Long-or short-acting anesthetic with corticosteroid in local injections of overuse injuries? A prospective, randomized, double-blind study
Deutscher übersetzter Titel: | Kurz- oder laengerfristig wirksame Anaesthetika mit Kortikosteroid als lokale Injektionen nach Ueberlastungsschaeden? Eine prospektive, randomisierte Doppelblindstudie |
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Autor: | Kannus, P.; Jaervinen, M.; Niittymaeki, S. |
Erschienen in: | International journal of sports medicine |
Veröffentlicht: | 11 (1990), 5, S. 397-400, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource Elektronische Ressource (online) |
Sprache: | Englisch |
ISSN: | 0172-4622, 1439-3964 |
DOI: | 10.1055/s-2007-1024826 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199205047096 |
Quelle: | BISp |
Abstract
A prospective, randomized, double-blind study of 56 patients presenting with an overuse sports injury was undertaken in order to compare the effect of a long-acting anesthetic (bupivacaine) with a short-acting anesthetic (lidocaine) in local corticosteroid injections. At presentation, patients were either administered a periarticular injection of 2 ml of methyl prednisolone acetate with bupivacaine (MPA-B) (40 mgs per ml + 5 mgs per ml) or 2 ml of MPA with lidocaine (MPA-L) (40 mgs per ml + 10 mgs per ml). No other treatment was given. Results indicated that pain inhibition was better in the MPA-B group during the first six hours after the injection, obviously because of the longer half-life of bupivacaine. In later evaluations no differences could be observed: in both groups pain disappeared partly or completely in two-thirds of the patients and full recovery to sports was possible in half of them. Long-acting bupivacaine is recommended as an anesthetic substance in local steroid injections of musculoskeletal overuse injuries. Verf.-Referat