Efficacy of intraarticular corticosteroid hip injections for osteoarthritis and subsequent surgery
| Autor: | Sharon L. Hame, Dean Wang, Leanne L. Seeger, Benjamin D. Levine, Wilson C Lai, Armin Arshi, Kambiz Motamedi |
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| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty medicine.drug_class Radiography Patient characteristics Osteoarthritis Severity of Illness Index Hip replacement (animal) Osteoarthritis Hip Injections Intra-Articular 03 medical and health sciences 0302 clinical medicine Adrenal Cortex Hormones medicine Humans Pain Management Radiology Nuclear Medicine and imaging 030212 general & internal medicine Intraarticular Corticosteroid Aged Pain Measurement Retrospective Studies 030203 arthritis & rheumatology Hip surgery Aged 80 and over business.industry Middle Aged medicine.disease Combined Modality Therapy Surgery Treatment Outcome Fluoroscopy Orthopedic surgery Corticosteroid Female business |
| Zdroj: | Skeletal radiology. 47(12) |
| ISSN: | 1432-2161 |
| Popis: | 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. 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. 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, Tonnis 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 Tonnis grade and surgery, with higher Tonnis grades correlating with decision to undergo surgery (p = 0.002). 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. |
| Databáze: | OpenAIRE |
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