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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 228 - 232 (5page)
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Purpose: Intra-articular knee injections are commonly performed in clinical practice for treating various knee joint disorders such as osteoarthritis and rheumatoid arthritis. When selecting the portal for injection, not only intra-articular needle accuracy but also procedural pain should be taken into consideration. The purpose of this study was to determine whether injection through anterolateral portal provokes less pain and provides better pain relief compared to superolateral portal.Materials and Methods: A total of 60 patients with primary osteoarthritis of the knee receiving intra-articular injections were randomized into 2 groups according to the type of portal approach; anterolateral or superolateral. All patients received hyaluronic acid (20 mg) and triamcinolone (40 mg) as the first injection followed by second and third injections of hyaluronic acid on a weekly basis. Underlying knee pain, procedural pain, and knee pain at 4 weeks were evaluated using visual analogue scale (VAS).Results: Injection through anterolateral portal provoked less pain (VAS, 1.5±1.3) than the superolateral portal (VAS, 1.5 vs. 2.7; p=0.004). No differences were found in the degree of pain relief at weeks between the two groups (p=0.517).Conclusions: We recommend the use of anterolateral portal for intra-articular knee injection as it provokes less pain and comparably short-term pain relief than the superolateral portal.
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참고문헌 (17)
참고문헌 신청
Altman RD / 1998 / Intraarticular sodium hyaluronate(Hyalgan)in the treatment of patients with osteoarthritis of the knee : a randomized clinical trial : Hyalgan Study Group
Chavez-Chiang CE / 2011 / The highly accurate anteriolateral portal for injecting the knee / Sports Med Arthrosc Rehabil Ther Technol 3 : 6 ~
Courtney P / 2009 / Joint aspiration and injection and synovial fluid analysis / Best Pract Res Clin Rheumatol 23 : 161 ~ 192
Hermans J / 2011 / The most accurate approach for intra-articular needle placement in the knee joint : a systematic review / Semin Arthritis Rheum 41 : 106 ~ 115
Jackson DW / 2002 / Accuracy of needle placement into the intra-articular space of the knee / J Bone Joint Surg Am 84 : 1522 ~ 1527
Chavez-Chiang CE / 2011 / The highly accurate anteriolateral portal for injecting the knee / Sports Med Arthrosc Rehabil Ther Technol 3 : 6 ~
Courtney P / 2009 / Joint aspiration and injection and synovial fluid analysis / Best Pract Res Clin Rheumatol 23 : 161 ~ 192
Hermans J / 2011 / The most accurate approach for intra-articular needle placement in the knee joint : a systematic review / Semin Arthritis Rheum 41 : 106 ~ 115
Jackson DW / 2002 / Accuracy of needle placement into the intra-articular space of the knee / J Bone Joint Surg Am 84 : 1522 ~ 1527
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