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Ultrasonographic assessment of local steroid injection in Tietze's syndrome.
Br J Rheumatol 1997; 36(5):547-50BJ

Abstract

The purpose of this study was to investigate the value of ultrasonographic examination in the diagnosis of Tietze's syndrome and assessment of the changes in costal cartilage following local steroid injection. Nine patients with Tietze's syndrome and 20 normal subjects were studied consecutively. Ultrasound examination was performed using a Sonoline SL Siemens Machine with a linear 5 MHz small parts transducer and ATL Apogee 800 with a 10 MHz linear array transducer. The affected costochondral joint was injected with a combination of 15 mg of triamcinolone hexacetonide and 1 ml of 2% lidocaine. Ultrasound examination was performed following the clinical evaluation and repeated immediately after the injection, then 1 and 4 weeks later. Abnormal echo appearance was detected as an inhomogeneous increase in the echogenicity with intense broad posterior acoustic shadow. Hypoechogenicity and a decrease in the size of costal cartilage were observed 1 week after local steroid injection with absence of the posterior acoustic shadowing. Ultrasonographic examination of costal cartilage is easy and quick to perform. We believe that ultrasound should be the screening procedure of choice for Tietze's syndrome. Local steroid injection proved to be clinically safe and effective in the treatment of patients with Tietze's syndrome.

Authors+Show Affiliations

Department of Rheumatology, Al Azhar University, Cairo, Egypt.No affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

9189056

Citation

Kamel, M, and H Kotob. "Ultrasonographic Assessment of Local Steroid Injection in Tietze's Syndrome." British Journal of Rheumatology, vol. 36, no. 5, 1997, pp. 547-50.
Kamel M, Kotob H. Ultrasonographic assessment of local steroid injection in Tietze's syndrome. Br J Rheumatol. 1997;36(5):547-50.
Kamel, M., & Kotob, H. (1997). Ultrasonographic assessment of local steroid injection in Tietze's syndrome. British Journal of Rheumatology, 36(5), pp. 547-50.
Kamel M, Kotob H. Ultrasonographic Assessment of Local Steroid Injection in Tietze's Syndrome. Br J Rheumatol. 1997;36(5):547-50. PubMed PMID: 9189056.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ultrasonographic assessment of local steroid injection in Tietze's syndrome. AU - Kamel,M, AU - Kotob,H, PY - 1997/5/1/pubmed PY - 1997/5/1/medline PY - 1997/5/1/entrez SP - 547 EP - 50 JF - British journal of rheumatology JO - Br. J. Rheumatol. VL - 36 IS - 5 N2 - The purpose of this study was to investigate the value of ultrasonographic examination in the diagnosis of Tietze's syndrome and assessment of the changes in costal cartilage following local steroid injection. Nine patients with Tietze's syndrome and 20 normal subjects were studied consecutively. Ultrasound examination was performed using a Sonoline SL Siemens Machine with a linear 5 MHz small parts transducer and ATL Apogee 800 with a 10 MHz linear array transducer. The affected costochondral joint was injected with a combination of 15 mg of triamcinolone hexacetonide and 1 ml of 2% lidocaine. Ultrasound examination was performed following the clinical evaluation and repeated immediately after the injection, then 1 and 4 weeks later. Abnormal echo appearance was detected as an inhomogeneous increase in the echogenicity with intense broad posterior acoustic shadow. Hypoechogenicity and a decrease in the size of costal cartilage were observed 1 week after local steroid injection with absence of the posterior acoustic shadowing. Ultrasonographic examination of costal cartilage is easy and quick to perform. We believe that ultrasound should be the screening procedure of choice for Tietze's syndrome. Local steroid injection proved to be clinically safe and effective in the treatment of patients with Tietze's syndrome. SN - 0263-7103 UR - https://www.unboundmedicine.com/medline/citation/9189056/Ultrasonographic_assessment_of_local_steroid_injection_in_Tietze's_syndrome_ DB - PRIME DP - Unbound Medicine ER -