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Results for “INJECTIONS, INTRA-ARTICULAR”

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At least 181 records · Page 10Linked to original sources
PubMedDate not supplied

Acute autoimmune collagen-induced arthritis in rabbits.

Three groups of rabbits were investigated: I. 9 rabbits, immunized with rabbit collagen type I, received 1 intraarticular injection of same antigen in the right knee, and control preparations in the left knee. II. 4 rabbits, immunized with calf collagen type I, received the same intraarticular injections as in group I. III. 2 non-immunized rabbits received also the same intraarticular injections. Synovial fluid and synovium were obtained in all groups 18 hours after intraarticular injection. Knee-joints of all animals immunized and challenged intraarticularly with rabbit collagen showed strong cellular exsudation (mean 1.800 X 10(3) cells,) in contrast to control joints (mean 21 to 484 X 10(3) cells). Histologic investigation of synovium of group I animals showed in rabbit collagen injected knees in contrast to controls, vascular reactions with enlargement of small vessels, thikening of endothelial cells, perivascular infiltration and aggregation of polymorphonuclears in lumen of vessels. Intraarticular injection of rabbit collagen in calf collagen immunized rabbits, induced a limited cellular exsudation, (mean 670 X 10(3) cells) which was lower than in rabbit collagen immunized animals, however also more pronounced than in control joints. Whilst results after intraarticular injection of rabbit collagen in rabbit collagen immunized animals are interpreted as early signs of autoimmune arthritis, results after intraarticular injection of rabbit collagen in calf collagen immunized animals are regarded as milder symptoms of synovitis induced by crossreactivity of antigens.

Animals↗
PubMed1977

[Complications of local use of hydrocortisone and their prevention].

Since 1966 to 1976 3694 patients were treated for deforming arthrosis (4953 joints) with local periarticular novocain-hydrocortisone blockades supplemented with intramuscular injections of rheopyrin (pyrabutanol). The method proved to be highly effective, being not inferior to intraarticular injections of hydrocortisone suspension. Only in 8 patients phlegmons occurred, the excision of which resulted in prompt recovery. Hydrocortisone injection in the articular cavity is inherent in the development of grave complications (28 observations), which resulted in amputation of the extremity in 3 patients and in lethal issues--in 6.

Adult↗
PubMed1975

[Treatment of hemophilic arthropathies by medical synoviorthesis].

The effects of medical synoviorthesis were studied by the authors in the haemophiliac. The use of radioisotopes was limited in view of the young age of the patients but a good result was achieved for the 5 elbows treated and for the 4 knees (yttrium 90) the results were 2 good, 1 fair and 1 failure. Osmic acid was injected in 44 knees. The results were good and fair in 51% of 39 knees. The results can be improved by a second injection. Synoviorthesis should be kept for joints with very few destructions because of the danger of worsening the osteocartilaginous lesions, specially with osmic acid.

Adolescent↗
PubMed1976

[Early isotopic synoviorthesis during rheumatoid polyarthritis (RP)].

The authors report the results of 1258 chemical synovectomies carried out in subjects with rheumatoid polyarthritis on joints at Steinbrocker stage I and of 470 chemical synovectomies carried out during the first year of evolution of rheumatoid polyarthritis. Comparison with the results of chemical synovectomy carried out later demonstrate the superiority of early chemical synovectomy.

Arthritis, Rheumatoid↗
PubMed1977

Comparison of intra-articular methotrexate with intra-articular triamcinolone hexacetonide by thermography.

A comparison of intra-articular methotrexate and intra-articular triamcinolone hexacetonide was made in 42 arthritic patients with persistent bilateral knee effusions. One knee was injected with either 5 mg methotrexate (two injections of 2.5 mg a week apart) or a single injection of 20 mg triamcinolone. An objective assessment of both knees was made by quantitative thermography at 0,3,7,14 and 21 days. Joints injected with triamcinolone showed a greater fall in thermographic index (T.I) than the joints injected with methotrexate, which showed similar change to the non-injected knee joints in both groups. Four patients received larger doses of methotrexate, up to 20 mg, though the fall in T.I. was still less than the mean fall for triamcinolone injected joints. Peak venous blood levels of methotrexate were reached 1 hour after intra-articular injection, and a sphygmomanometer cuff inflated around the leg above the injected knee for periods of up to 1 hour did not appreciably delay this. Methotrexate had no immediate anti-inflammatory effect, even in psoriatic arthropathy, and did not give the relief of intra-articular steroid.

Adult↗
PubMed1978

Intra-articular pressure as a factor in initiating ulnar drift.

To determine the possible relevance of intra-articular pressure in the production of ulnar drift, metacarpophalangeal joints of fresh cadaver specimens were injected with water to increase the intra-articular pressure. Of the thirty-two joints tested, ulnar deviation was produced in twenty-three, flexion in twenty-four, and simultaneous ulnar deviation and flexion (ulnar drift) in nineteen. In two or three instances, the displacement was in extension or radial deviation. These results suggest that elevated intra-articular pressure may be a factor in the initiation of ulnar drift in patients with rheumatoid arthritis.

Aged↗
PubMed1979

Trypsin-induced mitosis in the articular cartilage of adult rabbits.

