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Title of Journal: Rheumatol Int

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Abbravation: Rheumatology International

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Springer-Verlag

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DOI

10.1016/0921-5093(91)90230-k

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1437-160X

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Magnetic resonance imaging guided corticosteroid i

Authors: I Günaydin P L Pereira J Fritz C König I Kötter
Publish Date: 2005/07/12
Volume: 26, Issue: 5, Pages: 396-400
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Abstract

Efficacy of a second magnetic resonance MR imaging guided corticosteroid injection of inflamed sacroiliac joints SIJ in patients with spondylarthropathy Thirtyone patients received 50 injections in an outpatient basis Fifteen of 31 patients who relapsed or were nonresponders received a second injection All had MR guided injection of 40 mg triamcinolone acetonide into SIJ using an open 02 Tesla unit Twenty of 31 patients after the first injection and 9 of 15 patients after the second injection reported subjective improvement which lasted for a mean of 87±109 and 161±158 months for each group Subchondral bone marrow edema resolved in 15 of 20 patients who reported subjective improvement after the first injection No complications occurred MR guided steroid injection of SIJ is effective and safe Since there is no exposure to radiation it could be performed many times Repeated injections seem to be beneficial for primary nonresponders and patients who relapsed

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