Effectiveness of fluoroscopy-guided intra-articular steroid injection for hip osteoarthritis

Clinical Radiology
N SubediC Groves

Abstract

To demonstrate the benefits of fluoroscopy-guided intra-articular steroid injection in the hip with varying degrees of disease severity, and to investigate the financial aspects of the procedure and impact on waiting time. A prospective study was undertaken of patients who underwent fluoroscopic intra-articular steroid injection over the 9-month study period. Comparative analysis of the Oxford hip pain score pre- and 6-8 weeks post-intra-articular injection was performed. Hip radiographs of all patients were categorised as normal, mild, moderate, or severe disease (four categories) based on the modified Kellgren-Lawrence severity scale, and improvement on the Oxford hip pain score on each of these four severity categories were assessed. Within the study cohort of 100 patients, the mean increase in post-procedure hip score of 7.32 points confirms statistically significant benefits of the therapy (p<0.001, 95% confidence interval: 5.55-9.09). There was no significant difference in pre-injection hip score or change in score between the four severity categories (p=0.51). Significant improvement in hip score (p<0.05) was demonstrated in each of the four severity categories 6-8 weeks post-injection. No associated complications were o...Continue Reading

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Citations

Jan 31, 2016·PM & R : the Journal of Injury, Function, and Rehabilitation·Daniel M CushmanZachary L McCormick
May 16, 2018·The Journal of Bone and Joint Surgery. American Volume·Scott D MartinPengfei Lei
Jan 4, 2020·The British Journal of Radiology·Laura PochonChristian W Pfirrmann
Feb 8, 2020·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Michelle HenneDaryl Christopher Osbahr
Jul 17, 2021·Ultrasound in Medicine & Biology·Yanxue WangShaoling Wu
Sep 23, 2021·The Journal of Bone and Joint Surgery. American Volume·Kanu OkikeHyo-Chun Yoon

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