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dc.contributor.authorRyan, Micheal
dc.contributor.authorWong, Anthony
dc.contributor.authorTaunton, Jack
dc.date.accessioned2017-05-03T16:06:30Z
dc.date.available2017-05-03T16:06:30Z
dc.date.issued2010
dc.date.modified2013-05-14T01:12:46Z
dc.identifier.issn0361803X
dc.identifier.doi10.2214/AJR.09.3255
dc.identifier.urihttp://hdl.handle.net/10072/42488
dc.description.abstractOBJECTIVE. The objective of our study was to report on changes in the short-term sonographic appearance and 2-year follow-up for pain outcomes in a large patient population with chronic Achilles tendinosis who underwent sonographically guided dextrose injections. SUBJECTS AND METHODS. One hundred eight tendons (86 midportion and 22 insertional) from 99 patients experiencing pain for greater than 6 months at either the Achilles tendon insertion or midportion were included in the study. Gray-scale (5-12 and 7-15 MHz) and color Doppler sonography examinations preceded the injection procedure using a 27-gauge needle administering a net 25% dextrose-lidocaine solution intratendinously. Structural features of each tendon and presence of neovascularity were noted. Visual analog scale (VAS) items were recorded at baseline, posttest, and 28.6 months follow-up. RESULTS. A median of five (range, 1-13) injection consultations were needed for each patient, spaced 5.6 ᠳ.1 (SD) weeks apart. There was a significant improvement in pain scores for both midportion (rest: 34.1 ᠲ7.7-3.3 ᠷ.4, activities of daily living (ADL): 50.2 ᠲ5.6-9.5 ᠱ6.2, and sport: 70.7 ᠲ3.3-16.7 ᠲ2.0) and insertional (rest: 33.0 ᠲ6.5-2.7 ᠶ.0, ADL: 51.3 ᠲ5.4-10.0 ᠱ6.3, and sport: 69.6 ᠲ4.5-17.7 ᠲ9.1) patients from baseline to follow-up for all VAS items. There were reductions in the size and severity of hypoechoic regions and intratendinous tears and improvements in neovascularity. CONCLUSION. Dextrose injections appear to present a low-cost and safe treatment alternative with good long-term evidence for reducing pain from pathology at either the insertion or midportion of the Achilles tendon.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherAmerican Roentgen Ray Society
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1047
dc.relation.ispartofpageto1053
dc.relation.ispartofissue4
dc.relation.ispartofjournalAmerican Journal of Roentgenology
dc.relation.ispartofvolume194
dc.rights.retentionY
dc.subject.fieldofresearchRadiology and Organ Imaging
dc.subject.fieldofresearchSports Medicine
dc.subject.fieldofresearchRegenerative Medicine (incl. Stem Cells and Tissue Engineering)
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode110320
dc.subject.fieldofresearchcode110604
dc.subject.fieldofresearchcode100404
dc.subject.fieldofresearchcode1103
dc.titleFavorable Outcomes After Sonographically Guided Intratendinous Injection of Hyperosmolar Dextrose for Chronic Insertional and Midportion Achilles Tendinosis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyrightSelf-archiving of the author-manuscript version is not yet supported by this journal. Please refer to the journal link for access to the definitive, published version or contact the authors for more information.
gro.date.issued2010
gro.hasfulltextNo Full Text
gro.griffith.authorRyan, Michael


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