BARBARA ANSELL SERIES

Intra-articular corticosteroid injections in juvenile idiopathic arthritis

A G Cleary¹, H D Murphy², J E Davidson¹

¹ Royal Liverpool Children’s Hospital, Eaton Road, Liverpool L12 2AP, UK
² Wexham Park Hospital, Slough, UK

Correspondence to:
Correspondence to:
Dr G Cleary, Royal Liverpool Children’s Hospital, Eaton Road, Liverpool L12 2AP, UK;
gavin.cleary{at}talk21.com

Therapeutic intervention with intra-articular steroid injections in juvenile idiopathic arthritis (JIA) has evolved from experience with adults with inflammatory joint disease, with the earliest report being published in 1951.¹ The technique has subsequently been introduced into paediatric rheumatology practice, although much of the evidence supporting its use remains anecdotal or based on open, non-controlled studies. This review examines the body of evidence relating to many aspects of treating children with JIA with intra-articular steroids, and is approached from both a medical and a physiotherapy perspective. Where appropriate, important areas for future research are identified and discussed.

Abbreviations: AVN, avascular necrosis; JIA, juvenile idiopathic arthritis; MCP, metacarpophalangeal joint; MR, magnetic resonance; MTP, metatarsophalangeal joint; NSAID, non-steroidal anti-inflammatory drug; PIP, proximal interphalangeal joint

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