Evidence map›Paper›PMID 42814735›Full record

Trial reportPloS one2026

Clinical outcomes of hyaluronic acid-sorbitol injection in athletes with patellofemoral pain: Evaluation of the potential influence of body mass index.

Julio Carlos Vélez de Lachica, Susana Serrano, Eduard Vidovic, Antonio Farfan

Registry-linked trialAbstract readClinical Trial, Phase IIClinical Trial, Phase III
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05450458 (Safety and Effectiveness of Hyaluronic Acid and Sorbitol With Overuse Knee Pain in Sportsmen), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05450458 phase2 / phase3completednot on this map

Safety and Effectiveness of Hyaluronic Acid and Sorbitol With Overuse Knee Pain in Sportsmen

TypeinterventionalSponsorHospital Regional TlalnepantlaRan2023 to 2025Enrolled64ConditionsOveruse Injury, Body Mass Index in AthletesArmsKNEE JOINT INFILTRATION WITH HYALURONIC ACID WITH SORBITOL SYNOLIS VA
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Julio Carlos Vélez de LachicaSocial Security Institute of the State of Mexico and its Municipalities (ISSEMyM), Tlalnepantla, México.ORCID https://orcid.org/0000-0003-4443-7565
Susana SerranoStar Medica Tlalnepantla, Tlalnepantla, México.
Eduard VidovicMedical Department, Aptissen SA, Plan-les-Ouates, Switzerland.
Antonio FarfanInstituto Nacional de Rehabilitación, Ciudad de México, México.ORCID https://orcid.org/0000-0001-7882-9589

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatellofemoral pain (PFP) is a frequent cause of activity-related knee pain and functional limitation in athletic populations. Elevated body mass index (BMI) may contribute to patellofemoral joint loading, but evidence on hyaluronic acid-sorbitol injection outcomes in athletes with elevated BMI remains limited.

objectiveTo describe longitudinal changes in knee function and symptoms over 6 months after intra-articular hyaluronic acid-sorbitol injection in athletes with PFP, and to explore whether baseline BMI was associated with post-injection improvement.

methodsThis prospective, single-arm, non-randomized interventional study included 60 athletes aged 30-55 years who received a single 4 mL intra-articular hyaluronic acid-sorbitol injection. IKDC and KOOS scores were assessed at baseline, 15 days, 3 months, and 6 months. Longitudinal changes were evaluated using linear mixed models, with generalized estimating equations as a sensitivity analysis; exploratory regression and subgroup analyses assessed the association between BMI and improvement.

resultsMean IKDC and KOOS scores increased from baseline to 6 months, with estimated changes of +18.58 points for IKDC (95% CI 16.81-20.36) and +19.28 points for KOOS (95% CI 17.52-21.04; both p < 0.001). At 6 months, 75.0% of participants reached the predefined IKDC threshold for clinically meaningful improvement and 83.3% reached the KOOS threshold. Participants with BMI ≥ 25 kg/m2 also showed within-group improvement. BMI was not independently associated with improvement rate after adjustment for baseline score; however, the small elevated-BMI subgroup (n = 22) limited these exploratory comparisons, and a clinically relevant difference could not be excluded. Minor local adverse events occurred in 4 of 60 participants and resolved with cryotherapy.

conclusionAthletes with PFP, including those with elevated BMI, showed consistent improvement in knee function and symptoms over 6 months following hyaluronic acid-sorbitol injection. These findings support intra-articular hyaluronic acid-sorbitol as a feasible, well-tolerated option for athletes with PFP, regardless of body weight. Controlled trials are needed to confirm the treatment's contribution, given the single-arm design.

trial registrationCEI/0504/PI/2022; ClinicalTrials.gov NCT05450458.

Indexed as

AthletesBody Mass IndexHyaluronic AcidPatellofemoral Pain SyndromeSorbitolAdultFemaleHumansInjections, Intra-ArticularMaleMiddle AgedProspective StudiesTreatment OutcomeHyaluronic AcidSorbitol

Identifiers

PMID42814735
PMCPMC13626342

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.