Therapeutic arthrography and bursography.
Arthrography and bursography as therapeutic venues have found their place in the musculoskeletal procedure armamentarium. Therapeutic arthrography not only rules in and rules out the origin of pain but can provide 6 to 9 months of pain relief in diseased joints. Therapeutic arthrography allows injections of anesthetic, corticosteroid, or alternatively hyaluronic acid to be delivered accurately to the source of pain. Corticosteroids have a long history of use in osteoarthritis. Alternative therapy with hyaluronic acid is anew procedure. This article reviews the technique of arthrography in different joints and bursae and discusses the pros and cons of the use of corticosteroids versus viscosupplementation in therapeutic arthrography.
Tehranzadeh
Jamshid
J
Department of Radiological Sciences, R 140, University of California Medical Center, 101 The City Drive, Orange, CA 92868-3298, USA. jtehranz@uci.edu
Mossop
Edward Peter
EP
Golshan-Momeni
Maryam
M
D000276:Adjuvants, Immunologic / Q000494:pharmacology; D000779:Anesthetics, Local; D000843:Ankle Joint / Q000000981:diagnostic imaging; D001175:Arthrography / Q000379:methods*; D019644:Arthroplasty, Replacement, Hip; D002061:Bursa, Synovial / Q000000981:diagnostic imaging*; D003287:Contrast Media / Q000008:administration & dosage; D005938:Glucocorticoids / Q000008:administration & dosage; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D006820:Hyaluronic Acid / Q000494:pharmacology; D007270:Injections, Intra-Articular; D010003:Osteoarthritis / Q000000981:diagnostic imaging*
D000276:Adjuvants, Immunologic; D000779:Anesthetics, Local; D003287:Contrast Media; D005938:Glucocorticoids; D006820:Hyaluronic Acid