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

Aim 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. Materials and methods A prospective study was undertaken of patients who...

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Bibliographic Details
Published in:Clinical radiology 2015-11, Vol.70 (11), p.1276-1280
Main Authors: Subedi, N, Chew, N.S, Chandramohan, M, Scally, A.J, Groves, C
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Analysis of Variance
Anti-Inflammatory Agents - administration & dosage
Female
Fluoroscopy
Humans
Injections, Intra-Articular - methods
Male
Middle Aged
Osteoarthritis, Hip - drug therapy
Prospective Studies
Radiography, Interventional
Radiology
Steroids - administration & dosage
Time-to-Treatment
Treatment Outcome
Young Adult
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Summary:Aim 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. Materials and methods 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. Results 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
ISSN:0009-9260
1365-229X
DOI:10.1016/j.crad.2015.07.002