Evidence map›Paper›PMID 33707792›Full record

ArticleReumatologia2021

Difference in pain and accuracy of two hyaluronic acid injection techniques for symptomatic knee osteoarthritis in overweight patients.

Roberto D'Alessandro, Paolo Falsetti, Edoardo Conticini, Suhel Gabriele Al Khayyat, Marco Bardelli, Caterina Baldi, Stefano Gentileschi, Luca Cantarini, Bruno Frediani

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Article in Reumatologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Roberto D'AlessandroDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Italy.
Paolo FalsettiDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Italy.
Edoardo ConticiniDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Italy.
Suhel Gabriele Al KhayyatDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Italy.
Marco BardelliDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Italy.
Caterina BaldiDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Italy.
Stefano GentileschiDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Italy.
Luca CantariniDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Italy.
Bruno FredianiDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate differences of injection related pain, and the accuracy of the techniques in two groups of overweight patients, performing the anterolateral approach for one group (G1) and the superolateral approach for the second group (G2). MATERIAL AND

methodsIn the study, 126 knee joints from 86 osteoarthritis (OA) patients were evaluated. Inclusion criteria were body mass index (BMI) ≥ 25, absence of effusion and coagulopathy. Pain evaluation during injection was evaluated with Visual Analogue Scale (VAS), while accuracy of the procedure was evaluated with ultrasound (US).

resultsThe patients' mean age was 69.9 ±9.01, VAS for G1 group was 1.71 ±1.89, for G2 group was 1.74 ±1.31. Mean BMI was 29.69 ±2.86, for G1 group was 28.29 ±3.29, for G2 group was 30.32 ±2.41. No adverse events (AE) occurred in both studied groups. The accuracy rate of the procedure was 69.1% for G1 (38/55 knees), 95.7% for G2 (68/71 knees). No significant difference was found in VAS pain score between G1 and G2 group (

conclusionsHyaluronic acid injection is safe therapeutic option for knee OA with no significant differences between anterolateral and superolateral approaches in terms of pain in overweight patients. However, higher BMI seems to be a predictor of pain in anterolateral access, and the superolateral approach should be preferred in this group of patients.

Indexed as

hyaluronic acidinjectionknee osteoarthritisoverweightpain

Identifiers

PMID33707792
PMCPMC7944963

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