| Is subcutaneous local anesthesia in shoulder magnetic resonance arthrography necessary? | |
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MedLine Citation:
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PMID: 17729004 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Magnetic resonance arthrography is a well-established diagnostic method in degenerative and traumatic disorders of the shoulder. Some radiologists prefer to apply a local anesthetic to the skin prior to performing the joint puncture. However, no information regarding the efficacy of local anesthetics exists. PURPOSE: To assess patient discomfort in arthrography injection. MATERIAL AND METHODS: A patient survey (n = 74) utilizing a visual analog scale (VAS) measured the intensity of pain in arthrography injection by those receiving local anesthetics (n = 36) versus those who did not (n = 38). RESULTS: Mean VAS scores were 20.8 (median 10.5, SD 24.3) for those receiving local anesthetics versus 19.3 (median 13.0, SD 20.7) for those who did not (P = 0.83, Mann-Whitney U test). CONCLUSION: Routine use of local anesthesia of the skin in arthrography injection is unnecessary. |
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Authors:
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M P Koivikko; S K Koskinen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta radiologica (Stockholm, Sweden : 1987) Volume: 48 ISSN: 0284-1851 ISO Abbreviation: Acta Radiol Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-08-30 Completed Date: 2007-11-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8706123 Medline TA: Acta Radiol Country: Sweden |
Other Details:
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Languages: eng Pagination: 741-3 Citation Subset: IM |
Affiliation:
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Helsinki Medical Imaging Center, Department of Radiology, Helsinki University Central Hospital, Töölö Trauma Center, Topeliuksenkatu 5, FIN-00029 Helsinki, Finland. mika.koivikko@hus.fi |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthetics, Local
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administration & dosage* Arthrography / adverse effects Contrast Media / administration & dosage*, adverse effects Gadolinium / administration & dosage*, adverse effects Health Surveys Humans Injections, Intra-Articular / adverse effects* Injections, Subcutaneous Lidocaine / administration & dosage Magnetic Resonance Imaging / adverse effects Pain Measurement Shoulder Pain / etiology*, pathology, prevention & control* |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 0/Contrast Media; 137-58-6/Lidocaine; 7440-54-2/Gadolinium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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