Radioisotope synoviorthesis in the control of refractory synovitis in Castilla-La Mancha. A 10-year experience
| Autor: | Wilson Rafael Martínez Bravo, Ana Isabel Rebollo Giménez, José Luis Cuadra Díaz, Joaquín Anino Fernández, Marco Aurelio Ramírez Huaranga, David Castro Corredor, Javier José Mateos Rodríguez, Ángel Soriano Castrejón, María Dolores Mínguez Sánchez |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Arthritis Osteoarthritis Injections Intra-Articular Young Adult Refractory Internal medicine Synovitis medicine Humans Aged 80 and over Radioisotopes business.industry Synovial Membrane General Medicine Middle Aged Joint effusion medicine.disease Gout Cross-Sectional Studies Spain Pigmented villonodular synovitis Rheumatoid arthritis Female medicine.symptom business |
| Zdroj: | Reumatología Clínica (English Edition). 16:485-489 |
| ISSN: | 2173-5743 |
| Popis: | Our hospital is the nuclear medicine referral hospital for radioisotopic synoviorthesis for all of Castilla-La Mancha. Objective To describe the experience in the performance of radioisotopic synoviorthesis for arthritis refractory to other treatments in our hospital. Methodology Observational, descriptive and cross-sectional study protocolised through the review of the database of radioisotopic synoviorthesis performed between 2007 and 2017. Previous clinical data were collected (age, sex, pathology, previous treatments, previous infiltration and affected joint), and progress at 6 months after administering the isotope. An Excel database was created for a frequency analysis with SPSS 21. Results 30 radiosynovitis interventions were performed. The most frequent pathologies in this order were: pigmented villonodular synovitis (40%), rheumatoid arthritis (23.3%), spondyloarthritis (13.3%), osteoarthritis (10%) and nonspecific arthritis (6.7%), followed by systemic lupus erythematosus and gout. After 6 months, 56.7% of the patients improved compared to 36.7% who remained the same. Likewise, none of them presented complications related to the procedure. Six point six percent of the patients were lost to follow-up. Discussion and conclusions In patients with episodes of recurrent arthritis with associated joint effusion in one or two joints, refractory to systemic treatments, to local infiltrations with corticosteroids and for patients for whom other treatments may be contraindicated, we must consider the possibility of performing an isotope radiosinoviortesis, as it is a simple, safe technique with a success rate of more than 50%. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect