How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

176 results for

First Metatarsophalangeal Joint Injection

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. The efficacy of using intra-articular corticosteroid injections at the first metatarsophalangeal joint to relieve symptomatic osteoarthritis: a critical review of the literature

The efficacy of using intra-articular corticosteroid injections at the first metatarsophalangeal joint to relieve symptomatic osteoarthritis: a critical review of the literature Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability (...) , editorial) 2. Not an in vivo animal study 3. No metastases/ only primary tumor 4. No control group 5. Combination therapy or contamination 6. Not about analgesics used in the clinic Full text-screening: As above, with the addition of: 7. No relevant outcome measure reported ">Prioritise the exclusion criteria Example: Two reviewers will independently extract data from each article. We first try to extract numerical data from tables, text or figures. If these are not reported, we will extract data from

2019 PROSPERO

2. First Metatarsophalangeal Joint Injection

First Metatarsophalangeal Joint Injection First Metatarsophalangeal Joint Injection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) First Metatarsophalangeal Joint Injection First Metatarsophalangeal Joint Injection Aka: First Metatarsophalangeal Joint Injection , Great Toe MTP Injection , First MTP Aspiration II. Indications (First MTP Sprain) Severe of first MTP joint III. Contraindications (rule-out before steroid injection) IV. Preparation Needle Gauge: 25 to 27 Length: 1.0 to 1.5 inches Syringe: 3 to 5 ml options (Celestone) 0.25 ml of 6 mg/ml (Sol-umedrol): 0.25 ml of 40 mg/ml Anesthetic 1%: 1 ml or 0.25% or 0.5%: 1 ml V

2018 FP Notebook

3. Rolled Tendon Allograft Interposition Arthroplasty for Salvage Surgery of the Hallux Metatarsophalangeal Joint. (Abstract)

Rolled Tendon Allograft Interposition Arthroplasty for Salvage Surgery of the Hallux Metatarsophalangeal Joint. Hallux rigidus is a common osteoarthritic disease of the first metatarsophalangeal joint (MTPJ). Few salvage treatment options exist that preserve motion for patients who have failed an initial procedure and who are not amenable to fusion, typically patients who are active or who would like to wear high heels. Allograft tendon interpositional arthroplasty is an unconventional salvage (...) treatment option that may preserve motion and prevent bone loss.A retrospective chart review is reported of 19 patients who failed previous procedures and refused fusion who underwent allograft tendon interpositional arthroplasty of the hallux MTPJ by a single surgeon between 2012 and 2015. Outcomes included the American Orthopaedic Foot & Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal scale assessment as well as measurement of apparent joint space on anterior to posterior and lateral

2018 Foot & Ankle International

4. First Metatarsophalangeal Joint Injection

First Metatarsophalangeal Joint Injection First Metatarsophalangeal Joint Injection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) First Metatarsophalangeal Joint Injection First Metatarsophalangeal Joint Injection Aka: First Metatarsophalangeal Joint Injection , Great Toe MTP Injection , First MTP Aspiration II. Indications (First MTP Sprain) Severe of first MTP joint III. Contraindications (rule-out before steroid injection) IV. Preparation Needle Gauge: 25 to 27 Length: 1.0 to 1.5 inches Syringe: 3 to 5 ml options (Celestone) 0.25 ml of 6 mg/ml (Sol-umedrol): 0.25 ml of 40 mg/ml Anesthetic 1%: 1 ml or 0.25% or 0.5%: 1 ml V

2015 FP Notebook

5. Effectiveness of intra-articular hyaluronan (Synvisc, hylan G-F 20) for the treatment of first metatarsophalangeal joint osteoarthritis: a randomised placebo-controlled trial (Abstract)

