Evidence Behind Corticosteroid Injections of the Hip and Knee

Evidence Behind Corticosteroid Injections of the Hip and Knee

Next in the series, we will continue to discuss the evidence related to corticosteroid injections by moving distally to the hips and knees.  As with others, we will cover randomized controlled trials and systematic reviews on corticosteroid injections for issues common to orthopedics such as trochanteric bursitis, hip osteoarthritis and knee osteoarthritis.

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Evidence Behind Injections on the Elbow, Wrist and Hand

Evidence Behind Injections on the Elbow, Wrist and Hand

 This article will cover some of the randomized trials and reviews on corticosteroid injections for some of the most common issues that present to a sports medicine practice including lateral and medial epicondylitis, de Quervain’s tenosynovitis,  trigger finger, carpal tunnel syndrome.

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Review of Evidence Behind Corticosteroid Injections of the Shoulder

Review of Evidence Behind Corticosteroid Injections of the Shoulder

This article will cover some of the randomized controlled trials behind shoulder injections including adhesive capsulitis, subacromial impingement and biceps tendonitis.  Injections with depot corticosteroids are used by many to provide both therapeutic and diagnostic value. They can also serve to delay or possibly avoid the need for surgery in some situations.

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Frequency, Cartilage Loss and Common Complications of Corticosteroid Injections

Frequency, Cartilage Loss and Common Complications of Corticosteroid Injections

Many orthopedic practices in the United States will perform injections in 3-month intervals or more spaced out if possible.  The main reasoning behind the limitation of injections is preservation of cartilage and avoidance of side effects. There is contrasting evidence regarding repeated corticosteroid joint injections and cartilage damage.

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Introduction and Comparison of Corticosteroids

Introduction and Comparison of Corticosteroids

Corticosteroids are medications that are commonly injected and many people refer to these injections as “cortisone” injections.  The first corticosteroid injection was performed in 1953 and the first clinical trial was performed in 1958 1,8.  The medications are synthetically formulated to mimic the steroid hormone cortisone, which is produced by the adrenal gland and released in response to stress

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