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© 1977 British Society for Rheumatology

other

REPEATED CORTICOSTEROID INJECTIONS INTO KNEE JOINTS

H. W. BALCH, J. M. C. GIBSON, A. F. EL-GHOBAREY, L. S. BAIN and M. P. LYNCH

Rheumatology Unit, City Hospital Aberdeen

Correspondence to: Request for reprints to Dr. H. W. Balch.

The effect of intra-articular injections of corticosteroids repeated over a period extending from four to 15 years on the radiological appearances of knee joints affected by rheumatoid arthritis and osteoarthritis has been studied. In 65 cases, the X-ray films of 15 showed no deterioration, 38 showed minimal or moderate deterioration, 10 showed marked deterioration and only 2 showed gross deterioration.

The results do not support the contention that repeated intra-articular injections of corticosteroids will inevitably lead to rapid joint destruction. The authors are of the opinion that intra-articular injections of corticosteroids, if used judiciously, have an important part to play in the management of chronic arthritis.


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