» Articles » PMID: 35982273

Joint Interventions in Osteoarthritis

Overview
Journal Skeletal Radiol
Specialties Orthopedics
Radiology
Date 2022 Aug 18
PMID 35982273
Authors
Affiliations
Soon will be listed here.
Abstract

Osteoarthritis (OA) is among the most common diseases affecting both axial and appendicular joints and the lead cause of disability worldwide. OA incidence is rising due to extended life expectancy and the increasing obesity epidemic. Several joint interventions are available to manage pain and joint function in patients with OA, most of these treatments being widely applied using intra-articular injections. In this chapter, we will describe the different joint interventions available for the management of pain in OA focusing on intra-articular injections, including discussion on the evidence regarding the efficacy of these treatments, based on the most recent systematic reviews and meta-analyses available. We also discuss the importance of imaging in guiding these treatments, including the different imaging modalities available for intra-articular injection guidance, their advantages, and disadvantages. Finally, we briefly discuss safety data and the consensus regarding the most used intra-articular treatments to manage pain in OA.

Citing Articles

Therapeutic Controlled Release Strategies for Human Osteoarthritis.

Wang D, Liu W, Venkatesan J, Madry H, Cucchiarini M Adv Healthc Mater. 2024; 14(2):e2402737.

PMID: 39506433 PMC: 11730424. DOI: 10.1002/adhm.202402737.

References
1.
Sander M, Oxlund B, Jespersen A, Krasnik A, Mortensen E, Westendorp R . The challenges of human population ageing. Age Ageing. 2014; 44(2):185-7. PMC: 4339729. DOI: 10.1093/ageing/afu189. View

2.
Bijlsma J, Berenbaum F, Lafeber F . Osteoarthritis: an update with relevance for clinical practice. Lancet. 2011; 377(9783):2115-26. DOI: 10.1016/S0140-6736(11)60243-2. View

3.
McAlindon T, Bannuru R, Sullivan M, Arden N, Berenbaum F, Bierma-Zeinstra S . OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014; 22(3):363-88. DOI: 10.1016/j.joca.2014.01.003. View

4.
Gronbeck C, Cote M, Lieberman J, Halawi M . Risk stratification in primary total joint arthroplasty: the current state of knowledge. Arthroplast Today. 2019; 5(1):126-131. PMC: 6470321. DOI: 10.1016/j.artd.2018.10.002. View

5.
Schreurs B, Hannink G . Total joint arthroplasty in younger patients: heading for trouble?. Lancet. 2017; 389(10077):1374-1375. DOI: 10.1016/S0140-6736(17)30190-3. View