ClinicalTrials.gg
RecruitingNCT07804446Medial OA CSIUpdated Sep 4, 2026

Patient Pain and Function in Medial Knee Osteoarthritis After Anteromedial vs Anterolateral Intra-Articular Corticosteroid Injection

An interventional study of Anteromedial Injection and Anterolateral Injection in Osteoarthitis, Osteoarthritic Knee Pain and Osteoarthritis (OA), sponsored by University of Chicago. Recruiting at 5 sites in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-09-04.

Primary conditionOsteoarthritis, KneeRegistry: OsteoarthritisReclassifiedWhy we changed it
Registry
Osteoarthritis — the first condition term the registry derived for this study.
ClinicalTrials.gg
Osteoarthritis, Knee
Why
  1. The study's title name Osteoarthritis, Knee, a narrower term within Osteoarthritis.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University of Chicago · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to find out if there is a difference in pain experienced in patients with knee arthritis of the inside of their knee if they get a steroid injection on the inside or outside of their knee. Participants will:

  1. Be randomly divided into getting their steroid injection on the inside or outside of their knee.
  2. Answer a pain survey before their injection as well as over the phone 2 weeks, 6 weeks, and 12 weeks after their injection.
02

Conditions studied

  • Osteoarthitis
  • Osteoarthritic Knee Pain
  • Osteoarthritis (OA)
  • Osteoarthritis (OA) of the Knee
  • Osteoarthritis in the Knee

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Keywords

  • osteoarthritis
  • arthritis
  • corticosteroid
  • steroid injection
  • pain
  • pain control
  • pain survey
  • knee
  • knee arthritis
  • knee osteoarthritis
  • knee pain
  • knee injection
03

In context

Osteoarthritis, Knee Reclassified

3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.

This study's planned enrollment of 140 is above the median of 68 across 2,714 interventional studies indexed under Osteoarthritis, Knee.

Browse Osteoarthritis, Knee studies →

Lead sponsor

University of Chicago is the lead sponsor of 924 studies on the registry; 185 are open to participants now.

Of its 103 completed or terminated interventional studies of FDA-regulated products, 72 (70%) have results posted.

Compared within Osteoarthritis, Knee, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Osteoarthritis. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 40
  • Clinical diagnosis of knee OA with predominant medial compartment symptoms
  • Radiographic moderate-to-severe medial compartment OA (KL grade 3-4 or equivalent)
  • Agreed to and preparing to receive a CSI of the knee as part of standard care from surgeon, regardless of past injection of the knee
  • Able to provide
  • Able to complete phone, email, or MyChart follow-ups in English

Exclusion criteria

Exclusion Criteria:

  • Predominant lateral compartment OA or patellofemoral-only OA
  • Inflammatory arthritis (RA, gout flare, etc.)
  • Suspected or confirmed joint infection or overlying cellulitis
  • Prior knee arthroplasty on the index knee
  • Planned surgery for index knee within 12-week follow-up
  • Inability to complete follow-up assessments
  • Other clinician-determined to CSI
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
140 participants (estimated)

Study arms

  • Active comparator
    Anterolateral

    These patients will receive their corticosteroid injections on their anterolateral knees.

    Procedure: Anterolateral Injection

  • Active comparator
    Anteromedial

    This group of patients will receive injections on the anteromedial side of their knee.

    Procedure: Anteromedial Injection

Interventions

  • ProcedureAnteromedial Injection

    If randomized to this intervention, patients will receive a corticosteroid injection in the anteromedial side of their knee.

  • ProcedureAnterolateral Injection

    If randomized to this intervention, patients will receive a corticosteroid injection on the anterolateral side of their knee.

06

What researchers measure

Primary outcomes

  1. Numeric Pain Rating Scale

    This survey asks patients to rate their pain on a scale from 0 to 10.

