Cohn B T, Shapiro P S
Section of Sports Medicine, Mount Sinai Medical Center, Cleveland, Ohio.
Orthop Rev. 1993 Dec;22(12):1341-2.
Local injection of a corticosteroid into the knee joint is a commonly used modality for the treatment of various inflammatory processes. Injection of these agents at the superomedial or superolateral poles of the patella have led to problems with pain and discomfort for the patients, as well as damage to the chondral surface of the patella. Injection through the patellar tendon can lead to side effects related to injection into the fat pad and into the anterior cruciate ligament. These problems can be avoided by using the inferomedial or inferolateral poles of the patella as a needle insertion site.
在膝关节内局部注射皮质类固醇是治疗各种炎症过程的常用方法。在髌骨的上内侧或上外侧极注射这些药物会给患者带来疼痛和不适问题，以及对髌骨软骨表面造成损伤。通过髌腱注射可能会导致与注射到脂肪垫和前交叉韧带相关的副作用。通过将髌骨的下内侧或下外侧极作为进针部位，可以避免这些问题。
