دورية أكاديمية
Percutaneous image-guided treatment of mucoid degeneration of the ACL in advanced knee osteoarthritis-Preliminary observations.
| العنوان: | Percutaneous image-guided treatment of mucoid degeneration of the ACL in advanced knee osteoarthritis-Preliminary observations. |
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| المؤلفون: | Eustace SK; Dept Of Radiology, National Orthopaedic Hospital, Cappagh, Finglas, Dublin 11, Ireland. seustace@live.ie., Hynes J; Dept Of Radiology, National Orthopaedic Hospital, Cappagh, Finglas, Dublin 11, Ireland., Byrne AO; Dept Of Radiology, National Orthopaedic Hospital, Cappagh, Finglas, Dublin 11, Ireland., Hurley D; Dept Of Radiology, National Orthopaedic Hospital, Cappagh, Finglas, Dublin 11, Ireland., Murray O; Dept Of Radiology, National Orthopaedic Hospital, Cappagh, Finglas, Dublin 11, Ireland., Eustace S; Dept Of Radiology, National Orthopaedic Hospital, Cappagh, Finglas, Dublin 11, Ireland. |
| المصدر: | Irish journal of medical science [Ir J Med Sci] 2024 Jun; Vol. 193 (3), pp. 1527-1531. Date of Electronic Publication: 2024 Feb 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Royal Academy of Medicine of Ireland Country of Publication: Ireland NLM ID: 7806864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-4362 (Electronic) Linking ISSN: 00211265 NLM ISO Abbreviation: Ir J Med Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Dublin : Royal Academy of Medicine of Ireland |
| مواضيع طبية MeSH: | Osteoarthritis, Knee*/complications , Osteoarthritis, Knee*/surgery , Anterior Cruciate Ligament*/surgery, Humans ; Female ; Middle Aged ; Male ; Bupivacaine/therapeutic use ; Bupivacaine/administration & dosage ; Injections, Intra-Articular ; Anesthetics, Local/administration & dosage ; Anesthetics, Local/therapeutic use |
| مستخلص: | Objectives: To describe the percutaneous image-guided treatment of mucoid degeneration of the ACL causing deep knee pain on flexion in patients with advanced knee osteoarthritis. Methods: Five patients with mucoid degeneration of the ACL complicating knee osteoarthritis underwent percutaneous image-guided steroid bupivacaine ACL sleeve injections over a 3-year period. Results: There were four males and one female of mean age 54 (range 48-59 years). Each patient had Kellgren and Lawrence grade 4 medial compartment knee osteoarthritis with coexistent mucoid degeneration of the ACL sleeve. Each patient complained of deep knee pain on flexion as a dominant symptom. Each patient underwent image-guided (CT or ultrasound) steroid bupivacaine injection of the ACL sleeve resulting in symptom resolution and improved mobility for a mean duration of 8 months, (range 6-15 months.) CONCLUSION: Mucoid degeneration of the ACL should be sought in patients with osteoarthritis presenting with deep knee pain on flexion. Image-guided ACL sleeve injection in affected patients may result in symptom resolution and potential deferral of planned knee replacement surgery. Advances in Knowledge: Emphasises Image guided percutaneous treatment of Mucoid degeneration of ACL in patients with knee osteoarthritis. (© 2024. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.) |
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| فهرسة مساهمة: | Keywords: ACL; Intervention; Knee; MRI; Mucoid degeneration; Osteoarthritis |
| المشرفين على المادة: | Y8335394RO (Bupivacaine) 0 (Anesthetics, Local) |
| تواريخ الأحداث: | Date Created: 20240213 Date Completed: 20240526 Latest Revision: 20240526 |
| رمز التحديث: | 20240527 |
| DOI: | 10.1007/s11845-024-03606-8 |
| PMID: | 38349511 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1863-4362 |
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| DOI: | 10.1007/s11845-024-03606-8 |