Steroid Injection for Osteoarthritis of the Hip A Randomized, Double-Blind, Placebo-Controlled Trial
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2020;8(14):15 Arthritis Rheum. 2007 Jul;56(7):2278-87What this means for my practice?
Results suggest that using corticosteroid injections can provides significant improvement in pain and functional outcomes over a 2-month period in patients with primary hip OA. However, outcomes observed at follow-up periods of 3 and 6 months were not reported due to severe attrition, and long-term research is required to establish these clinical improvements.
Study Summary
Fifty-two patients with primary hip osteoarthritis (OA) were randomized to receive either a corticosteroid or placebo injection for the relief of pain, and improvement of function and quality of life. The primary outcome of interest was pain scored on the Western Ontario and McMaster Universities Arthritis index (WOMAC). Secondary outcomes of interest included WOMAC stiffness and physical function scores, a patient's global assessment of health, Short-Form 36 (SF-36) physical component, bodily pain, physical function and social function scores, internal and external rotation, and analgesic pill count. Outcomes were assessed at 1, 2, 3, and 6 months post-treatment; however, data were lacking for 3 and 6 months post-treatment due to severe attrition in follow-up numbers. The corticosteroid group reported significantly favourable WOMAC sub-scales for pain, stiffness, and physical function scores, patient's global assessment of health scores, and SF-36 physical component, bodily pain, physical function, and social function scores compared to the placebo group. No significant differences in internal or external rotation, or analgesic pill count were observed between the two treatment groups.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
Are you affiliated with one of our partner associations?
Click here to gain complimentary access as part your association member benefits!