Effectiveness of intra-articular hyaluronan (Synvisc, hylan G-F 20) for the treatment of first metatarsophalangeal joint osteoarthritis: a randomised placebo-controlled trial To evaluate the effectiveness of a single intra-articular injection of hylan G-F 20 (Synvisc) for symptomatic first metatarsophalangeal joint (MTPJ) osteoarthritis (OA).Participants (n = 151) with symptomatic first MTPJ OA were randomly allocated to receive up to 1 ml intra-articular injection of either hylan G-F 20 (...) or placebo (saline). Participants and assessors were blinded. Outcomes were evaluated at 1, 3 and 6 months after injection. The primary outcome measurement was the foot pain domain of the Foot Health Status Questionnaire (FHSQ) at 3 months. Secondary outcome measurements were foot function assessed via the FHSQ, first MTPJ pain and stiffness, magnitude of symptom change, global satisfaction, health-related quality of life (assessed using the Short-Form-36 version two), first MTPJ dorsiflexion range

2011 EvidenceUpdates Controlled trial quality: predicted high

6. Heavy-slow Resistance Training and Ultrasound-guided Corticosteroid Injection in Plantar Fasciopathy

months before enrolment Pain on palpation of the medial calcaneal tubercle or the proximal plantar fascia Thickness of the plantar fascia of 4 mm or greater Mean heel pain of 30 mm or above on a 0 to 100 mm VAS during the previous week Exclusion Criteria: Below 18 years of age History of inflammatory systemic diseases Prior heel surgery Pregnancy Pain or stiffness in the 1st metatarsophalangeal joint to an extent where the exercises cannot be performed Corticosteroid injection for plantar fasciopathy (...) remove one or more studies before adding more. Heavy-slow Resistance Training and Ultrasound-guided Corticosteroid Injection in Plantar Fasciopathy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03535896 Recruitment Status : Completed First Posted : May 24, 2018 Last Update Posted : October 30, 2018

2018 Clinical Trials

7. Short- and long-term efficacy of intra-articular injections with betamethasone as part of a treat-to-target strategy in early rheumatoid arthritis: impact of joint area, repeated injections, MRI findings, anti-CCP, IgM-RF and CRP. (Abstract)

(ankles, elbows, knees, metacarpophalangeal (MCP), metatarsophalangeal, proximal interphalangeal (PIP), shoulders, wrists) were injected during 2 years. 531 Joints received a second injection, and 262 a third. At baseline, the median numbers of injections (dose of betamethasone) was 4 (28 mg), declining to 0 (0 mg) at subsequent visits. At weeks 2, 4 and 6, 50.0%, 58.1% and 61.7% had achieved a EULAR good response. After 1 and 2 years, respectively, 62.3% (95% CI 58.1% to 66.9%) and 55.5% (51.1 (...) % to 60.3%) of the joints injected at baseline had not relapsed. All joint areas had good 2-year joint injection survival, longest for the PIP joints: 73.7% (79.4% to 95.3%). 2-Year joint injection survival was higher for first injections: 56.6% (53.7% to 59.8%) than for the second: 43.4% (38.4% to 49.0%) and the third: 31.3% (25.0% to 39.3%). Adverse events were mild and transient. A high MRI synovitis score of MCP joints and anti-CCP-negativity were associated with poorer joint injection survival

2012 Annals of the rheumatic diseases Controlled trial quality: uncertain

8. Compare Ultrasound Assisted Cold Therapy and Lidocaine Injection to Treat Morton's Neuroma

studies before adding more. Compare Ultrasound Assisted Cold Therapy and Lidocaine Injection to Treat Morton's Neuroma The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02838758 Recruitment Status : Completed First Posted : July 20, 2016 Last Update Posted : November 6, 2018 Sponsor: Icahn School (...) to remaining on current regimen for the duration of the study. Exclusion Criteria: Diagnosed complex regional pain syndrome (CRPS) Pregnancy - History of intolerance, hypersensitivity or known allergy to lidocaine - Recent history of recent surgical intermetatarsal neuronectomy (within previous 6 months) - Coagulation disorder - Current infection Intermetatarsal bursitis Metatarsophalangeal joint instability/capsulitis Metatarsal stress fracture Lumbar radiculopathy Tarsal tunnel syndrome Frieberg's

