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Related Experiment Videos

CT guided diagnostic foot injections.

A Saifuddin1, M Abdus-Samee, C Mann

  • 1Department of Diagnostic Imaging, Royal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, UK. asaifuddin@aol.com

Clinical Radiology
|January 25, 2005
PubMed
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Computed tomography (CT) offers a safe and effective method for guiding diagnostic and therapeutic injections in the foot. This technique provides a viable alternative to fluoroscopy, especially for complex foot anatomy.

Area of Science:

  • Radiology
  • Orthopedic Surgery
  • Medical Imaging

Background:

  • Diagnostic and therapeutic injections are crucial for managing hindfoot and midfoot pain.
  • Traditional guidance methods like fluoroscopy may have limitations, particularly in cases with complex or altered anatomy.

Purpose of the Study:

  • To present a computed tomography (CT) guided technique for diagnostic and therapeutic injections in the hindfoot and midfoot.
  • To evaluate the efficacy and safety of this CT-guided approach.

Main Methods:

  • A CT-guided injection technique was developed using a vertical approach for accessing various hindfoot and midfoot joints.
  • Twenty-eight patients underwent a total of 33 injections across multiple joints, including the posterior subtalar, talonavicular, and calcaneonavicular joints.

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Main Results:

  • The CT-guided injection technique was technically successful in all but one case.
  • Sixteen patients reported significant symptom relief, while 9 experienced no improvement and 3 had a partial response.

Conclusions:

  • Computed tomography (CT) provides a simple, safe, and effective alternative to fluoroscopy for guiding foot injections.
  • CT guidance may be particularly advantageous in patients with disordered foot anatomy.