Ultrasonography-Guided Injection for Quadriceps Fat Pad Edema: Preliminary Report of a Six-Month Clinical and Radiological Follow-Up

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dc.authoridERGEN, FATMA BILGE/0000-0002-6368-3959
dc.authoridMARAŞ ÖZDEMİR, ZEYNEP/0000-0003-1085-8978
dc.authoridAydingoz, Ustun/0000-0002-4325-847X
dc.authoridKorkmaz, Mehmet Fatih/0000-0001-7498-6763
dc.authorwosidERGEN, FATMA BILGE/I-9176-2013
dc.authorwosidBAYRAKCITUNAY, VOLGA/J-1172-2013
dc.authorwosidMARAŞ ÖZDEMİR, ZEYNEP/ABI-3319-2020
dc.authorwosidAydingoz, Ustun/D-7207-2014
dc.authorwosidKorkmaz, Mehmet Fatih/AAE-6018-2020
dc.contributor.authorOzdemir, Zeynep Maras
dc.contributor.authorAydingoz, Ustun
dc.contributor.authorKorkmaz, Mehmet Fatih
dc.contributor.authorTunay, Volga Bayrakci
dc.contributor.authorErgen, Fatma Bilge
dc.contributor.authorAtay, Ozgur
dc.contributor.authorBaysal, Ozlem
dc.date.accessioned2024-08-04T20:43:13Z
dc.date.available2024-08-04T20:43:13Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose: To investigate efficacy and safety of ultrasonography-guided local corticosteroid and anesthetic injection followed by physical therapy for the management of quadriceps fat pad (QFP) edema. Materials and Methods: We prospectively evaluated 1671 knee MRI examinations in 1542 patients for QFP edema with mass effect, which was present in 109 (6.5%) knees. Participants were assigned into injection and therapy groups (both received the same physical therapy program). Injection group was first treated with ultrasonography-guided QFP injection of 1 mL corticosteroid and 1 mL local anesthetic agent. Patients were evaluated at baseline and 1-, 2-, 6-month follow-up for pain using static and dynamic visual analogue scale (VAS), suprapatellar tenderness, and QFP edema on MRI. Results: Final sample size consisted of 19 knees (injection group, 10; therapy group, 9) in 17 patients. An overall improvement was detected in both groups between baseline and final assessments. The injection group fared better than the therapy group in static VAS scores (3.33 +/- 1.70 versus 0.56 +/- 1.33), while there was no such difference for dynamic VAS. Incidence of suprapatellar tenderness decreased in both groups, statistically significantly in the injection group (from 100% to 0%). Pain reduction was greater in the injection group at the first month (88.9%-90% good response versus 50%-66.7% good response, static-dynamic VAS scoring, respectively), whereas there was no such superiority at the sixth month. No severe adverse events were identified. Conclusion: Ultrasonography-guided local injection followed by physical therapy is safe in the management of QFP edema; however, it is not superior to stand-alone physical therapy program in the long term.en_US
dc.identifier.doi10.5334/jbr-btr.1148
dc.identifier.issn2514-8281
dc.identifier.issue1en_US
dc.identifier.pmid30038989en_US
dc.identifier.scopus2-s2.0-85021074222en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.urihttps://doi.org/10.5334/jbr-btr.1148
dc.identifier.urihttps://hdl.handle.net/11616/97862
dc.identifier.volume100en_US
dc.identifier.wosWOS:000390012100065en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherUbiquity Press Ltden_US
dc.relation.ispartofJournal of The Belgian Society of Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectQuadriceps fat pad edemaen_US
dc.subjectSonography-guided injectionen_US
dc.subjectFollow-upen_US
dc.titleUltrasonography-Guided Injection for Quadriceps Fat Pad Edema: Preliminary Report of a Six-Month Clinical and Radiological Follow-Upen_US
dc.typeArticleen_US

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