    Time frame: Pre-procedure, 2 weeks, 6 weeks, and 12 weeks post-injection

  2. Knee Osteoarthritis and Outcome Score-Joint Replacement

    This standardized survey asks patients to describe the impact of their knee stiffness and pain on daily tasks.

    Time frame: Pre-procedure, 2 weeks, 6 weeks, and 12 weeks post-injection

Secondary outcomes

  1. Institutional Survey on Satisfaction with Injection

    This survey asks patients to rate their satisfaction with their corticosteroid injection on a scale from 0 to 10.

    Time frame: 2 weeks, 6 weeks, and 12 weeks post-injection

  2. Patient Global Impression of Change

    This survey asks patients to rate their overall health status on a scale from 1 to 7.

    Time frame: 2 weeks, 6 weeks, and 12 weeks post-injection

07

Study locations

5 of 5 sites recruiting
  • Bolingbrook Clinic
    Bolingbrook, Illinois 60440, United States
    Recruiting
  • Hyde Park Clinic
    Chicago, Illinois 60637, United States
    Recruiting
  • La Grange Clinic
    La Grange, Illinois 60525, United States
    Recruiting
    • Sara JS Wallace, M.D./M.P.H. · Contactswallace2@bsd.uchicago.edu · 773-834-3531
    • Sara JS Wallace, M.D./M.P.H. · Principal investigator
  • Orland Park Clinic
    Orland Park, Illinois 60462, United States
    Recruiting
  • Woodridge Clinic
    Woodridge, Illinois 60517, United States
    Recruiting
08

