- See:
-
Steroid Menu:
-
Relative Potency of Various Steroids:
- Triamcinolone: is the most common choice for joint injection;
- Cautions for Intra-Articular Injection:
-
local complications:
- may cause fat necrosis and loss of skin pigmentation in blacks;
- in some cases may accelerate joint degeneration;
-
system absorption may occur from intra-articular injection;
- absorption is increased by usage of water soluble preparations, dose injected, and injection into multiple joints;
- may cause transient hyperglycemia in
diabetic patients (and therefore is contraindicated in type I or brittle diabetics);
-
avascular necrosis of the femoral head is a rare complication;
-
iatrogenic septic arthritis: (see
septic arthritis)
- uncommon problem but it does occur;
- all joint injections should be performed using sterile technique, with a formal betadine prep and use of sterile gloves;
-
other
- note that intra-articular steroids may interfere w/ lactation in nursing mothers; (see
pregnancy considerations)
Intraarticular corticosteroids in treatment of osteoarthritis.
Intra-articular corticosteroid treatment in osteoarthritis.
Injections in the treatment of osteoarthritis.
Alterations of rabbit articular cartilage by intra-articular injections of glucocorticoids.
Effect of intra-articular corticosteroids on ligament properties: a biomechanical and histological study in rhesus knees.
Intrasynovial injection of steroids uses and abuses.
Effects of local injection of corticosteroids on the healing of ligaments. A follow-up report.
Safety and efficacy of long-term intraarticular steroid injections in osteoarthritis of the knee: a randomized, double-blind, placebo-controlled trial.
Alternatives to Total Knee Replacement: Autologous Hamstring Resurfacing Arthroplasty
