{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:47:48Z","timestamp":1787237268538,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR0002384 (REDCap use)"],"award-info":[{"award-number":["UL1 TR0002384 (REDCap use)"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&R"],"published-print":{"date-parts":[[2023,3]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n Numerous studies have indicated that intra\u2010articular steroid injections to the hip are beneficial for short\u2010term pain relief. However, recent studies have drawn concerns of rapidly progressive osteoarthritis of the hip (RPOH) following intra\u2010articular steroid injections. The prevalence of RPOH following intra\u2010articular steroid injections varies widely in the literature.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To identify the prevalence of RPOH following intra\u2010articular steroid injections, and to compare baseline characteristics between patients with and without RPOH.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Case series.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Tertiary academic hospital.<\/jats:p>\n <\/jats:sec>\n \n Patients<\/jats:title>\n A total of 924 patients (median [interquartile range; IQR] age: 59 [45\u201070] years; 579 female) who received an intra\u2010articular hip steroid\/anesthetic injection from January 2016 to March 2018 and had available pre\u2010 and post\u2010injection imaging (prior to surgical intervention) were included in the study.<\/jats:p>\n Interventions: Baseline and injection\u2010related data\u2014including demographics, age, body mass index, medical history, laterality, and steroid type\u2014were collected from electronic medical records.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n Post\u2010injection RPOH was determined via imaging review by a physiatry fellow, followed by an attending physiatrist and a musculoskeletal radiologist to confirm findings.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The majority of patients received unilateral injections into the hip, and the most common steroids used were triamcinolone and methylprednisolone. Review of pre\u2010 and post\u2010injection imaging revealed 26 cases of RPOH, for an overall prevalence of 2.8% (95% confidence interval [CI] 1.9%\u20104.1%). Compared to those without RPOH, patients with RPOH were significantly older (median age [IQR]: 64 [60\u201073] vs. 59 [44\u201070] years,\n p<\/jats:italic>\n \u00a0=\u00a0.003) and had a shorter duration of symptoms prior to their injections (median [IQR]: 3 vs. 12 [6\u201036] months,\n p<\/jats:italic>\n \u2009<\u2009.001). Adjusted regression analyses showed that age was associated with greater odds of RPOH (odds ratio [OR], 95% CI: 1.04, 1.01 to 1.07;\n p<\/jats:italic>\n \u00a0=\u00a0.003).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The prevalence of RPOH following intra\u2010articular steroid injections into the hip was lower than previously reported but still clinically relevant. This should be considered when counseling patients prior to intra\u2010articular hip steroid injections.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmrj.12853","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T23:16:35Z","timestamp":1653088595000},"page":"259-264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Prevalence of rapidly progressive osteoarthritis of the hip following intra\u2010articular steroid injections"],"prefix":"10.1002","volume":"15","author":[{"given":"Roger A.","family":"Sanguino","sequence":"first","affiliation":[{"name":"Department of Physiatry Hospital for Special Surgery New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vandana","family":"Sood","sequence":"additional","affiliation":[{"name":"Department of Physiatry Hospital for Special Surgery New York New York USA"},{"name":"Department of Physical Medicine and Rehabilitation Weill Cornell Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5813-2669","authenticated-orcid":false,"given":"Kristen A.","family":"Santiago","sequence":"additional","affiliation":[{"name":"Department of Physiatry Hospital for Special Surgery New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8458-619X","authenticated-orcid":false,"given":"Jennifer","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Physiatry Hospital for Special Surgery New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0139-8826","authenticated-orcid":false,"given":"Ellen","family":"Casey","sequence":"additional","affiliation":[{"name":"Department of Physiatry Hospital for Special Surgery New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Mintz","sequence":"additional","affiliation":[{"name":"Department of Radiology Hospital for Special Surgery New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6282-2630","authenticated-orcid":false,"given":"James F.","family":"Wyss","sequence":"additional","affiliation":[{"name":"Department of Physiatry Hospital for Special Surgery New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30417-9"},{"key":"e_1_2_7_3_1","unstructured":"WittenauerR SmithL AdenK.Update on 2004 Background Paper: Osteoarthritis.2013. Available at:https:\/\/www.who.int\/medicines\/areas\/priority_medicines\/BP6_12Osteo.pdf. Accessed Aug 1 2021."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000534679.75870.5f"},{"key":"e_1_2_7_5_1","unstructured":"Alle DevezaL EylesJP.Management of Hip Osteoarthritis 2021. Available at:https:\/\/www.uptodate.com\/contents\/management-of-hip-osteoarthritis. 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Paper presented at: 15th International Congress of Rheumatology 1981; Paris."}],"container-title":["PM&R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12853","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.12853","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12853","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T18:25:43Z","timestamp":1692642343000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.12853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,12]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1002\/pmrj.12853"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.12853","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,12]]},"assertion":[{"value":"2022-01-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}