2016 Clinical Trials

9. Botulinum Toxin Injections by Ultrasounds Guidance and Stretching Exercise in Spastic Toe Clawing

: No Criteria Inclusion Criteria: Patient with spasticity toe clawing(metatarsophalange jointextension, proximal and distal phalange joint flexion) MAS scale of metatarsophalange joint and interphalangeal joint more than 2 Pain during walking, abnormal gait patterns and can't wear shoess due to claw toe Haven't received botox or phenol or alcohol injections before Exclusion Criteria: Lower extremities joint contrature, bone deformity Had received botox injections or phenol injections or before due to lower (...) one or more studies before adding more. Botulinum Toxin Injections by Ultrasounds Guidance and Stretching Exercise in Spastic Toe Clawing The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02586142 Recruitment Status : Completed First Posted : October 26, 2015 Last Update Posted : October 26, 2015

2015 Clinical Trials

10. Metatarsophalangeal Joint Pain

, DPM, Temple University School of Podiatric Medicine Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Topic Resources Metatarsophalangeal joint pain usually results from tissue changes due to aberrant foot biomechanics. Symptoms and signs include pain with walking and tenderness. Diagnosis is clinical; however, infection or systemic rheumatic diseases (eg, RA) may need to be excluded by testing. Treatment includes orthotics, sometimes local injection (...) be helpful. For more severe limitation of 1st metatarsophalangeal motion or pain, the use of rigid orthoses, carbon fiber plates, or external shoe bars or rocker soles may be necessary to reduce motion at the joint. Surgery may be needed if conservative therapies are ineffective. If inflammation (synovitis) is present, injection of a local corticosteroid/anesthetic mixture may be useful. Key Points Metatarsophalangeal joint pain most often results from misalignment of joint surfaces, causing synovial

2013 Merck Manual (19th Edition)

11. The Approach to the Painful Joint (Diagnosis)

be felt (or heard with a stethoscope) in a rheumatoid joint when the cartilage surface is no longer smooth. Coarse crepitus or grating may be felt in joints severely damaged by long-standing RA or degenerative arthritis. Three main types of joint deformity must be distinguished. The first type is restriction of the normal range of motion (eg, a lack of full joint extension that results in a flexion deformity). The second is malalignment of the articulating bones (eg, ulnar deviation of the fingers (...) for tenderness and soft tissue swelling over talar, subtalar, and midtarsal joints. Assess range of motion of the talar joints (ie, with dorsiflexion and plantar flexion) and subtalar joints (ie, with inversion and eversion). In the feet, squeeze the row of metatarsophalangeal joints, assessing for the presence of pain or tenderness. Palpate the small joints of the feet, assessing for the presence of tenderness, bony or soft tissue swelling, or joint effusion. Previous Next: Differential Diagnosis Processes

2014 eMedicine.com

12. The Approach to the Painful Joint (Treatment)

be felt (or heard with a stethoscope) in a rheumatoid joint when the cartilage surface is no longer smooth. Coarse crepitus or grating may be felt in joints severely damaged by long-standing RA or degenerative arthritis. Three main types of joint deformity must be distinguished. The first type is restriction of the normal range of motion (eg, a lack of full joint extension that results in a flexion deformity). The second is malalignment of the articulating bones (eg, ulnar deviation of the fingers (...) for tenderness and soft tissue swelling over talar, subtalar, and midtarsal joints. Assess range of motion of the talar joints (ie, with dorsiflexion and plantar flexion) and subtalar joints (ie, with inversion and eversion). In the feet, squeeze the row of metatarsophalangeal joints, assessing for the presence of pain or tenderness. Palpate the small joints of the feet, assessing for the presence of tenderness, bony or soft tissue swelling, or joint effusion. Previous Next: Differential Diagnosis Processes

