☆Diagnostic and therapeutic injections of the foot and ankle-An overview

Cesar de Cesar Netto; Lucas Furtado da Fonseca; Felipe Simeone Nascimento; Andres Eduardo O'Daley; Eric W Tan; Eric J Dein; Alexandre Leme Godoy-Santos; Lew Charles Schon

doi:10.1016/j.fas.2017.02.001

^☆Diagnostic and therapeutic injections of the foot and ankle-An overview

Foot Ankle Surg. 2018 Apr;24(2):99-106. doi: 10.1016/j.fas.2017.02.001. Epub 2017 Feb 14.

Authors

Cesar de Cesar Netto¹, Lucas Furtado da Fonseca², Felipe Simeone Nascimento², Andres Eduardo O'Daley³, Eric W Tan⁴, Eric J Dein⁵, Alexandre Leme Godoy-Santos⁶, Lew Charles Schon²

Affiliations

¹ Medstar Union Memorial Hospital - 3333 Calvert Street, Baltimore, MD, 21218, USA; University of Alabama at Birmingham (UAB) - 1313 13th Street South, Birmingham, Alabama, 35205, USA. Electronic address: cesardecesarnetto@gmail.com.
² Medstar Union Memorial Hospital - 3333 Calvert Street, Baltimore, MD, 21218, USA.
³ University of Alabama at Birmingham (UAB) - 1313 13th Street South, Birmingham, Alabama, 35205, USA.
⁴ University of Southern California (USC), Keck School of Medicine, 1520 San Pablo Street, Suite 2000, Los Angeles, CA 90033, USA.
⁵ Johns Hopkins University, School of Medicine, 601 N Caroline Street, Baltimore, MD 21287, USA.
⁶ University of Sao Paulo, St Dr. Ovidio Pires de Campos, 333, 3rd floor, Sao Paulo, 05403-010, Brazil.

PMID: 29409219
DOI: 10.1016/j.fas.2017.02.001

Abstract

Foot and ankle injections are useful diagnostic and therapeutic tools, particularly when the pain etiology is uncertain. A variety of foot and ankle injuries and pathologies, including degenerative joint disease, plantar fasciitis and different tendinopathies are amenable to injections. Understanding the foot and ankle anatomical landmarks, a thorough physical exam and knowledge of the different injection techniques is key for a successful approach to different pathologies. The objective of this study is to review the use of foot and ankle injections in the orthopaedic literature, present the readers with the senior author's experience and provide a comprehensive clinical guideline to the most common foot and ankle diagnostic and therapeutic injections.

Keywords: Corticosteroid injections; Diagnostic injections; Injections of the foot and ankle; Therapeutic injections.

Publication types

Review

MeSH terms

Anesthetics, Local / administration & dosage
Ankle Joint*
Ankle*
Foot Diseases / diagnosis*
Foot Diseases / drug therapy
Foot Diseases / therapy*
Foot*
Glucocorticoids / administration & dosage
Humans
Injections / methods*
Pain / etiology
Pain Management

Substances

Anesthetics, Local
Glucocorticoids