Portable ultrasound-guided sacroiliac joint injection in the treatment of military training injuries:application and thinking
Objective To explore the safety and efficacy of portable ultrasound-guided sacroiliac joint injection in the treatment of sacroiliac joint pain caused by military training injuries of grass-roots officers and soldiers.Methods The clinical data of officers and soldiers with sacroiliac joint pain caused by military training injuries treated in The First Affiliated Hospital of Naval Medical University from April 2020 to April 2022 were collected.Necessary examinations were completed.Patient Health Questionnaire-9(PHQ9)and 7-item Generalized Anxiety Disorder Questionnaire(GAD7)were used to evaluate anxiety and depression.Portable ultrasound-guided sacroiliac joint injection with steroid hormone was adopted.Visual analogue scale(VAS)scores were recorded before treatment and 30 min,1 week and 4 weeks after treatment.Oswestry disability index(ODI)and self-rating scale of sleep(SRSS)were evaluated before treatment and 4 weeks after treatment.The clinical efficacy was evaluated by pain degree,mobility,sleep quality,and complications.Satisfaction survey was conducted 4 weeks after treatment.Results A total of 33 officers and soldiers were enrolled,and 3(9.10% )of them suffered from depression or anxiety.Portable ultrasound-guided sacroiliac joint injection was successfully completed.The scores of VAS,ODI and SRSS at the 4th week after treatment were significantly lower than those before treatment(6.27±0.80 vs.2.97±1.26,72.45±9.54 vs.37.64±10.99,40.70±6.47 vs.20.61±6.02,P<0.05).The overall satisfaction of officers and soldiers was 96.97% .Conclusion Portable ultrasound-guided sacroiliac joint injection is safe,effective,easy to operate.It is suitable for the treatment of sacroiliac joint pain after military training injuries,and clinical efficacy is good during follow-up.It can provide reference for medics in naval combat support ships and grass-roots units.
Military training injuryUltrasound guidanceSacroiliac joint injectionSacroiliac joint painClinical efficacy