Non-contrast computed tomography-guided intra-articular corticosteroid injections of severe bilateral hip arthritis in a patient with ankylosing spondylitis.
Progressively destructive hip arthritis is a common complication of patients with ankylosing spondylitis. Palliative intra-articular corticosteroid hip injections are helpful in younger patients who wish to delay joint replacement surgery. Non-contrast computed tomography (CT)-guided intra-articular procedures can potentially minimize radiation exposure compared to fluoroscopy-guided techniques. We describe a CT-guided technique for intra-articular corticosteroid hip injections for severe bilateral hip arthritis which avoids the use of radiologic contrast by documenting the presence of a pre-injection air bubble underneath the fibrous capsule. Significant reduction in symptoms within 48 hours and at 6 weeks post-injection confirmed the successful outcome of this technique.
Santos-Ocampo
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Department of Medicine, Makati Medical Center, Makati City, The Philippines. bersanto@yahoo.com
Santos-Ocampo
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D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D006615:Hip; D006801:Humans; D007270:Injections, Intra-Articular / Q000379:methods*; D008297:Male; D013167:Spondylitis, Ankylosing / Q000188:drug therapy*; D013256:Steroids; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents; D013256:Steroids