Publication

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

Subedi, N.
; 
Chew, N.S.
; 
Chandramohan, M.
; 
Scally, Andy J.
; 
Groves, C.
Publication Date
2015-11-11
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Keywords
Adolescent, Adult, Aged, Aged 80 and over, Analysis of variance, Anti-inflammatory agents, Female, Fluoroscopy, Humans, Injections, Male, Middle aged, Osteoarthritis, Prospective studies, Radiography, Steroids, Time-to-treatment, Treatment outcome, Young adult
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Peer-Reviewed
Yes
Open Access status
closedAccess
Accepted for publication
2015-07-03
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Health Studies Publications
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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. 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<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 observed. CONCLUSION: The present study confirms that fluoroscopy-guided intra-articular steroid injection is a highly effective therapeutic measure for hip osteoarthritis across all grades of disease severity with significant cost savings and the potential to reduce waiting times.
URI
http://hdl.handle.net/10454/9273
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Citation
Subedi N, Chew NS, Chandramohan M et al (2015) Effectiveness of fluoroscopy-guided intra-articular steroid injection for hip osteoarthritis. Clinical Radiology. 70(11): 1276-1280.
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Link to Version of Record
https://doi.org/10.1016/j.crad.2015.07.002
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Article
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