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Semin Musculoskelet Radiol 2016; 20(05): 401-408
DOI: 10.1055/s-0036-1594286
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Injectable Corticosteroids: Take Precautions and Use Caution

Véronique Freire
1   Radiology Department, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
2   Research Center, Centre Hospitalier de l'Université de Montréal, Pavillon R, Montreal, Quebec, Canada
,
Nathalie J. Bureau
1   Radiology Department, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
2   Research Center, Centre Hospitalier de l'Université de Montréal, Pavillon R, Montreal, Quebec, Canada
› Author Affiliations
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Publication History

Publication Date:
21 December 2016 (online)

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Abstract

Corticosteroids are routinely injected into soft tissues, tendon sheaths, bursae, and joints. These anti-inflammatory agents have different potency and solubility, and solubility is inversely correlated with the duration of action. Corticosteroids carry a low risk of complications but commonly cause systemic and local adverse effects. The use of intra-articular corticosteroid injections in the treatment of inflammatory arthritis and osteoarthritis is well established. Evidence also supports the use of injectable corticosteroids in the treatment of inflammatory tenosynovitis and bursitis associated with rheumatic diseases, trigger finger and de Quervain disease, and carpal tunnel syndrome. The role of corticosteroid injections in the management of rotator cuff disease remains unclear. Strong scientific evidence indicates that corticosteroid injections for lateral epicondylosis worsen the long-term outcomes of patients. This review article discusses the considerations related to the use of corticosteroid injections in the management of nonspinal musculoskeletal conditions.

Keywords

corticosteroid - intra-articular injection - soft tissue injection - tendinopathy - musculoskeletal disorders
 

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