PM&R
Volume 1, Issue 10 , Pages 925-931 , October 2009

Sonographically Guided Posterior Subtalar Joint Injections: Anatomic Study and Validation of 3 Approaches

  • Troy Henning, DO

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Mayo Clinic College of Medicine, Mayo Clinic Sports Medicine Center, Rochester, MN†
    • ,
  • Jonathan T. Finnoff, DO

      Affiliations

    • Mayo Clinic College of Medicine, Mayo Clinic Sports Medicine Center, Rochester, MN‡
    • ,
  • Jay Smith, MD

      Affiliations

    • Mayo Clinic College of Medicine, Mayo Clinic Sports Medicine Center, E10 Mayo Building, 200 1st St, SW, Rochester, MN 55905§
    • Corresponding Author InformationAddress correspondence to: J.S.

Received 8 May 2009 ,Accepted 8 September 2009.

References 

  1. Lucas PE, Hurwitz SR, Kaplan PA, Dussault RG, Maurer EJ. Fluoroscopically guided injections into the foot and ankle: localization of the source of pain as a guide to treatment—prospective study. Radiology. 1997;204:411–415
  2. Phisitkul P, Tochigi Y, Saltzman CL, Amendola A. Arthroscopic visualization of the posterior subtalar joint in the prone position: A cadaver study. Arthroscopy. 2006;22:511–515
  3. Goossens M, De Stoop N, Claessens H, Van Der Straeten C. Posterior subtalar joint arthrography (A useful tool in diagnosis of hindfoot disorders). Clin Orthop Relat Res. 1989;249:248–255
  4. Ruhoy M, Newberg A, Yodlowski M, Mizel M, Trepman E. Subtalar joint arthrography. Semin Musculoskelet Radiol. 1998;2:433–437
  5. Mitchell MJ, Bielecki D, Bergman AG, Kursunoglu-Brahme S, Sartoris DJ, Resnick D. Localization of specific joint causing hindfoot pain: Value of injecting local anesthetics into individual joints during arthrography. AJR Am J Roentgenol. 1995;164:1473–1476
  6. Phisitkul PMD, Junko JTMD, Femino JEMD, Saltzman CLMD, Amendola AMD. Technique of prone ankle and subtalar arthroscopy. Techn Foot Ankle Surg. 2007;6:30–37
  7. Saifuddin A, Abdus-Samee M, Mann C, Singh D, Angel JC. CT guided diagnostic foot injections. [see comment] Clin Radiol. 2005;60:191–195
  8. Cahill AM, Cho SS, Baskin KM, et al. Benefit of fluoroscopically guided intraarticular, long-acting corticosteroid injection for subtalar arthritis in juvenile idiopathic arthritis. Pediatric Radiol. 2007;37:544–548
  9. D'Agostino M-A, Ayral X, Baron G, Ravaud P, Breban M, Dougados M. Impact of ultrasound imaging on local corticosteroid injections of symptomatic ankle, hind-, and mid-foot in chronic inflammatory diseases. Arthr Rheum. 2005;53:284–292
  10. Remedios D, Martin K, Kaplan G, Mitchell R, Woo P, Rooney M. Juvenile chronic arthritis: diagnosis and management of tibio-talar and sub-talar disease. [see comment] Br J Rheumatol. 1997;36:1214–1217
  11. Khoury NJ, el-Khoury GY, Saltzman CL, Brandser EA. Intraarticular foot and ankle injections to identify source of pain before arthrodesis. AJR Am J Roentgenol. 1996;167:669–673
  12. Ward ST, Williams PL, Purkayastha S. Intra-articular corticosteroid injections in the foot and ankle: A prospective 1-year follow-up investigation. J Foot Ankle Surg. 2008;47:138–144
  13. Pavlov H. Ankle and subtalar arthrography. Clin Sports Med. 1982;1:47–69
  14. Bilstrom E, O'Rourke K, Deodhar A. Injection of the subtalar joint and sinus tarsi. Musculoskel Med. 2008;25:29–30
  15. Taillard W, Meyer JM, Garcia J, Blanc Y. The sinus tarsi syndrome. Int Orthopaed. 1981;5:117–130
  16. Balint P, Kane D, Hunter J, McInnes I, Field M, Sturrock R. Ultrasound guided versus conventional joint and soft tissue fluid aspiration in rheumatology practice: A pilot study. J Rheumatol. 2002;29:2209–2213
  17. Qvistgaard E, Kristoffersen H, Terslev L, Danneskiold-Samsoe B, Torp-Pedersen S, Bliddal H. Guidance by ultrasound of intra-articular injections in the knee and hip joints. [see comment] Osteoarthr Cartilage. 2001;9:512–517
  18. Qvistgaard E, Christensen R, Torp-Pedersen S, Bliddal H. Intra-articular treatment of hip osteoarthritis: A randomized trial of hyaluronic acid, corticosteroid, and isotonic saline. Osteoarthr Cartilage. 2006;14:163–170
  19. Adler RS, Sofka CM. Percutaneous ultrasound-guided injections in the musculoskeletal system. Ultrasound Q. 2003;19:3–12
  20. De Smet AA. Ultrasound-guided injections and aspirations of the extremities. Semin Roentgenol. 2004;39:145–154
  21. Koski JM. Ultrasound guided injections in rheumatology. [see comment] J Rheumatol. 2000;27:2131–2138
  22. Koski JM. Ultrasonography of the subtalar and midtarsal joints. J Rheumatol. 1993;20:1753–1755
  23. Resnick D. Radiology of the talocalcaneal articulations. Diagnost Radiol. 1974;111:581–586
  24. Beaudet F, Dixon A. Posterior subtalar joint synoviography and corticosteroid injection in rheumatoid arthritis. Ann Rheum Dis. 1981;40:132–135
  25. Yilmaz C, Eskandari M. Arthroscopic excision of the talar Stieda's process. Arthroscopy. 2006;22:225.e221–225.e223
  26. Smith J, Wisniewski S, Finnoff J, Payne J. Sonographically guided carpal tunnel injections (The ulnar approach). J Ultrasound Med. 2008;27:1485–1490
  27. Smith J, Hurdle M, Locketz A, Wisniewski S. Ultrasound-guided piriformis injection: Technique description and verification. Arch Phys Med Rehabil. 2006;87:1664–1667

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

PII: S1934-1482(09)01362-8

doi: 10.1016/j.pmrj.2009.09.006

PM&R
Volume 1, Issue 10 , Pages 925-931 , October 2009

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