Intra-articular corticosteroids are effective in osteoarthritis but there are no clinical predictors of response.

Abstract:

OBJECTIVES:To show whether intra-articular steroid injections are effective in osteoarthritis; to determine factors that predict response; and to determine whether injection has a beneficial effect on muscle strength. METHODS:Double blind, placebo controlled, crossover study in 59 patients with symptomatic osteoarthritis of the knee. Outcome measure-Primary outcome measure: change in visual analogue score for pain at three weeks. Predictors of response analysed using logistic regression with a 15% decrease in pain score at three weeks defining response. RESULTS:Intra-articular methyl prednisolone acetate produced a significant reduction in visual analogue pain score at three weeks compared to both baseline (median change -2.0 mm, interquartile range -16.25 to 4.0) and placebo (median 0.0 mm, interquartile range -9.0 to 6.25). No clinical predictors of response could be identified. Muscle strength was not significantly improved in the short term by intra-articular injection. CONCLUSIONS:Intra-articular corticosteroids are effective for short term relief of pain in osteoarthritis but predicting responders is not possible. There may be a place for their more widespread use.

journal_name

Ann Rheum Dis

authors

Jones A,Doherty M

doi

10.1136/ard.55.11.829

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

829-32

issue

11

eissn

0003-4967

issn

1468-2060

journal_volume

55

pub_type

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    doi:10.1136/ard.52.9.655

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    更新日期:1993-09-01 00:00:00

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