Infiltrations intra-articulaires périphériques de corticoïdes

Damiano, J.

doi:10.1016/j.monrhu.2020.01.001

Cited by 2 publications

(3 citation statements)

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“…The majority of our patients benefited from three infiltration sessions separated by an interval of six weeks on average between infiltrations. These data are in agreement with those in the literature which recommend not exceeding three to four injections per year for the same joint [ 1 , 8 ].…”

Section: Discussionsupporting

confidence: 92%

“…On the other hand, in our study, infiltrations were performed less in these osteoarthritic sites due firstly to the short-term effectiveness in reducing pain and secondly linked to the fact that infiltrations are not recommended as first intention in certain osteoarthritis sites such as rhizarthrosis [ 8 ]. Infiltrations were also carried out in patients suffering from rheumatoid arthritis (RA), gout and lower back sciatica.…”

Section: Discussionmentioning

confidence: 99%

“…In situ injection of synthetic corticosteroids is effective due to its anti-inflammatory effect [ 3 , 7 ]. The local and systemic effect of such a procedure is difficult to predict, which generates controversy over its indication because the products used have multiple side effects [ 3 , 8 , 9 ]. Therefore, the objective of this study was to evaluate the effectiveness of corticosteroid infiltrations in the rheumatology department of the Ignace Deen University Hospital in Conakry (Guinea).…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the Effectiveness of Corticosteroid Infiltrations in the Ignace Deen University Hospital Center in Conakry

Condé,

Adjakou,

Barry

et al. 2023

Cureus

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Introduction Corticosteroid infiltration is a medical procedure which consists of the injection of a corticosteroid locally, into a painful site. Thus the objective of this study was to evaluate the effectiveness of corticosteroid infiltrations in the rheumatology department of the Ignace Deen University Hospital in Conakry (Guinea). Patients and method This was a prospective descriptive and analytical survey that lasted one year from July 2021 to July 2022 carried out in the rheumatology department of the Ignace Deen University Hospital in Conakry. We included all patients who had received corticosteroid infiltration. The infiltration was carried out by a rheumatologist either by anatomical or ultrasound-guided identification. Results During the study period, we recorded 1452 observations including 508 (35%) cases of corticosteroid infiltration. The average age was 53.7 years +/- 12.7 years with the majority of our patients were young adults (68%). Females predominated (55%), with a sex ratio (M/F) of 0.80. The infiltrations were mainly indicated for osteoarthritis, particularly knee osteoarthritis in 264 (52%) of cases and lumbarthrosis in 204 (40.2%) of cases, followed by rheumatoid arthritis (RA) in 216 (42.5%) of cases, gout in 183 (36%) of cases and lumbosciatica in 118 (23.2%) of cases. Dexamethasone was the corticosteroid predominantly used in 46.2% of cases. The associated medications were lidocaine in 93% of cases. The intensity of pain remained unchanged in 152 (30%) patients despite the infiltration sessions. Conclusion In our study, the majority of patients who benefited from cortisone infiltration were young adults, with females predominating. Osteoarthritis and rheumatoid arthritis were the main indications for infiltration, and dexamethasone was the most commonly used corticosteroid. The study demonstrated the efficacy of cortisone infiltration, with improvement in pain intensity in some patients (70% of cases). For others, however, the pain remained unchanged.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%