological treatment, and more invasive techniques such as corticosteroid injections. However, despite the high success rates reported with corticosteroid injections, a significant number of patients have their symptoms persist or recur.
Objectives: In this case series, we present the outcomes of nine patients with GTPS who underwent ultrasound-guided bipolar pulsed radiofrequency targeting the trochanteric branches of the femoral nerve. We aim to discuss the effectiveness and safety of this approach.
Material and Methods: Eligible patients referred to our centre underwent ultrasound-guided bipolar pulsed radiofrequency aimed at the trochanteric branches of the femoral nerve. The procedure consisted of one cycle at 42°C for six minutes, followed by the injection of ropivacaine (0.2%, 3 mL) and dexamethasone (12 mg). The Brief Pain Inventory - Short Form (BPI-sf) and Lequesne Algofunctional Index (LAI) were used before the procedure and at the third and sixth months post-procedure. We monitored immediate and late complications, as well as adverse effects.
Results and Discussion: Our results indicate a favourable outcome for most patients, with an average pain reduction of 76.51% according to their report of the BPI-sf. Additionally, eight out of nine patients experienced at least 50% relief. These findings align with a previous case series, which reported a similar average pain reduction. Before the procedure, most patients were classified as "extremely severe" in the LAI, with an average score of 18.17. Although there was only a slight reduction of 16.84% at the six-month follow-up, this suggests a potential improvement in their functional status. We did not observe any immediate complications or adverse effects after the procedure, nor were any reported at the subsequent follow-ups, which is consistent with existing literature.
Conclusions: Our study suggests that ultrasound-guided bipolar pulsed radiofrequency treatment is a promising minimally invasive technique for GPTS, especially for patients who do not respond to conservative treatments. Although our case series provides some evidence of effectiveness and safety, further controlled studies on a larger scale are necessary, particularly to compare this intervention with the use of corticosteroid injections alone.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Vieira et al.)
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فهرسة مساهمة: Keywords: bipolar pulsed radiofrequency; greater trochanteric pain syndrome; musculoskeletal pain; pain management; ultrasound-guided; ultrasound-guided bipolar pulsed radiofrequency
تواريخ الأحداث: Date Created: 20240115 Latest Revision: 20240116
رمز التحديث: 20240116
مُعرف محوري في PubMed: PMC10784712
DOI: 10.7759/cureus.50422
PMID: 38222155
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.50422