Role of steroid injections in mid tarsal arthrosis management

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I seem to have seen a few folks recently with significant degenerative changes in 2nd and 3rd met/cuneiform joints. On X ray significant osteophytosis in noted and they are pretty sore when walking. In the past I havent had a lot of long term success with steroid injections in this type of case and between patients today I have been trying to find papers relatinf to the effectiveness of injections in this condition, without success.

Can anyone provide any links to such papers if they exist.

 

I could not find any Simon but found this if anyone is intersted.

Midfoot Arthritis

 

Of all the places in the foot where arthritis occurs, the Lis Franc's joint, at least in my hands, responds the best and most reliably to corticosteroid injections. I use 3-4 cc marcaine w/epi and 0.5 cc depomedrol. 27 gauge syringe; I flex the forefoot to feel where the joint gaps open and the pain is most significant; I then draw a small circle centered over the exact injection location, betadine prep the skin and I flex the forefoot again to gap open the small arthritic joint (very tight) and place the needle into the joint and inject. Good luck!

Jeff