Original Investigation

Infrapatellar Fat Pad Glucocorticoid Injection in Knee Osteoarthritis

JAMA Network Open 10.1001/jamanetworkopen.2025.49938

January 02, 2026 at 11:00 AM EST

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Is the administration of glucocorticoid injections into the infrapatellar fat pad (IPFP) effective and safe for individuals with inflammatory knee osteoarthritis (OA)?This randomized clinical trial of 60 patients found that the treatment group, compared with the placebo group, did not experience a statistically significant reduction in visual analog scale pain scores (−39.3 mm vs −31.4 mm). Both groups showed a reduction in effusion volume, with no significant between-group difference.The negative finding of this intra-IPFP glucocorticoid injections trial suggests further work is needed to identify effective interventions in patients with inflammatory knee OA.

Corresponding Authors: Changhai Ding, PhD, Clinical Research Center, Zhujiang Hospital, Southern Medical University, 253 Industrial Ave Central, Guangzhou City 510280, Guangdong Province, China (changhai.ding@utas.edu.au), and Li Jiang, PhD, Department of Rehabilitation Medicine, The Third Affiliated Hospital of Southern Medical University, No. 183 Zhongshan Avenue West, Tianhe District, Guangzhou 510630, Guangdong Province, China (jl1580004@smu.edu.cn).

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