Meniscal INfiltration of Corticosteroid Guided With Ultra Sonography

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital, Toulouse

About this trial

The value of corticosteroid infiltration of the meniscus wall in the therapeutic strategy is not clearly defined: the data in the literature on the effectiveness of corticosteroid infiltration are heterogeneous and of low level of proof. We hypothesize that corticosteroid infiltration of the meniscal wall under ultrasound control would be effective for rapid relief of degenerative meniscal pain.

The main objective is to evaluate the efficacy of ultrasound-guided meniscal wall infiltration of betamethasone versus ultrasound-guided meniscal wall infiltration of placebo, at 1 month, on meniscal pain in the treatment of meniscal pain of degenerative origin in adult.

Eligibility criteria

Qualifiers

Localized knee pain with tenderness over the medial or lateral joint space reproduced on clinical examination

Pain assessed with a VAS score > 4/10 despite first-line medical treatment including the use of tier I or II analgesics or NSAIDs.

An MRI of the knee performed in the 6 months preceding the operation as part of the pre-treatment assessment

Medial or lateral degenerative meniscal lesion on MRI consistent with pain, confirmed by an investigating physician

Disqualifiers

Patient under curatorship, guardianship or safeguard of justice

Inability to speak, read or write French fluently

Patient deprived of liberty

Patients with psychiatric pathology

Trial design

Treatments tested in this trial

  • ultrasound-guided betamethasone infiltration of the meniscal wall
  • ultrasound-guided isotonic saline (placebo) infiltration of the meniscal wall

Treatment groups

152 Participants
are divided into 2 treatment groups

Sponsors and collaborators