Diagnosis and treatment of distal limb microcirculatory disturbance caused by steroid injection

Y Liu, L Chen, Z G Liu, R J Li

Article ID: 5233
Vol 32, Issue 4, 2018
DOI: https://doi.org/10.54517/jbrha5233
Received: 8 September 2018; Accepted: 8 September 2018; Available online: 8 September 2018; Issue release: 8 September 2018

Abstract

Corticosteroid is commonly used for the clinical treatment of pain. It is safe, reliable and a simple procedure with other advantages. However, a possible potential catastrophic complication of corticosteroid injections in distal limbs (e.g., the wrist) is acute radial artery ischemia due to the injection into the radial artery. This may result from spasm attributed to the steroids. While the complication of corticosteroids in the wrist is rare, ischemia of the hand caused by corticosteroid injections in radial artery has been reported in several articles. We treated five patients with microcirculation disturbance of distal limb caused by corticosteroid treatment. Here, we report the two different treatment strategies adopted according to the severity of the disease which achieved good therapeutic effects.


Keywords

radial artery;ischemia;corticosteroid injection;diagnosis


References

Supporting Agencies



Copyright (c) 2018 Y Liu, L Chen, Z G Liu, R J Li




This site is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).