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Relevant bibliographies by topics / Intra-articular injection

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Academic literature on the topic 'Intra-articular injection'

Author: Grafiati

Published: 4 June 2021

Last updated: 10 March 2023

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Journal articles on the topic "Intra-articular injection"

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Sampath Kumar, Venkatesan, Vinay J. Chacko, Mikhil V. Jain, Pranshu Agrawal, and Aslam Mohammed. "Intra-articular Hip Injection." Techniques in Orthopaedics 32, no. 2 (June 2017): e5-e7. http://dx.doi.org/10.1097/bto.0000000000000201.

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Manandhar, Rajeev Raj, Krishna Raj Khanal, Himal Khanal, and Saroj Gautam. "Comparison of combined intra-articular and sub-acromial injection with intra-articular injection in adhesive capsulitis." Journal of Kathmandu Medical College 10, no. 1 (September 22, 2021): 33–38. http://dx.doi.org/10.3126/jkmc.v10i1.38969.

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Background: The pain and limitation of shoulder function can disrupt daily activities of patients for months to years. Adhesive capsulitis is considered a self-limiting disease but the duration remains uncertain. The brunt of the disease is focussed on the inflamed joint capsule. On this basis, use of corticosteroid injection is justified. However, injection method is not conclusive. Objectives: To compare clinical benefits of intra-articular injection alone versus combined intra-articular and subacromial injections in management of adhesive capsulitis. Methods: Fifty-nine patients with diagnostic criteria for adhesive capsulitis were included in the study from March 2019 to September 2020. Patients were divided into two groups; patients who underwent intra-articular (IA) injection alone (Group 1) and those who received both intra-articular and sub-acromial (IA+SA) injection (Group 2). The injections were landmark guided. Patients were followed up at three, six, and 12 weeks. Pain was recorded using visual analogue scale (VAS) and subjective function using Constant-Murley score. Results: Twenty-eight patients were included in Group 1 (IA) and 31 in Group 2 (IA+SA). Thirty-six patients were female (18 each in Group 1 and Group 2) and 23 patients were male (Group 1 = 13; Group 2 = 10). In the twelfth week, VAS score was reduced in both the groups. On comparing the mean value of Constant-Murley score between the two groups there is significant difference in value recorded at the sixth and twelfth week. Conclusion: The IA+SA injection provides significant reduction in pain and better function in the short term over the IA injection.

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Anderson, Sophia E., Bart Lubberts, Anne D. Strong, Daniel Guss, A. Holly Johnson, and Christopher W. DiGiovanni. "Adverse Events and Their Risk Factors Following Intra-articular Corticosteroid Injections of the Ankle or Subtalar Joint." Foot & Ankle International 40, no. 6 (March 13, 2019): 622–28. http://dx.doi.org/10.1177/1071100719835759.

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Background: Little data exists regarding the incidence of adverse events and their associated risk factors following intra-articular corticosteroid injection of the ankle and subtalar joint. The aim of this study was to determine the complication rate associated with such injections and to identify any predictive risk factors. Methods: Adult patients who had received an intra-articular ankle or subtalar joint injection between January 2000 and April 2016 at one of 3 regional hospitals (2 level 1 trauma centers and 1 community hospital) were included. Patients with prior intra-articular injection of corticosteroid into the ankle or subtalar joint were excluded. Explanatory variables were sex, age, race, body mass index, diabetes status, tobacco use, presence of fluoroscopic guidance, location of intra-articular injection, and administering physician’s years of experience. Results: Of the 1708 patients included in the final cohort, 99 patients (5.8%) had a total of 104 adverse events within 90 days postinjection. The most prevalent types of adverse events were postinjection flare in 78 patients (4.6% of total cohort, 75% of adverse events) followed by skin reaction in 10 patients (0.6% of total cohort, 9% of adverse events). No infections were noted. Multivariable logistic regression analysis found that intra-articular injection in the subtalar ( P = .004) was independently associated with development of an adverse event. Fluoroscopic guidance was not found to be protective of an adverse event compared to nonguided injections ( P = .476). Conclusion: The adverse event rate following intra-articular ankle or subtalar joint corticosteroid injection was 5.8%, with postinjection flare being the most common complication. Infections following injection were not reported. Injection into the subtalar joint was independently associated with the development of an adverse event after intra-articular corticosteroid injection, and this was not mitigated by the use of fluoroscopic guidance. Level of Evidence: Level III, retrospective comparative study.

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Wasserman, Bradley R., Sarah Pettrone, Laith M. Jazrawi, Joseph D. Zuckerman, and Andrew S. Rokito. "Accuracy of Acromioclavicular Joint Injections." American Journal of Sports Medicine 41, no. 1 (November 27, 2012): 149–52. http://dx.doi.org/10.1177/0363546512467010.

