NCT03293238

Ultrasound Guided Knee Injections in Musculoskeletal Medicine

Practical Indications for Sonography in Musculoskeletal Medicine-Knee Joint Injections

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 63 (actual)
• Sponsor: Andrews Research & Education Foundation · Academic / Other
• Sex: All
• Age: 18 Years – 90 Years
• Healthy volunteers: Not accepted

Summary

This study will compare the accuracy and patient reported outcomes between four different techniques used to perform a knee injection.

Detailed description

This study will compare the accuracy and patient-oriented outcomes between various techniques for intra-articular knee injections. Historically, a joint line (intercondylar) technique of injection at the medial or lateral joint line, reliant solely upon clinical palpation, has been the most popular approach among primary care and orthopedic providers. Newer approaches, making use of ultrasound visualization to accomplish access to the intercondylar recess and the anterolateral suprapatellar pouch, have gained in popularity. Because of uncertain accuracy with the traditional approach, this study is designed to determine if sonographic visualization combined with either of these two newer techniques improves accuracy and affects patient-oriented outcomes.

Conditions

• Knee Osteoarthritis

Interventions

Type	Name	Description
PROCEDURE	Joint line ultrasound	Patients will be sitting with knee bent at 90 degrees. Clinician will palpate extremity to determine if a medial or lateral approach will be made for the injection of Euflexxa into the joint space. The procedure will be aided by real time visualization utilizing ultrasound guidance.
PROCEDURE	Joint line landmark	Patients will be sitting with knee bent at 90 degrees. Clinician will palpate extremity to determine if a medial or lateral approach will be made for the injection of Euflexxa into the joint space. The procedure will not be aided by ultrasound guidance, but completed based strictly on tactile feedback from the injecting physician.
PROCEDURE	Suprapatellar ultrasound guided	Patients will be lying supine on exam table. Ultrasound will be used to capture a longitudinal view of the proximal patella and the plane between the prefemoral fat pad and suprapatellar fat pad. After the desired visualization is achieved, injection of Euflexxa will be made within the suprapatellar pouch.
PROCEDURE	Suprapatellar Landmark	Patients will be lying supine on exam table. Injecting physician will insert needle lateral to the vastus lateralis toward the suprapatellar pouch, and will inject of Euflexxa once it is believed that the needle tip is in the pouch.

Timeline

• Start date: 2011-11-03
• Primary completion: 2018-02-01
• Completion: 2018-02-01
• First posted: 2017-09-26
• Last updated: 2022-08-08
• Results posted: 2019-11-06

Locations

1 site across 1 country: United States