Use of Intra-Articular Corticosteroids in Orthopaedics
This review of the evidence-based research on the efficacy of intra-articular corticosteroid injections of the osteoarthritic knee was inconclusive.
Combining intra-articular corticosteroid injection with a higher-dose anesthetic may compound chondrotoxic effects (that is risk the deterioration of the cartilage in the joint)
Compared with corticosteroid injections for osteoarthritis, intra-articular viscosupplements (e.g. Synvisc) have not shown a substantial difference in pain relief or functional outcomes.
Although rare and usually transient, systemic effects of intra-articular corticosteroid injections may occur and can be influenced by the type, frequency, and dosage of the corticosteroid used.
Practitioners are encouraged to use corticosteroid injections judiciously to treat pain and joint inflammation from osteoarthritis and inflammatory arthritis of large joints.
This review of the evidence-based research on the efficacy of intra-articular corticosteroid injections of the osteoarthritic knee was inconclusive.
Combining intra-articular corticosteroid injection with a higher-dose anesthetic may compound chondrotoxic effects (that is risk the deterioration of the cartilage in the joint)
Compared with corticosteroid injections for osteoarthritis, intra-articular viscosupplements (e.g. Synvisc) have not shown a substantial difference in pain relief or functional outcomes.
Although rare and usually transient, systemic effects of intra-articular corticosteroid injections may occur and can be influenced by the type, frequency, and dosage of the corticosteroid used.
Practitioners are encouraged to use corticosteroid injections judiciously to treat pain and joint inflammation from osteoarthritis and inflammatory arthritis of large joints.
Comment: In addition to the concerns expressed above, there is concern that cortisone injections may increase the risk of infection in total joints. A common recommendation is that joint replacement should be avoided within three months of such an injection.
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