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Background: Injection to the acromioclavicular (AC) joint can be both diagnostic and therapeutic. Purpose: The purpose of this study was to evaluate the accuracy of in vivo AC joint injections. Study Design: Case series; Level of evidence, 4. Methods: Thirty patients with pain localized to the AC joint were injected with 1 mL of 1% lidocaine and 0.5 mL of radiographic contrast material (Isovue). Radiographs of the AC joint were taken after the injection. Each radiograph was reviewed by a musculoskeletal radiologist and graded as intra-articular, extra-articular, or partially intra-articular. Results: Of the 30 injections performed, 13 (43.3%) were intra-articular, 7 (23.3%) were partially articular, and 10 (33.3%) were extra-articular. When the intra-articular and the partially articular groups were combined, 20 patients (66.7%) had some contrast dye in the AC joint. Conclusion: This study demonstrates that despite the relatively superficial location of the AC joint, the clinical accuracy of AC joint injections remains relatively low.

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Heidari, Nima, Tanja Kraus, Stefan Fischerauer, Norbert Tesch, and Annelie Weinberg. "Do the Presence of Pathologic Changes and the Level of Operator Experience Alter the Rate of Intra-Articular Injection of the First Metatarsophalangeal Joint?" Journal of the American Podiatric Medical Association 103, no. 3 (May 1, 2013): 204–7. http://dx.doi.org/10.7547/1030204.

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Background: Injections, punctures, and aspirations of the first metatarsophalangeal joint are common interventions. Accurate intra-articular placement of the needle is a prerequisite for the achievement of desirable results and the avoidance of complications. We evaluated the rate of successful intra-articular injections and the influence of the degree of operator experience in achieving this success. Methods: A total of 106 cadaveric metatarsophalangeal joints were injected with a methylene blue–containing solution and subsequently dissected to distinguish intra-articular from periarticular injections. To evaluate the importance of experience, 38 injections were performed by a student, 38 by a trained resident, and 30 by an experienced surgeon. In the second part of the study, we examined the relation of pathologic findings of the metatarsophalangeal joint and the accuracy of intra-articular injection. Results: The overall rate of unintentional periarticular injections remained low (9.4%; 10 of 106 joints). The student achieved a successful intra-articular injection in 86.8% of joints (33 of 38), the resident in 92.1% (35 of 38), and the specialist in 93.3% (28 of 30). The number of extra-articular injections increased significantly with the presence of deformity (hallux valgus) and arthritis of the first metatarsophalangeal joint. Conclusions: The presence of pathologic changes reduces the rate of successful intra-articular joint puncture. However, the overall frequency of successful intra-articular injections can be improved through experience and the use of imaging. (J Am Podiatr Med Assoc 103(3): 204–207, 2013)

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Kim, Moon, Clara Tyson, and Laurene Mascola. "Outbreak of Joint Infections Associated with Magnetic Resonance Arthrograms Performed at an Outpatient Radiology Center." Infection Control & Hospital Epidemiology 34, no. 11 (November 2013): 1215–17. http://dx.doi.org/10.1086/673457.

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An outbreak of methicillin-susceptible Staphylococcus aureus joint infections occurred at an outpatient radiology center. We identified 7 case patients; all had undergone magnetic resonance arthrograms with intra-articular joint injections. The outbreak was likely due to unsafe injection practices in preparation of contrast solution for intra-articular injection.

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Silva, Simone, Luca Andriolo, Angelo Boffa, Alessandro Di Martino, Davide Reale, Giulio Vara, Marco Miceli, et al. "Prospective double-blind randomised controlled trial protocol comparing bone marrow aspirate concentrate intra-articular injection combined with subchondral injection versus intra-articular injection alone for the treatment of symptomatic knee osteoarthritis." BMJ Open 12, no. 9 (September 2022): e062632. http://dx.doi.org/10.1136/bmjopen-2022-062632.

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IntroductionSubchondral and intra-articular injections of bone marrow aspirate concentrate (BMAC) showed promising results for knee osteoarthritis (OA) patients. To date, there is no evidence to demonstrate whether the combination of these treatments provides higher benefits than the intra-articular injection alone.Methods and analysisEighty-six patients with symptomatic knee OA (aged between 40 and 70 years) are randomised to BMAC intra-articular injection combined with subchondral BMAC injection or BMAC intra-articular injection alone in a ratio of 1:1. The primary outcome is the total Western Ontario and McMaster Universities Osteoarthritis Index, the secondary outcomes are the International Knee Documentation Committee Subjective and Objective Knee Evaluation Form, the Tegner activity scale, the EuroQol-Visual Analogue Scale, and the health questionnaire European Quality of Life Five Dimension score. Additional CT and MRI evaluations are performed at the baseline assessment and at the final 12-month follow-up. The hypothesis is that the combined injections provide higher knee pain and function improvement compared with BMAC intra-articular injection alone. The primary analysis follows an intention to treat principle.Ethics and disseminationThe study protocol has been approved by the Emilia Wide Area Ethical Committee of the Emilia-Romagna Region (CE-AVEC), Bologna, Italy. Written informed consent is obtained from all the participants. Findings of this study will be disseminated through peer-reviewed publications and conference presentations.Protocol versionVersion 1 (14 May 2018).Trial registration numberNCT03876795.