References and documents

Publications

  • Hanley MA, Jensen MP, Ehde DM, Robinson LR, Cardenas DD, Turner JA, Smith DG. Clinically significant change in pain intensity ratings in persons with spinal cord injury or amputation. Clin J Pain. 2006 Jan;22(1):25-31. doi: 10.1097/01.ajp.0000148628.69627.82. PubMed 16340590 ↗
  • Salaffi F, Stancati A, Silvestri CA, Ciapetti A, Grassi W. Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale. Eur J Pain. 2004 Aug;8(4):283-91. doi: 10.1016/j.ejpain.2003.09.004. PubMed 15207508 ↗
  • Dworkin RH, Turk DC, Wyrwich KW, Beaton D, Cleeland CS, Farrar JT, Haythornthwaite JA, Jensen MP, Kerns RD, Ader DN, Brandenburg N, Burke LB, Cella D, Chandler J, Cowan P, Dimitrova R, Dionne R, Hertz S, Jadad AR, Katz NP, Kehlet H, Kramer LD, Manning DC, McCormick C, McDermott MP, McQuay HJ, Patel S, Porter L, Quessy S, Rappaport BA, Rauschkolb C, Revicki DA, Rothman M, Schmader KE, Stacey BR, Stauffer JW, von Stein T, White RE, Witter J, Zavisic S. Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. J Pain. 2008 Feb;9(2):105-21. doi: 10.1016/j.jpain.2007.09.005. Epub 2007 Dec 11. PubMed 18055266 ↗
  • Toda Y, Tsukimura N. A comparison of intra-articular hyaluronan injection accuracy rates between three approaches based on radiographic severity of knee osteoarthritis. Osteoarthritis Cartilage. 2008 Sep;16(9):980-5. doi: 10.1016/j.joca.2008.01.003. Epub 2008 Mar 12. PubMed 18339561 ↗
  • Courtney P, Doherty M. Joint aspiration and injection and synovial fluid analysis. Best Pract Res Clin Rheumatol. 2013 Apr;27(2):137-69. doi: 10.1016/j.berh.2013.02.005. PubMed 23731929 ↗
  • Hermans J, Bierma-Zeinstra SM, Bos PK, Verhaar JA, Reijman M. The most accurate approach for intra-articular needle placement in the knee joint: a systematic review. Semin Arthritis Rheum. 2011 Oct;41(2):106-15. doi: 10.1016/j.semarthrit.2011.02.007. PubMed 22036252 ↗
  • Huang Y, Liu P. Expert consensus on glucocorticoids injection for knee osteoarthritis. J Orthop Surg Res. 2026 Jan 8;21(1):25. doi: 10.1186/s13018-025-06363-1. PubMed 41508090 ↗
  • van Middelkoop M, Arden NK, Atchia I, Birrell F, Chao J, Rezende MU, Lambert RG, Ravaud P, Bijlsma JW, Doherty M, Dziedzic KS, Lohmander LS, McAlindon TE, Zhang W, Bierma-Zeinstra SM. The OA Trial Bank: meta-analysis of individual patient data from knee and hip osteoarthritis trials show that patients with severe pain exhibit greater benefit from intra-articular glucocorticoids. Osteoarthritis Cartilage. 2016 Jul;24(7):1143-52. doi: 10.1016/j.joca.2016.01.983. Epub 2016 Feb 2. PubMed 26836288 ↗
  • Najm A, Alunno A, Gwinnutt JM, Weill C, Berenbaum F. Efficacy of intra-articular corticosteroid injections in knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials. Joint Bone Spine. 2021 Jul;88(4):105198. doi: 10.1016/j.jbspin.2021.105198. Epub 2021 Apr 24. PubMed 33901659 ↗
  • Wylde V, Beswick A, Bruce J, Blom A, Howells N, Gooberman-Hill R. Chronic pain after total knee arthroplasty. EFORT Open Rev. 2018 Aug 16;3(8):461-470. doi: 10.1302/2058-5241.3.180004. eCollection 2018 Aug. PubMed 30237904 ↗
  • Waimann CA, Fernandez-Mazarambroz RJ, Cantor SB, Lopez-Olivo MA, Zhang H, Landon GC, Siff SJ, Suarez-Almazor ME. Cost-effectiveness of total knee replacement: a prospective cohort study. Arthritis Care Res (Hoboken). 2014 Apr;66(4):592-9. doi: 10.1002/acr.22186. PubMed 24124052 ↗
  • Lutzner J, Kasten P, Gunther KP, Kirschner S. Surgical options for patients with osteoarthritis of the knee. Nat Rev Rheumatol. 2009 Jun;5(6):309-16. doi: 10.1038/nrrheum.2009.88. PubMed 19491912 ↗
  • Silverstein FE, Faich G, Goldstein JL, Simon LS, Pincus T, Whelton A, Makuch R, Eisen G, Agrawal NM, Stenson WF, Burr AM, Zhao WW, Kent JD, Lefkowith JB, Verburg KM, Geis GS. Gastrointestinal toxicity with celecoxib vs nonsteroidal anti-inflammatory drugs for osteoarthritis and rheumatoid arthritis: the CLASS study: A randomized controlled trial. Celecoxib Long-term Arthritis Safety Study. JAMA. 2000 Sep 13;284(10):1247-55. doi: 10.1001/jama.284.10.1247. PubMed 10979111 ↗
