The safety of hip injection with corticosteroid in the diagnosis and treatment of osteoarthritis

Karuppiah, S. V.; Gibson, Patrick

doi:10.5301/hip.2008.1892

Cited by 8 publications

(13 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…24,25 Papavasiliou et al suggested that the rate of iatrogenic infection following an intra-articular corticosteroid injection may be increased in patients who later require an arthroplasty. 26 Although these findings were not corroborated by other studies, [27][28][29] caution is advised when contemplating an intra-articular corticosteroid injection that will provide shortterm symptomatic relief in a patient awaiting an elective arthroplasty. 22 The most common adverse effect of intra-articular corticosteroid injections is postinjection flare, a local increase in inflammation that develops within hours following the injection and can last 2 or 3 days.…”

Section: Potential Adverse Effects and Complicationsmentioning

confidence: 69%

Injectable Corticosteroids: Take Precautions and Use Caution

Freire

Bureau

2016

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

Corticosteroids are routinely injected into soft tissues, tendon sheaths, bursae, and joints. These anti-inflammatory agents have different potency and solubility, and solubility is inversely correlated with the duration of action. Corticosteroids carry a low risk of complications but commonly cause systemic and local adverse effects. The use of intra-articular corticosteroid injections in the treatment of inflammatory arthritis and osteoarthritis is well established. Evidence also supports the use of injectable corticosteroids in the treatment of inflammatory tenosynovitis and bursitis associated with rheumatic diseases, trigger finger and de Quervain disease, and carpal tunnel syndrome. The role of corticosteroid injections in the management of rotator cuff disease remains unclear. Strong scientific evidence indicates that corticosteroid injections for lateral epicondylosis worsen the long-term outcomes of patients. This review article discusses the considerations related to the use of corticosteroid injections in the management of nonspinal musculoskeletal conditions.

show abstract

Section: Potential Adverse Effects and Complicationsmentioning

confidence: 69%

Injectable Corticosteroids: Take Precautions and Use Caution

Freire

Bureau

2016

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

show abstract

“…In the early period, many retrospective studies reported no increased risks associated with IAI with regard to infection after subsequent THA. 6,[22][23][24][25][26][27][28] McIntosh et al 22 reported that there was no increased risk of PJI or SSI in a matched cohort study of 448 patients with THA performed within 1 yr after IAI. Chitre et al 23 reported no patient cases of PJI and one patient case of SSI in 36 patients who underwent THA at a mean of 18 mo following IAI.…”

Section: Outcomes Of Intraarticular Injections: Early Resultsmentioning

confidence: 99%

“…Chitre et al 23 reported no patient cases of PJI and one patient case of SSI in 36 patients who underwent THA at a mean of 18 mo following IAI. Karuppiah et al 24 reported no PJI or SSI in 128 patients who had undergone THA at a mean of 11 mo after IAI. Sreekumar et al 25 reported no PJI or SSI in 66 patients who underwent THA at a mean of 14 mo after IAI.…”

Section: Literature Reviewmentioning

confidence: 99%

The safety of intraarticular injection prior to total hip arthroplasty: a review

Chan

Huo

2022

Current Orthopaedic Practice

View full text Add to dashboard Cite

Osteoarthritis is a chronic and debilitating condition, and the hip joint is commonly affected. Total hip arthroplasty is an effective treatment for end-stage osteoarthritis. Intraarticular injections may be used to treat pain relief before total hip arthroplasty. There are controversies on whether intraarticular injections prior to total hip arthroplasty are safe because of concerns that they may increase the risk of infection after surgery. This study reviewed the most current published evidence from the past 20 yr regarding the risks of infection from intraarticular injections before total hip arthroplasty.

show abstract

“…Patients undergoing joint replacement may be at increased risk for infection if they have surgery within the first 6 weeks after an injection [18]. However, this risk is still unclear because results of newer studies have shown that injection before replacement might be safer than previously reported [19,20]. The treating physician should communicate with the joint replacement surgeons, because they may have a particular preference regarding the timing of intra‐articular corticosteroids before joint replacement surgery.…”

Section: Specific Medicationsmentioning

confidence: 99%

Injectable Medications for Osteoarthritis

Hameed

Ihm

2012

PM&R

View full text Add to dashboard Cite

Osteoarthritis is one of the most frequent and chronic conditions that affect the U.S. population. Use of intra-articular injections is one of the established treatment options available in the nonoperative care for the management of symptomatic osteoarthritis. Common injectable medications include corticosteroids, hyaluronic acid, and other less traditional compounds (for example, botulinum toxin). Corticosteroids work by anti-inflammatory and antinociceptive actions. Corticosteroids have been shown to decrease pain and symptoms associated with osteoarthritis for up to 3 weeks. Hyaluronic acid has an unclear mechanism of action, but it is thought to promote the restoration of hyaluronic acid within an osteoarthritic joint. The efficacy of hyaluronic acid is modest and is most beneficial between 5 and 13 weeks after treatment. Other injectable compounds have been studied and include botulinum toxin type A, which has been theorized to work as an antinociceptive agent. One must be aware of the potential adverse effects associated with these medications. For all of these injectable treatments, the placebo effect must not be overlooked, because it has be demonstrated in multiple studies that these medications provide similar relief of pain when compared with placebo. Image guidance with ultrasound or fluoroscopy may be considered when performing intra-articular injections to improve accurate placement of medication.

show abstract

The safety of hip injection with corticosteroid in the diagnosis and treatment of osteoarthritis

Cited by 8 publications

References 11 publications

Injectable Corticosteroids: Take Precautions and Use Caution

Injectable Corticosteroids: Take Precautions and Use Caution

The safety of intraarticular injection prior to total hip arthroplasty: a review

Injectable Medications for Osteoarthritis

Contact Info

Product

Resources

About