Related Experiment Video
Updated: Mar 18, 2026
Knee Arthrocentesis in Adults
Published on: February 25, 2022
Analgesic effect of a single dose of betamethasone after ambulatory knee arthroscopy: a randomized controlled trial
Jerker Segelman1, Hans Järnbert Pettersson2, Christer Svensén3
1Section of Anaesthesiology and Intensive Care, Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, 118 81, Stockholm, Sweden. jerker.segelman@sodersjukhuset.se.
Purpose:
Glucocorticoids are reported to improve postoperative analgesia. The purpose of the study was to investigate whether a preoperative, single dose of betamethasone could reduce pain after ambulatory arthroscopic knee surgery.
Methods:
This was a randomized, double-blind, placebo-controlled trial including patients scheduled for knee arthroscopy. The intervention was an intravenous injection of betamethasone 8 mg or placebo. The primary outcome was pain day 1 evaluated by a verbal descriptor scale (VDS).
Results:
In total, 74 patients (betamethasone = 34; placebo = 40) were randomized. One patient in each group was excluded from analysis. During activity day 1 following surgery, the proportion with no or minor pain was significantly (p = 0.030) higher in the betamethasone group (22 of 33; 67 %) compared with the placebo group (17 of 39; 44 %). At rest, the corresponding figures were 26 of 33 (79 %) for betamethasone and 24 of 39 (62 %) for placebo (p = 0.062). After 3 months of follow-up, no patient receiving betamethasone experienced adverse events while six receiving placebo did (postoperative nausea and vomiting in five and delayed wound healing in one).
Conclusions:
An analgesic benefit was seen day 1 following surgery. This indicates that betamethasone has a place in ambulatory arthroscopic knee surgery.
Trial Registration:
https://www.clinicaltrialsregister.eu/ (identifier 2009-014717-27).
