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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(2):198-202.
Effect of Periarticular Injection on Knee Pain in Patients with Knee Osteoarthritis.
Kim, Chul Hyun
Department of Rehabilitation Medicine, Daegu Fatima Hospital, Korea. kch8322@hananet.net
슬관절 골관절염에 수반되는 슬부동통에 관절주위 주사가 미치는 효과
김철현
대구 파티마병원 재활의학과
Abstract

Objective
To evaluate the effects of a new periarticular injection in the patients with knee osteoarthritis.


Method
Twenty seven patients, who had knee pain, were met criteria of knee osteoarthritis of American Rheumatology Association. Two injection sites were used: one to infrapatellar fat pad and the other to near the insertion area of popliteus. At first, 1 cc of 0.5% lidocaine was injected to both sites. If pain was not releaved above 50%, a mixture of 1 cc of 0.5% lidocaine and 10 mg of triamcinolone acetonide was injected to twenty seven patients, 46 knees. All patients were evaluated visual analogue scale (VAS), time for 10 meter walking, time for stair up and down, isometric knee strength before and after

treatment. Paired student t test was done to investigate statistical significance of change of pain and function.


Results
Before treatment VAS, time for 10 meter walking, time for stair up and down and isometric knee strength were 6.1⁑2.1, 10.4⁑3.6, 10.8⁑7.1 and 34.0⁑11.4 respectively. After last treatment VAS, time for 10 meter walking, time for stair up and down and isometric knee strength were 3.5⁑2.5, 8.3⁑1.7, 8.2⁑3.6 and 38.8⁑12.9 respectively. The difference was stastistically significant between before and after treatment (p<0.05).


Conclusion
The new periarticular injection is useful in treatment of patients with knee osteoarthritis. (J Korean Acad Rehab Med 2002; 26: 198-202)

Key Words: Knee osteoarthritis, Periarticular injection, Visual analogue scale, Isometric knee strength


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