CT-guided aspiration and steroid injection of symptomatic paralabral cysts of the hip
Purpose The objective of this article is to present the clinical use of aspiration and steroid injection under CT guidance for symptomatic paralabral cysts of the hip. Materials and methods Four cases of symptomatic paralabral cysts of the hip were treated with aspiration and steroid injection after...
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| Veröffentlicht in: | Japanese journal of radiology 2015-04, Vol.33 (4), p.229-232 |
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| creator | Chong, Yousun Kwon, Jong Won Song, Yoonah Park, Youn-Soo |
| description | Purpose
The objective of this article is to present the clinical use of aspiration and steroid injection under CT guidance for symptomatic paralabral cysts of the hip.
Materials and methods
Four cases of symptomatic paralabral cysts of the hip were treated with aspiration and steroid injection after MR examinations had been performed. The imaging characteristics of the cysts, including the location, size, extracapsular extension, and associated labral tears, were evaluated. Under CT guidance, an 18-gauge spinal needle punctured the cyst, and aspiration was performed using local anesthesia. After irrigation with 50 % diluted iodine contrast material, steroid alone or a mixture of steroid and 1 % lidocaine was injected into the cyst. CT images during and after the procedure, procedural reports, and medical records were reviewed for analysis.
Results
Three cysts were located in the anteroinferior region, while one cyst was located in the posterior region. At the 1-month follow-up, symptom improvement had been achieved in all four patients. However, in the patient who had the largest cyst with extracapsular extension, symptoms recurred after 5 months, and the patient underwent surgery.
Conclusion
CT-guided aspiration and steroid injection were feasible for the treatment of symptomatic paralabral cysts of the hip. During the procedures, all four cysts collapsed. |
| doi_str_mv | 10.1007/s11604-015-0403-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1674204460</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1674204460</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-7c030106ab06153b831ad76b17e7eda3d0dad20f4196c3bc2a6dea27da4776713</originalsourceid><addsrcrecordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OJldWaTJtujFL-g4KUFbyGbZNst3Q-T3UP_vVm3FhG8ZELmmTfDQ8g1wj0CiAePyIHFgNMYGNA4PSFjTLmIEdKP0-Nd4IhceL8F4Iwydk5GyZTPGKWzMVnNl_G6K4w1kfJN4VRb1FWkKhP51rq6MFFRba3-fq3zyO_Lpq3LQOmoUU7tVBaOSO996_t-u7HRpmguyVmudt5eHeqErJ6flvPXePH-8jZ_XMSa8aSNhQYKCFxlwHFKs5SiMoJnKKywRlEDRpkEcoYzrmmmE8WNVYkwignBBdIJuRtyG1d_dta3siy8trudqmzdeYlcsAQY4xDQ2z_otu5cFbbrKUoRE0oDhQOlXe29s7lsXFEqt5cIsncuB-cyOJe9c5mGmZtDcpeV1hwnfiQHIBkAH1rV2rpfX_-b-gUjk4uX</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1673311233</pqid></control><display><type>article</type><title>CT-guided aspiration and steroid injection of symptomatic paralabral cysts of the hip</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Chong, Yousun ; Kwon, Jong Won ; Song, Yoonah ; Park, Youn-Soo</creator><creatorcontrib>Chong, Yousun ; Kwon, Jong Won ; Song, Yoonah ; Park, Youn-Soo</creatorcontrib><description>Purpose
The objective of this article is to present the clinical use of aspiration and steroid injection under CT guidance for symptomatic paralabral cysts of the hip.
Materials and methods
Four cases of symptomatic paralabral cysts of the hip were treated with aspiration and steroid injection after MR examinations had been performed. The imaging characteristics of the cysts, including the location, size, extracapsular extension, and associated labral tears, were evaluated. Under CT guidance, an 18-gauge spinal needle punctured the cyst, and aspiration was performed using local anesthesia. After irrigation with 50 % diluted iodine contrast material, steroid alone or a mixture of steroid and 1 % lidocaine was injected into the cyst. CT images during and after the procedure, procedural reports, and medical records were reviewed for analysis.
