{Reference Type}: Journal Article
{Title}: Debate: Intra-articular steroid injections for osteoarthritis - harmful or helpful?☆,☆☆.
{Author}: Guermazi A;Hunter DJ;Kloppenburg M;
{Journal}: Osteoarthr Imaging
{Volume}: 3
{Issue}: 3
{Year}: 2023 Sep
暂无{DOI}: 10.1016/j.ostima.2023.100163
{Abstract}: Intra-articular corticosteroids injections are a widely used treatment for pain from symptomatic osteoarthritis. Systematic reviews show that the treatment effect is modest compared with intra-articular saline (often considered as placebo) and lasts for 2-4 weeks on average. Potentially as a consequence of limited therapeutic duration, repeated injections are often given up to 4 injections annually. In this context of repeat injections, recent evidence has emerged that intra-articular corticosteroids might be associated with more MRI-assessed quantitative cartilage thickness loss than saline injections. Guidelines vary in the recommendation for use of intra-articular corticosteroids. Given the frequency with which intra-articular corticosteroids injections are used, the size and scale of the population with osteoarthritis, it is critical to fully understand the benefits and drawbacks of intra-articular corticosteroids injections. That is the focus of this debate article.