Preferred intraarticular corticosteroids and associated practice: a survey of members of the American College of Rheumatology

Arthritis Care Res. 1994 Sep;7(3):151-5. doi: 10.1002/art.1790070309.

Abstract

Objective: To determine which intraarticular steroids are used by rheumatologists and whether this use and associated practice vary with time and place of training.

Method: American College of Rheumatology members were mailed questionnaires that focused on steroid use in the adult knee.

Results: The steroids favored by the respondents were methylprednisolone acetate (MPA), preferred most by those trained in the eastern U.S.; triamcinolone hexacetonide (TH), preferred by those trained in the Midwest and Southwest; and triamcinolone acetonide (TA), preferred by those trained in the West. Only TH was chosen primarily because of efficacy. Regardless of concentration, respondents used 1 ml of steroid. Most (especially those recently trained) combined steroid with local anesthetic. Post-injection instructions varied: 29% did not restrict weight-bearing; 8% recommended limited weight-bearing for 1 week or more.

Conclusion: MPA, TH, and TA were favored. Associated techniques varied, based in part on where and when training took place. Research is needed to provide a more rational basis for clinical practice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use*
  • Arthritis / drug therapy*
  • Humans
  • Injections, Intra-Articular
  • Practice Patterns, Physicians'*
  • Rheumatology*
  • Societies, Medical
  • Surveys and Questionnaires
  • United States

Substances

  • Adrenal Cortex Hormones