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Ultrasound-guided, percutaneous injection of steroids as a treatment for symptomatic adhesions between the lumbrical and interosseous muscles of the hand: A case report.

Authors
  • Pakeerappa, P1
  • Wichmann, A2
  • Hedrick, M3
  • Vargas-Ortiz, O4
  • Hedrick, M5
  • 1 300, South Spring Street, Suite 250, Little Rock, AR 72201, United States. Electronic address: [email protected] , (United States)
  • 2 Texas Tech University Health Sciences Center Lubbock, TX 79430, United States. Electronic address: [email protected] , (United States)
  • 3 14611, Cecil Dr, Little Rock, AR 72223, United States. , (United States)
  • 4 Department of Veterans Affairs, 1101, Veterans Drive (128-CDD) Lexington, KY 40502, United States. Electronic address: [email protected] , (United States)
  • 5 300, South Spring Street, Suite 250, Little Rock, AR 72201, United States. Electronic address: [email protected] , (United States)
Type
Published Article
Journal
Hand surgery & rehabilitation
Publication Date
Oct 01, 2019
Volume
38
Issue
5
Pages
328–331
Identifiers
DOI: 10.1016/j.hansur.2019.07.005
PMID: 31386922
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Adhesions between lumbricales and interossei muscles are known as "saddle deformities." Clinical diagnosis of saddle deformities of the hand requires a high index of clinical suspicion; this specific injury is often missed or remains undiagnosed using conventional X-ray or MRI techniques. Although the "gold standard" for treatment is surgical release of the adhesions, ultrasound-guided steroid injections at the site of adhesions could be considered a promising treatment option prior to surgical management and, as illustrated in this case, is shown to provide adequate pain relief and positive outcomes for the patient. Copyright © 2019 SFCM. Published by Elsevier Masson SAS. All rights reserved.

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