Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?

Kompel AJ, Roemer FW, Murakami AM, et al. · Radiology

Describes four structural adverse outcomes — accelerated OA progression, subchondral insufficiency fracture, osteonecrosis, and rapid joint destruction with bone loss — observed in roughly 8% of injected patients in the authors' single-center experience.

Population

Radiology special report on patients receiving hip/knee corticosteroid injections at one academic center

Intervention

Intra-articular corticosteroid injection

Limitations

Narrative special report without a control group; causality not established; frequency estimate from one institution.