Results
Three cysts were located in the anteroinferior region, while one cyst was located in the posterior region. At the 1-month follow-up, symptom improvement had been achieved in all four patients. However, in the patient who had the largest cyst with extracapsular extension, symptoms recurred after 5 months, and the patient underwent surgery.
Conclusion
CT-guided aspiration and steroid injection were feasible for the treatment of symptomatic paralabral cysts of the hip. During the procedures, all four cysts collapsed.</description><identifier>ISSN: 1867-1071</identifier><identifier>EISSN: 1867-108X</identifier><identifier>DOI: 10.1007/s11604-015-0403-8</identifier><identifier>PMID: 25694339</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adult ; Combined Modality Therapy ; Contrast Media ; Cysts - diagnostic imaging ; Cysts - therapy ; Female ; Hip Joint - diagnostic imaging ; Humans ; Imaging ; Injections, Intra-Articular ; Iohexol ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; Radiography, Interventional ; Radiology ; Radiotherapy ; Recurrence ; Retrospective Studies ; Steroids - administration & dosage ; Suction ; Technical Note ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Japanese journal of radiology, 2015-04, Vol.33 (4), p.229-232</ispartof><rights>Japan Radiological Society 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-7c030106ab06153b831ad76b17e7eda3d0dad20f4196c3bc2a6dea27da4776713</citedby><cites>FETCH-LOGICAL-c462t-7c030106ab06153b831ad76b17e7eda3d0dad20f4196c3bc2a6dea27da4776713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11604-015-0403-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11604-015-0403-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25694339$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chong, Yousun</creatorcontrib><creatorcontrib>Kwon, Jong Won</creatorcontrib><creatorcontrib>Song, Yoonah</creatorcontrib><creatorcontrib>Park, Youn-Soo</creatorcontrib><title>CT-guided aspiration and steroid injection of symptomatic paralabral cysts of the hip</title><title>Japanese journal of radiology</title><addtitle>Jpn J Radiol</addtitle><addtitle>Jpn J Radiol</addtitle><description>Purpose
The objective of this article is to present the clinical use of aspiration and steroid injection under CT guidance for symptomatic paralabral cysts of the hip.
Materials and methods
Four cases of symptomatic paralabral cysts of the hip were treated with aspiration and steroid injection after MR examinations had been performed. The imaging characteristics of the cysts, including the location, size, extracapsular extension, and associated labral tears, were evaluated. Under CT guidance, an 18-gauge spinal needle punctured the cyst, and aspiration was performed using local anesthesia. After irrigation with 50 % diluted iodine contrast material, steroid alone or a mixture of steroid and 1 % lidocaine was injected into the cyst. CT images during and after the procedure, procedural reports, and medical records were reviewed for analysis.
Results
Three cysts were located in the anteroinferior region, while one cyst was located in the posterior region. At the 1-month follow-up, symptom improvement had been achieved in all four patients. However, in the patient who had the largest cyst with extracapsular extension, symptoms recurred after 5 months, and the patient underwent surgery.
