Introduction

Hip osteoarthritis is a prevalent condition responsible for important pain and disability. Most available guidelines for nonsurgical management of hip osteoarthritis recommend a combination of nonpharmacological and pharmacological treatment modalities. Intraarticular corticosteroid injections have been used for decades, although evidence is quite scarce, and many controversies remain.

Methods

This article reviews the available literature from Medline and Embase and discusses the evidence for intraarticular corticosteroid injections in hip osteoarthritis, where only 5 randomized controlled trials were found in the literature. These are analyzed in this article, which also aims to explain the main characteristics and features of glucocorticoids, along with their contraindications and potential adverse effects.

Results

Available randomized controlled trials show that intraarticular corticosteroid injections provide pain relief and functional improvement in hip osteoarthritis. This efficacy has not been shown with intraarticular hyaluronic acid injections.

Conclusion

This review shows that intraarticular corticosteroid injections are efficacious in hip osteoarthritis and that this benefit can last up to 12 weeks.

中文翻译：

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髋关节骨关节炎的关节内皮质类固醇：综述。

介绍

髋关节骨关节炎是一种导致严重疼痛和残疾的普遍疾病。大多数现有的髋关节骨关节炎非手术治疗指南都推荐非药物治疗和药物治疗相结合。关节内皮质类固醇注射已经使用了几十年，尽管证据非常稀缺，并且仍然存在许多争议。

方法

本文回顾了 Medline 和 Embase 的现有文献，并讨论了髋关节骨性关节炎关节内注射皮质类固醇的证据，文献中仅发现 5 项随机对照试验。本文对此进行了分析，旨在解释糖皮质激素的主要特点和特点，以及它们的禁忌症和潜在的不良反应。

结果

可用的随机对照试验表明，关节内注射皮质类固醇可缓解髋骨关节炎的疼痛并改善功能。关节内透明质酸注射没有显示出这种功效。

结论

这篇综述表明关节内注射皮质类固醇对髋关节骨关节炎有效，并且这种益处可以持续长达 12 周。