  • McGettigan P, Henry D. Cardiovascular risk with non-steroidal anti-inflammatory drugs: systematic review of population-based controlled observational studies. PLoS Med. 2011 Sep;8(9):e1001098. doi: 10.1371/journal.pmed.1001098. Epub 2011 Sep 27. PubMed 21980265 ↗
  • McAlindon TE, Bannuru RR, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM, Hawker GA, Henrotin Y, Hunter DJ, Kawaguchi H, Kwoh K, Lohmander S, Rannou F, Roos EM, Underwood M. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014 Mar;22(3):363-88. doi: 10.1016/j.joca.2014.01.003. Epub 2014 Jan 24. PubMed 24462672 ↗
  • Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J, Towheed T, Welch V, Wells G, Tugwell P; American College of Rheumatology. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012 Apr;64(4):465-74. doi: 10.1002/acr.21596. PubMed 22563589 ↗
  • Bedenbaugh AV, Bonafede M, Marchlewicz EH, Lee V, Tambiah J. Real-World Health Care Resource Utilization and Costs Among US Patients with Knee Osteoarthritis Compared with Controls. Clinicoecon Outcomes Res. 2021 May 21;13:421-435. doi: 10.2147/CEOR.S302289. eCollection 2021. PubMed 34054301 ↗
  • Kye SY, Park K. Suicidal ideation and suicidal attempts among adults with chronic diseases: A cross-sectional study. Compr Psychiatry. 2017 Feb;73:160-167. doi: 10.1016/j.comppsych.2016.12.001. Epub 2016 Dec 14. PubMed 27992846 ↗
  • Veronese N, Stubbs B, Solmi M, Smith TO, Noale M, Cooper C, Maggi S. Association between lower limb osteoarthritis and incidence of depressive symptoms: data from the osteoarthritis initiative. Age Ageing. 2017 May 1;46(3):470-476. doi: 10.1093/ageing/afw216. PubMed 27932358 ↗
  • Gore M, Tai KS, Sadosky A, Leslie D, Stacey BR. Clinical comorbidities, treatment patterns, and direct medical costs of patients with osteoarthritis in usual care: a retrospective claims database analysis. J Med Econ. 2011;14(4):497-507. doi: 10.3111/13696998.2011.594347. Epub 2011 Jun 20. PubMed 21682606 ↗
  • Wright EA, Katz JN, Cisternas MG, Kessler CL, Wagenseller A, Losina E. Impact of knee osteoarthritis on health care resource utilization in a US population-based national sample. Med Care. 2010 Sep;48(9):785-91. doi: 10.1097/MLR.0b013e3181e419b1. PubMed 20706165 ↗
  • Vina ER, Kwoh CK. Epidemiology of osteoarthritis: literature update. Curr Opin Rheumatol. 2018 Mar;30(2):160-167. doi: 10.1097/BOR.0000000000000479. PubMed 29227353 ↗
  • He Y, Li Z, Alexander PG, Ocasio-Nieves BD, Yocum L, Lin H, Tuan RS. Pathogenesis of Osteoarthritis: Risk Factors, Regulatory Pathways in Chondrocytes, and Experimental Models. Biology (Basel). 2020 Jul 29;9(8):194. doi: 10.3390/biology9080194. PubMed 32751156 ↗
  • Hootman JM, Helmick CG, Barbour KE, Theis KA, Boring MA. Updated Projected Prevalence of Self-Reported Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation Among US Adults, 2015-2040. Arthritis Rheumatol. 2016 Jul;68(7):1582-7. doi: 10.1002/art.39692. PubMed 27015600 ↗
  • Losina E, Weinstein AM, Reichmann WM, Burbine SA, Solomon DH, Daigle ME, Rome BN, Chen SP, Hunter DJ, Suter LG, Jordan JM, Katz JN. Lifetime risk and age at diagnosis of symptomatic knee osteoarthritis in the US. Arthritis Care Res (Hoboken). 2013 May;65(5):703-11. doi: 10.1002/acr.21898. PubMed 23203864 ↗

Individual participant data

Plan to share: Undecided — IPD may not be shared due to privacy concerns, but the authors will consider sharing de-identified data upon reasonable request.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07804446
Collaborators
AdventHealth
Responsible party
Sponsor
First posted
Sep 4, 2026
Start date
Aug 31, 2026
Primary completion
Apr 1, 2027 (estimated)
Completion
May 1, 2027 (estimated)
Last update
Sep 4, 2026

Study contacts

Malik J Scott, B.A.
Contact
mjscott1@uchicago.edu
773-834-3531
Sara JS Wallace, M.D./M.P.H.
principal investigator · The University of Chicago Medical Center
Brandon Pardi, M.D.
principal investigator · AdventHealth

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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