Conclusion
CT-guided aspiration and steroid injection were feasible for the treatment of symptomatic paralabral cysts of the hip. During the procedures, all four cysts collapsed.</description><subject>Adult</subject><subject>Combined Modality Therapy</subject><subject>Contrast Media</subject><subject>Cysts - diagnostic imaging</subject><subject>Cysts - therapy</subject><subject>Female</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Humans</subject><subject>Imaging</subject><subject>Injections, Intra-Articular</subject><subject>Iohexol</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>Radiography, Interventional</subject><subject>Radiology</subject><subject>Radiotherapy</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Steroids - administration & dosage</subject><subject>Suction</subject><subject>Technical Note</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1867-1071</issn><issn>1867-108X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OJldWaTJtujFL-g4KUFbyGbZNst3Q-T3UP_vVm3FhG8ZELmmTfDQ8g1wj0CiAePyIHFgNMYGNA4PSFjTLmIEdKP0-Nd4IhceL8F4Iwydk5GyZTPGKWzMVnNl_G6K4w1kfJN4VRb1FWkKhP51rq6MFFRba3-fq3zyO_Lpq3LQOmoUU7tVBaOSO996_t-u7HRpmguyVmudt5eHeqErJ6flvPXePH-8jZ_XMSa8aSNhQYKCFxlwHFKs5SiMoJnKKywRlEDRpkEcoYzrmmmE8WNVYkwignBBdIJuRtyG1d_dta3siy8trudqmzdeYlcsAQY4xDQ2z_otu5cFbbrKUoRE0oDhQOlXe29s7lsXFEqt5cIsncuB-cyOJe9c5mGmZtDcpeV1hwnfiQHIBkAH1rV2rpfX_-b-gUjk4uX</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Chong, Yousun</creator><creator>Kwon, Jong Won</creator><creator>Song, Yoonah</creator><creator>Park, Youn-Soo</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150401</creationdate><title>CT-guided aspiration and steroid injection of symptomatic paralabral cysts of the hip</title><author>Chong, Yousun ; Kwon, Jong Won ; Song, Yoonah ; Park, Youn-Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-7c030106ab06153b831ad76b17e7eda3d0dad20f4196c3bc2a6dea27da4776713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Combined Modality Therapy</topic><topic>Contrast Media</topic><topic>Cysts - diagnostic imaging</topic><topic>Cysts - therapy</topic><topic>Female</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Humans</topic><topic>Imaging</topic><topic>Injections, Intra-Articular</topic><topic>Iohexol</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>Radiography, Interventional</topic><topic>Radiology</topic><topic>Radiotherapy</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Steroids - administration & dosage</topic><topic>Suction</topic><topic>Technical Note</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chong, Yousun</creatorcontrib><creatorcontrib>Kwon, Jong Won</creatorcontrib><creatorcontrib>Song, Yoonah</creatorcontrib><creatorcontrib>Park, Youn-Soo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chong, Yousun</au><au>Kwon, Jong Won</au><au>Song, Yoonah</au><au>Park, Youn-Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CT-guided aspiration and steroid injection of symptomatic paralabral cysts of the hip</atitle><jtitle>Japanese journal of radiology</jtitle><stitle>Jpn J Radiol</stitle><addtitle>Jpn J Radiol</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>33</volume><issue>4</issue><spage>229</spage><epage>232</epage><pages>229-232</pages><issn>1867-1071</issn><eissn>1867-108X</eissn><abstract>Purpose
The objective of this article is to present the clinical use of aspiration and steroid injection under CT guidance for symptomatic paralabral cysts of the hip.
Materials and methods
Four cases of symptomatic paralabral cysts of the hip were treated with aspiration and steroid injection after MR examinations had been performed. The imaging characteristics of the cysts, including the location, size, extracapsular extension, and associated labral tears, were evaluated. Under CT guidance, an 18-gauge spinal needle punctured the cyst, and aspiration was performed using local anesthesia. After irrigation with 50 % diluted iodine contrast material, steroid alone or a mixture of steroid and 1 % lidocaine was injected into the cyst. CT images during and after the procedure, procedural reports, and medical records were reviewed for analysis.
Results
Three cysts were located in the anteroinferior region, while one cyst was located in the posterior region. At the 1-month follow-up, symptom improvement had been achieved in all four patients. However, in the patient who had the largest cyst with extracapsular extension, symptoms recurred after 5 months, and the patient underwent surgery.
Conclusion
CT-guided aspiration and steroid injection were feasible for the treatment of symptomatic paralabral cysts of the hip. During the procedures, all four cysts collapsed.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>25694339</pmid><doi>10.1007/s11604-015-0403-8</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 1867-1071 |
| ispartof | Japanese journal of radiology, 2015-04, Vol.33 (4), p.229-232 |
| issn | 1867-1071 1867-108X |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Combined Modality Therapy Contrast Media Cysts - diagnostic imaging Cysts - therapy Female Hip Joint - diagnostic imaging Humans Imaging Injections, Intra-Articular Iohexol Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine Radiography, Interventional Radiology Radiotherapy Recurrence Retrospective Studies Steroids - administration & dosage Suction Technical Note Tomography, X-Ray Computed Treatment Outcome |
| title | CT-guided aspiration and steroid injection of symptomatic paralabral cysts of the hip |
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