Full-thickness local soft tissue atrophy following steroid injection to greater occipital nerve

Pain Practice ◽  
2011 ◽  
Vol 11 (6) ◽  
pp. 582-583 ◽  
Author(s):  
Hirachand Mutagi ◽  
Abir Doger ◽  
Sandeep Kapur
Keyword(s):  
Soft Tissue ◽  
Steroid Injection ◽  
Full Thickness ◽  
Occipital Nerve ◽  
Greater Occipital Nerve

scholarly journals A Case Report of Pulsed Radiofrequency Plus Suboccipital Injection of the Greater Occipital Nerve: An Easier Target for Treatment of Cluster Headache

2021 ◽  
Vol 12 ◽  
Author(s):  
Enrico Belgrado ◽  
Andrea Surcinelli ◽  
Gian Luigi Gigli ◽  
Gaia Pellitteri ◽  
Chiara Dalla Torre ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Steroid Injection ◽  
Pulsed Radiofrequency ◽  
Occipital Nerve ◽  
Remission Period ◽  
Greater Occipital Nerve ◽  
Duration Of Efficacy ◽  
Few Data ◽  
Term Benefit

Introduction: In cluster headache, the efficacy of suboccipital steroid injection is notable within a few days, although few data are available about the duration of efficacy. A combination treatment, consisting of suboccipital steroid injection plus pulsed radiofrequency, could potentially lead to long-term benefit. Evidence about pulsed radiofrequency of the greater occipital nerve is lacking.Patients and Methods: We retrospectively describe a series of four cluster headache patients treated with suboccipital steroid injection plus pulsed radiofrequency of the greater occipital nerve.Results: All patients achieved a 50% reduction in attack frequency in the 7 days after the first treatment. Moreover, a long pain-free remission period up to 15 months was noted.Conclusion: Suboccipital steroid injection plus pulsed radiofrequency of the greater occipital nerve might have both acute and prophylactic effects in cluster headache. The greater occipital nerve is more accessible to pulsed radiofrequency than other targets.

Efficacy and safety of 121 injections of the greater occipital nerve in episodic and chronic cluster headache

Cephalalgia ◽  
2012 ◽  
Vol 32 (8) ◽  
pp. 630-634 ◽  
Author(s):  
Andreas R Gantenbein ◽  
Nina J Lutz ◽  
Franz Riederer ◽  
Peter S Sándor
Keyword(s):  
Cluster Headache ◽  
Chronic Cluster Headache ◽  
Efficacy And Safety ◽  
Occipital Nerve ◽  
Greater Occipital Nerve

scholarly journals Occipital neuroma triggered cluster headache responding to greater occipital nerve blockade

2008 ◽  
Vol 66 (1) ◽  
pp. 74-76 ◽  
Author(s):  
Fabrizio Di Stani ◽  
Elcio Juliato Piovesan ◽  
Lorena Scattoni ◽  
Gianluca Bruti ◽  
Lineu Cesar Werneck
Keyword(s):  
Cluster Headache ◽  
Nerve Blockade ◽  
Occipital Nerve ◽  
Greater Occipital Nerve

scholarly journals Continuous-Loop Tape Technique Has Greater Stiffness and Less Elongation Compared With Tied-Suture Fixation of Full-Thickness All–Soft Tissue Quadriceps Tendon Autografts

2021 ◽  
Vol 9 (11) ◽  
pp. 232596712110541
Author(s):  
Christopher M. Gibbs ◽  
Philipp W. Winkler ◽  
Robert T. Tisherman ◽  
Calvin K. Chan ◽  
Theresa A. Diermeier ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Ultimate Load ◽  
Quadriceps Tendon ◽  
Tendon Graft ◽  
Suture Technique ◽  
Suture Fixation ◽  
Full Thickness ◽  
Quadriceps Tendon Graft ◽  
Significant Difference ◽  
Permanent Elongation

Background: Many graft fixation techniques are utilized for full-thickness soft tissue quadriceps tendon autografts during anterior cruciate ligament reconstruction (ACLR). Purpose: To determine the tensile properties of all–soft tissue quadriceps tendon graft fixation using a tied-suture versus continuous-loop tape technique. It was hypothesized that the continuous-loop tape technique would have less cyclic elongation and greater ultimate load to failure and stiffness compared with a commonly used tied-suture technique. Study Design: Controlled laboratory study. Methods: Sixteen fresh-frozen human knee specimens were used to harvest a full-thickness all–soft tissue quadriceps tendon graft; half were secured using a Krackow suture technique with 2 braided sutures, and half were secured using a continuous-loop tape suspensory fixation button with a rip-stop stitch. Cyclic and permanent elongation, toe- and linear-region stiffness, and ultimate load were determined. Statistical analysis was performed at P <.05. Results: The tied-suture fixation group demonstrated significantly higher permanent elongation (11.7 ± 3.6 vs 4.2 ± 1.0 mm, P < .001) and cyclic elongation (5.9 ± 1.3 vs 2.0 ± 0.4 mm, P < .001) compared with the continuous-loop tape fixation group. There was a significantly higher linear-region stiffness with continuous-loop tape fixation compared with tied-suture fixation (98.8 ± 12.7 vs 85.5 ± 7.5 N/mm, P = .022). No significant difference in ultimate load between groups (517.1 ± 149.2 vs 465.6 ± 64.6 N) was found. The mode of failure was tendon pull-through for the continuous-loop tape group and suture breakage in the tied-suture group ( P < .001). Conclusion: Continuous-loop tape fixation is superior to tied-suture fixation in regard to elongation and stiffness for all–soft tissue quadriceps tendon grafts, but there was no significant difference in ultimate load. Clinical Relevance: Continuous-loop tape fixation of all–soft tissue quadriceps tendon grafts for ACLR is a valid technique with superior tensile properties.

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