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Kim, Whan B., and Raed O. Alhusayen. "Skin Necrosis from Intra-articular Hyaluronic Acid Injection." Journal of Cutaneous Medicine and Surgery 19, no. 2 (March 2015): 182–84. http://dx.doi.org/10.2310/7750.2014.14081.

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Background Tissue necrosis is a rare yet potentially serious complication of intra-articular (IA) hyaluronic acid (HA) injections for treatment of knee osteoarthritis. Objective To report a case of a patient with cutaneous necrosis after IA HA injection for treatment of knee osteoarthritis, presenting as a livedoid violaceous patch on the right knee. Method We report a case of cutaneous necrosis as a rare complication of IA HA injection for treatment of knee osteoarthritis. A literature review was undertaken of similar cases. Results Use of HA IA injections in the treatment of osteoarthritis can result in similar skin necrosis at uncommon anatomic locations corresponding to the site of HA injection. Conclusion Although tissue necrosis is a rare complication, physicians need to be aware of this possibility as a complication of HA IA injections in the treatment of osteoarthritis and should be mindful of potential treatment options to manage this adverse event.

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Harna, Bushu, Vijay Gupta, Shivali Arya, Naveen Jeyaraman, Ramya Lakshmi Rajendran, Madhan Jeyaraman, Prakash Gangadaran, Manish Khanna, Chae Moon Hong, and Byeong-Cheol Ahn. "Current Role of Intra-Articular Injections of Platelet-Rich Plasma in Adhesive Capsulitis of Shoulder: A Systematic Review." Bioengineering 10, no. 1 (December 22, 2022): 21. http://dx.doi.org/10.3390/bioengineering10010021.

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Adhesive capsulitis shoulder is a common problem of patients presenting with shoulder pain and disability. The approach to such patients includes a variety of modalities. This systematic review evaluates the efficacy of intra-articular injections of platelet-rich plasma (PRP) in the treatment. A literature search was performed between January 2010 and 30 May 2022. MeSH terms used were ‘Platelet-rich plasma’ OR ‘PRP’ AND ‘Frozen shoulder’ OR ‘Adhesive capsulitis shoulder’ OR ‘Periarthritis shoulder’. The search included published articles in the English language involving human subjects. Studies evaluating other types of shoulder disorders, in vitro studies, review articles, animal-model studies, and pre-clinical trials were excluded. The data regarding study characteristics, efficacy, and safety outcomes were analyzed. A total of 11 studies with 347 patients over 10 years were finally included in this review. Most publications were in 2019 and 2020, mostly from India. This review included seven comparative studies, three case series, and one case report. In seven studies, a single intra-articular PRP injection was administered, whereas in the rest of the studies two or multiple injections were given. Only one study demonstrated an equivocal efficacy of PRP and steroid intra-articular injection. The rest all depicted better clinical and functional outcomes with the PRP injection. Only one study compared the outcomes of hydro-dissection treatment in adhesive capsulitis with the intra-articular PRP injection. The rest all either examined PRP alone or compared it with the steroid intra-articular injection. None of the studies showed any major side effects. The intra-articular injections of PRP in the management of adhesive capsulitis of the shoulder provide a new treatment approach. Further studies are required to ascertain the efficacy and safety of the PRP intraarticular injection as a management alternative in adhesive capsulitis.

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Cho, Chul-Hyun, Hyo-Joon Jin, and Du Hwan Kim. "Comparison of Clinical Outcomes between Idiopathic Frozen Shoulder and Diabetic Frozen Shoulder After a Single Ultrasound-Guided Intra-Articular Corticosteroid Injection." Diagnostics 10, no. 6 (June 4, 2020): 370. http://dx.doi.org/10.3390/diagnostics10060370.

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There is no consensus on the use of intra-articular corticosteroid injections in diabetic frozen shoulder (FS). Thus, we aimed to compare clinical outcomes after intra-articular corticosteroid injections in patients with diabetic FS and idiopathic FS. Data collected from 142 FS patients who received glenohumeral joint intra-articular corticosteroid injections were retrospectively reviewed. Thirty-two patients were diagnosed with diabetic FS and 110 patients with idiopathic FS. Data including visual analog scale (VAS) for pain, American Shoulder and Elbow Surgeons (ASES) score, subjective shoulder value (SSV), and passive range of motion (ROM) were compared before the injection and at 3, 6, and 12 weeks after the injection. There were significant improvements in all outcomes (p < 0.001 for all parameters) through 12 weeks in both groups. There were no significant differences in all outcomes, except for ASES scores, between both groups at 3 weeks. However, there were significant differences in VAS score, SSVs, ASES scores, and passive ROMs, except for angle of abduction, between the two groups at 6 weeks and 12 weeks after injection. A single intra-articular steroid injection can be used as a conservative treatment for diabetic FS, but less effective than for idiopathic FS.

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Dissertations / Theses on the topic "Intra-articular injection"

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Wanstrath, Audrey Wysocki. "Intra-articular Injection of Autologous Protein Solution for Treatment of Canine Osteoarthritis." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429814573.

