Meniscus-Targeted Injections for Chronic Knee Pain Due to Meniscal Tears or Degenerative Fraying: A Retrospective Study.
Adrenal Cortex Hormones
/ administration & dosage
Adult
Aged
Aged, 80 and over
Arthralgia
/ drug therapy
Chronic Pain
/ drug therapy
Female
Follow-Up Studies
Humans
Injections, Intra-Articular
Knee Injuries
/ complications
Male
Meniscus
/ diagnostic imaging
Middle Aged
Retrospective Studies
Tendon Injuries
/ complications
Treatment Outcome
Ultrasonography, Interventional
/ methods
degenerative fraying
meniscal tears
meniscal-targeted injections
musculoskeletal
pain relief
sports medicine/orthopedics
Journal
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
12
10
2018
revised:
19
01
2019
accepted:
11
02
2019
pubmed:
20
3
2019
medline:
24
3
2020
entrez:
20
3
2019
Statut:
ppublish
Résumé
Meniscal tears caused by acute trauma or degenerative fraying affect a wide array of individuals. An effective, long-lasting treatment has widely been sought after. Intra-articular corticosteroid injections have been among the methods of controlling pain for more than 60 years. However, such injections tend to produce short-lasting results, with profound effects lasting an average of up to 4 weeks. The purpose of this study was to determine the average duration and magnitude of pain relief after meniscal-targeted injections. The electronic medical records of 135 patients were accessed for this retrospective chart review. Patients who had meniscal tears or degenerative fraying and were treated with meniscal-targeted injections were selected. Patients' visual analog scale (VAS) pain scores (before and after treatment) were recorded, along with the percentage of pain relief and duration of pain relief. Ultrasound-guided meniscus-targeted corticosteroid injections for meniscal tears or degenerative fraying produced 5.68 (SD, 5.28) weeks of pain relief on average, with a decrease in pain from initial to follow-up visits of 2.14 (P < .0001) as per the visual analog scale score, and an Integral of Pain Relief score of 3.98. Our findings indicate a substantial benefit from 20- or 40-mg meniscus-targeted triamcinolone injections, granted the limitations of chart review research and no control group comparison. Results highlight the need for future prospective research comparing meniscus-targeted injections with intra-articular injections to identify a better modality for treating patients with chronic knee pain caused by meniscal tears or degenerative fraying.
Substances chimiques
Adrenal Cortex Hormones
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2853-2859Informations de copyright
© 2019 by the American Institute of Ultrasound in Medicine.
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