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Role of steroid injections in mid tarsal arthrosis management

Discussion in 'General Issues and Discussion Forum' started by simonf, Sep 6, 2011.

  1. simonf

    simonf Active Member


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

    Midfoot Arthritis

     
  3. Admin2

    Admin2 Administrator Staff Member

  4. Jeff S

    Jeff S Active Member

    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
     
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