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Comparison of ultrasound (US)-guided intra-articular injections by in-plain and out-of-plain on medial portal of the knee

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Abstract

To compare the accuracy rates between ultrasound (US)-guided in-plain (IP), out-of-plain (OOP) and blind knee intra-articular (IA) injection via the mid-medial portal. US-guided IA injection in the IP, OOP, and blind methods was performed on 126 knees with radiographically confirmed knee osteoarthritis (Kellgren-Lawrence grade 2 or 3) without effusion. About 6 ml of a mixed material containing 1 % lidocaine (1 mL) and triamcinolone 20 mg (1 mL) and nonionic contrast (4 mL) was injected into the IA space of the knee through the mid-medial portals. After an US-guided and blind IA injection into the knee joint, a radiographic image was taken to determine whether the injected material had reached the IA space or infiltrated into the soft tissue. US-guided IA injections in the IP (97 %; P < 0.05) and OOP method (95 %; P < 0.05) showed significantly higher accuracy rate than injections in the blind injection (78 %). Both US-guided IA injection methods may be used to access the knee joint with high degree of accuracy.

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Acknowledgment

This work was supported by the research fund of Hanyang University (HY-2006-N).

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, South Korea

    Seong Ho Jang

  2. Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South Korea

    Sang Chul Lee

  3. Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, South Korea

    Ji Hae Lee

  4. Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, South Korea

    Sang Hyun Nam

  5. Department of Otorhinolaryngology-Head and Neck Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, South Korea

    Kyoung Rai Cho

  6. Department of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, 761-1, Sanggye 6,7 dong, Nowon-gu, Seoul, 139-707, South Korea

    Yongbum Park

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  1. Seong Ho Jang
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  2. Sang Chul Lee
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  3. Ji Hae Lee
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  4. Sang Hyun Nam
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  5. Kyoung Rai Cho
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  6. Yongbum Park
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Correspondence to Yongbum Park.

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Jang, S.H., Lee, S.C., Lee, J.H. et al. Comparison of ultrasound (US)-guided intra-articular injections by in-plain and out-of-plain on medial portal of the knee. Rheumatol Int 33, 1951–1959 (2013). https://doi.org/10.1007/s00296-012-2660-5

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  • DOI: https://doi.org/10.1007/s00296-012-2660-5

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