首页> 外文期刊>American Journal of Physical Medicine and Rehabilitation >Ultrasound-guided aspiration and corticosteroid injection of Baker's cysts in knee osteoar-thritis: A prospective observational study
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Ultrasound-guided aspiration and corticosteroid injection of Baker's cysts in knee osteoar-thritis: A prospective observational study

机译:超声引导下抽吸和皮质类固醇激素注射治疗贝克骨囊肿的贝克囊肿:一项前瞻性观察研究

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Objective: To determine the effect on pain, function, and ultrasono-graphic findings of ultrasonography-guided Baker's cyst aspiration fol-lowed by corticosteroid injection in a group of patients with Baker's cystsecondary to knee osteoarthritis. Design: Prospective observational study. Results: Twenty-six subjects participated in this study. Clinical andinstrumental evaluations were performed at baseline (TO), 1 wk (T1), and4 wks (T2) after procedure. Mean Visual Analog Scale scores significantlydropped after the procedure (TO = 6.2 [1.2]; T1 = 4.48 [1.5]; T2 =4.32 [1.3];T0vs.T1 and P< 0.0001). A significant difference betweenpreprocedure and postprocedure Western Ontario and McMaster Univer-sities scores was found for pain (P < 0.0001) but not for joint stiffness(P = 0.7239) and disability (P = 0.6318). Ultrasonographic evaluationshowed a significant reduction for both axial (P = 0.006) and sagittal(P = 0.01) areas of Baker's cyst, but no correlation was found betweenpain relief and Baker's cyst volume reduction. Conclusions: Cyst aspiration with corticosteroid injection give painrelief and cyst volume reduction in patients with Baker's cyst and con-comitant knee osteoarthritis. However, when compared with current liter-ature, our results are similar to those obtained with intra-articular kneecorticosteroid injection.
机译:目的:确定皮质类固醇注射后超声引导Baker囊肿抽吸对一组继发于膝盖骨关节炎的Baker囊肿的疼痛,功能和超声影像学表现的影响。设计:前瞻性观察研究。结果:26名受试者参加了这项研究。术后分别在基线(TO),1周(T1)和4周(T2)进行临床和仪器评估。手术后的平均视觉模拟量表评分显着下降(TO = 6.2 [1.2]; T1 = 4.48 [1.5]; T2 = 4.32 [1.3]; T0 vs.T1,P <0.0001)。西安大略省和麦克马斯特大学的术前和术后评分之间在疼痛(P <0.0001)和关节僵硬(P = 0.7239)和残疾(P = 0.6318)方面没有显着差异。超声检查显示,Baker囊肿的轴向(P = 0.006)和矢状(P = 0.01)面积均显着减少,但疼痛缓解与Baker囊肿体积减少之间没有相关性。结论:皮质类固醇注射囊肿抽吸术可减轻Baker囊肿并发膝关节骨关节炎的患者的痛苦,减少囊肿的体积。但是,与目前的文献相比,我们的结果与关节内注射膝类固醇激素获得的结果相似。

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