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Efficacy and safety of intra-articular steroid injection for inflamed atlantoaxial joint in patients with rheumatoid arthritis

Recruiting
Conditions
atlantoaxial joint arthritis in rheumatoid patients
Inflammatory and Immune System - Rheumatoid arthritis
Registration Number
ACTRN12616000750482
Lead Sponsor
Diab Fuad Hetta
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
60
Inclusion Criteria

Patients with rheumatoid arthritis with MRI findings of atlantoaxial joint inflammation and failure of resolution after 2 weeks systemic steroid administration

Exclusion Criteria

Coagulopathy, allergy to contrast material, pregnancy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Resolution of MRI findings of inflammation of AAJ[after 3 month from the procedure];Neck pain intensity assessed by VAS score reported by rheumatologist, on behalf of the participants. [every 2 weeks for 3 month following injection procedure.]
Secondary Outcome Measures
NameTimeMethod
eck mobility assessed by rheumatologist using Oswestry cervical pain quetionnaire[every 2 weeks for 3 month following injection procedure.];Side effects of AAJ injection procedure e.g. intrathecal or epidural spread of injectate and nerve injury assessed by the injectionist (senior pain clinitian)using fluroscopy.[during injection and immediately following the injection]
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