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Knee function after intra-articular hydrocortisone

D H Bossingham, A K McQueen, A G Mowat

    Rheumatology and Rehabilitation
    |May 1, 1981
    PubMed
    Summary
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    Intra-articular hydrocortisone significantly improved knee flexion in rheumatoid synovitis patients for eight weeks. Functional improvements lagged behind pain relief, impacting drug assessment strategies.

    Area of Science:

    • Rheumatology
    • Orthopedics
    • Pharmacology

    Background:

    • Rheumatoid synovitis causes significant knee joint dysfunction and pain.
    • Intra-articular corticosteroid injections are a common treatment modality.
    • Objective assessment of treatment efficacy is crucial for patient management.

    Purpose of the Study:

    • To objectively assess the effect of intra-articular hydrocortisone on knee function in rheumatoid synovitis.
    • To compare the efficacy of hydrocortisone against intra-articular saline injections.
    • To evaluate the time course of functional and symptomatic improvement.

    Main Methods:

    • A single-blind study involving 12 patients with rheumatoid synovitis.
    • Objective assessment of knee flexion range during walking using an electrogoniometer.

    Related Experiment Videos

  • Comparison of hydrocortisone injections with intra-articular saline placebo.
  • Main Results:

    • Intra-articular hydrocortisone significantly improved knee flexion range, with some patients achieving normal levels.
    • The beneficial effects on knee flexion were maintained for up to eight weeks.
    • Functional improvements were observed to occur more slowly than pain relief.

    Conclusions:

    • Intra-articular hydrocortisone provides significant symptomatic and functional benefits for knees affected by rheumatoid synovitis.
    • The differential rate of improvement in pain versus function has implications for anti-inflammatory drug evaluation.
    • Electrogoniometry offers an objective method for assessing treatment outcomes in inflammatory arthritis.