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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 3-4/2008

Open Access 01-12-2008

Intraarticular cortisone injection for osteoarthritis of the hip. Is it effective? Is it safe?

Author: David W. Kruse

Published in: Current Reviews in Musculoskeletal Medicine | Issue 3-4/2008

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Abstract

Osteoarthritis of the hip is a significant source of morbidity in the elderly. Treatment guidelines are available for the management of hip osteoarthritis, but these do not address the application of intraarticular corticosteroid injection. The intraarticular injection of corticosteroid is used in the management of other large joint osteoarthritic diseases and is well studied in the knee, however, this data cannot be used to make sound clinical decisions regarding its use for hip osteoarthritis. There are also concerns regarding the safety of this modality. Review of the published literature reveals that there are eight trials examining the efficacy of intraarticular corticosteroid injection for hip osteoarthritis and of these only four are randomized controlled trials. In general, the available literature demonstrates a short-term reduction of pain with corticosteroid injection and is indicated for patients refractory to non-pharmacologic or analgesic and NSAID therapy. The use of radiologic-guidance is recommended and, with proper sterile technique, the risk of adverse outcomes is very low. Future randomized controlled trials are needed to further examine the efficacy and safety of intraarticular corticosteroid injection for hip osteoarthritis.
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Metadata
Title
Intraarticular cortisone injection for osteoarthritis of the hip. Is it effective? Is it safe?
Author
David W. Kruse
Publication date
01-12-2008
Publisher
Humana Press Inc
Published in
Current Reviews in Musculoskeletal Medicine / Issue 3-4/2008
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-008-9029-0

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