Symposium: Evidence for the Use of Intra-articular Cortisone or Hyaluronic Acid Injection in the Hip

Symposium: Evidence for the Use of Intra-articular Cortisone or Hyaluronic Acid Injection in the Hip

Citation

Chandrasekaran S, Lodhia P, Suarez-Ahedo C, Vemula SP, Martin TJ, Domb BG.
J Hip Preserv Surg. 2015 Mar 31;3(1):5-15.
DOI: 10.1093/jhps/hnv020

Purpose

To review the evidence on the use of diagnostic, corticosteroid, hyaluronic acid (HA), and platelet-rich plasma (PRP) injections for osteoarthritis (OA) and femoroacetabular impingement (FAI).

Methods

• Systematic literature review of 72 articles on intra-articular hip injections.
• Analyzed efficacy, safety, and indications of injections.

Key Findings

• Diagnostic injections are sensitive and specific for intra-articular hip pain.
• Corticosteroids provide better pain relief than HA or PRP in hip OA.
• Higher corticosteroid doses yield longer benefit; injection volume not significant.
• No increased infection risk after subsequent hip arthroplasty with corticosteroids.
• Limited evidence supporting injections for labral tears and FAI.

Conclusion

Intra-articular corticosteroid injections are effective for hip OA pain relief, but therapeutic injections have limited evidence for labral tears and FAI.

What This Means for Patients

If you have hip OA, corticosteroid injections might reduce pain effectively, but injections are less proven for treating hip impingement or labral injuries.