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Rheumatology (Oxford). 2010 Aug;49(8):1490-4. doi: 10.1093/rheumatology/keq030. Epub 2010 Mar 24.

Steroid injection for hip osteoarthritis: efficacy under ultrasound guidance.

Author information

1
Rheumatology Division, County Hospital Turda, Turda, Romania. mcmicu@yahoo.com

Abstract

OBJECTIVE:

To determine the efficacy of IA corticosteroid (CS) injection in pain reduction for hip OA under ultrasound (US) guidance.

METHODS:

Forty patients [mean age 62.78 (8.16) years] fulfilling ACR criteria for hip OA, with synovitis detected at US, gave their consent for IA US-guided CS injection because of pain refractory to conventional therapy. At baseline, at 1 and 3 months, patients filled up a visual analogue scale (VAS) pain on walking, performed the Lequesne index and were checked by US for synovitis. Results were compared with age-matched controls. The occurrence of side effects both short and long term was monitored.

RESULTS:

IA steroid deposition was performed under US guidance. After 1 and 3 months, walking pain VAS was significantly reduced vs baseline (P < 0.001) and had high correlation with Lequesne index. Synovial hypertrophy was reduced in 75% of the hips after 1 and 3 months vs baseline (P < 0.001). In the group of controls, hip walking pain VAS, Lequesne index and synovial hypertrophy were not changed at 3 months vs baseline (P > 0.05). Transient facial rash was present in 16 patients during the first 24-48 h after injection. No side effects were reported.

CONCLUSION:

US-guided steroid injections in hip OA is an efficacious and safe therapeutic approach to achieve pain control and reduction of synovial hypertrophy avoiding the use of X-ray-guided procedure.

PMID:
20338889
DOI:
10.1093/rheumatology/keq030
[Indexed for MEDLINE]

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