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

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    Publication date
    2015-11-11
    Author
    Subedi, N.
    Chew, N.S.
    Chandramohan, M.
    Scally, Andy J.
    Groves, C.
    Keyword
    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
    
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    Abstract
    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<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
    Version
    No full-text in the repository
    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.
    Link to publisher’s version
    http://dx.doi.org/10.1016/j.crad.2015.07.002
    Type
    Article
    Collections
    Health Studies Publications

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