Ziswiler, H R; Caliezi, G; Villiger, P M (2011). [Musculoskeletal puncture, injection and infiltration: swiss rheumatologists' point of view]. Zeitschrift für Rheumatologie, 70(5), 423-9; quiz 430. Heidelberg: Springer-Verlag 10.1007/s00393-011-0824-4
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Arthrocentesis, injection and infiltration of joints and soft tissues belong to the basic procedures in rheumatology. The indications and the practical performance are based on experience and tradition. Nowadays, a crucial reappraisal and adaption of indications and technical aspects appear important in the light of new evidence and technical developments. The main indications for puncture remain the search of an infectious arthritis and reduction of intra-articular pressure due to effusion. Good indications for the injection of glucocorticoids are inflammation in sterile joints and activated osteoarthritis. The local infiltration with corticosteroids in mechanically induced enthesopathies at the lateral epicondyle of the humerus or at the plantar fascia have to be questioned in the light of recent publications which show that this common practice is associated with a poorer outcome than without injection.
Item Type: |
Journal Article (Further Contribution) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Rheumatology, Clinical Immunology and Allergology |
UniBE Contributor: |
Villiger, Peter Matthias |
ISSN: |
0340-1855 |
Publisher: |
Springer-Verlag |
Language: |
German |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 14:23 |
Last Modified: |
05 Dec 2022 14:06 |
Publisher DOI: |
10.1007/s00393-011-0824-4 |
PubMed ID: |
21732234 |
Web of Science ID: |
000292461000011 |
BORIS DOI: |
10.7892/boris.7954 |
URI: |
https://boris.unibe.ch/id/eprint/7954 (FactScience: 213342) |
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