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Bengtsson, Py, and Klara Carlsson. "Treatment Results after Intra-articular Injection of Corticosteroids in Patients with TMJ Arthritis." Thesis, Umeå universitet, Tandläkarutbildning, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-97854.

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Arthritis is a common disease affecting the temporomandibular joint. The inflammation causes local pain and decreased function of the masticatory system. Temporomandibular joint arthritis can result from mechanical overloading, general autoimmune disease or individual susceptibility. The aim of this study was to investigate objective and subjective treatment results after intra-articular injection of corticosteroids in patients with temporomandibular joint arthritis. The hypothesis was that treatment with intra-articular injection of corticosteroids relieves clinical signs and subjective symptoms and no difference between objective and subjective treatment outcome was anticipated. An outcome assessment study with consecutive sample was performed. Objective and subjective data was registered from 70 subjects treated with intra-articular injection of corticosteroids. Statistics were analyzed in SPSS. Subgroup analysis was performed to evaluate and distinguish confounding variables such as sex, age, autoimmune disease (general), previous physical trauma and hard tissue changes. Maximum mouth opening capacity was increased by 8.7% after treatment demonstrating an objective improvement. Subjects with an initial impaired maximum mouth opening capacity <40 mm showed a greater increase compared to those within the normal range. Subjective assessment at follow-up presented a self-reported improvement in 77% of the subjects. The routines regarding follow-up were found to be inconsistent and subjective assessments scales were missing in about 50% of the cases. Objective and subjective improvement was observed after intra-articular injection of corticosteroids. This confirms the present treatment recommendations that intra-articular injection is an effective method in relieving signs and symptoms of temporomandibular joint arthritis.

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Hirsch, George. "Somatic and psychological predictors of response to intra-articular corticosteroid injection in knee osteoarthritis." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/somatic-and-psychological-predictors-of-response-to-intraarticular-corticosteroid-injection-in-knee-osteoarthritis(71560311-5029-4b00-9547-52d65358a768).html.

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Background: Intra-articular corticosteroid injections (IACI) are a commonly used treatment for painful knee osteoarthritis (OA). Response to treatment varies the reason for which is unclear. Further there are no data concerning the impact of accuracy of injection and psychological factors including illness perceptions, pain catastrophizing and depression on outcome following IACI.Objectives: i) to undertake a systematic review looking at predictors of response to IACI in patients with symptomatic knee OA and, ii) to determine the role of psychological factors and accuracy of injection in predicting response to IACI.Methods: A systematic review was conducted using electronic databases for randomised trials and observational studies looking at predictors of response to IACI in knee and hip OA. An observational study of 141 consenting patients (105 primary OA and 36 secondary OA in the context of well controlled rheumatoid arthritis) receiving routine IACI as part of clinical care for knee OA was conducted including baseline assessment and outcome assessments at 3 and 9 weeks. Response was defined as at least 40% reduction of pain from baseline, using the Western Ontario and McMaster Universities Arthritis Index (WOMAC). Assessment included ultrasound (US) for features of synovial inflammation), radiographs, and assessment of psychological factors including the revised illness perception questionnaire (IPQR). Accuracy of injection was assessed using US. Characteristics of responders and non-responders to IACI at 3 and 9 weeks were determined using univariate statistics and significant factors entered into logistic regression models. Results: The systematic review found no consistent evidence for any disease or non-disease related predictor of response and no systematic exploration of the effects of psychological factors or accuracy of injection on treatment response. In the observational study, 83 (53%) of 141 subjects were responders to IACI at 3 weeks and 56 (44%) at 9 weeks. In univariate analysis, responders to treatment had higher scores for the IPQR domain treatment control and lower scores for IPQR consequences, depression and pain catastrophizing at both 3 and 9 weeks. Physical and patient related factors, including accuracy of injection and US features, were not associated with outcome, with the exceptions of higher baseline pain and previous experience of injection being associated with non-response at 9 weeks. In multiple regression, treatment control was the only independent predictor of response at 3 weeks. At 9 weeks, treatment control, consequences and depression were independent predictors of treatment outcome. Conclusion: In this observational study illness perceptions and depression predicted the outcome of IACI at 3 and 9 weeks. By contrast, physical factors including accuracy of injection did not influence outcome. Further work is needed to replicate these findings and elucidate mechanisms for these effects.

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Liu, Shao-Hsien. "Impact of Intra-Articular Injection Use on Patient-Reported Outcomes Among Patients with Knee Osteoarthritis." eScholarship@UMMS, 2017. https://escholarship.umassmed.edu/gsbs_diss/897.

