Frequency of Destructive Hip Disease Post Intra-Articular Corticosteroid Hip Injection

Abstract

Objective: To find the frequency of destructive hip disease in post intra-articular corticosteroid hip Injection.

Study Design: Retrospective study

Place and Duration of Study: Department of Orthopaedic, Sahara Medical College Narowal from 1^st January 2021 to 31^st December 2021.

Methodology: One hundred and twenty cases of corticosteroid injection in intra-articular region were analyzed. The radiological imaging within 6-12 months was used for finding frequency of rapidly destructive arthrosis. Narrowing of joint space greater than fifty percent with a loss of cartilage up to 2mm within a year was used for rapidly destructive arthrosis diagnosis. Kallgren and Lawrence scoring system ranged between 0-4 was used.

Results: There were 73.3% and 26.7% males and mean was 53.1±3.3 years. The steroidal injection was placed as 40mg triamcinolone-acetonide with 4 mL 1% lidocaine in 77.5% of cases. 20.8% rapidly destructive arthrosis in all the patients who were injected with corticosteroid. The progression of total hip arthroplasty was noticeable in 22.5%.

Conclusion: A high frequency of destructive hip disease is observed in intra-articular corticosteroid hip injections.