Evidence map›Paper›PMID 35494256›Full record

ArticleArthroscopy, sports medicine, and rehabilitation2022

Dexamethasone Does not Compensate for Local Anesthetic Cytotoxic Effects on Tenocytes: Morphine or Morphine Plus Dexamethasone May Be a Safe Alternative.

Anne Lene Oeyen, Jörn Kircher, Melanie Vogl, Irina Ickert, Nani Osada, Rüdiger Krauspe, Bernd Bittersohl, Monika Herten

Open access · goldAbstract read
In one paragraph

Article in Arthroscopy, sports medicine, and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Anne Lene OeyenDepartment of Orthopedic and Trauma Surgery, Caritas-Klinik Maria Heimsuchung Berlin-Pankow, Berlin, Germany.
Jörn KircherDepartment of Shoulder and Elbow Surgery, ATOS Klinik Fleetinsel Hamburg, Hamburg, Germany.
Melanie VoglDepartment of Pediatrics, University Hospital Essen, Essen, Germany.
Irina IckertDepartment of Medicine II, Rheinlandklinikum Neuss, Neuss, Germany.
Nani OsadaDepartment of Medical Statistics and Biomathematics (formerly), University of Münster, Münster, Germany.
Rüdiger KrauspeDepartment of Orthopedic Surgery, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Bernd BittersohlDepartment of Orthopedic Surgery, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Monika HertenDepartment of Orthopedic Surgery, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Essen University Hospital · DEHeinrich Heine University Düsseldorf · DELukaskrankenhaus · DEPanasonic (Germany) · DESchön Klinik Hamburg Eilbek · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purposes of this in vitro study were to investigate whether the addition of dexamethasone can compensate for any cytotoxic effects of the amide-type local anesthetics (LA) bupivacaine and ropivacaine and whether morphine and morphine-6-glucuronide (M6G) may be a safe alternative for peritendinous application. Methods: Biopsies of human biceps tendons ( Results: Significant time-dependent cytotoxic effects were observed for LA after all exposure times. After 15, 60, and 240 minutes, cell viability decreased to 81.1%, 49.4% and 0% ( Conclusions: The results showed that amide-type LA have a time-dependent cytotoxic effect on human tenocytes in vitro, which could not be compensated for by dexamethasone, whereas morphine and M6G had no cytotoxic effects on tenocytes after 15 and 60 minutes. The addition of dexamethasone to morphine and M6G had a positive effect on viability, which increased significantly compared to the opioids. Clinical Relevance: It is known that amide-type local anesthetics used for local joint analgesia have chondrotoxic side-effects. The combined application of morphine and dexamethasone may be a safe alternative.

Indexed as

bupivacainecytotoxicjointmorphinemorphine-6-glucuronideperiarticularropivacainetendontenocyte

Identifiers

PMID35494256
PMCPMC9042774
OpenAlexW4200048337

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.