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Steroid injections of hip and knee may damage joints

Press releases may be edited for formatting or style | October 16, 2019 X-Ray

"Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement," Dr. Guermazi said. "This information should be part of the consent when you inject patients with intra-articular corticosteroids."

With corticosteroid injections so widely used, the potential implications of the study are enormous, according to Dr. Guermazi.

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"Intra-articular joint injection of steroids is a very common treatment for osteoarthritis-related pain, but potential aggravation of pre-existing conditions or actual side effects in a subset of patients need to be explored further to better understand the risks associated with it," Dr. Guermazi said. "What we wanted to do with our paper is to tell physicians and patients to be careful, because these injections are likely not as safe as we thought."

"Intra-articular Corticosteroid Injections of the Hip and Knee: Perhaps Not as Safe as We Thought?" Collaborating with Dr. Guermazi were Andrew J. Kompel, M.D., Frank W. Roemer, M.D., Akira M. Murakami, M.D., Luis E. Diaz, M.D., and Michel D. Crema, M.D.

Radiology is edited by David A. Bluemke, M.D., Ph.D., University of Wisconsin School of Medicine and Public Health, Madison, Wis., and owned and published by the Radiological Society of North America, Inc.


About RSNA
RSNA is an association of over 53,400 radiologists, radiation oncologists, medical physicists and related scientists, promoting excellence in patient care and health care delivery through education, research and technologic innovation. The Society is based in Oak Brook, Ill.

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