alexa Accuracy of Ankle Intra-articular Injections | OMICS International | Abstract
ISSN: 2161-0940

Anatomy & Physiology: Current Research
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Accuracy of Ankle Intra-articular Injections

Ashwanth Ramesh1*, Farshid Maleki2, Adrian Jesmond Cassar-Gheiti2, Kathryne Hunter3and John Vincent McKenna2

1Department of Anatomy, St. Stephens Green, Dublin 2, Ireland

2Department of Orthopaedics, St James’s Hospital, James’ street, Dublin 8, Ireland

3Department of Orthopaedics, Trinity College Dublin, Ireland

*Corresponding Author:
Ashwanth Ramesh
Department of Anatomy, St. Stephens Green
Dublin 2, Ireland
Tel: 00447751523239
E-mail: [email protected]

Received date: December 23, 2015 Accepted date: February 08, 2016 Published date: February 11, 2016

Citation: Ramesh A, Maleki F, Cassar-Gheiti AJ, Hunter K, McKenna JV (2016) Accuracy of Ankle Intra-articular Injections. Anat Physiol 6:199. doi:10.4172/2161-0940.1000199

Copyright: © 2016 Ramesh A et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Purpose: Blind intra-articular injections (BIAI) of various joints are performed for diagnosis and treatments of different pathologies in sport medicine, rheumatology, general practice and orthopaedics. The gold standard for any joint injection is image guidance but studies have shown higher accuracy for BIAI. Objective of this study was to evaluate the intraoperative success and accuracy of ankle joint intra-articular injections.

Materials and Methods: A total of 100 patients were assessed. Mean age was 34.11 years (range 18 to 80). Three orthopaedic surgeons of a variable skill level carried out all ankle joints insufflation with a 14G sterile needle and physiological saline. The result was recorded as positive when a back flow of saline was seen during the insertion of the arthroscopic trocar, indicating that the joint capsule was breached. If no back-flow of saline was seen, this was recorded as a negative result. No further attempts to re-position or re-apply the needle were made if unsuccessful at the first attempt. Statistical analysis was performed using SPSS software version 21.0 (IBM Corp. 2012). Data was organised into contingency tables and analysed with Fishers’ exact test (two-sided, 95% confidence interval).

Results: In total 78 male and 22 female patients were included in the study. Of the 100 injections performed 63 were intra-articular (translating to an accuracy rate of 63%). The pre-operative diagnosis affected the accuracy. This was found to be significant (p<0.0001). The side of surgery also affected the accuracy and this was also found to be significant (p<0.02).

Conclusion: The results of this study have demonstrated that blind intra-articular injection of the ankle joint is not incredibly accurate. Despite the high skill level of an experienced foot and ankle surgeon, only 63% of injections were placed successfully into the ankle joint. This study therefore stresses the importance of using image guidance when performing ankle joint injections for diagnostic and therapeutic reasons.

Levels of evidence: Level III


Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7