PMID: 9189056May 1, 1997Paper

Ultrasonographic assessment of local steroid injection in Tietze's syndrome

British Journal of Rheumatology
M Kamel, H Kotob

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 ...Continue Reading

Citations

May 16, 2012·Der Radiologe·J K Kloth, M-A Weber
Mar 13, 2014·Journal of Ultrasound·Ashraf Anas ZytoonMohammed Kamel
Nov 17, 2009·Journal of Foot and Ankle Research·Andrew M McMillanAdam R Bird
Mar 1, 2003·Journal of Shoulder and Elbow Surgery·Fernando Hiramuro-ShojiCharles A Rockwood
Nov 6, 2007·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Nuri KarabayCan Hurel
Nov 12, 2013·Primary Care·Amba AylooSrimannarayana Marella
Oct 4, 2005·European Journal of Internal Medicine·Jennifer HowClive Kelly
Oct 27, 2018·American Journal of Physical Medicine & Rehabilitation·Ju Young Cho, Donghwi Park
Jan 26, 2006·JAAPA : Official Journal of the American Academy of Physician Assistants·Gregory S Watson
Oct 13, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Wangseok DoHae-Kyu Kim
Jan 29, 2019·World Journal of Emergency Medicine·Kohei SawadaAtsunori Nakao
Feb 12, 2021·Indian Journal of Orthopaedics·Hiroshi Ito
Mar 4, 2021·Current Sports Medicine Reports·Alexandra GundersenKelly C McInnis
Jun 10, 2021·Türk göğüs kalp damar cerrahisi dergisi·Özgür Ömer YıldızEray Çınar

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