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Background: Knee osteoarthritis (OA) is the most common type of OA and is a major cause of pain and thus results in disability for daily activities among persons living in the community. OA currently has no cure. In addition to the conflicting recommendations from clinical guidelines, evidence about the extent to which long-term use of intra-articular injections improves patient outcomes is also lacking. Methods: Using data from the Osteoarthritis Initiative (OAI), marginal structural models (MSMs) applying inverse probability treatment weights (IPTW) were used to examine the effectiveness of intra-articular injections and changes in symptoms over time. The specific aims of this dissertation were to: 1) evaluate longitudinal use of intra-articular injections after treatment initiation among persons with radiographic knee OA; 2) quantify the extent to which intra-articular injection relieves symptoms among persons with radiographic knee OA; and 3) evaluate the performance of missing data techniques under the setting of MSMs. Results: Of those initiating injections, ~19% switched, ~21% continued injection type, and ~60% did not report any additional injections. For participants initiating corticosteroid (CO) injections, greater symptoms post-initial injection rather than changes in symptoms over time were associated with continued use compared to one-time use. Among participants with radiographic evidence of knee OA, initiating treatments with either CO or hyaluronic acid (HA) injections was not associated with reduced symptoms compared to non-users over two years. Compared to inverse probability weighting (IPW), missing data techniques such as multiple imputation (MI) produced less biased marginal causal effects (IPW: -2.33% to 15.74%; -1.88% to 4.24%). For most scenarios, estimates using MI had smaller mean square error (range: 0.013 to 0.024) than IPW (range: 0.027 to 0.22). Conclusions: Among participants with radiographic evidence of knee OA living in the community, the proportion of those switching injection use and one-time users was substantial after treatment initiation. In addition, initiating injection use was not associated with reduced symptoms over time. With respect to issues of missing data, using MI may confer an advantage over IPW in MSMs applications. The results of this work highlight the importance of using comparative effectiveness research with non-experimental data to study these commonly used injections and may help to understand the usefulness of these treatments for patients with knee OA.

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Liu, Shao-Hsien. "Impact of Intra-Articular Injection Use on Patient-Reported Outcomes Among Patients with Knee Osteoarthritis." eScholarship@UMMS, 2003. http://escholarship.umassmed.edu/gsbs_diss/897.

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Background: Knee osteoarthritis (OA) is the most common type of OA and is a major cause of pain and thus results in disability for daily activities among persons living in the community. OA currently has no cure. In addition to the conflicting recommendations from clinical guidelines, evidence about the extent to which long-term use of intra-articular injections improves patient outcomes is also lacking. Methods: Using data from the Osteoarthritis Initiative (OAI), marginal structural models (MSMs) applying inverse probability treatment weights (IPTW) were used to examine the effectiveness of intra-articular injections and changes in symptoms over time. The specific aims of this dissertation were to: 1) evaluate longitudinal use of intra-articular injections after treatment initiation among persons with radiographic knee OA; 2) quantify the extent to which intra-articular injection relieves symptoms among persons with radiographic knee OA; and 3) evaluate the performance of missing data techniques under the setting of MSMs. Results: Of those initiating injections, ~19% switched, ~21% continued injection type, and ~60% did not report any additional injections. For participants initiating corticosteroid (CO) injections, greater symptoms post-initial injection rather than changes in symptoms over time were associated with continued use compared to one-time use. Among participants with radiographic evidence of knee OA, initiating treatments with either CO or hyaluronic acid (HA) injections was not associated with reduced symptoms compared to non-users over two years. Compared to inverse probability weighting (IPW), missing data techniques such as multiple imputation (MI) produced less biased marginal causal effects (IPW: -2.33% to 15.74%; -1.88% to 4.24%). For most scenarios, estimates using MI had smaller mean square error (range: 0.013 to 0.024) than IPW (range: 0.027 to 0.22). Conclusions: Among participants with radiographic evidence of knee OA living in the community, the proportion of those switching injection use and one-time users was substantial after treatment initiation. In addition, initiating injection use was not associated with reduced symptoms over time. With respect to issues of missing data, using MI may confer an advantage over IPW in MSMs applications. The results of this work highlight the importance of using comparative effectiveness research with non-experimental data to study these commonly used injections and may help to understand the usefulness of these treatments for patients with knee OA.

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Giangarra, Jenna Elizabeth. "Effect of a single intra-articular injection of bupivacaine on synovial fluid prostaglandin E2 concentrations in normal canine stifles." Thesis, Virginia Tech, 2018. http://hdl.handle.net/10919/95970.

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Intra-articular bupivacaine is a common analgesic used in dogs with orthopedic disease. Bupivacaine has been linked to chondrotoxicity. The mechanism for bupivacaine's chondrotoxicity is unknown, but may involve inflammation. Prostaglandin E2 (PGE2) is an inflammatory mediator and a marker of joint inflammation. The aim of this study was to compare synovial fluid PGE2 concentrations after a single intra-articular injection of bupivacaine with a saline control in normal canine stifles. We hypothesized that bupivacaine stifles would have a significantly elevated PGE2 concentration compared to controls. Stifles from eight healthy, adult Beagles were randomly selected as the treated stifle and infused with bupivacaine. The contralateral stifle was injected with saline. Synovial fluid was collected before and after injection. PGE2 was quantified using a commercial ELISA. Data were transformed and mixed model ANOVA was performed with significance set at p<0.05. There were no significant differences in PGE2 concentration between treatment groups or times. Samples acquired with one or two aspiration attempts had significantly lower PGE2 concentrations than samples with =3 aspiration attempts (p=0.001). When adjusted for number of attempts, PGE2 concentrations were significantly higher 24 (p=0.003) and 48 (p=0.041) hours after injection compared to baseline in the bupivacaine group, but not in the saline group. Intra-articular bupivacaine injection did not result in increased synovial fluid PGE2 concentrations compared to controls; however, multiple aspiration attempts did, suggesting that synovial fluid PGE2 concentration is sensitive to multiple fluid collection attempts. Future studies investigating synovial fluid inflammatory mediators should consider methods to minimize aspiration attempts.
M. S.