2014 eMedicine.com

13. The Approach to the Painful Joint (Overview)

be felt (or heard with a stethoscope) in a rheumatoid joint when the cartilage surface is no longer smooth. Coarse crepitus or grating may be felt in joints severely damaged by long-standing RA or degenerative arthritis. Three main types of joint deformity must be distinguished. The first type is restriction of the normal range of motion (eg, a lack of full joint extension that results in a flexion deformity). The second is malalignment of the articulating bones (eg, ulnar deviation of the fingers (...) for tenderness and soft tissue swelling over talar, subtalar, and midtarsal joints. Assess range of motion of the talar joints (ie, with dorsiflexion and plantar flexion) and subtalar joints (ie, with inversion and eversion). In the feet, squeeze the row of metatarsophalangeal joints, assessing for the presence of pain or tenderness. Palpate the small joints of the feet, assessing for the presence of tenderness, bony or soft tissue swelling, or joint effusion. Previous Next: Differential Diagnosis Processes

2014 eMedicine.com

14. The Approach to the Painful Joint (Follow-up)

be felt (or heard with a stethoscope) in a rheumatoid joint when the cartilage surface is no longer smooth. Coarse crepitus or grating may be felt in joints severely damaged by long-standing RA or degenerative arthritis. Three main types of joint deformity must be distinguished. The first type is restriction of the normal range of motion (eg, a lack of full joint extension that results in a flexion deformity). The second is malalignment of the articulating bones (eg, ulnar deviation of the fingers (...) for tenderness and soft tissue swelling over talar, subtalar, and midtarsal joints. Assess range of motion of the talar joints (ie, with dorsiflexion and plantar flexion) and subtalar joints (ie, with inversion and eversion). In the feet, squeeze the row of metatarsophalangeal joints, assessing for the presence of pain or tenderness. Palpate the small joints of the feet, assessing for the presence of tenderness, bony or soft tissue swelling, or joint effusion. Previous Next: Differential Diagnosis Processes

2014 eMedicine.com

15. Joint Ultrasound Evaluation of Asymptomatic Rheumatic Feet

, talonavicular, naviculocuneiform, calcaneocuboid, 5th tarsometatarsal and 1st to 5th metatarsophalangeal [MTP] joints) of 50 healthy subjects and 50 patients with RA (all with asymptomatic feet) were evaluated bilaterally regarding quantitative/semi-quantitative synovitis, semi-quantitative Power Doppler (PD) signals and erosion using ultrasound. Statistical significance was set to 5%. Condition or disease Rheumatoid Arthritis Study Design Go to Layout table for study information Study Type : Observational (...) , talonavicular, medial naviculocuneiform, 5th tarsometatarsal and metatarsophalangeal (MTP) (dorsal and volar faces of 1st to 5th MTP joints and lateral face of 1st and 5th MTP joints). A modified score was used for the semi-quantitative measurement, ranging from 0 to 3: 0-no synovial thickening; 1-minimal synovial thickening in joint recess; 2-synovial thickening in entire joint recess causing bulging of joint capsule; and 3-synovial thickening in joint recess with bulging of joint capsule and extending

2012 Clinical Trials

16. Guidelines For Professional Ultrasound Practice

. Sonographers also perform advanced diagnostic and therapeutic ultrasound procedures such as biopsies and joint injections. Sonographers are either not medically qualified or they hold medical qualifications but are not registered as a doctor with a licence to practice with the General Medical Council (GMC). The following definition of ‘sonographer’ is used in connection with the Public Voluntary Register of Sonographers. It has been amended since Revision 2 (2017) of these Guidelines to take into account (...) : Recommendations for the production of an ultrasound report. Subsequent revisions, new contributors named at first contribution. December 2017 Revision Acknowledgement and thanks to the following new contributors to the December 2017 revision: • Dr Jonathan Burdach of Nanosonics Ltd. • Mrs Catherine Kirkpatrick, consultant sonographer, United Lincolnshire Hospitals NHS Trust. • Dr Mike Smith, Senior Lecturer: Physiotherapy, Cardiff University December 2018 Revision Acknowledgements and thanks to the following

