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  • Title: Non-contrast computed tomography-guided intra-articular corticosteroid injections of severe bilateral hip arthritis in a patient with ankylosing spondylitis.
    Author: Santos-Ocampo AS, Santos-Ocampo RS.
    Journal: Clin Exp Rheumatol; 2003; 21(2):239-40. PubMed ID: 12747284.
    Abstract:
    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.
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