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Dulin, Jennifer Anne. "Influence of Exercise on the Distribution of ^99mTechnetium-Methylene Diphosphonate Following Intra-articular Injection in Horses." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1306159915.

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GOKER, FUNDA. "EVALUATION OF ARTHROCENTESIS WITH HYALURONIC ACID INJECTIONS FOR MANAGEMENT OF TEMPOROMANDIBULAR DISORDERS." Doctoral thesis, Università degli Studi di Milano, 2021. http://hdl.handle.net/2434/820923.

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Objectives: Although, arthrocentesis is an accepted safe treatment modality used for the management of TMD patients with pain, the benefit of hyaluronic acid (HA) injections remains uncertain. The aim of this study was to investigate whether intra-articular injections of hyaluronic acid as an adjunct therapy with arthrocentesis can be more effective than other medications for the improvement of symptoms associated with temporomandibular disorders. Materials and methods: For this purpose, an electronic search of Medline, Scopus and Cochrane databases was performed up to September 2020. No language, and publication date limitation was set. The following search terms were used: “arthrocentesis”, “hyaluronic acid”, “intra-articular injections”, “viscosupplementation”, with “temporomandibular disorders”. Inclusion criteria was prospective or retrospective studies, case reports, and randomized clinical trials that reported the application of HA injections compared to other intra-articular drugs for the treatment of temporomandibular disorders. Exclusion criteria included systemic reviews, animal studies. Additionally, a retrospective clinical study was performed on 12 TMD cases for evaluation of changes before and after arthrocentesis with hyaluronic acid (HA) injections in quality of life (QoL) of these patients. Results: In the systemic review, the initial screening included 1327 articles. After a more detailed evaluation of the titles, abstracts, and full texts; a total of 29 studies were selected (26 randomized studies, 2 controlled clinical trials, 1 retrospective report). In the clinical study 12 patients were included. According to the results, intra-articular injections of HA and other medications together with arthrocentesis seemed to be beneficial for improvement of functional symptoms of TMD and pain. The case series also supported support the efficacy of HA injections with a significant improvement of QoL of these patients. However, after the evaluation of the reports in literature, it was impossible to identify an optimum drug or a protocol in improving the pain and/or functional symptoms of temporomandibular problems due to diversity of treatment modalities and conflicting results. Conclusion: As a conclusion, there was no consensus in the studies that HA injections showed better results in comparison with other treatment modalities. According to the results of this systematic review and clinical study HA injections with/without arthrocentesis seems to be beneficial in terms of clinical symptoms and QoL of the patients.

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Alamilla-Daniel, Ma de los Angeles. "Development of a haptic simulator for practicing the intraarticular needle injection under echography." Thesis, Lyon, 2020. http://www.theses.fr/2020LYSEI017.

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La ponction articulaire est une technique courante utilisée par les rhumatologues pour soulager la douleur. L'utilisation de repères anatomiques aide à guider l'aiguille à l'intérieur de l'articulation. Cependant, sans l'aide de l'imagerie, les praticiens ont du mal à placer correctement l'aiguille et la plupart du temps il est nécessaire de réaliser une deuxième insertion articulaire. L'injection intra-articulaire de l'aiguille sous échographie est une solution pour faciliter la procédure. Il s'agit cependant d'un processus difficile car le praticien doit développer une coordination motrice-visuelle pour insérer l'aiguille et la guider en utilisant comme référence une image 2D générée par la sonde ultrasonore. Pour maîtriser cette technique, les pratiquants peuvent s'exercer sur des cadavres, des mannequins et des simulateurs. Les simulateurs offrent certains avantages par rapport aux cadavres et aux mannequins, mais la plupart d'entre eux ne permettent pas de modifier l'environnement de travail (morphologie et / ou pathologie du patient,…) ou de choisir le point d'insertion, ce qui limite le réalisme de la formation. Sous l'impulsion de SAMSEI, le projet SPARTE vise à développer un simulateur d'injection intra-articulaire entièrement fonctionnel. Ce projet est soutenu par 4 laboratoires et un établissement de santé. Dans ce travail de doctorat, les principales contributions sont: une nouvelle méthode à faible coût de calcul appelée «mur de suivi» couplée à des dispositifs virtuels pour le contrôle de la position et de l'orientation de l’aiguille, afin de restituer les forces lors de l'insertion de l'aiguille; l'étude et la validation de trois lois de commande différentes appliquées à un actionneur pneumatique pour restituer les forces lors de l'utilisation d'une sonde à ultrasons; et enfin la conception d'un simulateur fonctionnel complet où les utilisateurs peuvent expérimenter l'insertion de l'aiguille avec un guidage échographique
The articular puncture is a common technique used by rheumatologists to relieve pain. The use of anatomical landmarks helps to guide the needle inside the articulation. However, without the help of imaging guidance, practitioners have difficulty to place correctly the needle and most of the cases lead to an extra articular insertion. The intraarticular needle injection under echography is a solution to ease the procedure. It is however a challenging process since the pratitioner must develop motor-visual coordination to insert the needle and guided it using as a reference a 2D image generated by the ultrasound probe. To master this technique, practitioners can practice on corpses, manikins, and simulators. Simulators give some advantages over corpses and manikins, but most of them do not allow to modify the working environment (patient morphology and/or pathology, …) or to choose the insertion point, which limit the realism of the training. Under the impulsion of SAMSEI, SPARTE project aims to develop a fully functional intraarticular needle injection simulator. This project is supported by 4 laboratories and one health facility. In this PhD thesis, the main contributions are: a new low-computational cost method called “Tracking wall” coupled with virtual fixtures for position and orientation control to render forces during the needle insertion ; the study and validation of three different control laws applied on a pneumatic actuator to render the forces while using a ultrasound probe; and finally the design of a complete functional simulator where users can experiment the needle insertion with echographic guidance

