Steroid injection in hip osteoarthritis

Intra-articular steroid therapy (IAST) is an available candidate to supply a local analgesic effect for OA patients.

A systematic review concluded that (1):

• IAST was proved to be an efficacious therapy in both immediate and delay pain reduction for hip OA patients within 12 weeks. The longer follow-up data of efficacy and safety and potentially influential factors are still unclear and needed further confirmation

A study to compare the clinical effectiveness of adding a single ultrasound guided intra-articular hip injection of corticosteroid and local anaesthetic to advice and education in adults with hip osteoarthritis (2):

• in patients with mild to moderate hip osteoarthritis, ultrasound guided corticosteroid and local anaesthetic injection with advice and education led to greater pain reduction and improvement in function over six months, compared with advice and education alone

Reference:

• Zhong HM, Zhao GF, Lin T, et al. Intra-Articular Steroid Injection for Patients with Hip Osteoarthritis: A Systematic Review and Meta-Analysis. Biomed Res Int. 2020;2020:6320154. Published 2020 Feb 24. doi:10.1155/2020/6320154
• Paskins Z et al. Clinical effectiveness of one ultrasound guided intra-articular corticosteroid and local anaesthetic injection in addition to advice and education for hip osteoarthritis (HIT trial): single blind, parallel group, three arm, randomised controlled trial BMJ 2022; 377 doi: https://doi.org/10.1136/bmj-2021-068446