Faset sendromunun tedavisinde ultrasonografik görüntüleme eşliğinde lokal steroid enjeksiyonu uygulaması

Year 2014, Volume: 5 Issue: 1, 125 - 127, 01.03.2014

Murat Karkucak İpek Can Erhan Capkın Mustafa Avni Önder Emre Baki İbrahim Batmaz

https://doi.org/10.5799/ahinjs.01.2014.01.0376

Abstract

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.

Keywords

Faset sendromu, Ultrasonografi, Lokal enjeksiyon

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

Abstract

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-year-old male patient with low back pain for the preceding year and a preliminary diagnosis of facet syndrome, together with a review of the literature. J Clin Exp Invest 2014; 5 (1): 126-128

Keywords

Facet syndrome, Ultrasonography, Local injection

References

• 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.