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Mohamad, Bustaman Ahmad Fahmi. "The effectiveness of intra-articular hyaluronic acid in temporomandibular disorders." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44661150.

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Books on the topic "Intra-articular injection"

1

Moyer, William. Guide to equine joint injection. 2nd ed. Trenton, N. J: Veterinary Learning Systems, 1993.

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Moyer, William. A guide to equine joint injection. Princeton, N.J: Solvay Veterinary, 1986.

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Anderson, Bruce Carl. House officers guide to arthrocentesis and soft tissue injection. 3rd ed. Portland, Or: JJ & R Medical Publishing, 2001.

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Anderson, Bruce Carl. House officers guide to arthrocentesis and soft tissue injection. Portland, OR (8007 SE 140th Dr., Portland, Or. 97236): JJ&R Publishing, 1993.

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McNabb, James W. A practical guide to joint & soft tissue injection & aspiration: An illustrated text for primary care providers. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2009.

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A practical guide to joint & soft tissue injection & aspiration: An illustrated text for primary care providers. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2009.

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McNabb, James W. A practical guide to joint & soft tissue injection & aspiration: An illustrated text for primary care providers. 2nd ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010.

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McNabb, James W. A practical guide to joint & soft tissue injection & aspiration: An illustrated text for primary care providers. 2nd ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010.

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V, Lawry George, and Fam Adel G, eds. Fam's musculoskeletal examination and joint injection techniques. 2nd ed. Philadelphia: Mosby, 2010.

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Jürgen, Fischer. Atlas of injection therapy in pain management. Stuttgart: Thieme, 2012.

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Book chapters on the topic "Intra-articular injection"

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Kothakota, Bharat, and Muhammad Waseem. "Intra-articular Injection." In Atlas of Emergency Medicine Procedures, 623–29. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-2507-0_107.

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Wang, Ning Nan, Sofia Alejandra Velasco Figueroa, and Philip Peng. "Intra-Articular Knee Injection." In Regional Nerve Blocks in Anesthesia and Pain Therapy, 839–45. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-88727-8_65.

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Masrouha, Karim. "Intra-articular Facet Joint Injection." In Procedural Dictations in Image-Guided Intervention, 239–41. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-40845-3_53.

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Peng, Philip W. H. "Knee Joint: Intra-articular Injection." In Regional Nerve Blocks in Anesthesia and Pain Therapy, 893–905. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-05131-4_68.

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Dent, David V. "Intra-articular Shoulder Joint Injection (Fluoroscopically Guided)." In Pain Medicine, 363–65. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43133-8_97.

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Dent, David V. "Intra-articular Hip Joint Injection (Fluoroscopically Guided)." In Pain Medicine, 367–69. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43133-8_98.

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Dent, David V. "Intra-articular Knee Joint Injection (Fluoroscopically Guided)." In Pain Medicine, 371–73. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43133-8_99.

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Murai, Kunihiko, and Kiyoshige Ohseto. "Intra-articular Injection of the Hip Joint." In Nerve Blockade and Interventional Therapy, 201–3. Tokyo: Springer Japan, 2019. http://dx.doi.org/10.1007/978-4-431-54660-3_50.

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Peng, Philip W. H., and Danilo Jankovic. "Talotibial (Talocrural) and Subtalar Intra-articular Injection." In Regional Nerve Blocks in Anesthesia and Pain Therapy, 907–17. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-05131-4_69.

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Seo, Seung-Suk, In-Seung Lee, and Gi-Hun Lee. "Intra-articular Injection Therapy and Biologic Treatment." In A Strategic Approach to Knee Arthritis Treatment, 171–212. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-4217-3_10.

