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28.08.2018 | Scientific Article

Efficacy of intraarticular corticosteroid hip injections for osteoarthritis and subsequent surgery

verfasst von: Wilson C. Lai, Armin Arshi, Dean Wang, Leanne L. Seeger, Kambiz Motamedi, Benjamin D. Levine, Sharon L. Hame

Erschienen in: Skeletal Radiology | Ausgabe 12/2018

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Abstract

Objective

Our study aimed to determine the duration of pain relief from intraarticular hip corticosteroid injections and identify patient predictive factors on injection response. We also sought to determine the subsequent rate of hip surgery and whether severity of hip osteoarthritis or injection response correlated with the decision to undergo surgery.

Materials and methods

All intraarticular hip steroid injections performed for osteoarthritis under fluoroscopic guidance at a single institution between January 2010 to December 2012 were retrospectively reviewed. Response was divided into three groups: no relief, immediate (≤ 2 weeks of pain relief), and continued (> 2 weeks of pain relief). Presence of hip surgery for osteoarthritis performed within 2 years following injection was obtained. Correlation between patient characteristics with injection outcome and hip surgery was analyzed.

Results

Of 78 patients, a total of 82 injections were analyzed. For injections, 19.5% (16/82) showed no response, 47.6% (39/82) showed immediate response, and 32.9% (27/82) showed continued response. There was no significant correlation between injection outcome with age, Tönnis grade, BMI, or duration of symptoms. In total, 48.7% had hip surgery within 2 years after initial injection. There was a significant association between Tönnis grade and surgery, with higher Tönnis grades correlating with decision to undergo surgery (p = 0.002).

Conclusions

Gender, age, BMI, duration of symptoms, and radiographic severity of disease do not predict injection response. Due to high surgical rates and poor response, intraarticular hip steroid injections may be less effective in the long term, and surgical management may be considered earlier.

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Titel: Efficacy of intraarticular corticosteroid hip injections for osteoarthritis and subsequent surgery
verfasst von: Wilson C. Lai
Armin Arshi
Dean Wang
Leanne L. Seeger
Kambiz Motamedi
Benjamin D. Levine
Sharon L. Hame
Publikationsdatum: 28.08.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Skeletal Radiology / Ausgabe 12/2018
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-018-3052-z

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Efficacy of intraarticular corticosteroid hip injections for osteoarthritis and subsequent surgery