Intraarticular injection of the interphalangeal joint for therapy of digital mucoid cysts

Patel, Rosemina A; Ariza-Hutchinson, Angie; Emil, N. Suzanne; Muruganandam, Maheswari; Nunez, Sharon E; McElwee, Matthew K.; O’Sullivan, Frank X.; Hayward, William A.; Haseler, Luke J.; Sibbitt, Wilmer L.

doi:10.1007/s00296-021-05082-0

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Asymptomatic myxoid cysts are best managed with clinical observation. Direct needle puncture with simple drainage and injection of corticosteroid may be attempted if symptomatic, although recurrence rates are high [ 75 ]. Surgical excision is an alternative.…”

Section: Other Nail Changesmentioning

confidence: 99%

Nails in older adults

Albucker,

Conway,

Lipner

2024

Annals of Medicine

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As the world’s population of adults greater than 60 years old continues to increase, it is important to manage nail disorders that may impact their daily lives. Nail disorders may have significant impact on quality of life due to decreased functionality, extreme pain, or social embarrassment. In this review, we discuss nail disorders affecting older patients, including physiologic, traumatic, drug-induced, infectious, environmental, inflammatory, and neoplastic conditions. Diagnosis of these conditions involves a detailed history, physical examination of all 20 nails, and depending on the condition, a nail clipping or biopsy and/or diagnostic imaging. Nails grow even more slowly in older adults compared to younger individuals, and therefore it is important for accurate diagnosis, and avoidance of inappropriate management and delay of treatment. Increased awareness of nail pathologies may help recognition and management of nail conditions in older adults.

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Section: Other Nail Changesmentioning

confidence: 99%

Nails in older adults

Albucker,

Conway,

Lipner

2024

Annals of Medicine

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“…3 Whereas first line therapies involve needle aspiration of contents and injecting corticosteroids or sclerosants. 4 Due to the lack of consensus surrounding injectables, this systematic review synthesizes the existing literature describing the effects of injectables on recurrence rates and associated complications.…”

mentioning

confidence: 99%

Injection Therapy for Digital Mucous Cysts

et al. 2023

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Ultrasound-Guided Interphalangeal Injection (US-IPI) of Mucoid Cysts as a Non-Surgical Option: Technical Notes and Clinical Efficacy

Faiella,

Vergantino,

Santucci

et al. 2024

Anesthesia Research

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Digital mucous cysts (DMCs) are common soft tissue tumors affecting interphalangeal joints. Various treatment options exist, with surgical excision being the standard. Ultrasound-guided cortisone (CC) injection into the distal interphalangeal (DIP) joint has been proposed as a therapeutic alternative. This study aims to assess the technical success and clinical efficacy of US-IPI in terms of swelling resolution and pain control. Fifty-two patients with DMCs underwent CCs DIP joint ultrasound-guided infiltration. Eighty-three percent of patients exhibited a positive response to US-IPI, with a significant reduction in NRS pain scores (p < 0.01). Persistent pain in 17% of patients was effectively managed with marked improvement after a secondary infiltration. Joint swelling was reduced in 68% of patients within 1 month, with complete resolution by 3 to 6 months. No recurrence was reported at the 6-month follow-up. Pain assessment using the Numeric Rating Scale and joint swelling evaluation were conducted at follow-ups of 2 weeks, 1, 3, and 6 months. Statistical analysis was performed to compare pre- and post-procedure NRS pain scores. Here, we show that US-IPI of DMCs is an effective therapeutic option that provides immediate pain relief and long-term aesthetic improvement, resulting in an alternative option to surgical excision.

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Intraarticular injection of the interphalangeal joint for therapy of digital mucoid cysts

Cited by 3 publications

References 19 publications

Nails in older adults

Nails in older adults

Injection Therapy for Digital Mucous Cysts

Ultrasound-Guided Interphalangeal Injection (US-IPI) of Mucoid Cysts as a Non-Surgical Option: Technical Notes and Clinical Efficacy

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