Clinical Case Database / Category: Practical Procedure

Intra articular knee injection

Publication details

I M Wood, A M Wood, D J Bell
Foundation Years Journal, volume 4, issue 8, p.18 (123Doc Education, London, September 2010)


A 56-year-old plumber with a BMI of 35, presents to your GP surgery with pain in his left knee. He reports that the pain is worse after work and when walking up stairs. He also comments that his knee feels stiff when sitting down and that he has pain when he starts to walk after resting. He reports that the knee becomes swollen after he has been kneeling for prolonged periods of time. He cannot recall any injury to his knee and is otherwise fit and well. Despite conservative treatment with non-steroidal anti-inflammatory medication and physiotherapy his pain has not settled.

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I M Wood

Regimental Medical Officer
40 Commando Royal Marines

A M Wood

Orthopaedic Registrar
Royal Infirmary of Edinburgh Orthopaedic Unit

D J Bell

4th Year Medical Student
Leeds University


1. Lockman, L E. (2006) Knee Joint Injection and Aspirations. Canadian Family Physician. 52(11):1403–1404.
2. NICE CG59 Clinical Guidance on Osteoarthritis including recommendations and methods use.
3. Schumacher, H. Chen, L. (2005) Injectable corticosteroids in treatment of arthritis of the knee. The American Journal of Medicine. 118(11):1208–1214.
4. Arroll, B. Goodyear-Smith, F. (2004) Corticosteroid injections for osteoarthritis of the knee: meta-analysis. British Medical Journal. 328:869.
5. Soloman, L. Warwick, D. Nayagam, S. (2009) Apley's System of Orthopaedics and Fractures. Hodder Arnold Publication.
6. Arthritis Research Campaign, Osteoarthritis of the knee, last updated April 2005, [available online]


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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