[Local treatment for persistent inflammatory arthritis of the knee: intra-articular injection of glucocorticoids and bed rest]

Ned Tijdschr Geneeskd. 2008 Sep 6;152(36):1956-8.
[Article in Dutch]

Abstract

Two studies evaluating treatment options for persistent mono-arthritis are discussed. In one study arthroscopic lavage plus intra-articular glucocorticoids was compared with arthroscopic lavage without glucocorticoids, and with joint aspiration plus glucocorticoids. Both intra-articular glucocorticoids and lavage have their merits, but glucocorticoids appear to be slightly more effective. In the second study radioactive Yttrium plus intra-articular glucocorticoids was compared with glucocorticoids alone. Yttrium provided little additional value. There are some indications that a period of strict bed rest after treatment is beneficial. Intra-articular glucocorticoids should not be administered more frequently than three times per year in the same joint.

Publication types

  • Comment
  • English Abstract

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use*
  • Arthritis / drug therapy
  • Arthritis / therapy*
  • Bed Rest*
  • Combined Modality Therapy
  • Glucocorticoids / therapeutic use*
  • Humans
  • Injections, Intra-Articular
  • Knee Joint / pathology*
  • Treatment Outcome
  • Yttrium Radioisotopes / therapeutic use

Substances

  • Anti-Inflammatory Agents
  • Glucocorticoids
  • Yttrium Radioisotopes