2021 Annual Meeting Hip Access Pass-Hip Corticosteroid/Anesthetic Injections—Are the reported rates of osteoarthritis progression and femoral head collapse real?

Hip Corticosteroid/Anesthetic Injections—Are the reported rates of osteoarthritis progression and femoral head collapse real?

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Video Summary

Michael Kucharik presented research on the safety of intra-articular hip corticosteroid injections for osteoarthritis. Despite previous studies showing high rates of avascular necrosis (AVN) and osteoarthritis (OA) progression, their study addressed key limitations by including matched controls and excluding patients with pre-existing conditions. Using MRIs and radiographs reviewed by blinded radiologists, no significant differences in OA progression, AVN, or femoral head collapse were found between injection and control groups. Different steroid types and dosages also showed no impact on outcomes. The study concludes corticosteroid injections are safe when used responsibly, challenging prior reports of high complication rates.

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Dr. Michael Kucharik | Hip Labrum Showdown

Keywords

intra-articular hip corticosteroid injections

osteoarthritis safety

avascular necrosis

MRI radiograph assessment

steroid dosage outcomes