Full-grown rabbits were injected in the knee joints with solutions of trypsin of various concentrations. The animals were sacrificed 2 weeks after the trypsin injection. Twenty-four hours before sacrifice they received 40 muCi 3H-thymidine intra-articularly. The changes in the knee joints were then studied by histological and autoradiographical methods. The injection of trypsin did not result in the development of osteoarthritis. However, autoradiography revealed that the chondrocytes started to divide after the injection. The mitosis of the chondrocytes can thus not be due to degeneration of the cartilage. The explanation put forward is that the mitosis of the chondrocytes may be the result of a decrease in the concentration of a growth controlling factor (chalone) initiated by the administration of trypsin.

Animals↗
PubMed1978

Effects of intra-articularly administered corticosteroids and salicylates on the surface structure of articular cartilage.

This study was designed to evaluate the effects of repeated intra-articular corticosteroid and salicylate injections on the surface structure of articular cartilage in the rabbit, using the scanning electron miscroscope. We have shown that the normal surface of the rabbit's articular cartilage presents shallow depressions and mound-like elevations and that corticosteroid-treated articular cartilage exhibits progressive lesions, including fissuring and fraying. The effects of salicylates require further investigation.

Animals↗
PubMed1976

[Polyarthritis in calves (author's transl)].

The development of polyarthritis was studied in thirty-six calves. Thirty patients were from two to eleven days of age; six animals were older than eleven days. Besides clinical studies, the synovial fluid was examined both biochemically and bacteriologically in addition, a blood culture was made. When the synovial fluids of twenty-six calves were studied bacteriologically, P. multocida was isolated in ten cases, P. haemolytica in two cases, E. coli in ten cases, streptococci in three cases and D. pneumoniae in one case; bacteriological examination of the synovial fluid was negative in ten cases. Blood cultures were positive in twenty animals (P. multocida in five cases, P. haemolytica in two cases, E. coli in eleven cases, S. subacidus in one case and D. pneumoniae in one case). Twenty-five calves were treated by intra-articular as well as intramuscular injection of kanamycin (sulphate); six animals were treated with similar injections of ampicillin. Treatment with ampicillin was initially instituted in five calves; after some time, however, kanamycine (sulphate) was substituted for this medication. Twenty-seven calves recovered completely.

Animals↗
PubMedDate not supplied

[The effect of yttrium-90 radio synovectomy on the intra-articular xenon-133 clearance in rheumatic joint diseases].

Nine inflamed knee joints out of eight patients were examined before and after intraarticular injection of yttrium-90 silicate colloid, in order to find out the effect of radiation synovectomy on the perfusion of the joints. These joints and the untreated contralateral knee joints were examined as to the clinical status and the fast component Tf of the xenon-133 clearance was determined as a means of the perfusion of the synovium. A linear correlation exists between the clinical status of the knee joint and the perfusion as determined by Tf measured three months before and after injection of yttrium-90. Also the joints without any radiation synovectomy showed this correlation. Three months after radiation synovectomy with yttrium-90 there was still no therapeutic effect apparent in the majority of the inflamed knee joints (seven out of nine). At this stage there still existed a hyperaemia. Therefore, it seems that on the whole three months are too short a period to judge the therapeutic effect.

Adult↗
PubMed1979

Synovial effusions containing cholesterol crystals report of 12 patients and review.

Cholesterol crystals were identified in 16 synovial fluids from 12 patients who were seen over the 14-year period 1964 through 1977. Ten of the 12 patients had rheumatoid arthritis of a median duration of 12 years. One patient had ankylosing spondylitis and another had iliopectineal bursitis without other joint disease. The fluids were usually turbid, white, or yellow in color and of thick consistency. When the synovial fluid concentration of cholesterol was determined, it was higher than the serum level. The swollen joints and bursae did not respond favorably to simple aspiration or corticosteroid injections but did to surgical synovectomy. No relationship was found between synovial fluid accumulation of cholesterol crystal and previous intra-articular corticosteroid therapy, serum lipoprotein abnormalities, intra-articular hemorrhage, or generalized arteriosclerosis. The results suggest that local factors are most important in the development of synovial fluid cholesterol crystals, but the exact mechanisms are unknown. The presence of cholesterol crystals in synovial fluid should suggest a severe persistent synovitis, knowledge of which may be helpful in diagnosis and planning therapy.

Adult↗
PubMed1978

A thermographic assessment of three intra-articular prednisolone analogues given in rheumatoid synovitis.

1 Three intra-articular prednisolone analogues have been studied in a group of forty-six rheumatoid arthritic subjects. Each compound was tested at 50 mg and 100 mg dose over 3 weeks. 2 The anti-inflammatory effect was assessed by quantitative thermography. Systemic escape of the drug was monitored by plasma prednisolone and cortisol levels. 3 Both the systemic escape from the joint and the duration of effect on injected and uninjected knees were related to drug solubility. 4 Depression of plasma cortisol occurred with all three preparations and was most prolonged with the long-acting preparation. 5 Increasing the dose from 50 mg to 100 mg increased the antiflammatory effect only with the soluble acetate preparation.

Arthritis, Rheumatoid↗