Musculoskeletal Injections for Palliative Treatment of Neuromuscular Hip Dysplasia Patients: How I Do It

Overview

Journal Pediatr Radiol

Specialty Pediatrics

Date 2024 Jan 30

PMID 38289399

Authors

Jason Zarahi Amaral

Rebecca J Schultz

Scott B Rosenfeld

J Herman Kan

Affiliations

Soon will be listed here.

Abstract

This review describes our institution's standardized technique as well as potential pitfalls for therapeutic steroid injections in children with symptomatic neuromuscular hip dysplasia. Symptomatic, painful neuromuscular hip dysplasia can dramatically affect quality of life. Steroid injections are used to identify the source of perceived pain, temporarily treat pain while awaiting surgical intervention, or for therapeutic management for nonoperative hip joints.

References

Maenner M, Blumberg S, Kogan M, Christensen D, Yeargin-Allsopp M, Schieve L . Prevalence of cerebral palsy and intellectual disability among children identified in two U.S. National Surveys, 2011-2013. Ann Epidemiol. 2016; 26(3):222-6. PMC: 5144825. DOI: 10.1016/j.annepidem.2016.01.001. View

Pruszczynski B, Sees J, Miller F . Risk Factors for Hip Displacement in Children With Cerebral Palsy: Systematic Review. J Pediatr Orthop. 2015; 36(8):829-833. DOI: 10.1097/BPO.0000000000000577. View

Lins L, Watkins C, Shore B . Natural History of Spastic Hip Disease. J Pediatr Orthop. 2019; 39(Issue 6, Supplement 1 Suppl 1):S33-S37. DOI: 10.1097/BPO.0000000000001347. View

Larsen S, Ramstad K, Terjesen T . Hip pain in adolescents with cerebral palsy: a population-based longitudinal study. Dev Med Child Neurol. 2021; 63(5):601-607. PMC: 8048986. DOI: 10.1111/dmcn.14782. View

Ramstad K, Terjesen T . Hip pain is more frequent in severe hip displacement: a population-based study of 77 children with cerebral palsy. J Pediatr Orthop B. 2016; 25(3):217-21. DOI: 10.1097/BPB.0000000000000282. View

Koch A, Krasny J, Dziurda M, Ratajczyk M, Jozwiak M . Parents and Caregivers Satisfaction After Palliative Treatment of Spastic Hip Dislocation in Cerebral Palsy. Front Neurol. 2021; 12:635894. PMC: 8044939. DOI: 10.3389/fneur.2021.635894. View

Shrader M, Wimberly L, Thompson R . Hip Surveillance in Children With Cerebral Palsy. J Am Acad Orthop Surg. 2019; 27(20):760-768. DOI: 10.5435/JAAOS-D-18-00184. View

Davids J . Management of Neuromuscular Hip Dysplasia in Children With Cerebral Palsy: Lessons and Challenges. J Pediatr Orthop. 2018; 38 Suppl 1:S21-S27. DOI: 10.1097/BPO.0000000000001159. View

Robb J, Brunner R . A Dega-type osteotomy after closure of the triradiate cartilage in non-walking patients with severe cerebral palsy. J Bone Joint Surg Br. 2006; 88(7):933-7. DOI: 10.1302/0301-620X.88B7.17506. View

10.

Ayub A, Graff C, Horvat L, Maizen C . Hip reconstruction in cerebral palsy: Lessons from a single center and 137 hips. J Child Orthop. 2023; 17(5):469-480. PMC: 10549701. DOI: 10.1177/18632521231196846. View

11.

Kolman S, Ruzbarsky J, Spiegel D, Baldwin K . Salvage Options in the Cerebral Palsy Hip: A Systematic Review. J Pediatr Orthop. 2015; 36(6):645-50. DOI: 10.1097/BPO.0000000000000501. View

12.

Spruit M, Van Goethem C, Kooijman M, Pavlov P . Diagnostic infiltration of the hip joint with bupivacain in adult acetabular dysplasia. Acta Orthop Belg. 1998; 63(4):274-7. View

13.

Zielinski J, Garner M, Band P, Krewski D, Shilnikova N, Jiang H . Health outcomes of low-dose ionizing radiation exposure among medical workers: a cohort study of the Canadian national dose registry of radiation workers. Int J Occup Med Environ Health. 2009; 22(2):149-56. DOI: 10.2478/v10001-009-0010-y. View

14.

Cole B, Schumacher Jr H . Injectable corticosteroids in modern practice. J Am Acad Orthop Surg. 2005; 13(1):37-46. DOI: 10.5435/00124635-200501000-00006. View

15.

Pyne D, Ioannou Y, Mootoo R, Bhanji A . Intra-articular steroids in knee osteoarthritis: a comparative study of triamcinolone hexacetonide and methylprednisolone acetate. Clin Rheumatol. 2004; 23(2):116-20. DOI: 10.1007/s10067-003-0841-z. View

16.

Sukharomana M, Charuvanij S . Outcomes of intraarticular triamcinolone acetonide injection in children with non-systemic juvenile idiopathic arthritis. Clin Rheumatol. 2023; 42(6):1665-1674. DOI: 10.1007/s10067-023-06569-w. View

17.

Eberhard B, Ilowite N, Sison C . A dose schedule for intraarticular steroids in juvenile arthritis. J Rheumatol. 2011; 39(2):374-6. DOI: 10.3899/jrheum.110125. View

18.

Eberhard B, Sison M, Gottlieb B, Ilowite N . Comparison of the intraarticular effectiveness of triamcinolone hexacetonide and triamcinolone acetonide in treatment of juvenile rheumatoid arthritis. J Rheumatol. 2004; 31(12):2507-12. View

19.

Lemos S . Editorial Commentary: Periarticular and Intra-Articular Injections May Do the Right Thing for Patients' Pain but May Be the Wrong Thing for Their Articular Cartilage: Be Careful. Arthroscopy. 2022; 38(6):1996-1998. DOI: 10.1016/j.arthro.2022.03.003. View

20.

Piper S, Kramer J, Kim H, Feeley B . Effects of local anesthetics on articular cartilage. Am J Sports Med. 2011; 39(10):2245-53. DOI: 10.1177/0363546511402780. View