Injeção intra‐articular de hexacetonido de triancinolona em pacientes com artrite reumatoide: avaliação prospectiva da goniometria e parâmetros de inflamação articular

  title={Injeç{\~a}o intra‐articular de hexacetonido de triancinolona em pacientes com artrite reumatoide: avaliaç{\~a}o prospectiva da goniometria e par{\^a}metros de inflamaç{\~a}o articular},
  author={Rita Nely Vilar Furtado and Fernando Santana Machado and Karine Balestra da Luz and Marla Francisca dos Santos and Monique Sayuri Konai and Roberta Vilela Lopes and Jamil Natour},
  journal={Revista Brasileira De Reumatologia},
Resumo Objetivos Avaliar variaveis articulares locais apos a injecao intra‐articular (IIA) de hexacetonido de triancinolona (HT) em pacientes com artrite reumatoide (AR). Metodos Avaliaram‐se de modo cego e prospectivo (inicial, 1, 4, 12 e 24 semanas) as articulacoes metacarpofalângica (MCF), punho, cotovelo, ombro, joelho e tornozelo apos a IIA de HT a procura das seguintes medidas de desfecho: escala visual analogica (EVA) de 0 a 10 cm para dor em repouso (EVAr); EVA para dor ao movimento… 
7 Citations
Konservative Therapie von Knorpelschäden am Sprunggelenk
The etiology of osteoarthritis of the ankle joint is briefly presented, followed by an extensive description of the conservative treatment options and the risks of treatment with oral nonsteroidal anti-inflammatory drugs (NSAID) are presented.
Intra-articular Injections in the Treatment of Symptoms from Ankle Arthritis: A Systematic Review
Evidence from small trials favors HA and PRP injections for the treatment of pain associated with ankle osteoarthritis, however, the relative efficacy of all injectable therapies is far from definitive and warrants further high-quality comparative trials.
Efficacy and safety of intra-articular injection with triamcinolone acetonide for patients with rheumatoid arthritis
IAI is a useful therapeutic strategy in terms of controlling disease activity and managing pain; however, the frequency of IAI should be considered due to the increased risk of AEs with frequent administration.
Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review
Injections provide an effective alternative financially and some evidence exists that they are effective in pain alleviation, however, current evidence is limited and the benefit described from injection therapy has been short-lived.
Knorpelschäden am Sprunggelenk
Für Kortisoninjektionen, Platelet-Rich-Plasma (PRP)-Injaktionen und die Verwendung mesenchymaler Stammzellen ist die Studienlage noch weniger klar.
The Impact of Ultrasound on the Use and Efficacy of Intraarticular Glucocorticoid Injections in Early Rheumatoid Arthritis
Whether ultrasound in combination with clinical examination is better than clinical examination alone at identifying joints that will benefit from intraarticular injections is investigated, and the efficacy of ultrasound‐guided versus palpation‐guided procedures is compared.
Application of microbial 3-ketosteroid Δ1-dehydrogenases in biotechnology.
The role of 3-ketosteroid Δ1-dehydrogenase in cholesterol degradation by Mycobacterium tuberculosis and other mycobacteria is summarized and may be a potential target for drug development to combat myc Cobacterial infections.


Comparison of intra-articular triamcinolone hexacetonide and triamcinolone acetonide in oligoarticular juvenile idiopathic arthritis.
At comparable doses TH appeared to be much more effective than TA for intra-articular use, in both short- and long-term follow-up in children with oligoarticular juvenile idiopathic arthritis.
A subgroup-specific evaluation of the efficacy of intraarticular triamcinolone hexacetonide in juvenile chronic arthritis.
Intraarticular TH is an effective therapy for inflammatory joint disease in all subgroups of JCA and the risk of major complications is low, and the median duration of improvement depends on the subgroup of the disease.
Pain relief in the rheumatoid knee after steroid injection. A single-blind comparison of hydrocortisone succinate, and triamcinolone acetonide or hexacetonide.
TH is the preferred preparation for injection of the rheumatoid knee and more patients were rendered painfree for a longer time with TH; 18% at 12 weeks, as against 9% with TA (chi 2 test P < 0.005).
Accuracy of intra-articular injections in peripheral joints performed blindly in patients with rheumatoid arthritis.
Blind IAI proved safe and accurate when performed by a trained professional and significant improvement was seen in the VAS for pain at rest and during movement, Vas for oedema and morning stiffness.
Intra-articular corticosteroid therapy for juvenile idiopathic arthritis: report of an experiential cohort and literature review
The use of IACS in JIA substantiated with surveys now demonstrating a high level of usage by pediatric rheumatologists, and THA at a dose of 1–1.5 mg/kg is ideal.
The Efficacy and Duration of Intra‐articular Corticosteroid Injection for Knee Osteoarthritis: A Systematic Review of Level I Studies
It is concluded that intra‐articular corticosteroids reduce knee pain for at least 1 week and that intraarticular Corticosteroid injection is a short‐term treatment of a chronic problem.
Corticosteroid injections for osteoarthritis of the knee: meta-analysis
Evidence supports short term (up to two weeks) improvement in symptoms of osteoarthritis of the knee after intra-articular corticosteroid injection.
Intra-articular steroid injections for painful knees. Systematic review with meta-analysis.
  • M. Godwin, M. Dawes
  • Medicine
    Canadian family physician Medecin de famille canadien
  • 2004
Intra-articular corticosteroid injection results in clinically and statistically significant reduction in osteoarthritic knee pain 1 week after injection, and could last for 3 to 4 weeks, but is unlikely to continue beyond that.
Factors Influencing the efficacy of intra-articular steroid injections in patients with juvenile idiopathic arthritis
In conclusion, iaS is a safe procedure with a median duration of remission of 23.1 months, and the remission was longer in the joints of the upper extremity, with concomitant treatment with methotrexate and when the injection was performed under general anaesthesia.
Polyarticular corticosteroid injection versus systemic administration in treatment of rheumatoid arthritis patients: a randomized controlled study.
In the short term, polyarticular IA injection was better than IM corticosteroid, as shown by ACR improvement criteria and number of adverse effects.