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Conference papers on the topic "Intra-articular injection"

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Bonaventura, Paola, Guillaume Courbon, Aline Lamboux, Fabien Lavocat, Hubert Marotte, Francis Albarede, and Pierre Miossec. "06.01 Intra-articular injection of cadmium protects arthritic joints from inflammation and destruction." In 37th European Workshop for Rheumatology Research 2–4 March 2017 Athens, Greece. BMJ Publishing Group Ltd and European League Against Rheumatism, 2017. http://dx.doi.org/10.1136/annrheumdis-2016-211053.1.

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Rayegani, S. M., S. A. Raeissadat, E. Enayati, and S. Rahimi Dehgolan. "AB0974 The efficacy and safety of intra-articular botulinum toxin injection in knee osteoarthritis." In Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-eular.5281.

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Smith, A., A. Des Rieux, M. Marquis, D. Renard, C. Vinatier, J. Guicheux, and C. Le Visage. "P111 Mesenchymal stem cell encapsulation in alginate micro-particles for intra-articular injection in osteoarthritis." In 38th European Workshop for Rheumatology Research, 22–24 February 2018, Geneva, Switzerland. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-ewrr2018.126.

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Imani, F., P. Rahimzadeh, SHR Faiz, and K. Hejazian. "ESRA19-0279 Adding ozone to dextrose and somatropin for intra-articular injection for knee osteoarthritis." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.104.

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Sozeri, B., L. G. Bolac, and M. Kariminikoo. "THU0563 Ultrasound changes in joints induced by intra-articular corticosteroid injection in juvenile idiopathic arthritis." In Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-eular.4871.

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Petersen, SK, RA Andreasen, and IMJ Hansen. "SAT0565 The frequency of septic arthritis after arthrocentesis and intra articular glucocorticoid injection is low." In Annual European Congress of Rheumatology, 14–17 June, 2017. BMJ Publishing Group Ltd and European League Against Rheumatism, 2017. http://dx.doi.org/10.1136/annrheumdis-2017-eular.1333.

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Jokar, M., Z. Mirfeizi, K. Hashemzadeh, and H. Zarei. "AB0811 Hyaluronic acid intra-articular injection versus oral atorvastatin in the treatment of knee osteoarthritis." In Annual European Congress of Rheumatology, 14–17 June, 2017. BMJ Publishing Group Ltd and European League Against Rheumatism, 2017. http://dx.doi.org/10.1136/annrheumdis-2017-eular.2042.

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Sahin, Nihal, Sumeyra Ozdemir Cicek, Aysenur Pac Kisaarslan, Muammer Hakan Poyrazoglu, and Ruhan DüŞünsel. "AB1042 THE EFFECT OF INTRA-ARTICULAR STEROID INJECTION ON THE CARTILAGE THICKNESS IN JUVENILE IDIOPATHIC ARTHRITIS." In Annual European Congress of Rheumatology, EULAR 2019, Madrid, 12–15 June 2019. BMJ Publishing Group Ltd and European League Against Rheumatism, 2019. http://dx.doi.org/10.1136/annrheumdis-2019-eular.7973.

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Al-Zayyat, Sameh, Hany Eitta, and abdelrahman labib. "AB1152 CORRELATING SERUM RESISTIN LEVEL TO ULTRASONOGRAPHIC FINDINGS OF OSTEOARTHRITIC KNEES AFTER INTRA-ARTICULAR GLUCOCORTICOID INJECTION." In Annual European Congress of Rheumatology, EULAR 2019, Madrid, 12–15 June 2019. BMJ Publishing Group Ltd and European League Against Rheumatism, 2019. http://dx.doi.org/10.1136/annrheumdis-2019-eular.2305.

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Nordberg, LB, S. Lillegraven, A.-B. Aga, IC Olsen, E. Lie, HB Hammer, T. Uhlig, D. van der Heijde, TK Kvien, and EA Haavardsholm. "SAT0642 Ultrasonography and intra-articular injection therapy in early rheumatoid arthritis: results from the randomised arctic trial." In Annual European Congress of Rheumatology, 14–17 June, 2017. BMJ Publishing Group Ltd and European League Against Rheumatism, 2017. http://dx.doi.org/10.1136/annrheumdis-2017-eular.2505.

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Reports on the topic "Intra-articular injection"

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Wang, Bing Wang, Yongjie Ye, Ziyi Wang, Zhiqiang Wang, Ancheng Wei, Long Yao, and Xin Huang. Efficacy and safety of intra-articular injection of platelet-rich plasma for frozen shoulder: a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2022. http://dx.doi.org/10.37766/inplasy2022.10.0095.

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Lei, Ting, Yiyi Wang, Long Hua, and Yihe Hu. Clinical efficacy and safety of intra-articular injection therapy for hip osteoarthritis: a systematic review and network meta-analysis of RCTs. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2023. http://dx.doi.org/10.37766/inplasy2023.2.0092.

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Yi, Lina, and Lifeng Chen. Systematic evaluation and meta-analysis of traditional Chinese medicine combined with intra-articular injection of PrP in the treatment of knee osteoarthritis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2022. http://dx.doi.org/10.37766/inplasy2022.3.0078.

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