2019 British Medical Ultrasound Society

17. Chronic Foot Pain

, swelling, and motion limitation in the affected metatarsophalangeal (MTP) joint [15]. The disease is usually detected in adolescents, and adolescent girls predominate 3–4:1. Radiographic changes are characteristic and show increased density of the metatarsal head 1 Principal Author, University of Kentucky, Lexington, Kentucky. 2 Panel Chair, Brigham & Women’s Hospital, Boston, Massachusetts. 3 Warwick Valley Orthopedic Surgery, Warwick, New York, American Academy of Orthopaedic Surgeons. 4 Illinois (...) Variant 1: Chronic foot pain of unknown etiology. First study. Radiologic Procedure Rating Comments RRL* X-ray foot 9 See the text for information on views. ? CT foot without IV contrast 1 ? CT foot with IV contrast 1 ? CT foot without and with IV contrast 1 ? MRI foot without IV contrast 1 O MRI foot without and with IV contrast 1 O Tc-99m bone scan foot 1 ??? US foot 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant

2020 American College of Radiology

18. Guidelines For Professional Ultrasound Practice

are qualified healthcare professionals who undertake, report and take responsibility for the conduct of diagnostic, screening and interventional ultrasound examinations. Their individual scope of practice can be wide and varied. Sonographers also perform advanced diagnostic and therapeutic ultrasound procedures such as biopsies and joint injections. Sonographers are either not medically qualified or they hold medical qualifications but are not registered as a doctor with a licence to practice (...) progression. For this reason it was decided to produce the revised version as a web-based document that can be regularly updated, amended and expanded as and when required. These revised Guidelines have been produced in collaboration with the British Medical Ultrasound Society. It has been both informative and enjoyable working with them and hopefully it is just the first of many similar future ventures. As with all previous editions, these Guidelines are not designed to be prescriptive but to inform good

2018 British Medical Ultrasound Society

19. Management of Rheumatod Arthritis

treatment Biologic DMARDs or Targeted synthetic DMARDs Add-on therapy • NSAIDs • Corticosteroids Second Line First Line1 Management of Rheumatoid Arthritis 1. INTRODUCTION Rheumatoid arthritis (RA) is a chronic and progressive autoimmune disease which primarily affects the joints. It is characterised by uncontrolled proliferation of synovial tissue and a wide array of multisystem co-morbidities. The disease has an insidious onset with unpredictable and variable courses. Typically, RA manifests (...) morning stiffness lasting =60 minutes The typical articular pattern of RA is symmetrical polyarthritis affecting: • metacarpophalangeal (MCP) joints • proximal interphalangeal (PIP) joints • interphalangeal joint of thumbs • wrists • elbows • metatarsophalangeal (MTP) joints The symptoms of joint inflammation should be present for at least six weeks. Findings on physical examination include: • clinical synovitis ? joint tenderness ? boggy swelling (may be subtle in early RA) • restricted range

2019 Ministry of Health, Malaysia

20. Systematic guideline search and appraisal, as well as extraction of relevant recommendations, for a DMP "rheumatoid arthritis"

“small joints” refers to the first to fifth metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints, second to fifth metatarsophalangeal (MTP) joints, thumb interphalangeal joints (IP 1), and wrists. The first carpometacarpal (CMC) joints, the first metatarsophalangeal (MTP) joints, and the distal interphalangeal (DIP) joints are excluded from the assessment. c: Serology: RF or ACPA are assessed as “high-positive” if the level is more than 3 times above the upper normal level. d (...) to the autoimmune disorders [6]. RA occurs in adulthood; women are more often affected than men. The course of disease differs individually and cannot be predicted in individual cases [5,7]. The first 3 to 6 months of the disease represent a “therapeutic window” within which the immunological process can be stopped or permanently changed. Early diagnosis and initiation of treatment are thus of decisive importance for the course of disease [5,8]. RA predominantly affects the joints of the hands and feet, mostly

2017 Institute for Quality and Efficiency in Healthcare (IQWiG)

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>